DON’T WEIGHT TO LOSE

Tulane University School of Medicine

Franklin Avenue Baptist Church

Topics Covered• Overview and Leader Introductions• Volunteer Recognition and Need• Needs Assessment Results• Timeline• Program Manual Breakdown• Assessment Floorplan/ Test Training• Obesity Counseling/Sensitivity• Nutrition Approach• Research and Data Collection

Overview• 9 week program• Schedule

– www.dontweighttolose.org/schedule

Program Progression-

Volunteers• Who is here?• Continual- Assigned a Group (Med Students)

– DWTL Staff (Polos)– Volunteers(Tees)

Teaching Pearls

How to Lose Fat!• Pay Attention in each Session!!!• Calories in – Calories Out = Weight

Loss!• Encourage improving dieting habits• Encourage increased cardio• Encourage increased muscle building• Trunk fat is last to go!• Spot reduction is a myth!

Underweight• What are the dangers of being

underweight• Anorexia, Bulimic• No fat to protect organs• No fat for emergency situations that

may occur (Katrina)• Poor heat maintenance• Encourage increasing caloric intake• Genetics usually involved

Limb Imbalances• Usually due to favoring one side over

another because of pre-existing injury

• Encourage more “mental focus” during exercise

• Encourage using less dominant hand more often for daily activities (carrying groceries, books, etc.)

Body Composition

Tanita Scale

Tanita Procedure• HANDLE WITH EXTREME CARE• Can’t use with Pacemaker• Introduce self as medical student/pre-med• 1. Sanitize with alcohol and gauze wipes• 2. Ask questions before patron steps on scale. A.

Standard/Athletic B. Age C. Height• 3. Step on heel first. Wait until 00000 appears• 4. Grab handles and hold to side• 5. Relax until beep is heard• 6. Step off.

Tanita Readings• Weight• BMI – body mass index- very archaic• BMR- basal metabolic rate- increases with muscle mass- 1.5

* BMR = Daily recommended caloric intake Metabolic Age• FAT%• FAT MASS• FFM• TBW• FAT MASS- Range = Fat need to lose• Segmental Analysis- are you balanced? Any injuries?• Predicted Muscles Mass• Trunk Fat%- predictors for diabetes, CVD, certain cancers,

sleep apnea, etc.

Obesity Counseling

Tips• Create a comfortable environment• Assure confidentiality• NEVER SAY “OBESE” use

“overweight” or “excess fat”• Speak clearly and talk directly to

patron• Use “lay terms”• Ask about willingness to make

lifestyle change

Tips• DO NOT share personal readings with

anyone including family members• DO NOT use scare tactics, but be

honest about risks• State that being overweight is not

about how you look but about your health

• Assure them that you are there for the long run

• Give email address

Nutrition Approach

Mediteranean meets good ole’ Southern Cookin’

Key components of the Mediterranean diet include:

• Eating a generous amount of fruits and vegetables

• Consuming healthy fats such as olive oil and canola oil

• Eating small portions of nuts • Consuming very little red meat • Eating fish on a regular basis

Soul Food Diet• Vegetables• Black-eyed peas Cabbage, Greens collard greens,

mustard greens, turnipLima beans Butter beans Field peas Okra (African vegetable eaten fried in cornmeal and flour or stewed, often with tomatoes, corn, onions and hot peppers; the Bantu word for okra is ngombo, from which the Creole/soul food dish gumbo derives its name) Red beans served with brown rice Sweet potatoes

• Meats• Bake! Use olive oil if fry or boil• Chicken, Turkey, Fish• Breads• Use whole grain breads• Eat whole grains with every breakfast

Pantry Checklist• Check off what is in your pantry and

follow recommendations

Diet Diary-Fruit and Vegetables• Goal: Increase Fruit and Vegetable

intake• Put a tally each time you eat a fruit

or vegetable that day• Bring calendar in during health

assessment session for group points• Reward with Giftcards

Key Changes• Add fruits and vegetables• Use Olive oil• Add whole grains• DO NOT EAT FAST FOOD• Drink more water• Follow Pantry Reccommendations

Data Team

Thank You!!!