Much scientific research into the causes
The Centers for Disease Control and Prevention (CDC) as part of "The Department of Health and Human Services " of the United States released an interesting publication. The CDC is there for the health of American citizens.
One of the objectives is to translate scientific research into concrete programs that lead to prevention of diseases by means of scientific research and the bundling of research results. This is also known as the combined lifestyle intervention (GLI).
The most important findings of the CDC are that ethnic origin, gender, level of education, income and age all influence important factors that underlie obesity. Think of the amount of fruit and vegetables people eat and the physical effort that people make. That is why they advocated a tailor-made GLI with a great deal of attention to behavioral change.
The combined lifestyle intervention (GLI)
In order to achieve a healthier lifestyle , more and more combined lifestyle interventions are being used in the Netherlands. These interventions are aimed at improving eating and exercise habits and are also specifically aimed at behavioral change ( Prevention in obesity and obesity: the combined lifestyle intervention , 2009 ).
It is common ground that a properly executed and set up GLI yields good results. It yields better results than intervention on separate parts. In the Netherlands, however, it is not yet clear who must reimburse which costs. Soon more clarity will follow on this subject. In 2018, for example, a list will be made available stating which GLIs are proven to be effective. If the GLI further complies with the Nza policy rules and combines lifestyle, diet and behavior, it can be reimbursed from the basic insurance.
Below we discuss the three components of an effective GLI.
Intervention on eating habits
The main purpose of the intervention on eating habits is to reduce calorie intake. This is achieved through a tailor-made diet aimed at a permanent change in eating habits.
In other words: the renewed dietary pattern must be composed in such a way that it can be kept full for the rest of your life. This does not have to be annoying at all; in contrast. Healthy eating is often much tastier than unhealthy food.
Intervention on movement
The main purpose of the intervention on exercise is to increase physical activity. Often we move too little and therefore we burn too little calories / energy. Sitting is seen as one of the biggest threats to our health. Some even mention the new smoking .
Intervention on behavior
The goal of intervention on behavior is to achieve a lasting behavioral change that is supportive of a healthy lifestyle. We can think of:
Self control: learn to participate differently on stimuli that lead to excess / unhealthy eating;
Self monitoring: learn to keep an eye on your eating and exercise behavior. Early detection and acting on it if there is a risk of going wrong.
Cognitive intervention: adjusting unrealistic goals and imaging about nutrition and exercise and the human body.
Social support: the social environment can be very decisive for the behavior of people. Intervention in the social environment aims to use the social environment in support of changing living habits.
The underlying idea of the intervention on the above components is as follows:
To lose weight it is necessary to eat fewer calories than you consume daily (see previous articles about losing weight on this website). On the one hand, the number of calories can be limited by eating less and / or differently. Furthermore, physical activity contributes to increasing the energy consumption so that you burn more calories. Physical activity also contributes to a fitter body, which in turn has a positive effect on the occurrence of various diseases. You also get more energy, so you end up in a sort of vicious circle. For both parts (eating and exercise), changing behavior forms the basis and is necessary to make lasting changes.
Participating in a GLI (exercise course)
In the Netherlands you can get access to BeweegKuur through the GP. This is a combined lifestyle interventions specifically aimed at people with overweight and obesity who are at an increased risk of type 2 diabetes.
The exercise course is aimed at support and guidance with the aim of healthier eating habits and more physical activity. A multidisciplinary team is used here. In concrete terms, this means that the general practitioner, lifestyle consultant, physiotherapist and dietician work closely together, with each contributing to the program from his own specialism.
The management is in the hands of the lifestyle consultant who ensures that a plan is tailor-made for the client. An important success factor is that the client really experiences that a team is behind him / her. Client and team jointly aim to help the client structurally.
Alternatives to lose weight
If it turns out that the GLI does not work, then in a number of 'severe' cases, other interventions can be made. Think of surgical procedures and the administration of medicines. This is in fact only relevant if the GLI does not appear to work.
If you are not yet within these target groups, you can always ask for advice from the general practitioner. The general practitioner can prescribe medication such as Xenical if necessary . The Xenical medication is specifically intended for people with heavy overweight. This type of people has been struggling with obesity for years, but it does not manage to lose weight.
You can also try to lose weight with a diet . Choose a healthy diet in which you lose excess pounds and simultaneously work on a healthier diet through behavioral change.
What can also contribute is to lose weight with shakes. However, strict conditions apply to making weight loss a success. Many people experience weight loss with shakes with the yo-yo effect. However, this does not need to be discussed at all. In fact, there is evidence that shakes can help tremendously with weight loss. In this article about losing weight with shakes you can read all ins and outs about this way of losing weight. You will also find a complete knowledge base in which a lot of background information is included.
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