Table of Contents:
Introduction
Part I: How to Assess Your Health Risk
Part II: Making the Right Decision
Part III: I've Decided to Lose Weight
Part IV: I've Decided to Prevent Further Weight Gain
Appendices

The physical activity option

Physical activity is the most important way to increase the amount of calories you burn. Unless your doctor rules it out for you, physical activity is recommended for everyone. Physical activity can benefit your health even if you don’t lose weight.

Any physical activity that you like is a good one because all activity helps you burn calories. Physical activity is anything from a conscious effort to be more active during the day, to participating in a formal exercise routine. If you are inactive now, you can become more active by adding just a few minutes of activity to your day. For example, you can park the car further away from the store entrance than usual, or find ways to take extra steps during the day.

Even if you are uncomfortable performing traditional exercises, you may be able to participate in an exercise program designed especially for obese people. If you are extremely obese, it is important to discuss appropriate physical activities with your doctor. Some appropriate activities might include chair dancing, floor exercises, water aerobics, and swimming.

• What type of physical activity is best for me?

There are three types of physical activity, and all will benefit you.

- The first type is aerobic activity, such as walking, jogging, running, bicycling, swimming, stair climbing, cycling on a stationary bike, dancing, tennis, skiing, and hiking. Aerobic activity burns calories, and the longer you do it, the more calories you burn.

- The second type of physical activity is called resistance training. This includes weight lifting or use of any type of "band" that provides resistance for your muscles. Resistance training increases your muscle mass, and muscle burns more calories than fat.

- The third type of physical activity is stretching, such as yoga and soft stretches. A stretch is one continuous, fluid movement – no bounces. (Think of the way a cat stretches after a nap.) Because stretching improves flexibility and warms up your muscles, it is important to stretch before performing aerobic activity or resistance training.

For best results, perform all three types of activities.

• Is it possible to lose fat without losing weight?

Yes, if you increase physical activity without limiting food intake, it is possible to lose fat without losing weight. If you begin strength training and weight lifting, which build muscles, you can even gain weight while losing fat. Keep in mind that, when you combine stretching and aerobic exercise with strength training and weight lifting, your exercise routine is well-rounded and can decrease body fat even if your weight is not reduced. This is a perfectly good way to lower your health risk.

• How much exercise do I need to do?

Moderate aerobic activity should be performed for 30 minutes every day, or on most days of the week. Remember, walking is an excellent aerobic activity! You can find more information about starting a walking program in Appendix II.

If you have been very inactive, you can begin with even five minutes of physical activity each day. After one to two weeks, increase this to 10 minutes a day. Eventually, after several more weeks, you can expect to perform up to 30 minutes of physical activity a day, which you can do in three 10-minute sessions. This is just as good for you as one, 30-minute session.

Part III:

What happens next?

How do I select a target BMI?

What weight-loss treatments are available?

The dietary options

The physical activity option

The lifestyle change option

The drug option

The surgery option

How do I know which mix is right for me?

How to choose and find programs and services

Where can I find the program or service providers I’ve selected?

Should I continue to see my doctor?


 

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