Healthy living Losing weight the healthy way Contents 1 Aboutthisbooklet 1 Whydoesweightmatter? 2 Whydoweputonweight? 4 Ismyweightahealthrisk? 5 IfIneedtoloseweight,whatdoIdo? 6 Step1:Setrealisticweightlossor lifestyle goals 8 Step2:Identifywhatyoueatanddrink, yourlevelofphysicalactivityandamount ofsittingtime 10 Step3:Makechangestowhatyoueat and drink 20 Step4:Increaseyourphysicalactivity levelsandreduceyoursittingtime 30 Step5:Keepgoingwithyourweight loss plan 33 Healthymealideas 42 Questionsandanswers 48 Moreinformation 49 HealthInformationService Aboutthisbooklet Thisbookletisforpeoplewhoneedtoloseweightandwould liketoachieveahealthyweight. Theinformationinthisbookletisintendedasaguideonly.The HeartFoundationencouragespeopletocheckwiththeirdoctor orotherhealthprofessionalsandseekindividualhealthadvice see More information onpage48ofthisbooklet). Whydoesweightmatter? Peoplecomeinallshapesandsizesandwhatmightbea healthyweightforonepersonisn’tnecessarilyhealthyfor another.It’snothealthytobetoothinortocarrytoomuch bodyfat–youneedtofindtheweightthat’sbestforyouby checkingwithyourdoctor,andthentryingtoachieveand maintainit. Did you know? In addition to the health problemslistedhere, overweightpeoplecan sufferfromarangeof psychosocialproblems, suchasdiscrimination, social isolation and poor self-esteem. Remember Bodyweightisjustone factorthatcanimpacton yourhealthandneedsto be considered along with youroverallhealthand wellbeing. Theproblemwithcarryingtoomuchbodyfat(medically referredtoasbeingoverweight)isthatitcanincreaseyourrisk ofanumberofhealthproblems.Theseinclude: • coronary heart disease • diabetes • highbloodpressure • high blood cholesterol • gall bladder disease • jointproblems,e.g.gout,arthritisandjointpain • sleepproblems,e.g.sleepapnoea • certain types of cancer. Yourriskofdevelopingthesehealthconditionsdependsnot justonyourweight,butalsoonotherriskfactorsthatyoumay have.Youcanfindoutmoreaboutotherriskfactorsforheart diseaseinourHow to have a healthy heart brochure. HeartFoundation Losing weight the healthy way 1 Whydoweputonweight? Bodyweightisaffectedbyanumberoffactors,but the two key factors are: 1. theamountofenergy(kilojoules)thatweputinto ourbodiesfromfoodanddrinks 2. theamountofenergy(kilojoules)thatweuseupthrough physicalactivityandotherdailyactivities. Putsimply,it’sallaboutwhatgoesinandwhatgets usedup. Peopleoftengetconfusedbyenergyandkilojoules–energy andkilojoulesarethesamething.Kilojoulesarejustameasure ofenergy,inthesamewayascentimetresorinchesarea measureoflength.Energyislikefuelinacar–it’swhatkeeps usmovingandabletogoaboutourdailyactivities. Youwillgainweightif: 1. youeatanddrinkmorethanyourbodyneeds–youtakein toomuchenergy(kilojoules) 2. youaren’tactiveenough–youdon’tuseupenoughenergy (kilojoules) 3. ifyoudoboth–youeatanddrinktoomuchandarenot activeenough. 2 Losing weight the healthy way HeartFoundation Achievingahealthyweightisarealbalancingact. It works like this: Physical activity Food & drinks Food & drinks Food & drinks Physical activity = Physical = activity HeartFoundation = Gain weight Same weight Lose weight Losing weight the healthy way Iftheamountofenergy (kilojoules)youtakeintoyour bodythroughfoodanddrinks ismorethanyouareusingup throughphysicalactivityand dailyactivities,thenyouwill gain weight. Ifyoutakeinthesameamount ofenergy(kilojoules)through foodanddrinksthatyouare usingupthroughphysical activityanddailyactivities,then yourweightwillstaythesame. Iftheamountofenergy (kilojoules)youtakeinthrough foodanddrinksislessthanyou areusingupthroughphysical activityanddailyactivities,then youwillloseweight. 3 Did you know? Yourriskofdeveloping healthproblems increases with the moreexcessweight youcarry.Ifyouare alreadyoverweight,itis importanttotrytostop gainingmoreweight. Thiswillhelptoreduce yourlevelofrisk. Ifyoucanmanagetolose someoftheextrakilos, thatwillbeevenbetter foryourhealth.However, evenifyoudon’tmanage to lose any weight, what’simportantisbeing physicallyactive,eating healthily and looking afteryourselfsothatyou canachievethebest health. 4 Ismyweightahealthrisk? Somepeoplethinktheyareoverweightwhentheyaren’t;others thinktheirweightisfinewhenitisn’t.Whileyoucangenerally tellifyou’veputonweightbyyourclothesbeingtighteror havingtoloosenyourbeltanotchortwo,thiswon’ttellyouif youareoverweight. Thebestwaytofindoutifyourweightisahealthriskisto checkwithyourdoctor.Thereareafewverysimpleandpainfreemeasurementsthatyourdoctorcandotocheckyour weight.Yourdoctorcanthenconsideryourweightandyour overallhealthandadviseifyouneedtodosomethingabout yourweight. Excessweightaroundyour middleisagreaterhealthrisk Yourhealthcanbeaffectedbyhowmuchyouweighaswell asbyyourbodyshape.Menoftencarrytheirexcessweight aroundtheirmiddle,whilewomenoftencarrytheirexcess weight on their hips and thighs. Carryingexcessweightaroundyourmiddle(being‘apple shaped’)ismoreofahealthriskthanifexcessweightison yourhipsandthighs(being‘pearshaped’).Theso-called‘pear shape’isactuallyahealthierbodyshapethanbeing‘apple shaped’.Ifyouarecarryingyourexcessweightaroundyour middle,theHeartFoundationencouragesyoutovisityour doctortodiscussyourweight. Losing weight the healthy way HeartFoundation IfIneedtoloseweight,whatdoIdo? Ifyourweightisahealthriskorit’saffectingyourenjoyment oflife,youneedtodosomethingaboutit.Toloseweight, youneedtouseupmoreenergy(kilojoules)thanyouare takingin.Thismeansthatyouneedtolookathowyoucan reduceyourenergy(kilojoule)intakeandincreaseyourenergy (kilojoule)output.Thatallcomesdowntothefoodanddrinks youconsume–whattypesandhowmuch–andthetypeand amountofphysicalactivityyoudo. Remember Ifyoureallywanttolose weight, keep the weight off and be healthier, youneedtochange youreatingpatternsand increaseyourphysical activitylevels.Just doing one or the other is usuallynotenough. Despitewhatvariousbooksanddietsmaysay,losingweight inahealthywayisnotquickandit’snotsimple.Fadorcrash dietsareoftenunhealthyandarenothelpfulwithlosingweight andkeepingitoffinthelongerterm.Peoplehavegenerallyput theirweightonoveraperiodoftime,maybeevenyears,soit’s notgoingtocomeoffovernight.Whatcanchangeovernight thoughisyourcommitmenttomakesomechangestoyour eatingpatterns,toincreaseyourphysicalactivitylevels,andto reducetheamountoftimeyouspendsitting. Onceyou’vedecidedtomakeachange,youneedtoworkout yourplan.Thisplanwillhelpyoutoworkoutwhereyoucan makechanges,whatchangesyouwillmakeandtoberealistic aboutwhatyoucanachieve. Myweightlossplan Step 1 Set realistic weight loss or lifestyle goals. Step 2 Identifywhatyoueatanddrink,yourlevelof physicalactivityandamountofsittingtime. Step 3 Makechangestowhatyoueatanddrink. Step 4 Increaseyourphysicalactivitylevelsandreduce yoursittingtime. Step 5 Keepgoingwithyourweightlossplan. HeartFoundation Losing weight the healthy way 5 Quick tip Writeyourgoalorgoals down,soyouhavea handyreminderofwhat youaretryingtoachieve. Step1:Setrealisticweightlossor lifestyle goals Setyourselfrealisticgoals.Itmayjustbeonegoaloryoumight setacoupleatthesametime.Thekeyistochooseagoalor goalsthatsuityou.Thiswillhelptokeepyoumotivatedand stopyoutryingtodotoomuchtoosoon.Forexample,some realisticgoalsmightbe: • to stop gaining weight –ifyouhaverecentlybeengaining weight,thisisausefulgoaltostartwith • to lose 2 kg in the next two months –thismaynotsound likemuchandmaysoundveryslow,butifyoucandothis and keep this weight off, then that is a fantastic effort. Ifyoumakeyourgoaltoodifficult,youcanendupfeelinglike afailurewhenitreallyisn’tyourfault.Forexample: • to lose 10 kg in 10 weeks –thisisnoteasy.Losing10kg maytakemonthstoachieve,possibly12monthsormore, ifyouarelosingweighthealthily. 6 Losing weight the healthy way HeartFoundation It’smuchbettertochoosesmallgoalsandloseweightgradually thansetagoalthatseemsunachievable.Evenifyouonly everloseafewkilogramsitcanmakeabigdifferencetoyour health,andit’sbetterthancontinuingtogainweight. Yourgoalscanfocusonachangeinweight,buttheycould alsofocusonchangingyoureatingpatterns,increasingyour physicalactivitylevelsandreducingyoursittingtime.For example,somegoalsmightbe: • tolimitthenumberoftimesyoubuytake-awayfoods to once a week • togofora30minutewalkonatleastthreeevenings each week • toreducetheamountofTVyouwatcheachday. Trynottobecome‘ruled’bythescales.Ifyouwanttoweigh yourself,makesureit’snomorethanonceaweek.Always rememberthattheamountofweightyouloseisonlyoneway ofmeasuringyourachievements. Someotherimportantwaystomeasurehowwellyou aredoinginclude: • howyoufeel • ifyourclothesarelooser • ifyoucandothingswithoutgettingtired. Andifyou’vemanagedtoimproveyoureatingpatterns,increase theamountofphysicalactivityyoudo,andreducetheamount oftimeyouspendsittingeachday,that’spositiveforyouroverall healthevenifyoudon’tmanagetoloseanyweight. HeartFoundation Losing weight the healthy way 7 Quick tip Keeping a food and drinksdiarywillhelpyou to see what, when and howmuchyouareeating and drinking. Yourdiarymayalsohelp youtoidentify‘cues’or ‘triggers’thatpromptyou toovereat,andidentify areaswhereyoucan makesomechanges. Step2:Identifywhatyoueatand drink,yourlevelofphysicalactivity andamountofsittingtime Todothis,youmightliketokeepadiaryforaweek.Keeping adiarycanhelpyoutoseewhereyoucanmakechanges. Ifkeepingadiaryworksforyou,herearesometipsonhow to do it. Tips on keeping a food and drinks diary • Usinganotebook,notepadorcomputer,writedown everythingyoueatanddrinkeachday. • Ifyoucan,alsoincludetheamountoffoodordrinks youhave. • Don’tforgettowritedownsnacksaswell. • Writedownthetimeofeating/drinkingandwhereyouwere eating/drinking,suchasathomewiththefamily,onmyown infrontoftheTVoratacafé. 8 Losing weight the healthy way HeartFoundation Tipsonkeepingaphysicalactivityandsittingdiary • Useyourcomputerorthesamenotebookornotepadthat youuseforyourfooddiary,oruseaseparateone. • Writedownallthetimesyouareactive–writewhatyou do,whatpartofthedayyouarebeingactiveandforhow long,including: o anyplannedactivityyoudo,suchasgoingtothegym, joggingorplayingsport o activity,suchashousework,gardening,takingthe stairs instead of a lift, walking to the local shops, walking the dog. • Believeitornot,it’salsoveryusefultorecordtheamount oftimeyouspendsitting.Writedownwhatitisyouare doingwhenyouaresitting,suchaswatchingTV,working ordrivingthecar. Recordingbothyouractiveandsittingtimewillhelpyouto workouthowactiveorinactiveyouare,thetimesyouare activeandinactive,andwhereyoucouldtrytomakechanges toincreaseyourphysicalactivitylevelsandreduceyour sittingtime. HeartFoundation Losing weight the healthy way 9 Step3:Makechangesto whatyoueatanddrink Ifyou’vekeptafoodanddrinksdiary,usetheinformationfrom yourdiarywiththefollowinginformationtohelptoidentify changesyoucanmake. Healthyeatingforweightlossisaboutmakingsureyouare stillgettingallthenutrientsyouneedforgoodhealthwhile reducingtheamountofenergy(kilojoules)youtakein. Thegoodnewsisthatmanyfoodsthatarelowerinenergy (kilojoules)arealsopackedfullofnutrients–andthesearethe typesoffoodsyouneedtoeatmost. Choosefoodsanddrinkslowerinenergy(kilojoules) To take in less energy (kilojoules) 1.Choosefoodsand drinks lower in energy (kilojoules)–make thesethemainpartof yourmealsandsnacks. 2.Limittheamountof highenergy(kilojoule) foodsanddrinksyou have. 3.Watchyouroverall food and drink intake. Foods Vegetables,fruitandlegumes(forexample,splitpeas,kidney beans,bakedbeans,threebeanmix,lentilsandchickpeas) providesomeenergy(kilojoules)buttheyarealsopackedfull ofvitamins,mineralsandfibre.Eatingthesesortsoffoodshelps tomakeyoufeelfull,withoutgivingyoutoomuchenergy (kilojoules). Otherlowerenergy(kilojoule)foodchoicesthatalsoprovidea rangeofvitaminsandmineralsinclude: • reduced,lowornofatmilkandyoghurt • leanmeatandpoultry(meattrimmedofallvisiblefatand chickenwithoutskin)andfish • wholegrainorwholemealbreadandbreakfastcereals,plain pasta(preferablywholemeal),plainrice(preferablybrown) and plain noodles. Includingallofthesetypesoffoodsinyourdailyeatingplan willhelptoensureyouaregettingallthenutrientsyouneed withoutalotofextraenergy(kilojoules). 10 Losing weight the healthy way HeartFoundation Drinks Plainwaterisbyfarthebestoptionbecauseithasnoenergy (kilojoules).It’salsocheapandquenchesyourthirst. Othersuitablechoicestoincludeinmoderationareplain mineralwater;sodawater;reduced,lowornofatmilk;herbal tea;andteaorcoffee(ifyouhavemilk,usereduced,loworno fatvarietiesor‘addedcalcium’soymilk). Limithighenergy(kilojoule)foodsanddrinks The types of foods and drinks that often contain lots of energy (kilojoules)arelistedbelow. Did you know? A375mLcanofsoft drinkhasaround10 teaspoonsofaddedsugar andprovidesaround 600to800kilojoules, depending on what flavouritis.Plainwater orplainmineralwater contains no energy (kilojoules). Foods • Chocolate,confectionery • Potatocrispsandothersavourysnackfoods, suchascorncrisps • Cakes,sweetbiscuits • Pastries–sweetandsavoury • Take-awayfoods,suchasdeep-friedfoods,creamypasta dishes,cheesydishesandhamburgers Drinks • Softdrinks,fruitjuices,fruitjuicedrinks,cordialsand alcoholic drinks Youcanstillhavethesetypesoffoodsanddrinksoccasionally, buttheyreallydoprovidealotofenergy(kilojoules)without givingyoumuchelse.Trytoonlyhavethesetypesoffoodsand drinksasatreatorforaspecialoccasion.Eatingthemdailyor regularlythroughouttheweekwouldleadtoweightgainfor mostpeople.Takealookatthetablesonpages16and17to seejusthowmuchenergy(kilojoules)youcouldsavebyhaving alowerenergy(kilojoule)foodordrinkchoiceratherthana highenergy(kilojoule)foodordrinkchoice. HeartFoundation Losing weight the healthy way 11 A note about using fats and oils Completelycutting outfatsandoilsisnot the answer to weight loss. While fats and oils are high in energy (kilojoules),youneeda certainamountoffats and oils to stay healthy. The best types of fat to includearethehealthier types.Thesearefound inmargarinespreads andcookingoilsmade fromcanola,sunflower, soybeanandoliveoil. Theyarealsoinnuts, seedsandfish. Thetypeoffatyouneed totrytolimitissaturated fat. This is the type of fat that raises blood cholesterollevelsand increasesyourriskof heartdisease.Reducing yourintakeoffoodshigh insaturatedfatwillhelp toreduceyouroverall energy(kilojoule)intake andalsohelptoreduce yourriskofheartdisease. Watchyouroverallfoodanddrinkintake Itiseasytoeatmorethanyourbodyneeds,sobeawareofthe amountoffoodanddrinks(otherthanwater)youarehaving. Thisisn’taboutstarvingyourself,skippingmealsorgoing thirsty.It’sabouteatingwhenyouactuallyfeelhungryrather thaneatingbecauseoftheclockorjustbecausefoodisthere. Ifyoufeelhungryallthetimeorfindyourselfwantingtoeatall thetime,youprobablyneedtovisityourdoctorandseeksome guidanceaboutwhythismaybethecase.Yourdoctormay referyoutoanotherhealthprofessional,suchasanaccredited practisingdietitian,forspecificadvice. Wheneatingoutorbuyingtake-awayfood,becarefulabout howmuchfoodyouorder.Inmanycasesyoucanbuyalarge mealoramealpackforaroundthesamepriceasasmaller mealoranindividualitem.Thetraphereisthatyouendup eatingalargerservingormorefoodthanyouactuallyneed. Trytolimityourintakeofhighenergy(kilojoule)drinks,suchas alcohol,softdrinks,fruitjuicesandcordials.Makeplainwater yourmaindrinkchoiceanddrinkplentyofthisthroughoutthe daytomakesureyoudon’tgothirsty.Onlyhavehighenergy (kilojoule)drinksoccasionallyandlimittheamount. See Healthy meal ideas onpage33forlowerenergy(kilojoules) mealandsnackoptions. Saturatedfatsarefound infattymeats,fullfat dairyproducts,butter, twovegetableoils (coconutandpalmoil), andmostdeep-fried take-awayfoodsand commerciallybaked foods,suchasbiscuits, cakes and pastries. Try to limitthesetypesoffoods. 12 Losing weight the healthy way HeartFoundation CanIhavealcohol? Alcoholishighinenergy(kilojoules).Oftenwhendrinking alcohol,wetendtoalsosnackonhighenergy(kilojoule)foods, suchaspotatoorcorncrisps,pastriesandnuts. Youcanstillenjoyalcoholwhiletryingtoloseweight,you justhavetolimithowmuchyouhave. Tips to lower your alcohol intake • Drinkwaterorplainmineralwaterfirsttoquench yourthirst,thenhaveanalcoholicdrink. • Alternateaglassofalcoholwithalowenergy (kilojoule)drink,suchaswaterorplainmineralwater. • Whereappropriate,mixyouralcoholicdrinkwithplain mineralwater,sodaordietsoftdrink. • Useonlyhalf-measuresofspirits. • Choosealowalcoholorlightbeer. • Choosealowalcoholwineifavailable. • Alwayshavewateravailableatthetable,whetheryou arediningoutorathome. • Usedietsoftdrinksinmixeddrinks,forexamplediet colawithrum,ordietgingeralewithbrandy. • Takeyourtimewitheachdrink. • Usesmallerglasses. HeartFoundation Losing weight the healthy way 13 Modifyingrecipes Manyofyourfavouriterecipesneedonlysimplechangesto reducetheirenergy(kilojoules)ortheirsaturatedfatcontent. The two steps to changing a recipe are: 1.tryhealthiercookingmethods 2.changeingredientsbyreducing,removingorreplacing withsomethingelse. Method Healthier cooking method Deep-fry Roastintheovenonalinedtrayorgrilltray.Foodcanbelightlysteamed ormicrowavedfirst,thenbrushedwithoilsuchascanola,sunflower, soybeanoroliveoilforcrispness.Crumbedfish,chickenandovenfries canbecookedintheovenratherthandeep-fried. Shallow-fry/Sauté Stir-fryusingreducedsaltstockand/oroil,suchascanola,sunflower, soybean,oliveorpeanutoil.Tryusinganon-stickfrypan. 14 Roast Chooseleancutsofmeatortrimallvisiblefatandthenplacethemeat onarackinabakingdishwith1to2cmwater.Forextraflavour,add herbstothewater.Trybrushingwithamarinadetopreventthemeat dryingout,orcoverthefoodwithalidoraluminiumfoilforpartofthe cookingtime.Roastingonaspitorrotisseriewillallowfattodripaway. Brushorsprayvegetableswithoilsuchascanola,sunflower,soybean, oliveorpeanutoil,andbakeinaseparatepan. Casserole/Stew Trimfatoffmeatbeforecooking.Addlegumes,suchaskidneybeans, chickpeas,soybeansorlentils,forextrafibreandflavour.Aftercooking, chillthefoodsoanyfatsolidifiesonthesurface.Skimthefatoffthe surfacebeforereheatingandthickening(ifnecessary). Losing weight the healthy way HeartFoundation Ingredient Healthier alternative Milk/Yoghurt/ Cream Usereduced,lowornofatvarieties.Usericottacheesewhippedwitha littleicingsugar,fruitorreduced,lowornofatmilkasasubstituteforcream. Sour cream Blendcottagecheeseandreduced,lowornofatmilk(addalittlelemon juiceorvinegarifdesired).Usereduced,lowornofatnaturalyoghurt. Useevaporatedreducedfatmilkandlemonjuice. Cheese Usesmalleramountsofreducedfatvarieties.Usealittlegrated parmesancheeseinsteadofgratedcheddar–itgivesmoreflavourand lessisneeded.Mixgratedreducedfatcheesewithoats,breadcrumbs orwheatgermfortoppingsoncasseroles,gratinsandbakeddishes. Butter/Margarine spreads Usemargarinespreadsmadefromcanola,sunfloweroroliveoil,and dairyblendsthathaveearnedtheHeartFoundationTickinsteadof butter,otherdairyblends,lard,cophaorcookingfats.Note:reducedfat or‘lite’spreadsaregenerallynotgoodforcooking. Oil Useavarietyofoilsforcooking.Somesuitablechoicesincludecanola, sunflower,soybean,oliveandpeanutoil. Mayonnaise/ Dressing Usesaladdressingsandmayonnaisemadefromoilssuchascanola, sunflower,soybeanandoliveoil.Makeyourownusingingredients suchasreduced,lowornofatyoghurt,buttermilk,tomatopaste, balsamicorothervinegars,lemonjuice,ricottacheese,mustardandfruitpulp. Meat/Poultry Chooseleanmeatsandpoultry.Removeallvisiblefatfrommeatand skinfrompoultrybeforecooking.Marinateoraddflavourwith ingredientssuchaswinevinegars.Searmeatquicklytokeepinjuices. Cakes/Biscuits Usemargarinespreadsmadefromcanola,sunfloweroroliveoil,ordairy blendsthathaveearnedtheHeartFoundationTickinsteadofbutter.Useoils suchascanola,sunfloweroroliveoil.Theminimumfatrequiredforbiscuits isabout2tablespoonspercupofflour–thiswillretaincrispness.Make plainsponges,yeastcakes,breads,muffinsandsconesastheygenerallyuse lessfat.Usewholegrainorwholemealflourtoaddsomeextrafibre. Pastry/Savoury Usefilopastry,brushingeverythreetofourlayerswithoilsuchascanola, sunflower,soybeanoroliveoil,eggwhiteorreduced,lowornofat yoghurt.Usepastrymadewithoilsuchascanola,sunfloweroroliveoil. Coconut cream/ Coconut milk Useevaporatedreducedfatmilkwithalittlecoconutessence. Alternatively,ifyouhavetime,soakdesiccatedcoconutinwarmreduced, lowornofatmilkfor30minutes,thenstrain,discardthecoconutanduse themilk.Foroccasionaluse,tryareducedfatcoconutmilk. HeartFoundation Losing weight the healthy way 15 Comparisonofenergy(kilojoule)contentoffoodsanddrinks Herearesomeexamplesofhowyoucanmakesmallbutimportantchangestoyoureating habits.Rememberit’sthesmallchangesthatcanmakeabigdifference! Alsorememberthatthesearejustexamples.Thekeyistothinkaboutwhatchangesyou couldmakeinyourfoodchoicesandthewayyouprepareandcookfoodsthatwillhelpto lowerenergy(kilojoules). Less healthy food choices 1plainlargecroissant(70g) with2tspbutterand2tspjam 2breakfastwheatbiscuits(30g) +2/3cupfullfatmilk kJ content Healthier food choices kJ content 1600 2pieceswholemealplaintoast (30geach)with1tspmargarine spreadand1tspjamperslice 970 887 2breakfastwheatbiscuits(30g) +2/3cupskimmilk 756 1plaindonut(70g) 1045 1mediumbanana(150g) 365 1packetpotatocrisps(50g) 1045 1mediumapple (150g) 270 2choc-coatedcreambiscuits 743 2plainsweetbiscuits 1chocolatebar(50g) 1110 Smallhandfulofalmonds (~20)20g 1meatpie(175g) 1880 Hamandsaladsandwich (madewith2tspmargarine) 277 473 1105 Hungariansalami(30g) 535 Ham,plainfresh(30g) 174 1cappuccino(1cup) withfullcreammilk 375 1cappuccino(1cup) withskimmilk 210 1glasscolasoftdrink(250mL) 440 1glasslowsugaror diet cola soft drink 4 Orangejuice(sweetened)(250mL) 400 1glasswater 0 1glassdrywhitewine(100mL) 263 1glassdrywhitewine– reducedalcohol(100mL) 167 1stubbie/canfullstrengthbeer 585 1stubbie/canlightbeer 260 16 Losing weight the healthy way HeartFoundation kJ content Healthier food choices Less healthy food choices kJ content Pan-friedchickenparmigiana 2050 Pan-friedchickenbreast, noskin(100g) 795 1mediumT-bonesteak with fat, grilled 1255 1mediumT-bonesteak, trimmedofvisiblefat,grilled 960 Hamburgermince,25%fat (100g) 1230 Leanmince,10%fat(100g) 710 920 Chickenbreast,withoutskin, roastedwithoutaddedfat(100g) 605 1filletwhitefish,e.g.whiting, friedinbatter(150g) 1725 1filletwhitefish,e.g.whiting, steamed,poachedorgrilled(150g) 630 Pastacarbonara(1cuppastawith cream,bacon,cheeseandegg) 1990 Pastamarinara(1cuppastawith seafoodandtomatosauce) 1358 1largecobsweetcornwith 2tspbutter 820 1largecobsweetcorn(nobutter) 520 ½cupgreenbeans(60g) plus1tspbutter 200 ½cupgreenbeans(60g) 1mediumbakedpotatowith 1tbspsourcream 720 1mediumbakedpotatowith 1tbspnon-fatplainyoghurt 490 SmallserveFrenchfries(90g) 1089 Smallserveoven-bakedpotato wedges–about6wedges(90g) 284 Lemonmeringuepie(140g) 1590 1cupstewedfruitwithout sugar,with1scoopofreduced fatice-cream 855 Chickenbreastwithskin,roasted withoutaddedfat(100g) Fullfatfruityoghurt (200gcarton) Fullfatice-cream (2scoops–100g) 50 965 Diet/Non-fat(nosugar)fruit yoghurt(200gcarton) 380 750 Lowfatice-cream (2scoops–100g) 590 Note:Allfiguresareapproximatevalues.Sourcematerial:BorushekA,Allan Borushek’s Pocket Calorie, Fat & Carbohydrate Counter,33rdedition,2006. HeartFoundation Losing weight the healthy way 17 Whattolookforonafoodlabeltofind energy(kilojoules) J Nutrition information panel J Bylaw,allfoodlabelsinAustraliamustcontainanutrition informationpanelandaningredientslist.Theonlyexceptions tothisarefoodsthataresoldinverysmallpackages,herbs, spices,tea,coffeeandfoodmadeandpackagedatthepointof sale,althoughsomefoodoutletsdoprovidethisinformation. Thenutritioninformationpaneliswhereyouwillfindinformation abouthowmuchenergy(kilojoules)thefoodordrinkcontains. Thiswilltellyouhowmuchenergy(kilojoules)thereisin100gor 100mLandineachservingofthefoodordrink.Youcanusethis whencomparingsimilarproductstohelpyoutochoosetheone lowerinenergy(kilojoules).Forexample,ifyouwerecomparing twotypesofsweetbiscuits,youwouldchoosetheonethat providedtheleastamountofenergy(kilojoules)in100g. Theingredientlistingonthelabelcanalsohelpyouto identifywhetherornotthefoodishighinenergy(kilojoules). Ingredientsarelistedinorderbyweight.Themainingredient byweightwillbelistedfirstandthesmallestlistedlast.Ifthe firstfewingredientsintheingredientslistarehighinfatand/ orsugar,thenthefood/drinkislikelytobehighinenergy (kilojoules).Someexamplesofingredientsthatarehighinfat andsugararelistedinthetablebelow. High fat, high sugar ingredients Fat Vegetableoil Vegetablefat Animalfat Animaloil Shortening Copha Lard Tallow Sugar Coconutoil Palmoil Chocolatechips Milksolids Monoglycerides Diglycerides Chocolate Butter Note:thewords‘creamed’or‘toasted’mayalsoindicateaddedfat. 18 Sucrose Maltose Lactose Dextrose Fructose Glucose Molasses Maltextract Raw/Brownsugar Losing weight the healthy way Glucosesyrup Cornsyrup Goldensyrup Disaccharides Monosaccharides Polysaccharides Honey Invertsugar HeartFoundation TheimportantTick Since1989,shoppingwiththeHeartFoundationTickhasbeen theeasiestwaytogiveyourshoppingtrolleyahealthmakeover. BecausetheTickisonmorethan1200foodsinthe supermarket,there’sprobablyaTickalternativetothefoods you’realreadybuyingforyouandyourfamily–frombread, breakfastcereals,margarinespreads,frozenvegetablesand yoghurttofreshfoods,suchasmilk,leanmeat,nuts,avocados and eggs. Andbecauseweunderstandthatmakingchangestoyour eatingpatternsisnoteasy,wehaveTickchoicesavailableon some‘occasional’foodstoo,tohelpyoutomakehealthier choices. BeforebeingpermittedtousetheTick,foodsmustmeetstrict nutritionandlabellingstandards–noexceptions!Wetest fordifferentcombinationsofsaturatedfat,transfat,salt,fibre andkilojoules,andregularrandomtestingensuresthatfoods continuetomeetthestrictstandards. Tomakehealthiereatingforthefamilyeasy,justreachforthe Tick.Peoplewithspecificdietaryneedsshouldalwaysfollow theadviceoftheirdoctororaccreditedpractisingdietitian. Remember,thereisonlyoneHeartFoundationTickanditwill onlyeverlooklikethis. Visitwww.heartfoundation.org.au/Tick. HeartFoundation Losing weight the healthy way 19 Remember Allphysicalactivity– whether it be playing agameofsport,going tothegym,goingfora walk,movingaround atworkorevendoing housework–usesup energy(kilojoules). Step4:Increaseyourphysicalactivity levelsandreduceyoursittingtime Ifyou’vekeptaphysicalactivityandsittingdiary,usethe informationfromyourdiarytogetherwiththefollowing informationtohelptoidentifyhowyoucanbemorephysically activeandreducethetimeyouspendsitting. Beingphysicallyactiveusesupenergy(kilojoules).Themore youmove,themoreenergy(kilojoules)youwillburn.Sothink aboutmovementasanopportunitytoimproveyourhealth, ratherthanatime-wastinginconvenience. HowmuchactivitydoIneedtodo? Thirtyminutesofphysicalactivityonmostoralldaysofthe weekisgreatforyourgeneralhealthandwell-being,regardless ofyourbodyweightorshape.Forsomepeople,thismayeven beenoughtopreventweightgain. Ifyouneedtoloseweightoraregainingweight,thenyouwill needtodomorethanthe30minutesofphysicalactivityeach dayrecommendedforgeneralhealth. 20 Losing weight the healthy way HeartFoundation Thebottomlineisthatyouneedtoincreaseyourphysical activitylevelsandreducetheamountoftimethatyouspend sitting,sofocusonthesethingsfirst.Graduallytrytobuild uptheamountoftimeyouarephysicallyactiveandreduce theamountoftimeyouspendsitting.Don’tworryabouthow activeotherpeopleare,justfocusontryingtoincreaseyour ownactivitylevel. Ifyoucanenjoysomevigorousactivityaswell,thenthat’s evenbetter.Vigorousactivity,suchasdoingagymclass, playingsportorjogging,givesadditionalhealth,fitnessand weightlossbenefits. It’sallaboutyou–theamountofactivitythatwillworkforyou islikelytobedifferenttowhatwillworkforsomeoneelse. A note about vigorous activity Ifyouarenotcurrently active,haveheart disease,haveclose relativeswithheart disease,orifyouhave othermajorhealth problems,checkwith yourdoctorfirstbefore takingpartinvigorous physicalactivity. Justassomepeopleseemtobeabletoeatanddrinkwhatever theylikewithoutputtingonweight,somepeoplemayalso seemtobeabletogetawaywithdoinglittle,ifany,activityto keeptheirweightdown.Thatdoesn’tmatter.Whatmattersis whatisrightandcomfortableforyou.Sogetactivetoday! HeartFoundation Losing weight the healthy way 21 Gettingphysicallyactive Therearereallythreewaystogetactive. 1. Fit it into your day Theeasiestwayistothinkabouthowtomakephysicalactivity apartofyourday–thatis,howcanyoubeactivewhiledoing somethingelsethathastobedoneanyway?Thinkabouthow youcanbephysicallyactiveinasmanywaysasyoucan.Even thoughourlivesareverybusy,therearelotsofwaystofit physicalactivityintoourdailyroutine.Someofthefollowing ideasmayhelptogetyoustarted. At home • GetoffthecouchandchangetheTVchannelsinsteadof usingtheremote. • Getoffthecouchoroffthechair–themoreyousitonit, thelessactiveyouwillbe. • Walkintothenextroomtospeaktoafamilymemberrather thanshoutingthroughwalls. • WatchonelessTVprogrameachweekandinsteaddo somethingactiveduringthattime–gowalking,dosome houseworkorgardening,playgameswiththekids. • Ifyouhaveagarden,tendtoityourself–weeding,planting, digging,mowingthelawnwillallhelptoburnoffextrakilos anditcanbefunatthesametime. • Housework–ironing,vacuuming,dusting,handwashing clothes,polishingfurniture–maynotseemlikefun,butit burnsupenergyandsomebodyhastodoit. • Washthecarbyhand–it’sgoodforyouandforsavingwater. • Walkthedogifyouhaveone–it’sgreatforbothofyou. • Cleanoutthecupboards,storageareas,garageorshed. • Washthewindows–insideandout. • Walktotheletterboxtopostlettersratherthanwaitinguntil thenexttimeyou’reoutinthecar. • Getacordlessphoneandwalkaroundwhileusingit,rather than sitting down. 22 Losing weight the healthy way HeartFoundation At work • Visityourcolleagueintheirworkspaceinsteadofphoning orsendinganemail. • Takeabreakoruseyourlunchbreaktogoforawalk– even10to15minutesisagoodeffort.Asksomeothers togowithyou. • Iftherearestairs,usethem. • Ifyousitatadeskalldayinfrontofacomputer,dosome stretchingexercisesatleastonceaday. • Trytogetawayfromyourdeskthroughouttheday. • Dosomefiling. Going places • Walk,rideyourbikeorrollerbladeinsteadofdriving. Ifyoucan’tdoitalltheway,atleastdoitpartoftheway. • Forgetaboutfindingtheclosestparkingspace–park furtherawayandjustwalktheextradistance. • Getoffthebus/tram/trainoneortwostopsearlierand then walk. • Countto10beforejumpinginthecar–justthinkabout whetheryoureallyneedtodriveornot.Thelessyoudrive thecar,thebetteritisforyouandfortheenvironment. Social • Catchupwithfriendsforawalk. • Goonoutingsthatencourageyoutowalkaround,suchas visitingthezoo,gardens,funparks,exposorhistoricsites. • Visitthelocalparkandtakeapicnic. Quick tip Askafriend,work colleagueorfamily membertojoinyou. Havinganotherperson along can be a great motivator–ithelpsyou tokeepyourcommitment tobeingphysicallyactive andit’sgoodfortheir healthtoo! • Arrangetodoactivethingswithfriends,suchasbowling (tenpinorlawn),sailing,bikeriding,tennis,rockclimbing, dancing(alltypes),swimmingorbushwalking. • Joinalocalcommunitywalkinggrouportrysomething new,suchasbellydancing,taichioryoga. HeartFoundation Losing weight the healthy way 23 2. Do some planned physical activity Thesecondwaytogetmoreactiveandburnoffextrakilosis totrytosetasidesometimeeachdayforplannedphysical activity. Manypeoplestrugglewiththis,sayingthattheydon’thavetime tobephysicallyactive.Anditishardtofindtimewhenyou havelotsofotherpriorities,suchaswork,familycommitments andsocialfunctions.It’sreallyaboutmakingphysicalactivitya priorityforyou.Trytogetsomeplannedactivityintoyourlife atleastthreetimesaweek.Thentrytobuildthatupovertime. What are some examples of planned physical activity? Doinganyofthefollowingsortsofactivitiesonaregularbasis forasetamountoftimeisplannedphysicalactivity: • goforawalkorajog • gotoagymclass–weights,aerobics,spinorpump Remember Everybitofextra movementwillhelpto burnenergy(kilojoules) and it all helps towards losingweight.Evenif youdon’tneedtolose weight, being physically activeforatleast30 minuteseachdayisgreat foryourhealth! 24 • playasport–cricket,netball,football,volleyball,rugby, soccer,badminton,squash,tennisorvolleyball • goforaswim • do yoga, tai chi or Pilates. Ifsomeofyourplannedphysicalactivityisvigorousactivity– thatis,itmakesyoureallybreathehardandsweat–thenitwill bringextrahealth,fitnessandweightlossbenefits. Usingapedometerisagreatmotivatorforhelpingtoincrease yourphysicalactivitylevels. Pedometersaresmallinstrumentsthatclipontoyourclothing andmeasurehowmuchwalkingorrunningyouaredoing. Somewillalsotellyouhowmuchenergy(kilojoules)you haveburned.Ifyouneedsomeextramotivation,thenconsider purchasingapedometer(theHeartFoundationhasapedometer –call1300362787toorderone–oryoucanpurchasethem fromsportsstores). Losing weight the healthy way HeartFoundation 3. Sit less Ifyouaresittingdownthenyouaregenerallynotbeing active–chairactivityclassesareanexceptiontothis. Ifyou’vebeenrecordinginadiaryhowmuchtimeinaday youspendsittingdown,you’llhaveagoodideaofwhereyou couldmakesomechanges.Alwaysthinkaboutwhetherthere isawaythatyoucanbephysicallyactiveratherthansitting down–thendoit! Quick tip Oneoftheadvantagesof planningyourphysical activityisthatyoucan markitinyourdiaryor onyourcalendarand you’remorelikelyto do it. I’malreadyactive–whatcanIdo? Ifyouarealreadyactive,butareputtingonweightorare overweight,thenyoustillneedtothinkabouthowyoucanbe moreactive.Youalsoneedtolookatyoureatinghabits(Step3, page10)andseeifthereareanychangesyouneedtomake. Reviewwhatyouaredoingandseeifyoucanincludemore plannedphysicalactivitysessionsorifthereareotherways thatyoucouldbuildmoreactivityintoyourdailyroutine. Also,thinkabouthowyoucanspendlesstimesittingand beinginactive. Ifyoufeelthatyouarealreadydoingallthatyoucan,speak withyourdoctoraboutwhatelseyoucando.Heorshemay alsoreferyoutoaphysicalactivityhealthprofessionalfor advice. Somenotesaboutbeingphysicallyactivesafely • Ifyoubecomebreathlessoruncomfortablewhiledoing anyphysicalactivity,slowdownorstop.Discussthis withyourdoctorassoonasyoucan. • Ifyouhavebeenprescribedangina-relievingmedicine, carryitwithyouwhenyouarebeingphysicallyactive andfollowyourdoctor’sadviceforitsuse. HeartFoundation Losing weight the healthy way 25 • Know the warning signs of heart attack. The warning signs varyandusuallylastforatleast10minutes.Youmay experiencemorethanoneofthese: o tightness,fullness,pressure,heavinessorpaininoneor moreofyourchest,shoulders,neck,arms,backorjaw o youmayalsofeelshortofbreath,nauseous,acold sweat,dizzyorlight-headed. Ifyouexperiencetheseheartattackwarningsigns,immediately stopwhatyouaredoingandrest.Ifyouarewithsomeone,tell themwhatyouareexperiencing. Ifyoursymptomsaresevere,getworsequicklyorlastfor10 minutes,thisisanemergency.Gethelpfast.Call Triple Zero (000)* and ask for an ambulance. Don’thangup.Waitforthe operator’sinstructions. *Ifcalling000doesnotworkonyourmobile,try112. • Alwayswearcomfortable,loose-fittingclothingorclothing appropriatetotheactivity. • Whenbeingactiveoutdoors,wearahatandputon sunscreen. • Drinkplentyofwaterbefore,duringandafterphysical activity,especiallyinhotweather. Toomanyreasonsnottobephysicallyactive? Apartfromlackoftime,otherfactorsthatcanimpact onyourphysicalactivitylevelsare: • yourweight • feelingshyorembarrassed • notfeeling‘sporty’ • poor health • havingsomeformofinjuryordisability. 26 Losing weight the healthy way HeartFoundation Ifyourhealthispoororyouhavesomeformofinjuryor disability,seekadvicefromyourdoctoraboutsuitableways foryoutobephysicallyactive.Yourdoctormayreferyouto aphysicalactivityhealthprofessionaltogiveyoumore specificadvice. Ifyourreasonsfornotbeingactivearebecauseyouare embarrassedtobeactive,oryourweightmakesitdifficultor youjustdon’tfeelsportyenough,alwaysrememberthatagreat formofphysicalactivityiswalking.Mostpeoplecanwalkand youcandothisanywhere–evenaroundyourhome. Remember Itdoesn’tmatterif walkingisyouronlyform ofphysicalactivity– whatmattersisthatyou arebeingactiveinsome wayandthatyouare enjoyingit. Beingphysicallyactivedoesn’tmeanthatyouhavetojoina gymorplaysomeformofsport.Doingthesethingsisgreat, butiftheydon’tsuityou,youdon’thavetodothem.It’smost importantthatyoufindtypesofphysicalactivitythatyouare comfortabletodo. HeartFoundation Losing weight the healthy way 27 Comparisonofenergy(kilojoules)usedthroughdifferentphysicalactivities Herearesomeexamplesofhowyoucanmakesmallbutimportantchangestoincreaseyour physicalactivitylevels.Rememberit’sthesmallchangestogetherthatcanmakeabigdifference. Alsorememberthatthesearejustexamples.Thekeyistothinkaboutwhatactivitiesyoudo andhowyoucanmakeimprovements. Sedentary kJ burned Waitingfor30minutesfor homedeliveryoffood 4 Cookingfor30minutes Usingalawnservice 0 Gardeningandmowingeach for30minutesaweek Lettingthedogoutthebackdoor 8 Walkingthedogfor30minutes Driving40minutes,walking fiveminutes(parking) 105 1505 92 Walking15minutesto busstoptwiceaday 523 500 Hiringsomeonetoclean and iron 0 Ironingandvacuumingeach for30minutes Takingelevatororliftup three flights 1 Walkingupthreeflightsofstairs 63 Parking as close as possible, 10secondwalk 1 Parkingslightlyfurtheraway, walkingtwominutes 33 635 Playingacomputergame for30minutes 80 Playingaballgamefor 30minutes 546 Usingtheremotecontrol tochangeTVchannel <4 Gettingupandchanging theTVchannel 13 Drivingtothecornershop to get the paper Gettingoffthebusand walkingfiveminutestowork 28 kJ burned Active 8 Walking to the corner shop for10minutes 167 84 Gettingoffthebusonestop earlierandwalking15minutes to work Losing weight the healthy way 252 HeartFoundation kJ burned Active Sedentary Shoppingonlineforonehour Drivingtolocalshopsforlunch 125 Shoppingatamall,walking onehour kJ burned 606–1003 8 Meetingafriendandwalking 20minutestoalocalcafé 334 Reclining while talking on thephonefor30minutes 16 Standing while talking on thephonefor30minutes 84 Sendinganemailtoa colleague(fourminutes) 10 Walkingoneminuteand standingtalkingtoacolleague forthreeminutes 25 Sourcematerial:AmendedtableadaptedfromMayoClinicProceedingsTable2002, based on Beil L. What is proper weight? Shake it up or go figure. HeartFoundation Losing weight the healthy way 29 Step5:Keepgoingwith yourweightlossplan Decidingwhatchangesyoucanmake Afteryou’veworkedoutwhereyouthinkyoucouldmakesome changestowhatyoueatanddrink,yourphysicalactivitylevels andsittingtime,thinkaboutwhereyouwillstart. Althoughyoumightbekeentodoitallatonce,it’sbesttodo thingsgradually.Whatyouaretryingtodomaynotbeeasy –youneedtochangeyourwayoflifeandthat’sgoingtotake sometime,sogiveyourselftime.Startwithachangeyouthink youcanmakefairlyeasilyandgiveyourselfarealisticamount oftimetoachieveit.Onceyou’vemanagedonechange,trythe nextoneonyourlist. Someexamplesofchangesyoumightchooseare: • inthenextfortnight,Iwillchangetoreducedfatmilk insteadoffullcreammilk • Iamgoingtogofora15minutewalkontwoevenings eachweekforthenextmonth • I’mgoingtoeattwopiecesoffruiteachdaythisweek • ratherthanusetheescalator,I’mgoingtotakethestairs instead • I’mgoingtocutmyTVviewingtoonehouronthreedays this week. 30 Losing weight the healthy way HeartFoundation Reviewyourgoalandyourchanges It’simportanttostopandreflectonhowyouaregoingwith things.Haveyouachievedwhatyousetouttodo?Ifso, thengiveyourselfapatonthebackandrewardyourself. Ifyouhaven’tquiteachievedwhatyouwantedto,don’tbe discouraged.Nowisthetimetoreflectonwhatyousetout todo.Thinkaboutifyouhave: • triedtodotoomuchtoosoon–remember,smallchanges overtimearebest • givenyourselfenoughtime–maybeyoujustneedanother monthortwotomakeithappen Remember Takesometimetothink abouthowyouare feelingaboutthechanges youaremaking.These changes need to be for therestofyourlife,soit’s reallyimportantthatyou areenjoyingyourlifeand feeling well and happy aboutthechanges. • triedtodosomethingthatjustisn’trightforyou– istheresomethingelsethatyoushouldtry? Rewardyourself Don’tforgettospoilyourselfeverynowandthen.Changing youreatingpatterns,increasingyourphysicalactivitylevels andlosingweightisnotthateasy.Sowhenyouachievea change,makesureyougiveyourselfsomesortofreward. Someexamplesare: • gotoamovie • buyyourselfsomethingthatyouwant,ratherthanneed • gotoatheatreshow,aconcertorasportingevent • goouttoanicerestaurantfordinner • buysomenewclothes • goonaniceoutingwithfamilyorfriends • buyyourselfanewbooktoread • buyyourfavouritemagazine • getsomefreshflowersforyourhome • buyanicepotplantatthemarketorlocalnursery • phoneafriendoverseaswhoyouhaven’tspokenwith for a while • buysomenewsportingattireorequipment HeartFoundation Losing weight the healthy way 31 • buyapedometer–agreatmotivationaltooltotrackyour physicalactivity • visitaplaceyouenjoy–thebeach,aparkoramuseum • visitfriends • enjoyaweekendaway • haveamassage. Keepgoingwithyourchanges Don’tworryifyouhaveadaywhereyoufeelthatit’salltoo hardoryouhaven’tbeenabletokeepupwithyourchanges. Weallhavedayslikethat.Justmakesurethatthechanges you’vesetyourselfsuityouandthenkeepgoingwiththem. Onceyouarecomfortablymakingthefirstchangesyou’ve decidedupon,oryou’vereachedaparticulargoal,keepgoing withthosefirstchangesandsetyourselfsomenewchangesor newgoalstoachieve. 32 Losing weight the healthy way HeartFoundation Healthymealideas Followingaresomeideasforhealthier,lowerenergy(kilojoule) mealsandsnackoptions. Foodathome Breakfast Toast • Usewholegrainorwholemealbread. • Trytoppingssuchasasmallserveofbakedbeans,tomatoes, creamedcorn,mushroomsorcottagecheese. • Spreadtoastthinlywithjam,honeyorpeanutbutter–these areallhighinenergy(kilojoules)sotrytolimittheamount youuse. • Usemargarinespreadsmadefromcanola,sunflower oroliveoil,ordairyblendsthathaveearnedtheHeart FoundationTickinsteadofbutter. Breakfast cereals • Chooseanuntoasted,highfibre,wholegraincereal,such asrolledoats,wheatbiscuitsorbrancereals. • Usereduced,lowornofatmilk,or‘addedcalcium’soy beverages. • Addfruit–fresh,stewedorcannedfruit(choosefruitcannedin naturaljuiceorunsweetened,ordraintheliquidfromthefruit). • Addreduced,lowornofatyoghurt. Other ideas • Poach,boilorscrambleeggs(usereduced,loworno fatmilk).Servewithtomatoes,spinach,mushroomsand salmonorlean,reducedsaltham.Serveonwholegrainor wholemealbread. • Makepancakesusingreduced,lowornofatmilkor buttermilk,wholemealflourandmargarinespreadmade fromcanola,sunfloweroroliveoil,ordairyblendsthathave earnedtheHeartFoundationTickinsteadofbutter. • Chopfreshfruitandtopwithreduced,lowornofatyoghurt. HeartFoundation Losing weight the healthy way 33 Snacks • Snackonfruit–fresh,stewedorcanned(choosefruit cannedinnaturaljuiceorunsweetened,ordraintheliquid fromthefruit). • Choosereduced,lowornofatyoghurt(plainorflavoured). • Crunchonasmallhandfulofplain,unsaltednuts.* • Snackonwholegrainorwholemealcrispbreadwithsliced tomatoandpepper. • ChoosemueslibarswiththeHeartFoundationTick. • Enjoyacupofvegetablesoup(choosereducedsalt). *Nutscancontributetoanexcessenergy(kilojoule)intakesolimitthequantity andfrequencyofeatingthem. Lunch Sandwiches • Fillsandwicheswithlotsofsaladvegetablesandasmall servingofleanmeat,skinlesschicken,cannedfish,hommus oralowfatcheese,suchascottagecheese. • Maketoastedsandwiches.Tryfillingssuchasbakedbeans, leanmeats,pineapple,tomatoesandvegetables,suchas corn,spinach,asparagusandcapsicum. • Usewholemealorwholegrainbreadorrollsandmargarine spreadsmadefromcanola,sunfloweroroliveoil,ordairy blendsthathaveearnedtheHeartFoundationTickinsteadof butter. • Trydifferentvarietiesofbread,e.g.focaccia,pita,bagelsand mountainbread. Salads • Includelotsofdifferentvegetables. • Tryaddingfreshfruitorplain,unsaltednuts. • Addlegumes,suchasfourbeanmixorchickpeas. • Trypasta(preferablywholemeal),rice(preferablybrown), couscousornoodlesalads. • Addleanmeats,skinlesspoultryorfish. 34 Losing weight the healthy way HeartFoundation • Usesaladdressingsandmayonnaisemadefromoilssuch ascanola,sunflower,soybeanandoliveoil.Servedressings andmayonnaiseonthesidesothatpeoplecanaddtheir own if they wish. Soups • Tryvegetable-orlegume-basedsoups.Servewithcrusty breadtomakeameal. • Useevaporatedskimmilkinsteadofcreamorfullfatmilk for‘creamysoups’. Other ideas • Makehomemadepizzausingasmallpitabread(preferably wholemeal)asthebase.Addreducedsalttomatopaste, asmallamountofreducedfatcheese,pineappleand vegetables,suchasmushrooms,onionandcapsicum. • Ryecrackerswithtomato,basilandblackpepper. • Ricepaperrollsorsushi. • Tuboffruitsaladwithreduced,lowornofatyoghurt. Evening meal Stir-fry dishes • Includelotsofvegetablesanduseleanmeat,skinless chickenorfish. • Servewithpasta(preferablywholemeal),rice(preferably brown),couscousornoodles. • Useoilssuchascanola,sunflower,soybean,olive,sesame andpeanutoil. • Addlegumes,suchaschickpeas,orsomechoppedplain, unsaltednuts,suchascashewsorpeanuts.* • Flavourwithherbsandspices,e.g.garlic,onion,chilli or ginger. *Nutscancontributetoanexcessenergy(kilojoule)intakesolimitthequantity andfrequencyofeatingthem. HeartFoundation Losing weight the healthy way 35 Pasta dishes • Trywholemealpastavarieties. • Makeavegetable-basedsauce,suchastomatoorpumpkin. • Addleanmeatsorfishandlotsofvegetables. • Usericottacheeseorlightevaporatedskimmilktomakea ‘creamy’sauceinsteadofusingcream. • Useasmallamountofreducedfatcheeseorparmesan cheese. • Servewithagardensalad. Meat and vegetables • Useleancutsofmeat,skinlesspoultryorfish. • Servemeatwithvegetablesorsaladandagrain-based food,suchaspasta(preferablywholemeal),rice(preferably brown),couscousorpolenta. • Useoilssuchascanola,sunflower,soybean,oliveorpeanut oiltocookmeatandvegetables. • Useherbs,spicesandgarlictoaddflavour. • Addreduced,lowornofatnaturalyoghurttojacket potatoesinsteadofusingsourcream. • Roastmeatonarackinaroastingpanwithalittlewater, wineorreducedsaltstock. • Brushorsprayroastvegetableswithoilsuchascanola, sunflower,soybeanoroliveoilandbakeinaseparatedish. Rice or noodle dishes • Try brown rice. • Addlotsofvegetables. • Useleanmeats,skinlesspoultryorfish. • Useoilssuchascanola,sunflower,soybean, oliveorpeanutoil. 36 Losing weight the healthy way HeartFoundation Other ideas • Makeburritos,tacosortortillawrapsusingleanmeat, skinlesschickenorredkidneybeans.Addplentyof vegetablestothemixtureandusereduced,lowornofat naturalyoghurtinsteadofsourcream. • Vegetablefrittataorquiche.Usereduced,lowornofat milkandmargarinespreadsmadefromcanola,sunflower oroliveoil,ordairyblendsthathaveearnedtheHeart FoundationTickinsteadofbuttertomakethequiche. Servewithagardensalad. • Makeapieusingfilopastryforthetopandbottomoronly haveapastrylid.Useleanmeat,skinlesschickenorfishand lotsofvegetablesforthefilling. Barbecues • Trimallvisiblefatfrommeatbeforecooking. • Marinateskinlesschickenbreastfillets,fish,seafoodorlean meatinfruitjuiceorwineandherbsbeforecookingonthe barbecue. • Bakefishfilletsinfoilwithseasoningsandlemonjuice. • Makekebabsusingleanmeatand/orvegetablechunks. • Slicevegetables,suchasmushrooms,eggplant,sweetpotato andzucchini,andcookonthebarbecue. • Usemargarinespreadsmadefromcanola,sunflower oroliveoil,ordairyblendsthathaveearnedtheHeart FoundationTickinsteadofbutter.Useoilssuchascanola, sunflower,soybean,oliveorpeanutoil. • Servewholegrainorwholemealbread. • Serveavarietyofsalads.Usesaladdressingsand mayonnaisemadefromoilssuchascanola,sunflower, soybeanandoliveoils.Servedressingsandmayonnaiseon the side so that people can add their own if they wish. HeartFoundation Losing weight the healthy way 37 Desserts • Freshfruitsalad,stewed,poachedorcannedfruitserved withreduced,lowornofatyoghurt.Choosefruitcannedin naturaljuiceorunsweetened,ordraintheliquidfromthe fruit. • Fruit-basedpuddingsorcrumblesmadewithmargarine spread,wholemealflour,oatsandreduced,lowornofat milk.Usemargarinespreadsmadefromcanola,sunflower oroliveoil,ordairyblendsthathaveearnedtheHeart FoundationTickinsteadofbutter. • Fruitpieorstrudelmadewithfilopastry.Servewith reduced,lowornofatyoghurt. • Cheesecakemadeusingreducedfatcreamcheeseorricotta cheese,margarinespreadandplainsweetbiscuits.Use margarinespreadsmadefromcanola,sunfloweroroliveoil, ordairyblendsthathaveearnedtheHeartFoundationTick insteadofbutter.Addlotsoffruitontoporaddfruitintothe cheesemixture. • Lowfatice-creamordietjelly.Servewithfruit. Take-away foods Take-awayfoodisquickandconvenient,butitcanbeareal trapifyou’retryingtoloseweight.Manytake-awayfoodsare highinenergy(kilojoules),sochoosecarefully. • Trytolimitpastries(suchaspiesorpasties),pizza, hamburgers,hotchips,friedfish,friedchickenandcreamy pastadishestonomorethanonceaweek.Insteadchoose take-awayfoodsthatcontainlotsofvegetables.Some suggestionsfollow. Asian meals • Healthierchoicesincludesteamedrice,mixedvegetable dishes,leanmeats(beef,lamb,porkorchicken),fish, seafoodandstir-fries. • Trytolimitdeep-friedmenuoptions. 38 Losing weight the healthy way HeartFoundation Italian meals • Choosepastadisheswithvegetable-basedsauces. • Choosethincrustpizzawithpineapple,tomatoandlotsof vegetables,suchasonion,capsicum,mushrooms,artichoke, eggplantandpumpkin.Trytoavoidpizzaswithsalamior sausagemeats.Instead,askforleanmeats,suchasfishor leanreducedsaltham.Askforasmallamountofcheeseor forreducedfatcheese. Greek/Lebanese meals • Choosesouvlaki/shishkebabsinpitabreadwithtaboulior Lebanese bread with salad. • Choosestuffedvegetabledishes. • Limitpastries. Barbecue chicken • Choosethebreastmeat–chickenbreasthasalowerfat content.Removetheskinandfatandlimitgravyandstuffing. Thebreadcrumbsandflourinthestuffingtendtosoakupa lotoffatandthegravyisgenerallyhighinfatandsalt. • Grabsomesaladorvegetabledishestohavewiththe chicken rather than chips. Hamburgers/Steak sandwiches • Ifthey’remadewithleangrilledmeatandlotsofsalad, hamburgers/steaksandwichescanmakeanutritiousmeal withouttoomuchenergy(kilojoules).Wherepossible,ask forextrasaladandawholegrainorwholemealbunorbread. Sandwiches and bread rolls • Askforsandwichesandbreadrollstobemadewith margarinespreadsmadefromcanola,sunflowerorolive oil,ordairyblendsthathaveearnedtheHeartFoundation Tickinsteadofbutter,andfillingssuchasleanmeat,low orreducedfatcheese,skinlesschicken,salmon,tunaor felafel,andplentyofsaladvegetables.Askforwholegrainor wholemealbread. HeartFoundation Losing weight the healthy way 39 Corn on the cob • Chooseplaincornonthecob,ratherthanwithbutter. Jacket potatoes • Choosebeansandsaladsasthemaintoppingsandsome margarinespreadsmadefromcanola,sunflowerorolive oil,ordairyblendsthathaveearnedtheHeartFoundation Tickinsteadofbutter.Askforasmallamountofcheeseor areducedfatcheese,andforreduced,lowornofatnatural yoghurtinsteadofsourcream. Salad bars • Theseusuallyofferarangeofchoices.Sometypesofsalad, suchasbeansaladandpastasalad,canmakeacomplete mealontheirown.Themainthingtowatchforisthe dressingsandmayonnaiseused–theseareoftenhighin saturatedfat.Wherepossible,choosesaladswithadressing ormayonnaisemadefromoilssuchascanola,sunflower, soybeanoroliveoil,orchoosesaladswithoutdressingsor with the dressing on the side. Eating out • Alwaysreadthemenucarefullyanddon’tbeafraidtoask questionsofthestafftohelpyoutomakeyourdecision. Mostcafésandrestaurantswillbemorethanhappytohelp andwilldotheirbesttoprovideyouwithasuitablemeal. Somefoodoutletsevenprovidenutritionalinformation abouttheirdishes. Some tips • Chooseamealwithvegetables,legumesorsaladincluded, or order these as a side dish. • Askforyourvegetablestobeservedlightlysteamedor microwaved,withoutaddedsauceorbutter. • Askforyourmealtobeservedwithoutchips. • Askforsaladdressingandmayonnaisemadefromoilssuch ascanola,sunflower,soybeanandoliveoil,andaskforthis onthesidesoyoucanaddityourself. 40 Losing weight the healthy way HeartFoundation • Askaboutingredientsorsauces–iftheycontainbutteror cream,askforthemnottobeaddedtoyourmeal. • Chooseseafooddishesthataren’tcrumbedorfried. • Choosepastadisheswithavegetable-basedsauceinsteadof acreamyone.Alsotrytolimitsauceswithfattymeats,such asbaconandsausage. • Choosedishescontainingleanmeats.Ifyouareservedmeat withfat,thenremoveitbeforeeating.Forexample,remove theskinandfatfrompoultry,andtrimfatfrommeat. • Askforsmallermeals–perhapsahalfserveifit’sanoption, orchooseanentrée-sizeddish. • Ifyou’reeatinginanoutletthatofferslargerservesata cheaperprice,trynottochoosethisoption.Itmaybevalue formoney,butit’snotvalueforyourhealth. • ‘Allyoucaneat’andsmorgasbordscanencourageyouto eatmuchmorethanyouneed.Trynottopilefoodontoyour plateorgobackforseconds.Iftherearelotsofdishesyou’d lovetotry,justhaveasmallservingofthemostappealing ones.Youcanalwaysvisitanothertimeandtrythedishes you’vemissedoutonthistime.Ifyoureallywanttolimitthe amountoffoodyou’reeating,thenuseasmallerplate. • Askforplain,freshbread(preferablywholegrainor wholemeal)insteadofgarlicandherbbreads.Garlicand herbbreadsarehighinenergy(kilojoules). Desserts • Choosefruit-basedoptions,suchasbakedfruit,poached fruitorfreshfruitsalad.Askforsomereduced,lowornofat yoghurtorasmallserveofloworreducedfatice-cream. • Suggestsharingadessertwithsomeoneelseatyourtable– thatwayyougettoenjoyatreat,buttheenergy(kilojoules) is shared. • Choosesorbets. HeartFoundation Losing weight the healthy way 41 Questionsandanswers WhatifI’mpregnant? Pregnancyisnotthetimetotrytoloseweight.Gainingweightduringpregnancyisnecessary toensurethehealthygrowthofyourbaby.Speaktoyourobstetricianabouthowmuchweight youarelikelytogainduringpregnancy.Yourmostimportantpriorityisyourhealthandthat ofyourbaby.Makinghealthyfoodchoicesandbeingphysicallyactivewillhelpwithyour weightandwithkeepingbothyouandyourbabyhealthy. Whatifmychildrenareoverweight? Healthyeatingandphysicalactivityareimportantforkidstoo.Youngchildrenand adolescentsareinimportantgrowthstagessotheyneedadequatenutritionforgrowth anddevelopment.Ifyouhavechildren,encouragethemtobephysicallyactiveandtoeat healthily.Ifyouareconcernedaboutyourchild’sweight,discussthiswithyourdoctor. Whataboutquick-fixdietsandweightlossproducts? TheHeartFoundationdoesnotcurrentlyendorseanyweightlossdiet,productorprogram. Don’tbetrickedintotryingdiets,productsorprogramsthatguaranteeweightloss.Theymay provideresultsintheshortterm,butgenerallywillnothelpyoutokeepweightoffinthelong term.Somemayevenbeharmfultoyourhealth. Whataboutweightlosscentres? Thesecanbeusefultohelptogetyoustarted.Likemostthings,somearebetterthanothers. Checkoutwhatthecentreoffers,thecostsinvolvedandthequalificationsofstaff,andalways readthefineprintonanydocumentation.Don’tbepressuredintosigninguptosomething youaren’tsureabout. Howmuchenergy(kilojoules)doIneedeachday? Thisvariesdependingonwhetheryouaremaleorfemale,yourage,andhowactiveyouare. Forexample,amanaged45whoweighsaround80kg(~12stone,9lb)andismoderately activeneedsaround12,700kJperday.Awomanaged45whoweighs60kg(~9stone, 5lb)andismoderatelyactiveneedsaround9,000kJperday.Thesearejust‘average’figures andaseachofusisunique,thiscouldbetoomuchornotenough.Itismostimportantthat youdon’treduceyourenergy(kilojoule)intaketoodrastically–evenifyoudoneedtolose weight,yourbodystillneedsenergy(kilojoules)andadequatenutrients. 42 Losing weight the healthy way HeartFoundation Howmuchenergy(kilojoules)doIneedtocutdowntoloseweight? Onekilogram(2.2lb)ofbodyfathasanenergyvalueofaround32,000kJ.Sotolose1kgof bodyfat,youneedtoreduceyourenergyintakeby32,000kJ.Thatmaysoundimpossible, butthinkaboutitlikethis:ifyoureducedyourenergy(kilojoule)intakebyaround350kJper day(2,450kJperweek),thatcouldleadtoaweightlossofaround4kgoverayear(350kJ perdayisequaltoaboutthreesmallsquaresofchocolate).Soyoucanseeitispossibleto reduceyourenergy(kilojoule)intakeandthatevensmallchangesdomakeabigdifference– solongasyoucanmaintainthatchange.Takealookatthetablesonpages16and17tosee justhowyoucanreduceyourenergy(kilojoule)intake. Howmuchenergy(kilojoules)doIneedtouseuptoloseweight? Onekilogram(2.2lb)ofbodyfathasanenergyvalueofaround32,000kJ.Sotolose 1kgofbodyfat,youneedtoincreaseyourenergyoutputby32,000kJ.Thatmaysound impossible,butthinkaboutitlikethis:ifyouincreasedyourenergy(kilojoule)output byaround350kJperday(2,450kJperweek),thatcouldleadtoaweightlossofaround 4kgoverayear(350kJperdayisequaltoabout20minutesofwalking).Soasyoucansee, evenasmallincreaseinenergy(kilojoule)outputwillmakeabigdifference–solongasyou canmaintainthatchange.Takealookatthetableson pages28and29toseejusthowyou canincreaseyourenergy(kilojoule)output. ShouldIbecountingkilojoules? Themainpointsforhealthyweightlossaretoincreaseyourphysicalactivitylevels,reduce theamountoftimeyouspendsittingandtolookatyourfoodchoicesoverall–choosing mainlyfoodsanddrinkslowerinenergy(kilojoules)andonlyhavinghighenergy(kilojoule) foods and drinks occasionally. Being aware of which foods and drinks are high in energy (kilojoules)willhelpyoutomakehealthierchoices. Ifcountingkilojoulesworksforyouthendoit,butdon’tletthenumberofkilojoulesyou consumeruleyourlife.Worryingonlyaboutthenumberofkilojouleseatencausessome peopletoendupstarvingthemselvesandprobablydoingmoredamagetotheirhealththanif theystayedabitoverweight.Sothebottomlineis,beawareofwheretheenergy(kilojoules) inyourfoodanddrinksiscomingfromandmakefoodanddrinkchoicesthataremainly lowerinenergy(kilojoules). HeartFoundation Losing weight the healthy way 43 Whataboutnuts? Mostnutvarietiesarehighinfat,buttheymainlycontainthehealthiertypesoffats.Including plain,unsaltednutsaspartofhealthyeatingisokay.However,nutsareeasytoeattoomuchof, soifyouaretryingtoloseweight,beawareoftheamountyoueatandhowoftenyoueatthem. Whataboutavocado? Avocadosarehighinfat,butit’sthehealthiertypeoffat.Whileavocadosdoprovidemore energy(kilojoules)thanmostotherfruitandvegetables,theyalsoprovidenutrientsandfibre. Ifyouaretryingtoloseweight,youcanstillenjoyavocado. Arefruitjuicesfattening? Theycanbe–itdependshowmuchyoudrink.Fruitjuicesandfruitjuicedrinksdon’t containfatbuttheycontainsugar–andsugarprovidesenergy(kilojoules).Fruitjuiceisbetter thanfruitjuicedrinksbecausefruitjuicedrinkscontainaddedsugaraswell.Oneglassof fruitjuiceprovidesaroundthesameamountofenergy(kilojoules)asaglassofsoftdrink.So whilefruitjuicemaysoundhealthierthansoftdrinkanditdoeshavesomenutrientsinit,itis notalowenergy(kilojoule)option. Ifyoufeellikefruitjuice,onlyhaveasmallglassoruseitlikecordialanddilutewithwater. Arekilojoulesthesameascalories? Kilojoulesandcaloriesarebothameasureofenergy.Kilojoulesisthemoderntermfora measureofenergyandcaloriesistheolderterm–muchthesameaskilometresisthemodern termandmilesistheoldertermfordistance.Onecalorieequals4.2kilojoules.Whenyou lookatthenutritioninformationpanelonafoodlabel,youwillseethatenergyislistedaskJ –kJisshortforkilojoules. I’veheardthewords‘overweight’,‘obese’and‘obesity’–whatdotheymean? Apersonisclassifiedasbeingoverweightwhentheyarecarryinganexcessofbodyfat. Theword‘obese’isusedtodescribeapersonwhoiscarryingalargeamountofexcess bodyfatandisveryoverweight–tothepointthattheirhealthisimpaired.Obesityisthe conditionassociatedwithbeingobese.Obesityisassociatedwitharangeofhealthand socialproblems. 44 Losing weight the healthy way HeartFoundation DoesthetypeofoilorfatIusemakeadifferencetomyenergy (kilojoule)intake? Allfats(suchasbutter,lardandmargarinespreads)andoilsarehighinenergy(kilojoules) andprovideaboutthesameamountofenergy(kilojoules).Theonlyrealdifferenceoccurs withareducedfatmargarinespreadorreducedfatdairyspread.Theenergy(kilojoule) contentofthesevaries,butcanbeaslowashalfthatofthenormalvariety. Anumberofreducedfatspreadsarenotsuitableforbaking,soit’salwaysagoodideato checkthelabel.Notethatit’snotpossibletobuyreducedfatoils. Thekeyissuetoconsiderwhenchoosingoilsandfatsisthemaintypeoffattheycontain. It’salwaysbesttochoosemargarinespreadsmadefromcanola,sunfloweroroliveoil,or dairyblendsthathaveearnedtheHeartFoundationTickinsteadofbutter.Useoilssuchas canola,sunflower,soybean,oliveorpeanutoil. Whataboutmedicinesorsurgery–willtheyhelp? Ifyouareextremelyoverweight,youmayneedsomeextrahelptoloseweight.Yourdoctor mayrecommendmedicinesand/orsurgerytohelpyou. Thereisarangeofweightlossmedicinesavailable–yourdoctorcandiscussthesewithyou sothattogetheryoucanmakeadecisionaboutwhat’srightforyou.Forfurtherinformation aboutmedicines,youcancallMedicinesLine on 1300 888 763 tospeakconfidentiallywith apharmacist.MedicinesLine isopenMondaytoFridayfrom9amto6pmEasternStandard Time,forthecostofalocalcall.Itisnotanemergencyserviceanddoesnotreplaceadvice fromyourdoctororpharmacist. Weightlosssurgery,whileoftensuccessful,isreallyonlyasuitableoptionforpeoplewho areextremelyoverweightandonlywhenothermethodshavenotworked.Yourdoctorwill beabletoadviseifsurgeryisappropriateforyou. Alwaysrememberthatchangingyoureatingpatternsandincreasingyourphysicalactivity levelsareabsolutelynecessaryforhealthyweightloss–evenifyouaretakingmedicines orhavesurgery. HeartFoundation Losing weight the healthy way 45 Arethereanycomplementaryoralternativetherapiesthatcanhelp metoloseweight? Therearemanypills,supplementsandtonicspromotedasbeinghelpfulforweightlossthatare availableoverthecounterfromthechemistorfromvarioushealthshops.Alwaysbecautious beforetryingthese–theymaysoundgood,buttheymightnotworkorworsestill,theymaybe harmfultoyourhealth. TheHeartFoundationencouragesyoutospeakwithyourdoctorabouttheseoptionsbefore decidingtousethem.Thisisveryimportant,particularlyifyouareonanykindofmedicine foranyhealthissue.Youneedtobecarefulthattheweightlosspill,supplementortonic won’taffecthowyourmedicineworksorreactwithitinawaythatmaybeharmfulto yourhealth. Ifyoudecidetouseoneofthesetypesofproductseventhoughyourdoctorhasadvised againstit,makesureyouletyourdoctorknow.Yourdoctorneedstobefullyawareofevery typeofmedicineortherapyyouareusingtogiveyouthebestpossiblecare. MydoctorhastalkedaboutmyBMI–whatisit? BMIstandsforbodymassindex.Thebodymassindexisameasureofyourweightinrelationto yourheight,andisusedtoassesswhetheryouareunderweight,ahealthyweightoroverweight. Bodymassindex=weight(kg)/height(m)2.Abodymassindexof18.5to24.9indicatesa healthybodyweight.Abodymassindexof25andaboveindicatesoverweight.Bodymass indexisjustonemeasureyourdoctorcanusetoassessyourweightandwhetherornotitmight beahealthriskforyou. Whydidmydoctormeasuremywaist? Measuringyourwaistor‘waistcircumference’givesanindicationofwhetherornotyouare carryingyourexcessweightaroundyourmiddle.Carryingexcessweightaroundyourmiddle greatlyincreasesyourhealthrisk.Awaistmeasurementof94cmormoreformenand80cm ormoreforwomenindicatesincreasedhealthrisks.Waistmeasurementsof102cmormore formenand88cmormoreforwomenindicateevengreaterhealthrisks.Yourdoctorwill adviseifyourwaistmeasurementisaproblemandifyouneedtotrytolosesomeweight. 46 Losing weight the healthy way HeartFoundation Shouldn’tIbefollowingalowcarbohydratediettoloseweight? Whileanumberofpeoplepromoteverylowcarbohydratedietsforweightloss,theHeart Foundationdoesnotrecommendverylowcarbohydratedietsforlong-termweightloss.The HeartFoundationdoesnotrecommendthesetypesofdietsbecausetheirlong-termhealth consequencesarenotknown,theyoftenincludefoodshighinsaturatedfat,andtheycan lackadequateamountsofvitaminsandmineralsneededforgoodhealth.Toachievehealthy weightloss,theHeartFoundationrecommendsenjoyinghealthyeating,increasingyour physicalactivityandreducingyoursittingtime. Whataboutglycaemicindex–isthatimportantforweightloss? Theglycaemicindex,orGI,isawayofcomparingtheeffectofdifferentcarbohydratefoodson thelevelsofglucose(asugar)inourblood.LowGIfoodsraisebloodglucoselevelsslowlyand provideasteadyenergy(kilojoule)source.HighGIfoodsraisebloodglucoselevelsquickly. ResearchshowsthateatinglowerGIfoods,suchaswholegraincereals,fruit,vegetablesand legumes,mayhelpyoutofeelfullerforlonger,soyouarelesslikelytoeatmorefoodthan youneed.Whenitcomestohealthyeatingforweightloss,thekeyistochoosefoodslowerin energy(kilojoules)andbemindfulofhowmuchfoodyoueat. HeartFoundation Losing weight the healthy way 47 Moreinformation Formoreinformationonhealthyeatinganddrinking,andincreasingyourphysicalactivity levels,callourHealthInformationServiceon1300362787(forthecostofalocalcall)or emailhealth@heartfoundation.org.au. Youmayalsoliketoseektheadviceofanaccreditedpractisingdietitianorphysicalactivity healthprofessional.Ideally,discussthiswithyourdoctorfirstandseekareferral.However, ifyouwouldliketocontactanaccreditedpractisingdietitianoraphysicalactivityhealth professionalyourself,seethefollowingcontactdetails. To find an accredited practising dietitian: • contacttheDietitiansAssociationofAustraliaon1800812942orvisitwww.daa.asn.au • check the Yellow Pages. To find a physical activity health professional: • check the Yellow Pagesunder: o exercisephysiologists o physiotherapists o healthandfitnesscentresandservices o personalfitnesstrainers • on the internet: o tofindanexercisephysiologist,usetheAustralianAssociationforExerciseandSports Sciencewebsitesearchfacilityatwww.aaess.com.au o tofindaphysiotherapist,visittheAustralianPhysiotherapyAssociationwebsite www.physiotherapy.asn.au. 48 Losing weight the healthy way HeartFoundation HealthInformationService TheHealthInformationServiceisournationaltelephone informationservice.Forthecostofalocalcallfromanywhere inAustralia,youcanobtaininformationonissuessuchasheart diseaseandstroke,healthyeating,controllingbloodpressure, bloodcholesterol,smokingcessation,physicalactivityand heartsurgery.* OurHealthInformationServiceisopenduringbusinesshours, Australiawide.Tospeaktoatrainedhearthealthprofessional, callourHealthInformationServiceon1300362787oremail health@heartfoundation.org.au. *PleasenotethatourHealthInformationServiceisnotanemergency,diagnostic orcounsellingservice.Wesupportgivingfreehearthealthinformationtothe Australianpublic—manyofourbrochuresarefreeofchargeforsinglecopies.If youhaveanyquestions,callourHealthInformationServiceon1300362787. Forhearthealthinformation www.heartfoundation.org.au 1300362787 Keypointstoremember abouthealthyweightloss Two key factors that affect body weight are: • theamountofenergy(kilojoules)thatwe putintoourbodiesfromfoodanddrinks Tohelpyoutomakelifestylechanges,set yourselfrealisticgoals.Chooseagoalor goalsthatsuityoutokeepyoumotivated. • theamountofenergy(kilojoules)thatwe useupthroughphysicalactivityandother dailyactivities Whenyouachieveachange,reward yourself,thensetyourselfnewgoals toachieve. To lose weight, keep the weight off and be healthier,youneedtochangeyoureating patterns,increaseyourphysicalactivity levelsanddecreasetheamountoftimeyou spend sitting each day. Bodyweightisjustonefactorthatcan impactonyourhealthandneedstobe consideredalongwithyouroverallhealth and wellbeing. ©2009NationalHeartFoundationofAustraliaABN98008419761 CON-073 ISBN978-1-921226-54-0 Termsofuse:Thismaterialhasbeendevelopedforgeneralinformationandeducationalpurposesonly.Itdoesnotconstitutemedicaladvice. Pleaseconsultyourhealthcareproviderifyouhave,orsuspectyouhave,ahealthproblem. TheinformationcontainedinthismaterialhasbeenindependentlyresearchedanddevelopedbytheNationalHeartFoundationofAustralia andisbasedontheavailablescientificevidenceatthetimeofwriting.Itisnotanendorsementofanyorganisation,productorservice. Whilecarehasbeentakeninpreparingthecontentofthismaterial,theNationalHeartFoundationofAustraliaanditsemployeescannotaccept anyliability,includingforanylossordamage,resultingfromtherelianceonthecontent,orforitsaccuracy,currencyandcompleteness. 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