Recently I joined the Canadian Obesity Network, something that I stumbled on during my quest for more information on all subjects health related, they produce a neat little read entitled " Best Weight " ( Freedhoff and Sharma). I want to pick out some of the best bits that I think are helpful to those looking to loose weight...

I always like to see if my client has realistic expectations and a plan, more often that not I find that they don't have either. Further questioning may be needed to learn about motives and objectives.Aesthetic reasons can often be a prime motivator and these could be short term ( my daughter is getting married and i want to get into a specific suit) or long term goal like improve self esteem or finding a grew partner...However successful weight loss for aesthetic reasons may be harder to achieve than doing the same for health reasons. If weight loss is driven by self esteem or concerns over  body image then these issues need to be addressed first. To assist in that sometimes I refer clients out to a life coach...

If the goal is health related weight loss its nice to share with the clients what to expect, maybe increased energy or less knee pain....I try to define objective quality of life goals that can be obtained in a reasonable time..success should be measured by achievement of these goals rather than actual weight lost.Maybe we should take away that the goal of weight loss is not about numbers on a scale but to reduce health risks and improve quality of life. Even a 5 % weight loss can produce measurable medical results!

In goal terms its probably best that they are as least daunting and obtainable as possible...rapid weight loss cannot be sustained, it can be achieved short term , but has a negative affect on lean tissue in the body. Sustaining weight loss is more important than achieving massive numbers..its better to lose 50% less than too regain it all and sometimes more back...

This leads me to the concept of " best weight". I do like this concept, its refreshing and I am surprised that I have never come across it before. Its so simple.The book describes " best weight " as a non statistical goal that is easy to set. Clients can take their weight down to any weight they put their minds too, but to maintain that weight they need to enjoy the lifestyle that got them there.

The term " best weight" is the weight achieved whilst living the healthiest lifestyle that they can truly enjoy. They maintain that there is a point when you can no longer eat less or exercise more and still like their life. The weight achieved whilst still liking their life is the " best weight " achieved without further intervention...and that is the lowest weight currently possible.For sustained weight loss the client should consume the smallest number of calories that allows them to enjoy each day.With exercise clients should do as much as possible, but there is a maximum above which the person will not do, chances are they will come to hate exercise, then they quit.

Eating less and exercising more in a situation that the patient doesn't enjoy is the definition if a diet which is why 95% of them fail as the client returns back to previous lifestyle choices. A healthy lifestyle is the smallest number of calories and the greatest amount of exercise that a person can enjoy.

Ref: Best Weight . A practical Guide to obesity management ( Yoni Freedhoff and Ayra Sharma . ) Published by The Canadian Obesity Network