1. Preparing For ShipShape

2. Obesity and Health §Obesity is 20% over desirable body weight §An estimated 61% of American adults are either overweight and/or obese l 35% overweight BMI 25-29.9 l 27% obese BMI 30 §$100 billion a year in health care costs

3. Excess Weight Increases Risks for: §High Blood Pressure §High Cholesterol & Triglycerides §Heart Disease §Stroke §Diabetes §Cancer (uterine, gallbladder, kidney, stomach, colon, & breast) §Arthritis §Respiratory Problems

4. Disease Prevalence (%) Type 2 DM61 Uterine cancer34 Gallbladder disease30 Osteoarthritis24 Hypertension17 CHD17 Breast Cancer11 Colon Cancer11 Disease Prevalence Due to Obesity

5. Are You Ready? §Do you want to lose weight to look better? §Do you want to be more fit or more healthy? §Are you willing to exercise to lose weight? §Are you willing to make permanent changes in your eating and exercise habits?

6. Are You Ready? §Are you willing to commit the time it takes to lose weight? §Are you willing to try new foods or healthier eating habits? §Are there things in your life that could get in the way of you losing weight?

7. Stages of Behavior Change

8. Measuring Behavior Change §Incremental versus all or none §Attitudinal and behavioral components §Achievable successes §Program evaluation

9. Stages of Change §Precontemplation §Contemplation §Preparation §Action §Maintenance

10. Stages of Behavior Change NO! Preparing Maybe Success! Moving or Acting Relapsing

11. Precontemplation §No intention of changing §Unaware or underaware of their problem §Problem often recognized by family and friends NO ImNot Going to Change

12. §Aware problem exists §Seriously thinking about overcoming it §No commitment to take action §Weighing Pros and Cons of change Maybe Contemplation

13. Preparation §Intending to take action in the next month §Pros vs. Cons §Modify/reduce behavior Preparing for Change

14. Action §Modify behavior to overcome problem §Requires considerable commitment of time and energy §Changed behavior from 1 day to 6 months Moving or Acting

15. Maintenance §Changed behavior for 6 months and beyond §Continuation of change §Work to prevent relapse Success

16. Relapse §Frequent occurrence §Does not indicate failure §Most people who successfully change their behavior have experienced relapse once or more.

17. Where are you? Precontemplation Preparation Contemplation Maintenance Action Relapse

18. Decide to make lifestyle changes and take control of your weight for YOURSELF and no one else.

19. Make a commitment to the lifestyle change process for the next few months. Make it a priority to attend all sessions and complete each self-study assignment. Lifestyle Changes

20. Become an active participant at each session.

21. Do not measure success by pounds lost.

22. Make small, realistic changes that naturally fit into your lifestyle.

23. Think positively; acknowledge your progress no matter how small. Reward yourself for successful lifestyle changes. Success

24. Ask for the support you need from family, friends, and co-workers.

25. Create an environment that is supportive of the changes you are trying to make in your lifestyle.

26. Set realistic and attainable long- term goals. When goals are unrealistic, success is never achieved. Remember there is no miracle cure for weight loss and management.

27. BE PATIENT. Expect set backs, learn from them, and move on. Setbacks