The Great Canadian Weight Loss Challenge

The Stahlbaum family is joining the Marilyn Denis Show, Great Canadian Weight Loss Challenge. After struggling with their weight for years, the family decided to get fit for a family wedding. Kirby who is Marg's daughter and the rest of the girls' sister is getting married on July 21st and also happens to be a fitness instructor. For the next six months Marg, Jocelyn, Stacey and Jenn will be undergoing a diet, fitness and lifestyle transformation with the support of our experts.

Goal weight and ideal weight are different. As Jim Rich, Family Therapist on the show, says Goals and Motivation are different. "Motivation is when you dig deeper" I agree. He also says “The goal is where you’re going, and motivation is the gas”. I fully agree. What I am asking the Stahlbaum family to do is lose the amount of fat pounds they need to lose to attain an average level of health with the motivation that if they dont, they may have a bleak future.

The Great Canadian Weight Loss Challenge

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Marg

52 years old
Starting Weight: 295lbs
Fat %: 45.6
Chol: 3.58
Waist: 48”

Marg

Marg (aka “Mom”) weighed in at 295lbs. A bioelectrical impendence analysis test for Marg revealed that she has 45.5 percent body fat. That translates to 134.52 pounds of fat tissue and 160.48lbs lean including water and other tissues in her 295 lb body. If she lost all 160.48 pounds of her fat that would be both unrealistic and unhealthy. We all need some fat. In fact, on average a healthy female Margs age is about 30% fat tissue (or less). If we subtract 15% of her original lean composition to reach a healthy lean weight (it is about that much which is water and other tissue) and we need about 70% lean and 30% fat to satisfy a healthy body composition, then the calculation becomes:

subtract about 15% water from lean total or 160.48lbs x 15% = 136.4

calculate lean/x = 70/30 (avg percent) where x = goal total fat pounds or 136.4/2.3333 = 58.5lbs

original fat – goal fat = necessary fat pounds to lose to achieve ideal weight is 134.52 – 58.5 = 76.02

 

Bryce’s Goal for Marg: lose 59 fat pounds as 'phase I' goal

Ideal Goal: lose 76 fat pounds

 

Bryce's Motivation for Marg

If you experience obesity all your life, studies show that on average you shave 9 years off of your life. Marg has been significantly overweight all her life and remembers a childhood of celebrating everything with food. She’s an emotional eater. She eats when she’s sad or bored. She’s a recovered alcoholic. One of the hardest habits to kick is something related to pleasure and positive reward. Eating is similar to alcohol addiction for Marg. My fear for her is that if she doesn’t involve psychotherapy, she will rebound and lose those 9 years on her life and not be around for her children and grandchildren. Even without a personal family history of significant disease, she is at risk of developing any and all of the co-morbidities that go along with obesity including diabetes, heart disease, cancer, and early death. Gallbladder cancer is a high risk in those significantly overweight. Marg doesn’t have her gallbladder. She had to have it removed. But that doesn’t mean she’s safe. Cancer could eventually show up as colorectal, endometrial, or breast.

Jennifer

36 years old
Starting Weight: 195lbs
Fat %: 35.9
Chol: 4.39
Waist: 41”

Jennifer

Jennifer weighed in at 195lbs. A bioelectrical impendence analysis test for Jennifer revealed that she has 35.9 percent body fat. That translates to 70 pounds of fat tissue and 115lbs lean including water and other tissues in her 195 lb body. If she lost all 70 pounds of her fat that would be both unrealistic and unhealthy. On average, a healthy female her age is 30% fat tissue (or less). If we subtract 15% of her original lean composition to reach a healthy lean weight (it is about that much which is water and other tissue) and we need about 70% lean and 30% fat to satisfy a healthy body composition, then the calculation becomes:

subtract about 15% water from lean total or 125lbs x 15% = 106.25

calculate lean/x = 70/30 (avg percent) where x = goal total fat pounds or 106.25/2.3333 = 45.53lb

original fat – goal fat = necessary fat pounds to lose 70 - 45.53 = 24.46

 

Bryce’s Goal for Jennifer: lose 46 pounds total (Bryce's error to have reported 46 'fat pounds' on the show)

Ideal Goal: lose 25 fat pounds (46 pounds total)

 

Bryce’s Motivation for Jennifer

Fat cells in obese people are "sicker" than fat cells in lean people. They emit inflammation and bad hormones into the body which contributes to diabetes and diseases of the heart and liver. Fat cells are ‘stressed’ and often inflamed, and appear to produce chemicals that interfere with the body's ability to use insulin and insulin resistance is an early stage in the development of diabetes. My concern is that Jennifer could be there very soon.
What fat tissue is supposed to do is take care of excess calories, to store these calories in the form of fat. However "sick" fat cells can't do the job, and they let excess food energy spill over to other parts of the body. This contributes to all sorts of disease and loss of energy. Other than diabetes, my concern is that you could develop a fatty liver, and that may end up as cirrhosis or a cancerous liver. If you stress a bone, you get a stress fracture. But if you stress fat tissue, you get into all sorts of trouble.

Jocelyn

27 years old, pregnant
Starting Weight: 311lbs
Fat %: 60.5
Chol: 5.60
Waist: 53.5”

Jocelyn

Jocelyn weighed in at 311 pounds at 22 weeks of pregnancy. Bioelectric impedance analysis is not considered safe to do during pregnancy. What I do know is that she is significantly overweight. I suspect that under normal circumstances she may have the most weight (ie fat pounds) to lose. However, it is very important to note that during pregnancy one never considers ‘dieting’ or reducing caloric demands. Jocelyn has higher than normal cholesterol (5.6 where less than 5.2 is normal), but that can be normal during pregnancy. Due to the fact that she is considerably obese, she runs the risk of getting into complications with the pregnancy. Pregnant and at 311 lbs, she has a very high risk of heart disease and diabetes.

 

Bryce’s Goal for Jocelyn: experience a healthy pregnancy

Ideal Goal: lose the percent of fat tissue that OBGYN approves to bring her back to health

 

Bryce’s Motivation for Jocelyn

Jocelyn knows she needs to lose a significant amount of weight. My primary concern for Jocelyn is heart disease (as she may have had elevated cholesterol before pregnancy); gestational diabetes, and risks in the pregnancy and to fetus including neural tube defects (not helped by folic acid), baby with increased risk of diabetes, likelihood that baby needs neonatal ICU care; and chance that she requires a C-section which presents its own risks. BUT SHE IS NOT TO “DIET”. I recommend that Jocelyn eat nutrient dense foods and exercise as her OBGYN tells her.

Stacey

Stats:
Starting Weight: 225lbs
Fat %: 39.8
Chol: 2.97
Waist: 43”

Stacey

Stacey weighed in at 225lbs. A bioelectrical impendence analysis test for Stacey revealed that she has 39.8 percent body fat. That translates to 89.55 pounds of fat tissue and 135.45lbs lean including water and other tissues in her 225 lb body. If she lost all 89.55 pounds of her fat that would be both unrealistic and unhealthy. On average, a healthy female her age is 30% fat tissue (or less). If we subtract 15% of her original lean composition to reach a healthy lean weight (it is about that much which is water and other tissue) and we need about 70% lean and 30% fat to satisfy a healthy body composition, then the calculation becomes:

subtract about 15% water from lean total or 135.45lbs x 15% = 115.14

calculate lean/x = 70/30 (avg percent) where x = goal total fat pounds or 115.14/2.3333 = 49.34lbs

original fat – goal fat = necessary fat pounds to lose 134.52 – 58.5 = 40.21

 

Bryce’s Goal for Stacey: lose 25 pounds of fat before her sister’s wedding

Ideal Goal: lose 40 pounds of fat total

 

Bryce’s Motivation for Stacey:

Stacey is competitive and want's to win. She is however fearful of her situation and says: “I don’t want to have to deal with all sorts of health struggles and it’s just so much harder to be able to have fun and just relax with other people when you’re just constantly worrying about if you can do the things they’re doing or can I sit on that thing or can I sit in that chair or is it going to be a problem or can I also go on the boat ride.” My biggest concern for Stacey is that she may be right. Overweight individuals may experience greater risk of impaired psychosocial and physical functioning, causing a negative impact on their quality of life. Another very common co-morbidity of being overweight is osteoarthritis. Stacey needs to change her diet drastically and for example get out of the habit of baking and into the habit of stir frying veggies

Note:

An ideal weight was calculated using bioelectrical impedance analysis (BIA) to asess fat pounds and lean pounds (more on BIA here). The ideal lean weight was calculated by subtracting 15% from the total starting lean weight (to account for water and other lost tissues) and by multiplying by 70/30 or 2.3333 which represents a relatively healthy female lean-to-fat ratio (or roughly 70% lean and 30% fat).