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Secrets to Permanent Weight Loss George Hearn PT, CSCS, NSCA-CPT Physical Therapist Certified Strength and Conditioning Specialist NSCA-Certified Personal Trainer Master Fitness by Phone Coach  www.MaxximumPerformance.com

Secrets to Permanent Weight Loss

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Secrets to Permanent Weight Loss

George Hearn PT, CSCS, NSCA-CPT

Physical Therapist

Certified Strength and Conditioning SpecialistNSCA-Certified Personal Trainer

Master Fitness by Phone Coach

 www.MaxximumPerformance.com

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Primary Premise

y The best way to lose weight permanently is to not focus on losing weight initially.

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Primary Premise

y Seen often--emphasis on weight loss>drasticchange>initial wt.loss>plateau>discouragement>quit

y Better approach-better why¶s>gradual, progressivechange>combination of increased activity/betternutritional choices forhealth/wellness/fitness/performance>weight loss

 without emphasis on weight loss.

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Purpose of Tonight's Talk 

y  Alleviate confusion regarding nutrition and exercise

y Understand the dramatic impact they can have on

health and body composition

y Develop a plan that works for you

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Plan of Attack 

y Look at impediments to success

y

How diets, exercise, motivation really affect results

y Solutions

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 Wellness and Fitness Defined

y  Wellness²state of health measured by markers suchas blood pressure, cholesterol, triglycerides, etc.

y Fitness²the level of ability to perform physical taskssuch as amount of weight lifted, 40-yard dash time,mile-run time, etc.

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 Why are people confused? (Part 1)

y Deceptive marketing

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Infomercial Hormones

y Cortisol

y Insulin

y Growth Hormone

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Cortisol²what it does (to us)

y Causes body fat accumulation

y Particularly concentrated in the abdominal region

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Cortisol²purpose (what it does f or us)

y Provide energy in times of stress

y Both traumatic and non-traumatic

y  Also helps in turnover of tissue

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Cortisol²everyday triggers

y Stress

y  Work 

y Lack of sleep

y Multi-tasking

y Deadlines

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Cortisol²supplements

y Not something to block but to manage

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Cortisol²management

y Rest >restoration>recuperation

>proper sleep

>timeout>meditation/prayer/quiet

>10 minute sessions

y Good exercise program

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Insulin²what it does (to us)

y Makes us fat (via ³evil´ carbs)

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Insulin²purpose (what it does  f or us)

y Produced by the pancreas

y Regulates blood sugar

y Storage hormone

y Brings things into the muscle cell

y Provides ³fuel in the tank´

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Insulin²triggers

y Blood sugar increase>pancreas secretesinsulin>drives sugar into muscle cell

y High levels of simple sugar>overproduction of insulin>rebound hypoglycemic state>stimulatescarbohydrate craving

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Insulin Supplements/Diets

y Carb blockers

y Low-carb craze

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Insulin Management or Optimization

y Best done through diet and exercise

y Frequent, balanced meals (some lean protein, carbs,

and fat)

y Exercise>makes muscle tissue more receptive toinsulin (increases insulin sensitivity)

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Growth Hormone²what it does to us

y Not a negative connotation here±the selling point isthat we need it because it declines as we age.

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Growth Hormone²what it does  f or us

y Secreted by the pituitary gland>tissue growth>bone,ligament, tendon, muscle

y  Very anabolic to muscle and catabolic to fat

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Growth Hormone²supplements

y Supposedly stimulate pituitary to release more GH

y None have been proven to work 

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Growth Hormone²natural enhancement

y Rest>recuperation

y Low stress

y Heavy resistance exercise

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 Why are people confused? (Part 2)

y Contradictory and confusing diet and exercise books

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Top 10 Amazon Diet Book List

y  You: On A Diet: The Owner's Manual for WaistManagement by Mehmet C. Oz and Michael F.Roizen

y The Beck Diet Solution: Train Your Brain to Think Like a Thin Person by Judith S. Beck 

y The UltraSimple Diet: Kick-Start Your Metabolismand Safely Lose Up to 10 Pounds in 7 Days by Mark Hyman

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Top 10 Amazon Diet Book List

y The Abs Diet for Women: The Six-Week Plan toFlatten Your Belly and Firm Up Your Body for Life

 by David Zinczenko and Ted Spiker

y The Eat-Clean Diet: Fast Fat-Loss that LastsForever! by Tosca Reno

y The 5 Factor Diet by Harley Pasternak M.Sc andMyatt Murphy 

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Top 10 Amazon Diet Book List

y The Weight Loss Cure They Don't Want You to Know  About by Kevin Trudeau

y The Best Life Diet by Bob Greene

y The Fat Smash Diet: The Last Diet You'll Ever Need by Ian K. Smith

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Top 10 Amazon Diet Book List

y Beck Diet Solution Weight Loss Workbook: The 6- Week Plan to Train Your Brain to Think Like a ThinPerson by Judith S. Beck 

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Exercise Books

y It is interesting to note here that the search word³exercise´ brings up a list of textbooks.

y To get general interest exercise books, you have toadd terms like ³body shaping,´ ³abs,´ or somethingalluding to image.

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Image as a Motivator

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Image as a Motivator: F itness Magazine Poll

y To hit their ideal weight, 23 percent of women wouldspend a week in jail.

y 21 percent would trade 10 years of their life.

y 85 percent would rather have an extra toe than 50extra pounds.

y In another study, 70 percent were depressed when viewing pictures of models.

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Benefits of Exercise

y Improves mood

y Combats chronic diseases (decreases blood pressure,

increases good cholesterol, decreases badcholesterol, prevents osteoporosis, prevents Type II diabetes and some forms of cancer)

y Strengthens heart and lungs

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Benefits of Exercise

y Promotes better sleep

y Increases functional strength and endurance

y Improves body composition

y

Contributes to weight loss

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Benefits of Good Nutrition

y More energy 

y Improved cellular function

y Improved growth and repair of tissue

y

Better skin and hair

y Improved immune function

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Benefits of Good Nutrition

y Prevention of chronic diseases

y Lower risk of heart disease

y Maintenance of good mental health

y

Improved body composition

y  Weight loss

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 Weight loss²not the BEST reason for change

y Many people equate being thin with being healthy;this is not always the case

y If you pin your idea of success vs. failure for yourexercise/nutrition plan solely on attaining your

 weight loss goal, you may miss many other benefits.

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³Chubby Gets a Second Look´ Article

y From the November 11 , 2007, issue of the N ew YorkTimes:

y Two years ago, federal researchers found thatoverweight people had the lowest mortality rate of any weight group.

y 100,000 fewer deaths were reported for people in theoverweight group compared to those with normal

 weight.

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The Triathlete Story 

y Obese man in Texas>dietary and exercisechanges>lost 100 pounds>still with BMI of over 30

y Entered triathlon>finished>competed in severalmore

y Prior to changes>high BP>cholesterol>triglycerides,etc.

y  After changes, everything normal but weight

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Foege-McMillan Study 

Leading diseases written on death certificates:

y Heart Disease

y Cancer

y

Stroke

y Chronic lung disease

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Foege-McMillan Study 

 Actual causes of death:

y Smoking

y Bad diet and lack of exercise

y

 Alcohol use

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Summary 

y Most supplements don¶t work.

y Even if they did, it might not be that good anyway.

y  You don¶t have to be ultra fit to be ultra healthy.

y

 Weight loss for most should not  be THE mostimportant reason to improve their diet and exercise.

y Diet & Exercise>improved health>weight loss

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The Wellness Template

y Cardiovascular exercise

y Resistance exercise

y Good Nutrition

y

Recovery 

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Cardiovascular Exercise²Benefits

y Reduces stress

y May raise metabolic rate

y Burns calories

y

Lowers blood pressure

y Improves blood cholesterol and triglyceride levels

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Cardiovascular Exercise²Methods

y The American College of Sports Medicine and theCDC recommend 30 minutes of moderate-intensity physical activity on most days of the week.

y Can include walking, running, stair climbing, andinterval training among other things.

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Resistance Exercise²Benefits

y Increases muscle mass

y Increases bone density 

y Decreases insulin resistance and improves glucosemetabolism

y May increase HDL and decrease LDL

y May decrease BP depending on protocol

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Resistance Exercise²Benefits

y Increased functional strength

y Decreased stress

y Decreased incidence of some forms of cancer

y

Decreased lower back pain (esp. with increasedfunctional ROM)

y Decreased body fat

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Resistance Exercise²Methods

y Health benefits may be attained in as little as two 15-20 minute sessions per week.

y  Weights, resistance bands, bodyweight, sand bags,rocks

y Four Pillars²locomotion, level changes, pushing and

pulling, rotation

y Progressive over time

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Good Nutrition²Benefits

y Carbohydrate²main energy source for fuel, sparesprotein from being converted to glucose, critical forcentral nervous system function (major source of fuel

for the brain)

y Protein-used to build and repair tissue and to makeenzymes, hormones, and other body chemicals.

Most thermogenic food group.

y Fat-energy source, used in production of cellmembranes, «

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Good Nutrition²Benefits

y Fat (cont.)- production of eicosanoids (hormone-likehelp regulate blood pressure, heart rate, blood vesselconstriction, blood clotting and the nervous system,

carries vitamins A, D, E and K (fat soluble vitamins)through your body. It also contributes to healthy hair and skin, keeps your body insulated, protects

 vital organs and provides satiety (feeling of fullnessafter meals)

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Good Nutrition² ³Diet´ Methods

y Hi Carbohydrate/low fat-carbohydrate caloriecontent above 60% total intake with fat content aslow as 10%. Based on theory that fats are less

thermogenic and more easily lead to fat storage.

y Low Carbohydrate-2 types-Atkins-less than 100 gms.of carbs per day and less than 20 gms. initially and

³moderate low carb´ which is roughly 33 percentprotein, carbohydrate and fat.

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Good Nutrition- ³Diet´ Calorie Breakdown

y Hi Carb/Low Fat-70% carb, 20% pro., 10% fat. 2000calorie diet-350 gms C, 100 gms. P and 22 gms. F

y Moderate Low Carb-33% carb, 33% pro and 34% fat.2000 cal-165 gms. C, 165 gms. P and 75.5 gms. F

y Zone Diet-40% carb, 30% protein and 30% fat. 2000

calorie diet-200 gms. C, 150 gms. P and 66 gms. F

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Good Nutrition-Acceptable MN Ranges

y Institute of Medicine of the National Academies: 45-65% of calories from carbohydrate, 10-35% fromprotein and 20-35% from fats.

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Good Nutrition²Compliance

y Protien- (+)stimulates most thermogenic response,high degree of satiety-feel full and don¶t get hungry as quickly. (-)some have suggested increased stress

on kidneys

y Carbohydrate- (+) we like carbs, we think better withsufficient carbs. (-) too many (particularly simple

carbs) may produce excessive insulin response andstimulate cycle of repeated consumption. Combined

 with low fat intake decreases satiety possibly making you hungry again too soon.

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Good Nutrition²Compliance

y Fat- (+)contributes significantly to satiety frommeals.

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Good Nutrition-Simple Approach

y Have a lean protein, starchy carbohydrate(brownrice, sweet potato, etc.) and a fibrous carbohydrateeach meal (broccoli, green beans); equal visual

portions of each everytime you eat.

y Eat 3-5 times per day 

y  Avoid packaged foods as much as possible; processedfoods nearly always have too many refined carbs.

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Recovery²Methods

y Proper sleep-7-8 hours per night for most people

y Time Out-naps, meditation/prayer, sitting quietly 

 with soothing music

y Freeze Frame(HeartMath)

y Proper nutrition

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Nutrition Steps for Change-Dr. John Berardi

y Eat every 2-3 hours

y Eat complete, lean protein with each meal

y Eat fruits and/or vegetables with each food meal

y

Carbohydrate intake comes primarily from fruits and vegetables

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Nutrition Steps for Change-Dr. John Berardi

y 25-35% of your energy intake comes from fat

y Drink only non-calorie containing beverages

y Eat mostly whole foods

y

 Additionally, eating slower, eating until no longerhungry but not full, drinking 6-8 glasses of water perday are simple things you can work on to greatly improve your nutrition plan

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Compliance Programming

y  Allows you to measure your progress

y  Allows you to see accumulated result of your effort

y  Allows you to see patterns in your exercise/nutrition

y

Caltrac/Bodymedia

y Heart Rate monitor with calorie burn component

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Thank You!