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Fitness and Chapter 6
Wellness Weight Management
CHAPTER 6
WEIGHT MANAGEMENT
OBJECTIVES
Recognize myths and fallacies regarding weight management.
Understand the physiology of weight control.
Become familiar with the effects of diet and exercise on resting metabolic rate.
Recognize the role of a lifetime exercise program in a successful weight management program.
Learn to write and implement weight reduction and weight maintenance programs.
Identify behavior modification techniques that help a person adhere to a lifetime weight maintenance
program.
I. INTRODUCTION
A. Obesity
1. A point at which excess fat can lead to serious health problems.
2. A body mass index (BMI) of 30 or greater.
3. Results from physical inactivity and poor dietary habits.
4. Is becoming an epidemic (Figure 6.1).
a. About 35% of the adult population in industrialized nations is obese.
b. This includes approximately 30 million Americans who are obese.
c. Before 1990, no states that reported an obesity rate above 15%. By the year
2013, not a single state had an obesity rate less than 20 percent. More than half
had an obesity rate equal to or greater than 25 percent, including 2 states with a
rate above 35 percent.
5. Prevalence is higher in African Americans and Hispanic Americans.
6. The estimated cost of obesity-related disease is $117 billion each year.
7. The American Heart Association has identified obesity as one of the six major risk
factors for coronary heart disease.
8. Obesity in itself has been linked to nine different cancers: colorectal, esophageal,
postmenopausal breast, endometrial, kidney, pancreatic, ovarian, gallbladder and
advanced prostate cancer.
9. Excessive body weight is also implicated in psychological maladjustment and a higher
accidental death rate.
10. Extremely obese people have a lower mental health–related quality of life.
B. Overweight
1. Overweight equates to excess body weight when compared to a given standard, such
as height or recommended percent body fat.
2. People who are 10–20 pounds over the recommended weight are not obese.
3. People who have a few extra pounds of weight but are otherwise healthy may not be at
higher risk for disease and early death.
C. Obesity
1. Individuals who are 30 or more pounds overweight during middle age lose about 7
years of life.
a. This decrease is similar to that seen with tobacco use.
b. Severe obesity at a young age may cut up to 20 years of life.
2. The primary objective of overall fitness is to attain recommended body composition.
a. These people can improve their quality of life and decrease their risk of disease.
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publicly accessible website, in whole or in part.
Fitness and Chapter 6
Wellness Weight Management
Critical Thinking: Do you consider yourself overweight? If so, how long have you had a weight problem, what
attempts have you made to lose weight, and what has worked best for you?
c. Additional fat content of LCHP diets may be the most damaging feature, which
may increase the risk of heart disease.
4. LCHP diets can result in undesirable side effects:
a. A loss of vitamin B, calcium, and potassium.
b. Weakness, nausea, bad breath, constipation, irritability, lightheadedness, and
fatigue.
c. Potential bone loss can further accentuate the risk for osteoporosis.
5. Long-term adherence to LCHP diets can increase cancer risk.
c. Leptin lets the brain know you are full; the more produced, the less you want to
eat.
d. Sleep deprivation elevates ghrelin levels and decreases leptin levels, which leads
to weight gain and keeps you from losing weight.
F. Light Exposure and BMI
1. Studies are beginning to show that exposure to morning light can influence body
weight and the hormones that regulate hunger.
2. Data have shown that people who get more light exposure early in the day have lower
BMIs.
3. Additional research suggests that sleep deprived individuals with ghrelin and leptin
levels out of range showed improvements in their levels following two hours of
daylight exposure shortly after waking up.
4. Proper timing (early morning), intensity, and duration of light exposure is important in
a sound weight management program.
G. Monitoring Body Weight
1. A critical component to lifetime weight management is to regularly monitor your body
weight.
a. Regularly monitoring your weight allows you to make immediate adjustments if
your weight increases and stays there for several days.
© 2017 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a
publicly accessible website, in whole or in part.
Fitness and Chapter 6
Wellness Weight Management
© 2017 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a
publicly accessible website, in whole or in part.
Fitness and Chapter 6
Wellness Weight Management
2. Time of day:
a. About 25% for breakfast.
b. About 50% for lunch.
c. About 25% or less for dinner.
3. Eating all calories in one meal:
a. May reduce BMR.
b. Makes the individual hungry throughout the day.
c. Try not to eat within 3 hours of going to bed. At this time of day, your
metabolism is slowest; your caloric intake is less likely to be used for energy
and more likely to be stored as fat.
C. Monitoring Your Diet Through Daily Food Logs
1. Evidence indicates that people who monitor daily caloric intake are more successful at
weight loss than those who don’t self-monitor.
2. Use the daily food intake record form for the caloric intake selected from Activity 6.2.
3. The objective is to meet (not exceed) the number of servings allowed for the specific
plan.
4. A standard cup is 8 ounces, but most glasses contain between 12 and 16 ounces. The
plan is based on the following caloric allowances for these food groups:
a. Grains are 80 calories per serving.
i. One slice of whole-wheat bread is 80 calories.
ii. A plain bagel is 200–350 calories! This equals multiple servings.
b. Fruits are 60 calories per serving.
i. A medium-sized fruit is one serving.
ii. Large fruit would be considered two or more servings.
c. Vegetables are 25 calories per serving.
d. Dairy products (low fat) are 120 calories per serving.
i. A cup of whole milk has about 160 calories, compared with a cup of
skim milk, which contains 88 calories.
e. Protein: Eat low fat, which is 300 calories per serving.
5. Use low-fat frozen entrees as the main dish for lunch and dinner meals.
a. Target lean meats and foods that contain less than 300 calories and less than 6
grams of fat.
b. Supplement with lower calorie foods from MyPlate (particularly fruits and
vegetables).
6. Analyze your intake.
a. Carefully measure and record caloric intake.
b. Take advantage of computerized nutrient analyses.
D. Protein Intake
1. To minimize the loss of lean body mass and hunger pangs while dieting, you need to
ensure that you are consuming between 1.5 gram and 2.0 grams of protein per kilogram
of body weight per day.
E. Effect of Food Choices on Long-Term Weight Gain
1. Studies show that food choices have a significant effect on weight gain.
a. On average, study participants gained 17 pounds over the course of 20 years.
b. Regardless of other lifestyle habits, individuals who consumed unhealthy foods
gained the most weight, whereas those who made healthy food choices gained
the least amount of weight.
Critical Thinking: What behavioral strategies have you used to properly manage your body weight? How do you
think those strategies would work for others?
© 2017 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a
publicly accessible website, in whole or in part.
Fitness and Chapter 6
Wellness Weight Management
CHAPTER 6
WEIGHT MANAGEMENT
STUDENT ACTIVITIES
Since the Internet is very popular with students, provide them with an opportunity to become involved outside of
classroom time.
1. Post discussion for students to answer.
2. Establish a Chat Room with specific topics to be discussed by students.
3. Create a time for students to “Ask the Professor” in a live Chat Room format.
PROGRESS REPORTS
Give simple prospective and retrospective quizzes to keep students reading and thinking.
1. Put multiple-choice, true–false, or short answer questions on a half-sheet of paper.
2. This requires students to make a commitment to some controversial choices.
3. Use the questions as an outline for topics of the day.
1. Ask for a show of hands of those who can control their body weight.
2. Then ask them how they do it.
3. Respond by saying that they were actually only controlling certain behaviors. How the body responds is
beyond control.
4. So, the key to weight management is knowing which behaviors (that we can control) will result in the
desired results. Unfortunately, some bodies do not respond the way we wish or the way other bodies
respond!
1. Ask what behaviors are necessary to lose in order to maintain a healthy body weight.
2. Then ask students to identify who in the world is exempt from this challenge. Is it the person who is 100
pounds overweight? Is it the average college student? Is it the world-class athlete?
3. No, we are all in the same boat. We all must follow what we think are healthy eating and activity behaviors.
4. Some of us have “arrived,” and we must continue these behaviors to maintain our status.
5. Some of us are striving to change, but the behaviors are very similar to those who have “arrived.”
1. Ask students what the average American does to lose weight. Of course, it is dieting.
2. Develop the concept of caloric balance. From a zero balanced state, a negative caloric balance is
established by taking in fewer calories or by expending more calories.
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publicly accessible website, in whole or in part.
Fitness and Chapter 6
Wellness Weight Management
3. The average American understands this but employs the least successful strategy—taking in fewer calories.
4. Exercise supports the freedom to eat what the body needs for efficient functioning; eating what the body
needs fuels the ability to exercise.
5. These are mutually supporting behaviors.
6. The average American must find a way to discipline exercise behavior, rather than discipline dieting
behavior.
7. The result is a body that works well 24-7 in a healthy eating environment. The alternative is a body not
working very well 24-7 in a deprived eating state with the unavoidable result of failure to meet the weight
loss goal.
1. Ask why diets do not work (why they yo-yo). The answers are not very funny.
2. Dieters underestimate caloric intake and slightly overestimate caloric output.
3. Low-carbohydrate diets (most, if not all, are low in carbohydrates) result in water loss from depleted
glycogen and reduced muscle mass (activity levels drop; protein is used as much or more than fat for
energy). The dieter believes progress is made.
4. The dieter must eat carbohydrates eventually, adding water weight back.
5. If the dieter does not gain back muscle with exercise, the basal metabolic rate (BMR) stays lower.
6. Now the negative caloric balance needed to lose fat is harder to accomplish.
1. Discuss the accuracy problems inherent in the height–weight table, girth, and BMI techniques.
2. Review what is better to measure than body weight to determine appropriate body composition (fat and
lean weights).
3. Introduce the recommended body weight equation from Activity 2.2.
4. Help students realize that it is the individual who decides recommended body weight by selecting desired
body fatness (after accurate actual body fatness is estimated).
5. Go through an example as students determine their own recommended body weight.
1. Assign a project to determine the extent of lifestyle change necessary to lose 5 pounds of fat in one month.
2. Ask for the average daily caloric balance required (5 lb × 3,500 cal/lb ÷ 31 days/mo = –565 cal/day for the
month).
3. Then require demonstration of actual exercise and eating adjustments that will meet the –565-calorie
balance each day.
4. Have students conclude with a judgment of the degree of lifestyle change required to meet the 5-pound
weight loss in a month goal.
1. Establish the scenario of the evening meal as the only meal of the day.
2. Ask how much attention is paid to being full. “I’ve got to eat for my entire day!”
3. Ask how much negative psychology is involved. “I’m always so hungry.”
4. Describe a plan to eat throughout the day—meals and snacks.
5. Each food is enjoyed for what it is, not stuffed quickly inside to get to more.
6. There is a habit of eating less food at a time—a chance for the individual to be aware of the food volume
needs of the body.
7. There is a chance that the person can become sensitive to the nutritional needs of the body. Besides
chocolate, can the body actually tell you what you should eat? Are you even listening?
© 2017 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a
publicly accessible website, in whole or in part.
Fitness and Chapter 6
Wellness Weight Management
8. Eating throughout the day keeps the body metabolism higher because the digestive system is continually
working on some food.
9. There is not an overcompensation response to eating because it is available and controlled when a person
eats regularly.
1. Ask students for the reasons for eating; they are physical, social, emotional, intellectual, environmental,
occupational, and spiritual.
2. Before blaming food for obesity, find out why an individual eats.
3. For many Americans, the ideal friend is a cookie (or some other food). It never changes. It can be depended
upon. It consoles, and it makes them feel better.
4. Eating is the symptom only. To solve the problem of body fatness, the cause must be uncovered first.
5. Log the eating habit. When, where, how, and why does the behavior happen? These are clues to
understanding why eating occurs, and the first step to countering with other behaviors (such as exercise,
stress management, and hobbies) that will lead away from obesity.
1. Divide the class by gender. Select four or five representatives from each group to be two panels in front of
the class to respond to your interview questions.
2. Ask them to respond to a series of weight loss behavior questions and lifestyle choices, such as food
selection, dieting, and exercise.
3. Ask the class to interpret the differences in responses.
4. Ask if the choices realistically can be changed or even exchanged between genders.
1. The most important aspect of behavior change is to replace the old behavior with the desired change,
instead of merely trying to accomplish more in the 24-hour day.
2. Prioritize the next 24 or 48 hours:
a. What are the most important uses of your time down to the least important?
b. Be honest and make sure eating and/or sleeping are not in the bottom position.
3. The best chance to begin and maintain a change is to acknowledge that:
a. The time for the new behavior is more important than the time for the old behavior in the first 24
and 48 hours.
b. You will need to say “goodbye” to the old behavior time.
4. Is television at the bottom of your prioritized time and the new behavior exercise?
a. Then stop watching earlier in the evening, go to bed earlier, and exercise in the morning.
b. Or, arrange to do something from another part of the day during TV time, so exercise can happen
in that part of the day.
5. If the 24th or 48th hour activity is less important than beginning and maintaining exercise, say “goodbye” to
the old behavior.
QUESTIONNAIRES
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publicly accessible website, in whole or in part.
Fitness and Chapter 6
Wellness Weight Management
Similar to most students, I gained several pounds of weight my first year in college. I dieted several times but ended
up regaining the weight, and then some more! I put off taking my fitness class because I wanted to lose the weight
first and get in shape before I took the class. My roommate, however, took the class the spring semester and I
couldn’t help but notice how she had lost weight and looked so much better. After finding out more details about the
course, I made an appointment with the course instructor and decided to enroll during the fall semester. That fall, we
assessed my body composition and determined that I had 9 pounds to lose to get to 138 pounds and be at 23 percent
body fat. With the aid of the instructor, we agreed on a 1,500-calorie diet, along with 45 minutes of walking/jogging
five times per week and 45 minutes of strength training twice per week. I also had to report every Monday morning
to my instructor for a weigh-in and to turn in my weekly food and activity logs. I signed a contract with the
instructor that I would adhere to the program as prescribed. I also talked to my roommates so they would understand
what my goal was for the next 15 weeks. At the end of the semester, I had lost 10 pounds but actually came in at
22.7 percent body fat at 140 pounds. In essence, because of all my physical activity I had gained about 3 pounds of
lean tissue along with 12 pounds of actual fat loss.
1. What lifestyle habits do you think often lead students to gain weight their first year in college?
2. What would you advise someone like Megan who is putting off taking a fitness class or going to the gym
because he or she wants to be in shape before being around others who may already be fit?
3. Why might signing a behavior change contract or talking to a roommate about a weight-loss program help
someone adhere to the program? What steps can you put in place to help you adhere to your own fitness
and/or weight management program?
WEB RESOURCES
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Madame Geoffrin the “keeper” of a salon, because she made a
business of it, and ruled and tamed her literary menagerie by a
discreet and liberal use of her purse. I have often wondered if her
great men in their hearts did not sometimes revolt against the
thraldom in which they lived from the moment they became
celebrated. To be bound to be brilliant and witty, in return for a good
dinner and a consideration every evening of one’s life! And to be
condemned to meet none but brilliant and witty persons, and listen to
their splendid talk when not talking splendidly oneself! There is
matter for reflection here to make dull and obscure persons
occasionally thank their stars. If good talk is not spontaneous, I own
it has no charm for me, but then I have never aspired to hold a salon,
and if you hold a salon and wish it to be a success, talk cannot be
spontaneous.
Quite recently Madame Aubernon died, and Paris lost a literary
salon, modelled, at a long distance, on that of Madame Geoffrin.
Madame Aubernon was a rich bourgeoise, with no pretensions on
the score of age, good looks, or dress. Her only ambition was to form
a menagerie of celebrities. She gave them every evening dinners by
no means as good as those of Madame Geoffrin, and checked,
controlled, made them march to her liking. She, too, professed
mistrust of pretty women, whom she invited only to lunches and teas
and such entertainments, because she feared that their pretty frocks,
their arms and shoulders, would divert the attention of her great men
from their duty to her and her salon. She kept a little bell beside her,
and only allowed the great men to talk in turn. “Now, M. Renan,” and
Renan poured forth to order. “If you please, M. Dumas,” and behold
M. Dumas acquitting himself with docility and force. The famous
story of the petits pois is told of every distinguished guest of
Madame Aubernon. Sometimes you hear it with Dumas’s name, or
Renan’s, or Pailleron’s. It does not matter, but the incident remains a
delightful illustration of the inconveniences of eating your dinner on
the understanding that you are to pay for it in wit. The great man
opened his lips out of turn, when the hostess stormily rang the bell,
and ordered him to shut them again. Somebody else was speaking
with permission. When he ceased, Madame Aubernon turned
graciously to her tame lion, and said: “Now you may speak. What
was it you wanted to say?” “Oh, nothing, madame. I only wanted to
ask for another helping of peas.” Musical celebrities are not so easily
trained. When, after dining at some Parisian countess’s, Chopin was
asked to play, he quietly retorted: Madame, j’ai si peu mangé. But if
the great men of letters had been such bears as Chopin there would
never have been the salon, and the story of Parisian life would be
the poorer. And, after all, it is an excellent discipline. Men acquire the
art of listening as well as that of talking, and it is a virtue of national
importance to teach people not to be dull. For if you are dull you
have no possible place in a salon. Your hostess has no desire to
crowd her rooms with inanimate or bored figure-heads. You come on
a distinct treaty, the conditions of which are accepted by your
appearance,—to amuse and be amused. If you speak, either you
must have something to say, or you must say whatever you wish to
utter well.
Since the Faubourg has been sulking, and the aristocracy is no
longer a power in the land, the aristocratic salon has dwindled into a
tradition. The young men are so desperately taken up with sport,
with automobiles, that they have not the leisure their elders had for
the arts and graces of life. The rosse literature has spoiled the
traditions of the Faubourg for us. The French aristocracy has come
to mean Gyp and Lavedan for us, and a course of those writers may
be warranted to drive any intelligent reader into the society of
washerwomen and tramps as a pleasing change. The absence from
all these heraldic pages, in which everybody is more or less titled, of
such a thing as a gentleman, or even an ordinarily honest man, is
what stupefies me. What their admirers can imagine would be the
benefit to France in upsetting the Republic in order to place in power
a party, upon its own testimony, so scantily furnished with brains or
honour, is what I am unable to grasp. And if their women-folk had
their way, we should have back the “White Terror,” and science and
liberal thought would receive an emphatic blow. But happily there is
no immediate fear of their triumph. The Duc d’Aumale and the Prince
de Joinville took with them to the grave all the prestige that was left
the House of France, and not even his followers take the Duke of
Orleans seriously.
Political intrigue is, of course, worked in the salon, as Academy
elections are helped. The Frenchwoman’s influence is too great not
to find an opening in every question of the hour. If she has no vote,
she inhabits a land where the sorcery of her sex exercises a wider
and deeper, a more permanent power than any political rights could
ever give her, though, for many reasons, I am inclined to believe that
it would be better for her and for her race if the significance of this
power were other than it is. In a country where the courtesan plays a
triumphant part, where newspapers solemnly recount her doings,
describe her toilettes at Longchamps, at Auteuil, and interview her,
we can scarcely expect women not to misuse their sovereignty. They
know that the day it bores them to be chaste, they need not cloak sin
in the mantle of night. They may wear their lovers on their sleeves in
broad daylight, and lose not a pennyweight of consideration. The
salon of the woman who is known to have had (or to have)
sentimental adventures will be thronged, and people will only smile
and say of her that she “distracts” herself. I remember hearing an
extraordinary story once of a beautiful woman, the admired and
courted holder of a famous salon. The cousin of the friend who told
me the story fell a victim to her charms, and was staying with his
mother at some Mediterranean resort, when he learnt of the siren’s
arrival at a neighbouring town. He forsook his mother to rush after
her, and remained with her during the greater part of the long
summer vacation. When their holiday had drawn to a close, the lady
took the train, and called on her lover’s mother, and in the highest
ancien régime manner, said: “Madame, I come to return your dear
son to you.” His little fugue, she said, was at an end. The two ladies
parted on the best of terms, the one to welcome back the erring
sheep (not that a French mother regards her son under these
circumstances as an erring sheep), and the other to open the doors
of her closed salon in Paris to all the notabilities she had left sighing
for her brilliant and hospitable roof. What will you? When a woman is
not his own wife, a Parisian does not put any price upon her honour.
True, he makes up for this laxity in regard to his neighbour’s wife by
arrogating to himself the right to murder his own faithless wife with
impunity. By this legal ferocity he buys back the privilege of
considering himself at times a model of Roman virtue.
The salon is all very well, so are the songs of Montmartre, the
Théâtre Rosse, but there is just one little point, a solitary point, on
which the Frenchman is in no mood to blaguer, not being Molière,
and that is his wife’s fidelity to the marriage vow, which vow, if we are
to believe him (I confess I do not) he spends his own life in breaking.
He laughs at most other things, but here he displays a desperate
and unhumorous gravity. The law considerately assists him, by
telling him that killing is no murder. But if he doesn’t laugh, his
neighbours round him laugh joyously for him. The infidelity of
another man’s wife is the best of all jokes in France, and public
sympathy always goes with the wife.
GLEANERS
J. A. Breton
And yet, while laughing at himself, and at all things round him, the
Frenchman offers us the ideal of an indefatigable worker in whatever
road he has elected to run his career. If he can talk well, he can work
hard, and no race seeks so strenuously as his to achieve perfection
in every path. The alacrity and precision of his speech he brings into
all he does, and I know no men who have won renown able to wear
it so simply, with such a delightful absence of pompousness, as
distinguished Frenchmen. Victor Hugo was, of course, the big
exception indispensable for the proof of the rule, for Victor Hugo sat
in pontifical state on his Throne of Letters, and posed as a sort of
Napoleon. But that was a part of his flamboyant genius, which had to
make a life apart for itself. Renan, with his delicate scepticism, his
good-humoured tolerance, was a much more convincing figure of
French genius; he was more in keeping with the urbane, gentle
traditions of his race. The French language lends itself to such a
daily dignity of existence, that this may partly be the reason there
always seems to me something peculiarly and indescribably
harmonious about intimate life in France, as well as in its larger
social phases. Everybody about you, beginning with your servant,
speaks so well, that long intercourse with them unfits you for
latitudes where speech is less admirable and less choice.
CHAPTER XI
THE “LITTLE PEOPLE” OF PARIS