Dieting help for an obese person with zero willpower
Dieting help for an obese person with zero willpower
Author
Discussion

TheJimi

Original Poster:

27,422 posts

269 months

Thursday 30th May 2013
quotequote all
Right folks, I need some help with this.

I've offered to help a woman I know lose weight, she's in her 50's, and won't tell me her actual weight but she's definitely obese, no doubt about that.

My intention is to start her off with small, manageable changes, the trouble is, I'm not sure exactly sure where to start! The issue I've got is that the first changes need to small enough for her to cope with, but effective at the same time. I'd want to make big changes but her willpower simply wouldn't be up to it. My usual philosophy of diet is completely out the window here!


An example of her diet is as follows (have a bucket standing by!!)


Breakfast
1 buttered roll
1pkt 35g cheese & onion crisps
1 plain buttered scone

Snack
Cadbury Twirl

Lunch
M & S wholemeal bread sandwich, with chicken and mayo free dressing
50g pkt M & S cheese puffs
Toffee Crisp

Dinner
2 McDonalds plain cheeseburgers
1 large fries
1med diet coke

Supper
1 pkt cheese & onion crisps
I choc chip muffin

CAPP0

20,652 posts

229 months

Thursday 30th May 2013
quotequote all
I'm no expert, but with a current diet like that, I can't see any "little changes" which are going to make any noticeable difference.

She needs to cut out bread, (inc burger buns), sweets, and ideally a lot of the other carbs in that lot.

TheJimi

Original Poster:

27,422 posts

269 months

Thursday 30th May 2013
quotequote all
Yep, that's exactly my thoughts too - it's such a bad diet and but she's got so little willpower that I think any big changes (straight away, at least) will see her tripping over.

Hence me looking for inspiration here!

ETA: what she "needs" to do is change everything, but that's never gonna work at this stage.

Edited by TheJimi on Thursday 30th May 09:56

stackmonkey

5,083 posts

275 months

Thursday 30th May 2013
quotequote all
My first thought was to simply eliminate the crisps, one 'meal' at a time if needs be, or replace them with a piece of fruit.

Hoofy

79,716 posts

308 months

Thursday 30th May 2013
quotequote all
Problem is, whether it's dieting, quitting smoking or beating up your wife, unless you're willing to admit you have a problem and ready to make a change, it's hard to motivate. In other words, she has to find the willpower within.

For weight loss, usual issues are:
-can't afford to eat healthily
-no time
-no reason/motivation to

You could ask her why she might want to lose weight and what is in it for her? Maybe it's so she won't die of cancer or heart disease at a relatively young age so will grow old enough and be healthy enough to be able to play with her grandchildren? Or maybe it's the constant pain in her knees? Or maybe it's so she can comfortably fit on a plane to do a round-the-world tour when she retires?

As to her diet, small changes may make a difference in the long run - one small change every couple of weeks means she will be changing without really noticing. For most people, if you cut out all bad things and replace with healthy things, I'd give it a month before a massive 10,000 kcal binge and she's back to her current diet.


(figures guestimates!)
Breakfast
1 buttered roll - 150kcals
1pkt 35g cheese & onion crisps - 150kcals
1 plain buttered scone - 200kcals
=500kcals

Snack
Cadbury Twirl
=300kcals

Lunch
M & S wholemeal bread sandwich, with chicken and mayo free dressing - 500kcals
50g pkt M & S cheese puffs - 200kcals
Toffee Crisp - 300kcals
= 1000kcals

Dinner
2 McDonalds plain cheeseburgers - 600kcals
1 large fries - 300kcals
1med diet coke - 1kcal
= 901kcals

Supper
1 pkt cheese & onion crisps - 150kcals
I choc chip muffin - 300kcals
=450kcals

Total = 3151kcals. More than I eat daily and I'm on a bulk. hehe

Is that Smiffy's wife?

If she made the following changes, things would move in the right direction in the long term:
Breakfast
1 buttered roll - 150kcals
1pkt 35g cheese & onion crisps - 150kcals
1 plain buttered scone - 200kcals
=350kcals

Snack
Cadbury Twirl
Cereal bar - 150kcals
=150kcals

Lunch
M & S wholemeal bread sandwich, with chicken and mayo free dressing - 500kcals
50g pkt M & S cheese puffs - 200kcals
Toffee Crisp - 300kcals
= 700kcals

Dinner
2 1 McDonalds plain cheeseburgers - 600kcals
1 large fries - 300kcals
1med diet coke - 1kcal
= 601kcals

Supper
1 pkt cheese & onion crisps - 150kcals
I choc chip muffin - 300kcals
1 cereal bar - 150kcals
=300kcals

2100kcals - which will probably be below her current TDEE.
After that try knocking out other things.

Once a week she could do a 16/8 IF and see how she gets on with it. Then do it twice a week or even more times. It's kinda cool being part of the IF club.

Add 30 minutes of walking a day which would burn maybe 200kcals if her weight is significant.

Edited by Hoofy on Thursday 30th May 10:09

otolith

66,775 posts

230 months

Thursday 30th May 2013
quotequote all
Sounds like a problem of motivation. If she doesn't want it enough, she will fail.

Hoofy

79,716 posts

308 months

Thursday 30th May 2013
quotequote all
Hoofy said:
Problem is, whether it's dieting, quitting smoking or beating up your wife, unless you're willing to admit you have a problem and ready to make a change, it's hard to motivate. In other words, she has to find the willpower within.

For weight loss, usual issues are:
-can't afford to eat healthily
-no time
-no reason/motivation to

You could ask her why she might want to lose weight and what is in it for her? Maybe it's so she won't die of cancer or heart disease at a relatively young age so will grow old enough and be healthy enough to be able to play with her grandchildren? Or maybe it's the constant pain in her knees? Or maybe it's so she can comfortably fit on a plane to do a round-the-world tour when she retires?

As to her diet, small changes may make a difference in the long run - one small change every couple of weeks means she will be changing without really noticing. For most people, if you cut out all bad things and replace with healthy things, I'd give it a month before a massive 10,000 kcal binge and she's back to her current diet.


(figures guestimates!)
Breakfast
1 buttered roll - 150kcals
1pkt 35g cheese & onion crisps - 150kcals
1 plain buttered scone - 200kcals
=500kcals

Snack
Cadbury Twirl
=300kcals

Lunch
M & S wholemeal bread sandwich, with chicken and mayo free dressing - 500kcals
50g pkt M & S cheese puffs - 200kcals
Toffee Crisp - 300kcals
= 1000kcals

Dinner
2 McDonalds plain cheeseburgers - 600kcals
1 large fries - 300kcals
1med diet coke - 1kcal
= 901kcals

Supper
1 pkt cheese & onion crisps - 150kcals
I choc chip muffin - 300kcals
=450kcals

Total = 3151kcals. More than I eat daily and I'm on a bulk. hehe

Is that Smiffy's wife?

If she made the following changes, things would move in the right direction in the long term:
Breakfast
1 buttered roll - 150kcals
1pkt 35g cheese & onion crisps - 150kcals
1 plain buttered scone - 200kcals
=350kcals

Snack
Cadbury Twirl
Cereal bar - 150kcals
=150kcals

Lunch
M & S wholemeal bread sandwich, with chicken and mayo free dressing - 500kcals
50g pkt M & S cheese puffs - 200kcals
Toffee Crisp - 300kcals
= 700kcals

Dinner
2 1 McDonalds plain cheeseburgers - 600kcals
1 large fries - 300kcals
1med diet coke - 1kcal
= 601kcals

Supper
1 pkt cheese & onion crisps - 150kcals
I choc chip muffin - 300kcals
1 cereal bar - 150kcals
=300kcals

2100kcals - which will probably be below her current TDEE.
After that try knocking out other things.

Once a week she could do a 16/8 IF and see how she gets on with it. Then do it twice a week or even more times. It's kinda cool being part of the IF club.

Add 30 minutes of walking a day which would burn maybe 200kcals if her weight is significant.
tl;dr:

otolith said:
Sounds like a problem of motivation. If she doesn't want it enough, she will fail.
biggrin

mu0n

2,348 posts

159 months

Thursday 30th May 2013
quotequote all
Deffo little changes needed - wholesale will see her fall off the wagon.

Girl here started on the 'Atkins' (my god I hate 'specialist diets') but IMO it's too much for her to be able to handle... no alcohol, very limited carbs, no fruit etc.

otolith

66,775 posts

230 months

Thursday 30th May 2013
quotequote all
hehe

TheJimi

Original Poster:

27,422 posts

269 months

Thursday 30th May 2013
quotequote all
Hoofy said:
As to her diet, small changes may make a difference in the long run - one small change every couple of weeks means she will be changing without really noticing. For most people, if you cut out all bad things and replace with healthy things, I'd give it a month before a massive 10,000 kcal binge and she's back to her current diet.
Quite so, Hoof yes

My first thoughts were to eliminate the crisps and chocolate / sweets and replace with alternatives like fruit or rice cakes.

TheJimi

Original Poster:

27,422 posts

269 months

Thursday 30th May 2013
quotequote all
otolith said:
Sounds like a problem of motivation. If she doesn't want it enough, she will fail.
Oh she wants it (quiet at the back!) but I don't think she wants to put in the work to achieve it.

Hoofy

79,716 posts

308 months

Thursday 30th May 2013
quotequote all
TheJimi said:
Oh she wants it (quiet at the back!)
hehe

If she definitely wants it, then you have to give it to her. But find out why she wants it and remind her. I mean support.

Replacing the standard chocolate bars with cereal bars (yes, they're full of sugar but they're typically around half the calories for a similar size as they have less sugar than your typical chocolate bar) will help.

Hoofy

79,716 posts

308 months

Thursday 30th May 2013
quotequote all
And tell her to get on http://www.myfitnesspal.com/ for support and motivation.

There are plenty of people in her age category who've gone from fat to fit.

eg.



to



Age 52.

otolith

66,775 posts

230 months

Thursday 30th May 2013
quotequote all
TheJimi said:
Oh she wants it (quiet at the back!) but I don't think she wants to put in the work to achieve it.
The question is, does she want it more than she wants several chocolate bars a day?

Is there any possibility of increasing her activity?

TheJimi

Original Poster:

27,422 posts

269 months

Thursday 30th May 2013
quotequote all
Yep. We're on the 4th floor of an office building, and I'm getting her to use the stairs instead of the lift. Not much, I know, but in the scheme of things, a heck of a lot more than she's doing currently.

ikarl

3,989 posts

225 months

Thursday 30th May 2013
quotequote all
I think your numbers are off for your Kcal, I know you say they are guesstimates, but take the time and research exactly the number of calories she's taking in a day then work from there. Try and cut her back 5-10% per reduction

Then make one change at a time / per week. Change her mid morning snack of a chocolate bar to an apple... then let her settle with that for a week or two. Then change something else etc etc

The change needs to be subtle if you want it to stick, a;lso suggest chewing gum as that will give her a false sense of fullness

Also, tell her to try sugar free jelly. A large container can contain as little as 10 calories and will give her the sweet kick she craves and keep her feeling full

Hoofy

79,716 posts

308 months

Thursday 30th May 2013
quotequote all
TheJimi said:
Yep. We're on the 4th floor of an office building, and I'm getting her to use the stairs instead of the lift. Not much, I know, but in the scheme of things, a heck of a lot more than she's doing currently.
If she's around 20 stone, that could help a lot. I'd hate to drag a 9 stone bag filled with fat up 4 storeys. Would be an interesting gym session!

Hoofy

79,716 posts

308 months

Thursday 30th May 2013
quotequote all
ikarl said:
I think your numbers are off for your Kcal, I know you say they are guesstimates, but take the time and research exactly the number of calories she's taking in a day then work from there.
They're mine not the OPer's.

Regiment

2,799 posts

185 months

Thursday 30th May 2013
quotequote all
Put the Insanity workout DVD in for her, Shaun T will get her fit and healthy.

But yes, little changes each week. With the exercise, try to make the exercise part of her everyday life, don't just say "Week 1 - we're going to get you out and walking on a Tuesday and Thursday evening instead of sat down at home watching crappy tv", do it so that instead of using a mobility scooter at the supermarket, walk instead, instead of driving to the shops, walk instead, little baby steps otherwise she'll start to make up excuses.

When I tried to run at 6:30 every morning, I'd be motivated the night before and then as soon as I woke up, my brain went into overdrive thinking up why it'd be better for me not too.

Hoofy

79,716 posts

308 months