● Encourage the entire family to eat the same meal. The overweight or obese child or adolescent should not have to eat different foods than the rest of the family eats. For example, it is unrealistic to expect the affected child or adolescent to eat fruits and vegetables and lean meats while the rest of the family eats fried foods and elaborate desserts. ● Physical exercise should involve the entire family. Do not make exercise a punishment or something that is boring. Find an activity that family and friends enjoy and can do together to help the child or adolescent lose weight. ● Find out if the affected child or adolescent has friends that can support them in weight loss efforts. Going out for hamburgers and fries after the high school basketball game is not a good option for someone who needs to lose weight. Friends should encourage the intake of more healthy options such as salads or grilled chicken. on various websites. These products contain sibutramine, a controlled substance that was removed from the market in 2010 because it significantly increases blood pressure and pulse and can pose a serious risk for clients with a history of coronary artery disease, heart failure, arrhythmias, or stroke. It can also cause dangerous interactions with other medications (Food and Drug Administration, 2015a). The FDA warns consumers not to purchase or use Jimpness Beauty Fat Loss capsules, Super Slim, and Diet Master because they contain sibutramine (Food and Drug Administration 2015a; 2015b; 2015c). Healthcare consideration : The preceding products are not the only ones to contain hidden ingredients. Consumers should be cautioned not to take any such products until they have consulted with their healthcare providers. Seeking and using quick weight loss scam products is only one of several common mistakes people who want and need to lose weight make. According to an online article from Psychology Today , 10 mistakes most adversely impact a client’s attempts to lose weight. Although written in 2012, the information provided is still relevant today (Pagoto, 2012): 1. Failing to incorporate exercise into their lifestyle behaviors: Lifelong health behaviors are necessary to lose weight and not gain it back. 2. Underestimating the effort it takes to lose weight: There is no quick fix to weight problems. It takes a lot of work. 3. Failing to make weight loss a priority: Weight loss is not a casual undertaking. It needs to be a priority. 4. Blaming oneself for weight loss struggles: Some people believe that if they are not losing weight fast enough or that if they gain back a few pounds, they are hopeless. 5. Diagnosing rare conditions for oneself if weight loss does not occur quickly: Some people convince themselves that they are seriously ill or that they can never lose weight because of some unknown “condition.” Patience is required. 6. Eating as revenge: Some people, when told by a parent or a nutrition authority that they should not eat certain foods or eat so much food, eat the food simply out of spite. 7. Failing to take steps to control stress: Many people eat when they are stressed. Dieting is an added stressor. It is important to learn coping strategies to deal with stress. 8. Underestimating how much is being eaten every day: Dieters need to honestly evaluate what and how much they eat. 9. Skipping meals: Not eating for long periods makes it more likely that when someone finally does eat, they will eat many more calories than if they would have eaten at normal intervals. 10. Depending on fad diets: As previously mentioned, fad diets and weight loss products seldom produce long-term results and can be dangerous.
Healthcare consideration : Healthcare providers, families, and friends must be aware that some eating disorders are triggered after affected persons have attempted to diet. The rewards they receive for losing weight (positive comments, improved performance in athletics) may make adolescents feel that they need to lose weight even to the point of near starvation (anorexia nervosa). Or they may indulge in purging behaviors (self-induced vomiting, abuse of laxatives and diuretics). The point is to be aware of those who are at risk for eating disorders as they adopt more healthy diets (Gersch et al., 2016). Here are some recommendations for counseling parents, children, and adolescents about weight loss (Gersch et al., 2016; Gersch et al., 2017; Mayo Clinic, 2018g; Pandita et al., 2016): ● Involve the entire family in efforts to adopt more healthy diets and to increase physical activity. Prevention and Reduction in Obesity in Adults Why do adults find it so difficult to lose weight? Why do they find it so hard to prevent weight gain? Many experts believe that one of the biggest obstacles to achieving and maintaining a healthy weight is environmental. Most, if not all, adults know that a diet high in calories and fat is not healthy. They also know that a diet high in fiber, fruits, and vegetables and getting plenty of exercise lead to weight loss and maintenance of a healthy weight. However, their environments can make it difficult to put into practice what they theoretically know is the best course of action. Culture, as well as environment, makes it all too easy to live a sedentary lifestyle and eat foods that are quick and easy to fix or buy as well as being high in fat and calories (Gersch et al., 2017; Stanford Healthcare, 2018). Experts agree that support groups, healthy diet consultations, and increasing physical exercise are among the best approaches to lose weight and maintain a healthy weight. These healthy behaviors need to be lifelong behaviors (Gersch et al., 2017; Mayo Clinic, 2018g; Stanford Healthcare, 2018). Unfortunately, many Americans want to find a way to lose weight quickly without making lifestyle changes. They look for the next fad diet or weight loss pill as a means of losing weight without dieting or exercising. Unfortunately, many of these fads or quick fixes are espoused by celebrities that influence many of the devotees and should be avoided. Research has shown that popular low-carbohydrate diets offer no long-term weight loss solutions. Swift early weight loss makes dieters happy, but this early weight loss is from water loss, not fat loss. These types of crash or fad diets seldom provide long-term benefits unless they are accompanied by making long-term modifications of eating patterns (healthy eating) and incorporating physical activity into the dieter’s lifestyle. Without such long-term modifications, persons often develop what is referred to as the yo-yo dieting syndrome, episodes of repeated rapid weight loss followed by weight gain (Gersch et al., 2017; Mayo Clinic, 2018g; Stanford Healthcare, 2018). Many weight loss scams are readily available thanks to the internet. Fad weight loss products can be quickly and easily purchased online and sometimes even over the counter. Here are some warning signs to alert consumers to a weight loss scheme (Food and Drug Administration (FDA), 2018): ● Promises a quick fix such as “lose 10 pounds every week” ● Uses such words as guaranteed or scientific breakthrough ● Is marketed in a foreign language ● Is marketed via mass emails ● Is marketed as an herbal alternative to an FDA-approved drug or as having effects similar to prescription drugs The FDA frequently transmits notifications concerning weight loss scams. Several FDA notifications have dealt with products that have been promoted and sold as weight loss interventions
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