2. Repeat the values statement often Read Success Habits book chapter 4 Complete check up questions on page 126 Record your weight loss Monitor your fluid intake & make positive changes Last week’s assignments

3. Portion Control Personal Accountability I recognize that I alone am responsible for my successes and my failures. I understand the importance of satiety and listen to my body’s signals. The Success Habits of Weight-loss Surgery Patients I make good healthy food choices each day. Nutrition I drink the right amount of the right beverages at the right time each day. Fluid Intake I have adopted the habit of exercise as part of my lifestyle. Regular Exercise

4. I have adopted the habit of exercise as part of my lifestyle.

5. Regular Exercise Objective: Encourage understanding of the importance of regular exercise for good health and for long-term success. To inspire, motivate and support efforts to establish exercise as a life long habit.

6. Calories In Calories Out.

7. Regular Exercise.

8. Copyright© BodyMedia, Inc. All rights reserved 100454 Rev 2 8 Lichtman et al. N Engl J Med 1992;327:1893. Kcal/d Reported *P<0.05 vs. reported. ActualReportedActual * The dilemma: We think we eat less and move more The truth: We eat more and move less Energy Intake Energy Expenditure *

9. Copyright© BodyMedia, Inc. All rights reserved 100454 Rev 2 9 It’s a simple but critical miscalculation. How long would you have to walk to burn off a regular order of fries?

10. Copyright© BodyMedia, Inc. All rights reserved 100454 Rev 2 10 It’s difficult for most to imagine: What takes 1 min. and 10 sec. to consume, takes 1 hour and 10 min. to expend. 400 kcal 1 hour and 10 minutes Based on 160- pound person walking at a moderate pace.

11. Copyright© BodyMedia, Inc. All rights reserved 100454 Rev 2 11 It doesn’t help matters that our culture makes it easy for us to eat more and move less. 20 years ago 2.4 ounces 210 calories Today 6.9 ounces 600 calories

12. Regular Exercise 40 minutes / 4 times each week Combine strength and aerobic exercises Understand and exercise within their THR Understand their own metabolic rate Monitor their intake and output Make a constant effort to be more active Successful WLS Patients:

13. Regular Exercise Why should I exercise?

14. Regular Exercise What stops me from exercising?

15. Regular Exercise

17. Identify what motivates you to exercise Identify what are you going to do differently this week? Log your exercise this week Challenge:

18. Regular Exercise Recent studies & articles on WLS & Exercise Obesity Action Coalition (obesityaction.org) Maintenance Mentality & Strength n Sculpt Booklets Metabolic Monitoring Devices (Body Knowledge Assessment Helpful Resources

19. Repeat the values statement often Read Success Habits book chapter 5 Complete check up questions on page 150 Just Do It & Step it up – report next week Log your exercise - This week’s assignments

20. Next week: Week 6 – Vitamins & Supplements

21. Leading the bariatric support community; Assuring optimal outcomes since 2000 www.bariatricsupportcenter.com 800-339-9129