Hartford Courant (Sunday)

Simplify goals for success

- Mayo Clinic — Graham King, M.D., Family Medicine, Mayo Clinic Health System, Mankato, Minnesota Mayo Clinic Q&A is an educationa­l resource and doesn’t replace regular medical care. Email questions to MayoClinic­Q&A@ mayo.edu.

Q: I am a mom of three kids under 10, and I have struggled with weight loss for years. I am challenged between family and work obligation­s to maintain a healthy lifestyle. I always start off strong, but then I get overwhelme­d and stop. Last month, despite trying to eat right and working out daily, I gained weight after two weeks instead of losing it. And then if I miss several days at the gym, I start wondering what’s the point. I feel as if I am in a constant battle with myself to live better. Do you have any advice for helping to stay motivated?

A:

Life can be busy, as you juggle kids, work and family, along with many other obligation­s. Understand­ably, this hectic pace can make it difficult to cook a healthy meal or find time to workout and take care of yourself. The side effects of this behavior often can be an increase in body weight or a standstill when it comes to losing pounds.

Adding insult to injury, yo-yo weight losses and gains can cause such issues as prediabete­s with borderline cholestero­l levels or prehyperte­nsive blood pressure. Justifiabl­y, this can cause higher levels of stress, guilt and depression, and lead to negative behavior like comfort eating and additional weight gain.

When I talk to patients, I find that people often come up with a plan to lose the weight that includes things such as:

Ridding homes of any desserts, candy, soda and processed food.

Promising to buy and eat only whole foods made from scratch.

Going to the gym five or more days a week and working out for an hour each time.

Hiring a life coach to help get their life together. Reducing work stress. Does this sound familiar?

Most people start out strong and do OK for three to four weeks, but then they slowly revert to old habits that leave them with excess pounds and feeling discourage­d. Once they get motivated to try again, they do, but the cycle tends to repeat itself.

I recommend simplifyin­g your goals. Adjust your outlook of better health to break the vicious cycle of exercise and diet plans that aren’t sustainabl­e. Start with a few small things that are realistic given your lifestyle, work and family needs.

Select and focus on one simple thing you can change today. For instance, identify a single thing related to your diet, such as cutting out sugary drinks and increasing your water intake. If you are someone who drinks multiple sodas daily, you can lose upward of 10 pounds a year by reducing your intake by one soda per day, even if you change nothing else. This is a perfect example of creating success for yourself by just changing one thing.

Another idea would be to eat a salad every other day with a meal. This can be something you can easily manage and feel successful with. Just remember not to overload it with dressing. Or instead of grabbing a handful of chips for a snack, grab an apple or a cheese stick.

Over time, one change will lead to another. As you implement healthy things into your routine, you will build more success. And that success will make these lifestyle changes sustainabl­e.

With respect to physical activity, take a moment to focus on the amount of physical activity per week you want to aim for rather than a number of days at the gym. Ideally, we know that for optimal cardiac health and weight loss, the recommende­d amount of moderate physical activity is about 175 minutes a week. Although that translates to about five sessions of 30 minutes of aerobic exercise, start smaller.

If you give yourself some grace to find something that works, you can then build on it until it’s more sustainabl­e.

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