You Only Have One Life, Why Wait? - www.onelifesuffolk.co.uk - OneLife Suffolk
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Welcome to OneLife Name: ................................................................................................................................................................................... Welcome to the OneLife Specialist Weight Management Programme. We’re really looking forward to getting to know you and helping you make little changes that will make a big difference to your life. The OneLife programme exists to help individuals feel miles better about themselves. This is your personal handbook, each session you will receive new information to add to it, so please bring it with you to every session. Your Practitioner! Throughout your sessions on the OneLife programme, you will be supported by a dedicated adult weight management practitioner who is there to help you every step of the way: Practitioner Name ......................................................................................................................................................................................................... Practitioner Email ......................................................................................................................................................................................................... Practitioner Contact Number ......................................................................................................................................................................................................... www.onelifesuffolk.co.uk
3 Contents Welcome to OneLife..................................................................2 5. Food Diary Keeping a food diary.............................................................. 44 1. Getting Started Meal planner template........................................................... 47 What is the programme about?..............................................5 What to expect from our programme...................................6 OneLife group principles.........................................................8 6. Become More Active My personal weight loss contract..........................................9 Why now?...................................................................................10 OneLife priority activity behaviours...................................52 What could hinder my weight loss journey?..................... 11 Approaching activity...............................................................56 Activity planner template...................................................... 57 2. My Monitoring Monitoring your progress...................................................... 14 7. A Psychological Approach My monitoring data.................................................................. 15 Progress chart........................................................................... 17 Energy Balance........................................................................59 The 3 D's..................................................................................... 61 Mindful Eating ..........................................................................62 3. Goal Setting Thoughts, feelings and behaviours................................... 64 Goal setting................................................................................ 19 Unhelpful thinking...................................................................65 End goals.................................................................................... 21 Staying on track.......................................................................69 Journey goals...........................................................................22 8. Maintenance and Self-Monitoring 4. My Approach to Eating Maintenance and self-monitoring....................................... 72 What does living healthily mean?.......................................29 Good things about losing a little weight...........................29 9. Handouts......................................74 The weight loss equation......................................................30 OneLife priority eating behaviours...................................... 31
5 What is the programme about? OneLife’s Philosophy OneLife recognises how difficult it is to lose weight and that many of our clients have struggled over the years with different “diets”. Losing weight is complicated and the world we live in can make it very confusing with all the different advice out there. The OneLife programme is based on scientific research and we review it regularly to make sure it works for you! Because of this we are happy to receive any feedback you have during the course. We believe that YOU are the expert in your life and so, we never tell you what to do. We provide you with all the tools you will need to lose weight, but it is up to you to choose which approach suits you. OneLife's Psychological Approach We are a psychologically informed programme and want to help you understand and improve your relationship with food. This may mean looking at habits and triggers or how emotions from stress and sadness to boredom and happiness can impact on our eating and activity levels. We use ideas and activities from the Cognitive Behavioural Therapy model during the course. These will help you recognise the connection between our thinking, how we feel and how we behave. We also use mindful eating techniques to help you change the way you eat so that you can enjoy food without overeating. Our key aims are for you to work on: • Your self-awareness- being mindful of not only your eating and activity levels, but your thoughts and feelings too. • Your understanding of self and others- recognise how other people (friends, family, society, media) also influence us. • Your self-regulation- learning flexible strategies to manage your eating, activity levels, thoughts and feelings. • Your self-reliance- we want you to feel in control of your life and be able to use these strategies for the rest of your life, not just the duration of the programme. OneLife’s Dietary Approach We believe that food should be an enjoyable part of everyday life. By working with our team, we aim for you to: • Reach and maintain a healthy weight • Learn more about food and nutrition by exploring key dietary principals, for example, The EatWell Guide, calorie intakes, food labelling and diet myths • Explore ways to identify parts of your diet you may need to change • Look at practical ways to make healthier food choices for you and your family Terms Of Attendance We expect that any discussions during these sessions are kept confidential. We will only break this confidentiality if: • You have explicitly consented for us to do so; • What you share indicates that there is a clear and imminent risk of harm to you or others; • There is a legal obligation for us to do so. We expect that you are mindful of the comfort of others in the group and your practitioner. Please dress appropriately, do not use offensive language and respect other people’s personal space. Inappropriate behaviour towards our practitioners will not be tolerated. We are here to support you to meet your health goals - please maintain a professional relationship with us at all times. Failure to comply with these conditions may result in you being asked to leave the service.
6 What to expect from our programme Solution-Driven Accepting Non-Judgemental Respectful Personalised Guilt-Free Increased Competence Encouraging Honest Challenging Inspiring
7 Expert-Led Inclusive Direct Realistic Reliable Supportive Develop Autonomy Informative Evidence-based Trustworthy Focused on You
8 OneLife group principles To help our group sessions run effectively we ask you to: Arrive on time So as not to keep others Attend every session waiting. Make a commitment to the group. If you must miss a session, please inform us as far in advance as possible. Be supportive of each other ccept people just as they A are, and avoid making judgements. Be constructive Avoid criticism. Equal time for all Give everyone a chance to Keep it practical talk. Focus on solutions. Implement your learning Keep it confidential Practise what you learn. Respect and maintain the hese methods can help you T confidentiality of the group. control your weight, only if you What is said in the group practise them. is not to be repeated or discussed at any other time or place. You can discuss what you Tell us if you are unhappy are learning about weight Let us know if you management with others. feel upset or have any concerns, we can work things out. Please don’t drop out.
9 My personal weight-loss contract I .......…………………................................................... hereby agree to fully commit to the OneLife programme. I understand that OneLife will not tell me ‘what to do’ but help me learn about myself and what strategies work for me in my individual life circumstances. I will take responsibility for my weight and make the changes necessary to lead a healthier life. I acknowledge that losing weight can be difficult and I will need to commit time and effort to achieving my goals. In order to do this I will take the following steps: 1. Attend as many OneLife sessions as possible. 2. Monitor my eating using a food diary. This is not so that anyone can check up on me but a tool to increase my mindfulness and awareness around my eating 3. Recognise that this is not a “diet”. It is a lifestyle change that I can continue to improve on for the rest of my life. 4. Acknowledge that I am not perfect and will sometimes go off track. I will not beat myself up but find strategies to help me refocus and continue with my new lifestyle. 5. I will remind myself regularly why I am making these changes and remember that I am worth the effort. 6. I will understand that I will need to put my own needs first sometimes and remember that my loved ones will benefit from my improved health and happiness in the long run. Signature of Commitment ............................................................. Date: .......................................... As I sign this contract, I understand that my future is my responsibility and I recognise that I am capable of achieving my goals.
10 Why now? Write down the reasons why you are making the commitment to this weight loss journey. What difference will it make to your life and why is now the right time?
11 What could hinder my weight-loss journey? Barriers Solutions What may prevent me from attending My strategies to overcome these barriers sessions? are: What may prevent me from completing My strategies to overcome these barriers additional activities outside of the group are: sessions? What may prevent me from weighing myself My strategies to overcome these barriers or monitoring my health behaviours? are: What may I think or say to myself when things My strategies to overcome these barriers aren’t progressing the way I would like? are:
12 What could hinder my weight-loss journey? (continued) Barriers Solutions What may happen if I slip up? My strategies to overcome these barriers are: What may happen if there is a conflict My strategies to overcome these barriers between my eating and activity plans and are: what others want me to do? Any other known barriers? My strategies to overcome these barriers are:
My Monitoring
14 Monitoring your progress During the programme, you will be weighed each time you attend a session. Don’t panic! It is totally private; we don’t share weights or results with anyone else in the group. However, you are free to talk about your results! We definitely won’t stop you from being excited about your success with other group members. At OneLife we believe it’s really important to monitor your weight. Tracking your progress can be really beneficial, especially when you can see the results of Your practitioner will discuss with you the sort of all your hard work. It’s really important to be weighed weight loss target you should work towards over the at the start of the programme to find out where you duration of the programme. For the majority of the are starting from. group, this will be 5 – 10% of your body weight. It is important to recognise that safe and long term weight loss takes time. You should be thinking about where One of our mottos is: you would like to be in a year, rather than where you want to be in a month. “You need to know where you’re starting from before you can work out how you’re On the next page you will find space to record your weight each week, there is also room for you to going to get there!” record your blood pressure which we will take on your first and last week of the intensive phase of the programme. There is also some space for you to note Once you have a starting weight, we can discuss a any ‘reflections’ you have about your weight. This can realistic weight loss journey with you. A reduction of be just a couple of words to describe how you feel 1-2lbs per week is a safe, healthy weight loss. Some about your progress for the week e.g. ‘Happy, the individuals who have a lot of weight to lose will usually hard work was worth it!’ or ‘Disappointed but I know I start by losing more than 1-2lbs per week. can refocus next week’.
15 My monitoring data Height................................................................EER........................................................................................... 5% weight goal................................................................................................................................................... 10% weight goal.................................................................................................................................................. Session Weight (Kg) Blood pressure Reflections 1 2 3 4 5 6 7 8 9 10
16 My monitoring data continued Session Weight (Kg) Blood pressure Reflections 11 12 13 14 15 16 17 18 19 20
17 Progress chart Add your starting weight at the ‘My starting weight’ line, then go down in 0.5kg increments for each line (e.g. If your starting weight is 100kg, the line underneath would be 99.5kg, then the line under that would be 99kg, then 98.5kg and so on...) My starting weight Weight (kg) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Sessions
Goal Setting
19 Goal setting The key to getting healthy is goal setting. Goal setting is something you will hear about during every session at OneLife. We know that individuals who set and monitor their goals consistently are the ones who will make changes that lead to weight loss, health and happiness. Learning about living a healthy lifestyle is great but you will only see results if you put it into practice. At OneLife we split goals into: Journey goals – your short-term goals These are shorter-term goals that you can achieve within a week. End goals – your long-term goals Things that you would like to achieve in 3, 6 and 12 months. Where you are now Journey goals End goals
20 Goal setting Successful weight loss is a journey. Sometimes it is easy to get carried away and start setting goals that are very hard to achieve. The guidelines below will help prevent you from setting unrealistic goals that will just make you feel bad when you don’t achieve them. Setting small but manageable goals is important and celebrating when you achieve them is really important! AM I BEING SMART? Successful goals are SMART goals: Specific Measureable Achievable Realistic Time-based Instead of You could say Specific This week I will try to This week I will walk for The goal should be clear and include specific information do more exercise. 15 minutes to and from to help you achieve it. work on Tuesday and Thursday. Measurable The goal should have This week I will eat This week I will only eat information for measuring less chocolate. 2 pocket size Mars bars. progress toward the attainment of your goal. Achievable This week I will cut down I will give up crisps for from a packet of crisps Setting goals that you have a the rest of my life. every day to 3 packets good chance of achieving. during the week. Realistic For example, if it is throwing it down with rain on The goals should be flexible Thursday and you have said you will walk to work to fit with the challenges of you could drive that day and walk to work on Friday every day life. instead. Time-based The goal should be given a I want to lose 4lbs. I want to lose 4lbs time frame in which it should in 4 weeks. be achieved.
21 End goals Use the table below to write down your end goals. Remember these are long- term goals which you will have to work towards by building up lots of journey goals. Weight doesn’t just affect health – it affects other aspects of life too. Some people like to have a weight-related goal and a non-weight related goal. If you feel that you’ve completed one of your end goals you can give yourself a new one at any time. Type of goal My goals Achieved/comments Mid-way goal 1 Mid-way goal 2 Mid-way goal 3 Mid-way goal 4
22 Journey goals Journey goals are what they say they are; goals that you set along the way to help you reach your end goal. We like to set journey goals so that we can build on them each week; remember little changes make big differences over time. It is important that you track your goals, as this allows you to see your progress and achievements and to ensure that your success continues. Setting journey goals isn’t something you have to do on your own, so don’t worry, your OneLife team will help you every step of the way. Every session you will set journey goals to work towards. Session 1 Session 2 My goal/s are Specific Specific Measurable Measurable Are your goal/s Achievable Achievable Realistic Realistic Time-based Time-based Comments (i.e. Did you achieve your goal/s? What helped you? Were there any barriers?)
23 Journey goals continued Session 3 Session 4 My goal/s are Specific Specific Measurable Measurable Are your goal/s Achievable Achievable Realistic Realistic Time-based Time-based Comments (i.e. Did you achieve your goal/s? What helped you? Were there any barriers?)
24 Journey goals continued Session 5 Session 6 My goal/s are Specific Specific Measurable Measurable Are your goal/s Achievable Achievable Realistic Realistic Time-based Time-based Comments (i.e. Did you achieve your goal/s? What helped you? Were there any barriers?)
25 Journey goals continued Session 7 Session 8 My goal/s are Specific Specific Measurable Measurable Are your goal/s Achievable Achievable Realistic Realistic Time-based Time-based Comments (i.e. Did you achieve your goal/s? What helped you? Were there any barriers?)
26 Journey goals continued Session 9 Session 10 My goal/s are Specific Specific Measurable Measurable Are your goal/s Achievable Achievable Realistic Realistic Time-based Time-based Comments (i.e. Did you achieve your goal/s? What helped you? Were there any barriers?)
27 Journey goals continued Session 11 Session 12 My goal/s are Specific Specific Measurable Measurable Are your goal/s Achievable Achievable Realistic Realistic Time-based Time-based Comments (i.e. Did you achieve your goal/s? What helped you? Were there any barriers?)
My approach to eating
29 What does ‘living healthily’ mean anyway? There are so many different messages out there about what we ‘should’ and ‘shouldn’t’ eat it’s no surprise really that a lot of us are in a pickle trying to understand what being healthy actually means. In this section we will try to make things simple so that you can make the best choices for your life! These are the Eating better Balance, variety and moderation golden rules that the OneLife team Moving more will use to help Take every opportunity to be active you to live more Living healthily ever after healthily. Small changes make long-term differences Good things about losing a little weight By joining a OneLife programme you have made the decision to get healthy for good! This is a brilliant first step that will not only help you feel better, but help you live longer too. With your hard work, together with support from the OneLife team, you can become healthier, lose weight and feel great! Losing just 5% of your body weight can The science bit… 5% weight loss can also: give you great benefits and make you a • Reduce your cholesterol (the super role model. 5% weight loss means: amount of fat in your blood) • Your energy levels will increase • Possibly reduce the need for regular medication • Moving around and being active becomes more • Reduce the risk of type 2 diabetes enjoyable and easier • Reduce your risk of certain cancers • You might find it easier to sleep • Improve mental health and your ability to deal with • Your confidence will increase stress and manage depression and anxiety. • You could find yourself being able to better manage and juggle things at work • You could feel a lot happier – exercise releases chemicals in our brains that are known to make us feel happy.
30 The weight loss equation Energy in = energy out = weight maintained So, this means if you eat the same amount of calories as you use up during the day, you will stay the same weight. If you eat more calories than you use up, you will gain weight. When energy in is greater than energy out = weight gained The key to losing weight is the equation below. If you eat fewer calories than you use up, you will lose weight. than energy out = weight lost When energy in is less During your time on your OneLife programme, we will show you how it’s possible to increase your energy out and decrease your energy in – in really simple ways that you will find easy to do.
31 OneLife priority healthy eating behaviours Understanding the way you eat is the first step to making healthy changes. Below are different aspects of eating that we think are important to weight loss. Remember, you are not aiming for perfection, just try to make steps to change the bits that are most relevant to you and your life. 1. Self-monitoring and calorie counting Keeping a daily record (either written or electronically) of what we eat and drink alongside counting calories helps us to become aware of habits, increases our control over eating, stops automatic eating and guides our food choices. There are no forbidden foods (including chocolate and alcohol) THE ONLY RULE IS THAT EVERYTHING IS RECORDED. To calorie count you require a reference e.g. ‘Pocket Guide of Calories’ or ‘Carbs and Calories’. Alternatively, if you are tech savvy, you may prefer to use an app or computer program. One example of an app is My Fitness Pal – this can be used on a smart phone or computer. The energy equation that My Fitness Pal uses is different to the one we use – so please use the calorie goal we give you. When we exercise we burn calories, but often we over-estimate the energy burned doing exercise so we advise that you do not include any calories burned to increase your daily calorie goal. Any physical activity is a bonus to help you achieve your weight loss. Keeping records as described above can have a life-changing impact on eating and it works on several levels: • It limits food intake, it gives control but freedom of choice and helps us see where the calories are coming from. • It is flexible, if we go over our goal one day we can compensate the next or plan ahead and ‘bank’ calories for a special occasion. • Ownership – no-one is telling us what to do, this is powerful and we begin to ‘self-correct’. • Keeping records help separate ourselves from our behaviour so we can look at it more objectively. Chose a format to suit you e.g. a beautiful journal that will fit into a bag, sheets of A4, a small notebook to fit into a pocket, an electronic copy in a file format or using an app. • Weighing and measuring food helps us learn about appropriate portion sizes. To do this you need kitchen scales and a measuring jug, alongside a calculator and calorie guide. • Shifts in thinking and attitude. People who self-monitor change their beliefs about: - Labelling foods ‘good’ or ‘bad’ - Their own ability, perception and awareness - It helps internal conflict It’s hard. Losing weight involves a sustained change in eating, sometimes we follow a ‘diet’ keeping to the rules but don’t see results. The reason for this is that we are not creating a calorie shortfall. We may be eating the ‘right’ foods but still too much of them. Self-monitoring even just for one week will teach us how this process works.
32 2. Regular eating To keep our bodies working at their best throughout the day, we recommend that you spread your daily calories allowance over 3 meals and 2 snacks throughout the day. Regular eating has many benefits; it gives structure and routine to your eating habits, it prevents you from getting very hungry which is when you may impulsively snack, it keeps your blood sugar levels stable and helps keep energy levels and mood stable. 3. Portion sizes Portion sizes of foods have increased considerably over the years, so it’s understandable that we may be eating more than we realise. Keeping to the recommended portion sizes for food and drinks can enable you to manage your weight. What exactly is a portion? Use the OneLife portion control guide below to help you eat the right amount of each type of food you need or just ask a OneLife team member for information about recommended portions of certain foods. Portion control guide Fruit, rice, 150ml fruit Meat Vegetables pasta, potatoes (A palm) (Cupped hand) juice portion (Fist full) “What’s the difference between serving size and portion size?” On labels of food and drink you will see the ‘serving size column’ - this quantity is chosen by the manufacturer. This is not the same as your portion size. Your portion size is the amount you choose to eat and it should be specific to you! An example Take a carton of orange juice. On the packet it may say that the serving size is 200ml. However, you know that the recommended portion size of juice for you is 150ml. So if you had a serving size instead of a portion size you would be having more juice than is recommended for you.
33 4. Meal planning Planning what you are going to eat is a great way to ensure that your diet is balanced, healthy and stays within your daily calorie requirements. You will find a meal planner tem- plate later in your handbook. At OneLife, we recommend you plan your meals around The Eatwell Guide (shown below). Use the Eatwell Guide to help you get a balance of healthier and more sustainable food. It shows you how much of what you eat overall should come from each food. Check the label of packaged foods Each serving (150g) contains Cals Fat Sat. Fat Sugars Salt 1048KJ 3.0g 1.3g 34g 0.9g 250kcal LOW LOW HIGH MED Potatoes, bread, rice, pasta and 13% 4% 7% 38% 15% other starchy carbohydrates of an adult’s reference intake. Typical values Choose wholegrain or higher fibre (as sold) per 100g: 698KJ/167kcal versions with less added fat, salt and Water, lower fat milk, Choose foods lower in fat, salt and sugars sugar. sugar-free drinks including tea and coffee all count. Limit fruit juice and/or Fruit and vegetables smoothies to a total of Eat at least 5 portions of a 150ml a day. variety of fruit and vegetables every day. Oils and spreads Choose unsaturated oils and use in small amounts. Beans, pulses, fish, eggs, meat and other proteins Dairy and alternatives Eat more beans and pulses, 2 Choose lower fat and lower portions of sustainably sourced sugar options. fish per week, one of which is oily. Eat less red and processed meat. Foods high in fat, salt and sugar, Eat less often and in small amounts!
34 The Eatwell Guide - why and how? The Eatwell Guide is a tool developed to help us understand how much we should be eating of each type of food. It represents the proportions of different foods that we should eat across one day. You might be wondering why we need all of the food and drinks on the Eatwell Guide and how we can make sure we get enough. Take a look at the boxes below to find out! Fruit and VegetaBles starchy Foods Why? Why? Vitamins, minerals and fibre help Starchy foods like potatoes, bread us have a healthy heart and strong and pasta: bones and teeth. They even make • Contain carbohydrates, a great our hair and skin look great too! source of energy • Contain fibre, calcium, iron and B vitamins • Keeps us fuller for longer, espe- cially if you choose wholegrain How? or high fibre alternatives. Add a banana and/or a handful of raisins to your breakfast. How? Add peppers, mushrooms, tomatoes Have more rice or pasta with your or sweetcorn to a homemade pizza. meal and less sauce. Take a small tub of carrot sticks to Go for a wholegrain cereal and mix it work for that mid-afternoon crunch! with your favourite fruit. Grab a handful of grapes for when Why not have a jacket potato for you are on the go. lunch with a lovely fresh salad on the side? Milk and dairy Products Protein-rich Foods Why? Why? We should eat 2-3 portions of dairy Meat, fish, eggs, beans, and legumes: every day because: • They are really good sources of • Rich in protein, iron and vitamins protein and calcium • Rich in omega 3 – heart healthy • Protein helps the body grow and • Essential for growth and repair of repair your body. • Calcium keeps our bones strong. How? How? Have low-fat dairy products such Choose lower fat alternatives such as as low-fat yogurt as a tasty treat at fish, pork, chicken and turkey. lunchtime. Grill or bake your fish or meat instead Use semi-skimmed milk on your of frying it. morning cereal instead of full fat milk. Add a tin of kidney beans to your Make a delicious dip with low fat stew to give it that Mexican fiesta crème fraiche and chives to go with feeling! your crunchy carrot snack.
35 Fatty foods Sugary foods Why? Why? We all need a small amount of fat We need sugar in our diets, but it’s within our diet for healthy skin and important that we don’t have too hair. But remember, fatty foods are much. Sometimes sugar is added to high in energy! things to make them taste sweeter – these are the things we need to cut How? Unsaturated fats (e.g. monosaturated down on. and polyunsaturated) are found in foods like oily fish and nuts or seeds. These are a good, nutritious part of How? our diet. • Ditch the jam, marmalade or honey on your toast and swap to a Saturated fats are found in foods like low-fat spread or sliced banana fatty meats, cakes, biscuits, pies and • Swap sugary or chocolate cereals cheese. These aren’t so good for our for a wholegrain cereal with your health. To cut down: favourite fruit added on top • Remove visible fat from meat • Swap sugary fizzy drinks to water, • Eat fewer takeaways / processed unsweetened fruit juice or a low meals sugar fizzy drink. • Swap meat in stews for beans or pulses • Snack on fruit instead of biscuits/ cakes. • The majority of the food we eat each day should be starchy foods like pasta and rice, and fruit and vegetables • We should drink plenty of water and sugar free drinks • We should include some meat or fish and some dairy produce • Only a very small amount of our diet should be made up of foods and drinks that are high in fat and sugar • Try your best to limit foods and drinks high in sugar and fat to a couple of times a week. • Don’t forget to use the portion control section to make sure you fill your plate with just the right amount of each food. • Why not get an old plate and draw the Eatwell Guide sections on, then you can see if you’re sticking to a healthy balanced diet? You can also buy 'healthy portion plates' online if you'd rather not draw on your plates! • Remember - you can always ask the OneLife team if you have any questions.
36 5. Eating out & takeaways Eating out should be fun; it is about spending time with your family or friends, not a stressful situation where you are worried about overeating. Preparation and planning are the key to healthily eating out wherever you go! Restaurants Buffets • Look at menus in advance (most are • Before you choose anything, take a online and many have lower calorie step back and look carefully at what is options on offer • Decide in advance to reduce impulse • Choose a few items you really ordering enjoy rather than trying a bit of • Don't be afraid to ask for what you everything really want; even if it's not on the menu • Fill the rest of your plate with • Veg without butter, salads with low calorie options such as salad dressing on sides, substitute high-fat or vegetables sides • Use a smaller side plate rather than a • Having a two or three course menu? dinner plate • Try soup or salad starter and fresh fruit, sorbets or even a coffee for dessert • Visit the buffet only once, then get • Share a starter or dessert instead of rid of your plate as soon as you have having the whole one finished • If you really want a second visit, drink a large glass of water and wait 20 Pressures to eat minutes, you may find that after that you are full anyway • If you feel under social pressure to eat more than planned, try and work out why? • Are you afraid of offending the host? If Social eating so practice ways to politely refuse food without causing offence • If the host/hostess is a close friend, it • Encountering comments such as 'You may be a good idea to ring in advance have done so well, you deserve a treat?' Try a simple 'No thank you' and and tell them that you are watching change the topic of conversation what you are eating • Look around during social occasions • Offer to take a dish with you to ensure - not everyone is eating or drinking that there is a healthy option for you to excessively have • Do you think that they are being judged for their behaviour? • Offer to help serve up so you can • TAKE CHARGE, PREPARE AND PLAN! control your portion size People will soon get used to the fact • Fill your plate with salad and that you are in control of your food vegetables intake and will stop pressuring you!
37 Takeaways There are so many different takeaways to choose from and they are often open on the way home from work when you are feeling hungry for your evening meal. Having a healthy snack before you leave work can help you resist calling in for a takeaway in the evening. When we have takeaways it is very easy to eat more fat, sugar and salt than we realise, so here are a few tips to help you make a healthy choice when you do get a takeaway... Chinese Pizza Choose Choose • A lower fat option such as steamed • Low-fat toppings such as ham or fish, chicken chop suey or Szechuan veg – peppers give pizzas a great prawns crunch • Foods without batter - batter is very • A thin base pizza with a tomato high in saturated fat sauce • Steamed or boiled rice • A pizza you can share • Salad on the side Avoid • Sugary sauces such as lemon, sweet Avoid and sour and curry • Garlic bread as it often contains a • High fat starters such as prawn lot of butter crackers, dim sum or spring rolls • Salad dressings that are high in fat • Egg fried rice or sugar, such as mayonnaise • Eating the full serving – why not • Cheese crust pizzas or the offer of share a main meal with a friend? extra cheese on top! Burgers and kebabs Indian food Choose Choose • Regular sized burgers and kebabs • Lower fat options such as tandoori • A small portion of chips or madras with chicken, prawns or • Grilled burgers, chicken or fish in- veg stead of deep fried • Plain rice and a chapati • Shish kebab with pitta and salad • A mixed vegetable side • Water or a low-sugar drink dish • To downsize instead of supersize! Avoid • Creamy curries such as Avoid • Large donner kebabs or supersize korma, pasanda and masala burgers • Pakoras, poppadoms and pickle • High fat/sugar sauces such as ketch- trays up, BBQ sauce or mayonnaise • Pilau rice and naan bread • High sugar puddings like donuts or • Deep-fried side dishes like onion ice-creams bhajis
38 6. Sweetened drinks / alcohol Drinks can easily add to the number of calories we put in our bodies – without us even realising! Managing your daily consumption of sweetened drinks (soft drinks, fruit drinks, soda, energy drinks, sweetened milk or milk alternatives, and sugar added to tea and coffee) and/ or alcohol (wine, beer, cider, and spirits) will have a significant impact on your weight. To stay healthy, it’s important to replace the fluid we lose throughout the day. The calories in drinks don’t tend to fill us up as much as the calories in food. Therefore, it can be quite easy to have extra calories from drinks and still not feel very full. Milk and fruit juices are good choices in moderation because they are full of nutrients and bursting with health benefits. However, nothing is better than water! We love water! We hope you do too... • Makes you better at concentrating • Helps you feel fuller, so you don’t snack • Gives you great skin • Contains zero calories! • Helps your body get rid of toxins • Helps you when you exercise. • If you like fizzy drinks why not choose sparkling water for that lovely bubbly feeling • Freeze juice to make ice-cubes – a quick and cold blast of flavour for your water • Make a hot blackcurrant squash at night for a soothing drink before bed • Keep a glass of water by your bedside, make sure you have a drink as soon as you wake up • Add some fruit like berries, sliced lemon or orange pieces, fresh or frozen, to add some colour to your glass.
39 What’s in my drink? “What about milk?” Whole milk contains a lot of fat, so choose semi-skimmed or skimmed milk instead. “How about fruit juice and smoothies?” Remember that fruit has a lot of natural sugar so stick to one 150ml glass per day. Try and make smoothies at home then you know what fruit and juice has gone into them. “Everyone drinks fizzy drinks. Are they really that bad?” Not only do fizzy drinks contain few nutrients, they are also: • Bad for energy balance, they increase your daily intake of calories without you even realising. • Bad for appetite, they leave you feeling hungry and wanting something to eat. • Bad for teeth, they can cause dental cavities and tooth decay. “I need energy drinks to keep me going!” We hear you… but energy drinks have a negative impact on your health, which will not help you long-term. Energy drinks are very high in sugar and caffeine. There is around 80mg of caffeine in a small 250ml can; the same as two cans of cola or a mug of coffee. The diet, zero or max options have no calories, sugar or fat! Yes… we’ve cracked it! Not quite. Research suggests that diet soft drinks can be just as bad for your body as they don’t fill you up, make you want sugary or savoury snacks instead, and still contain caffeine which is bad for your bones. However they are a better alternative to full-sugar drinks! Below are some examples of the sugar content in some popular drinks* 500ml bottle of Can of Coke – has over 8 teaspoons x8 x4.5 Lucozade Sport has 4.5 teaspoons of of sugar sugar 500 ml bottle of Ribena has 5.8 x5.8 x5.5 200ml bottle of Yop has 5.5 teaspoons of sugar teaspoons of sugar *Correct as of Dec 2018
40 Alcohol With a pint of bitter containing the same calories as a medium slice of pizza, and a standard size ‘ready to drink’ bottle ‘alcopop’ the same as 100 grams of cookies, the calories in alcohol soon add up... Alcohol Portion Size Units Calories provided Lager (4%) Half pint 1 95 Pint 2.3 189 Lager (5%) Half pint 1.4 128 Pint 2.8 256 Ale Half pint 1 86 Pint 2.3 172 Stout Half pint 1 86 Pint 2.3 172 Cider (4.5%) Pint 2.6 215 Wine (13%) white/red/rose 175ml 2.6 160 Wine (13%) white/red/rose 125ml 1.5 90 Wine (13%) white/red/rose 85ml 1 71 Bottle of wine (13%) 750ml 9.8 626 Champagne (12%) 125ml 1.5 89 Spirits (40%) 25ml single 1 62 Spirits e.g. brandy (50- 50ml double 2.3 110 60%) Alcopop (4%) 275ml bottle 1.1 207 Gin or vodka and 150ml 25ml spirit 1 70-95 slimline tonic/diet coke 150ml mixer Dark rum and coke 25ml spirit 1 140 150ml mixer Choose diet soft drinks and slimline options for mixers rather than juice-based drinks. Alcopops are very high in sugar so watch your calorie count. The government advises that both women and men should not regularly drink more than 14 units a week to keep health risks from alcohol low. If you do choose to drink that amount, it's best to spread your drinking evenly over three or more days. If you wish to cut down the amount you are drinking, a good way to do this is to have several drink-free days per week. Drinking within these guidelines, and trying to give yourself several drink-free days each week,will help you avoid putting on weight and help reduce other health related alcohol problems. Sourced from www.drinkaware.co.uk
41 6. Food labels Food labels give you the nutritional information about the products that you are eating. It is important that you know how to read them so you can make healthy, informed choices about what you are putting into your body. Sometimes nutritional information is helpfully summarised on the front of a food product using the Traffic Light System, shown below: This system tells you at a glance if the food has high (RED), medium (AMBER) or low (GREEN) Serves 2 - Half pizza provides amounts of fat, sugar and salt. Cals Sugar Fat Sat fat Salt The more green lights, the healthier the choice. 495 9.0g 18.3g 9.2g 2.0g Foods with more red lights should be eaten only 25% 10% 26% 46% 33% every now and again. What if the traffic light panel has all 3 colours? For of your reference intake a healthier choice try to pick products with more greens and ambers and fewer reds. What are reference intakes? Detailed nutritional information must be shown on all food and These are an estimated amount of drink products by law. nutrients and energy you need for a healthy diet each day. They are not intended as targets and are based on an ‘average’ person who does an ‘average’ amount of exercise and, therefore, need to be adapted for each individual. The reference intake referred to on food labels is for that of someone eating a 2000 calorie diet and are the following amounts: Strawberry & Banana Nutritional Information • Energy: 8,400 kJ/2,000kcal (Typical values per 100g) • Total fat: 70g Energy 45kj / 58kcal Protein 4.6g • Saturates: 20g Carbohydrates 7.2g • Carbohydrate: 260g of which sugars 6.5g Fat 1.2g • Total sugars: 90g of which saturates 0.2g • Protein: 50g Fibre 0.2g Sodium 0.1g • Salt: 6g
Saturated Fat (per Carbohydrates of which Salt/Sodium (per 42 Total fat (per 100g) sugar (per 100g/100ml) 100g/100ml) 100g/100ml) Food/Drink 3g or less = low 5g or less = low 0.3g or less = low Calories (kcal) 1.5g or less = low (name) 3.1g - 17.5g = medium 5.1g - 22.5g = medium 0.31g - 1.5g = medium 1.6g - 5g = medium More than 17.5g = high More than 22.5 g = high More than 1.5g = high More than 5g = high Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High Low/Medium/High
43 How can I use the ingredients list? Some label terms Most products have an ingredients list which can help you work out how healthy a product is. Ingredients are explained... listed in order of weight, so if there are high fat or high sugar ingredients at the top of the list e.g. cream, butter or sugar, then you know it is not such a healthy choice! Light (or lite) Remember to check the label on Food labels: what’s ‘high’ and what’s ‘low’? products that say ‘Light’ on them. There is no law saying how many How much is HIGH? How much is LOW? fewer calories a product should have (High per 100g) (Low per 100g) to be called ‘Light’ . Total Sugars: 22.5g or over Total Sugars: 5g or less Total Fats: 17.5g or over Total Fats: 3g or less Saturated Fat: 5g or over Saturated Fat: 1.5g or less Salt: 1.5g or over Salt: 1.3g or less Low-fat To be considered ‘low-fat’, food must Carbohydrates have less than 3g of fat per 100g and a drink or other liquid must have less There are 2 types, simple and complex carbohydrates. than 1.5g of fat per 100ml. Simple: Includes all types of added sugars and natural sugars present in foods such as honey, fruit and milk. Complex: Also known as starch, they are present in rice, potatoes, bread, cereals, etc. No added sugar This usually means that the food has Fats not had sugar or sweetener added to it as an ingredient, although the food There are different types of fats: may have sugar naturally occurring in it, e.g. fruit juice. Saturated Monounsaturated Polyunsaturated Cholesterol Low-calorie This indicates that the food you are Trans-saturated looking at has 40 kcal or less for every 100 grams. Some fats are healthier than others. The difference is mainly between hard (saturated) and soft (unsaturated) fats. The saturated fats are harmful to our health, especially the heart and arteries, while some unsaturated fats are beneficial for our health. Fibre Fibre is the indigestible portion of plant food; it adds bulk to the diet and aids satiety. Good sources of fibre are fruit, vegetables and pulses. Some bread and cereal products are also a good source of fibre if they contain over 3g of fibre per 100g of food.
Food Diary
45 Keeping a food diary Keeping a food diary is probably the most important thing you can do if you want to change your eating habits. It may seem like a tall order, but it is very difficult to change a behaviour unless we are fully aware of it. If you wanted help to control your finances, a debt counsellor would probably ask you to monitor your spending, and this is exactly the same idea! It is very difficult to know exactly what you are eating, especially when we are very busy or eat on the go. Keeping a food diary helps you become more mindful, not just about what you are eating but your triggers and patterns too. Below you will see an example of a detailed food diary that looks at mood, hunger rating and what you are doing whilst you eat and there is a template for this on the next page for you to try for a week. However, going forward, feel free you buy yourself a notebook and jot everything down in that, download an app on your phone or even take photos of your food- the options are endless! The only rule is that you record EVERYTHING you eat or drink- remember liquid calories can really add up! Also in this section you will find a food planner which can be really helpful when you are trying to spread your calories evenly throughout the day Food & Drinks Quantity Hunger (As much detail as possible. (e.g. number of slices / Time? Where? Activity? Mood? Include brand names when you can) teaspoons / bowls /mugfuls Rating? Special K - red berries. Semi- 1 medium bowl, 1/2 pint Watching 8am Home 2 Tired skimmed milk of milk TV Jordan’s cereal bar, cup of coffee, 1 bar, 1 teaspoon sugar, With Work 4 Happy semi-skimmed milk, sugar splash of milk colleagues Sandwich - Warburton’s wholemeal 2 slices bread, Bernard With (ham salad, tomatoes, lettuce, Matthew’s wafer thin Work 5 Happy colleagues cucumber) Cheese & onion ham Walkers crisps, tangerine Snickers bar 1 fun-sized bar 3:45pm Work Walking 6 Bored Chicago Town vegetable pizza, 2 medium slices pizza, McCain’s oven chips and 2 tablespoons chips, 6:30pm Home With family 5 Happy sweetcorn 1/4 tin sweetcorn Yogurt-strawberry fruit corner Watching 1 pot 8pm Home 6 (Müller) TV Cheese on toast (cheddar, 2 slices of bread 10pm Home Housework 7 Sad Warburton’s wholemeal) Hot chocolate (highlights, 4 heaped teaspoon 1/3 Home 8 Bored semi-skimmed milk) pint milk
46 Make a few copies of these pages so you can use them again. Date: Food & Drinks Quantity (As much detail as possible. (e.g. Number of slices / teaspoons / bowls / Time? Include brand names wherever you can) mugfuls)
47 Make a few copies of these pages so you can use them again. Date: Food & Drinks Quantity (As much detail as possible. (e.g. number of slices / teaspoons / bowls / Time? Include brand names wherever you can) mugfuls)
48 Make a few copies Meal planner template of these pages so you can use them again. Breakfast Lunch Dinner Wholemeal pitta bread with Chicken and vegetable stir Boiled egg with one slice of ham, low-fat mayonnaise and fry toast salad with black bean sauce Example Fresh orange juice Yogurt Water Apple Sugar-free squash Small portion of rice pudding Monday Tuesday Wednesday Thursday Friday Saturday Sunday
49 Make a few copies of these pages so you can use them again. Snacks Shopping list (things not in your cupboard) 2 clementines Eggs, pitta bread, ham, salad, yogurts, chicken breasts, vegetables for stir fry, 2 rich tea biscuits low-fat rice puddings, apples, clementines
50 Notes:
51 Notes:
52 Become more active
53 OneLife priority activity behaviours Physical activity has a huge number of benefits to your health and wellbeing. Some people think of exercise as something they ‘should’ or ‘must’ do. At OneLife we think of activity as something nice to do for your body and mind and we want you to find a form of activity that you can actually enjoy! So what are the recommendations? The Department of Health recommends that adults participate in 150 minutes of moderate exercise/physical activity per week or 75 minutes of vigorous exercise/ physical activity per week. (Or a combination of both). Physical activity differs from exercise by being less structured or formal and covers a huge range of possibilities. Walking Swimming Tennis Gardening Cycling Why? As we said, there are a huge number of benefits; just a few are listed below: Physical benefits: Psychological benefits: Social benefits: • Improved cardio • Improved self- • Meeting new people vascular health esteem, moods and with similar interests emotions • Increased muscle • Improved quality of mass and efficiency • A sense of relationships through achievement improved self- • Fat loss or weight esteem maintenance • Reduced stress and an overall • Less time spent alone • Improved sleep ‘fitter-healthier’ appearance • Increased energy levels
54 1. Tracking activity: Just like keeping a food diary can improve your eating habits, tracking your activity levels can help you monitor and improve on the amount you are doing in your day to day life. You can do this in a number of ways; buying a step counter (many smart phones come with a step counting app now), using a wearable device or just jotting down any structured activity in your food diary, you don’t need to be high tech! A word of warning: Some electronic food diaries will give you extra calories for any exercise you have done, do NOT eat these extra calories. They are often inaccurate and may stop you losing weight. Instead, look at exercise as a bonus and way of improving your overall health. 2. NEAT activity Another easy way to increase your activity levels is to incorporate NEAT activity into your lifestyle. NEAT stands for ‘Non-Exercise Activity Time’, and incorporates any activity you do that isn’t a structured activity. This is great for people who find it difficult to exercise. NEAT could include: • Walking about whilst you are on the phone, rather than just sitting still • Getting off the bus a stop earlier and walking the extra distance • Walking to work a few times a week • Walking to the shop and running some errands • Do housework like dusting, hoovering or washing the car. • 3. Structured activity You can also increase your activity levels through structured activity. Structured activities tend to be a bit more intense than our NEAT activities but don’t have to be done in a gym! Going for a walk, swimming, chair-based exercises, dancing etc. all count! Try to find something that you actually enjoy as this will mean you will keep doing it long term. For more help with physical activity available in your local area please talk to your practitioner.
55 4. Regulating sedentary time Sometimes people do not realise how much of a difference they can make to their activity levels by just focusing on reducing the time they spend being sedentary. Think about how much time you spend in front of a screen either watching TV, time on the computer, texting and emailing etc. It all adds up. Current guidelines recommend adults and children to limit their screen time to 2 hours per day. Reducing sedentary time doesn’t necessarily mean stopping doing some activities you enjoy but rather thinking about how you can make these pursuits more active or build activity around them. For example, if you know you are going to the cinema, arrange to meet friend early for a walk around town first. If you have a desk-job, set an alarm to go off every hour so you get up and stretch your legs for a couple of minutes. 5. Regulating sleep Not many people make the association between insufficient sleep and weight gain but this is a connection that has been studied in recent years. While the exact link between sleep and weight gain is not yet clear, studies have found that not getting enough sleep can result in increased appetite and eating. In the longer term, too little sleep has been linked with obesity and even conditions such as diabetes and high blood pressure. Individuals are recommended to get 7-8 hours of good quality sleep per night. Getting more sleep can be difficult, especially with continuously lit indoor environments and the glow of screens confusing our body's natural rhythms. A busy lifestyle, too much time in front of computer and television screens and shift work among other factors, can result in partial sleep deprivation. Tips for a good night’s sleep: • Go to bed and get up at the same time each night and morning, even at weekends. Having a couple of late nights and lie-ins can disrupt your pattern for the whole week. • Try to get out into natural light for at least 30 minutes every day. • Turn off all screens at least 30 minutes before you go to bed- this helps to boost our sleep hormones. • Cut back on caffeine, especially in the afternoon. • Get at least 30 minutes exercise during the day. • Avoid alcohol - it can help us get to sleep but you may find yourself waking during the night • Make your bedroom as relaxing a place as possible; tidy, cool, quiet and dark. • Practise a relaxation technique before going to bed. This can be anything from deep breathing and meditation to taking a bath and reading a book.
Approaching Activity How might I benefit from increased activity? What stops me being more active? Committing to something new... Identify a new activity to reduce sedentary behaviour: Identify a way to increase lifestyle activity:
57 Activity Planner Template Structured activity NEAT Spin class at the gym for one hour Take the dog for a 30 minute walk Example Football practice for two hours Clean the kitchen Monday Tuesday Wednesday Thursday Friday Saturday Sunday
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