What’s vtrim and what have I experienced first-hand?

Vtrim is a researched-based weight management program that’s home-grown on the campus of University of Vermont (my alma mater). The vtrim researchers have been obtaining NIH research grants for nearly a decade and have slowly accumulated the research which makes the case that online chat-based weight management can be successful. The research continues, but now vtrim is available to anyone in the world wide community who wants to lose pounds and change their lifestyle for good.

Two years ago I heard about vtrim. About a year ago I became a trained facilitator (health care professionals with weight control coaching skills). I admit I was a doubting Thomas but I ventured in because I was curious and know we need cost effective and easily accessible ways to help people succeed at lifestyle change. But I wondered, how could a weekly online chat for an hour (no phone connection),  a weekly journal review and comments, and e-mails, create a community in which people could find success?

In November I began my first vtrim group. Food and exercise guidelines and goals as well as online journaling are core program elements. On the weekly chats we’d debrief about the week, focus in on a topic surrounding behavior change and offer lots of support.  Twenty-four weeks later, mid April, my first group ended. All I can say is WOW and YES!

After a few short weeks my group came together as a community. Sure we lost a few members along the way (that’s true for in-person programs).  Weight losses ranged from less than 10 pounds to greater than 30, but we didn’t focus on pounds lost on chats at all.  Suffice to say participants who really “worked the program”; managed their food intake by cutting calories and fat, ate more fruits and vegetables, etc; upped their calorie burn with exercise, religiously (or almost) kept journals; did very well. Others struggled initially but during the middle of the program began to “get it” – this was about making long term permanant lifestyle changes.

Insights shared during our weekly chat were inspiring to all. Support was contagious. And I was relentless with my missives about what’s entailed in long term weight management and it that it WILL be a long term battle. Vtrim is not a diet, it’s about creating and cementing new healthy behaviors -  permanent lifestyle changes.

Bottomline: Research shows us that the people who do best in weight management programs take advantage of the tools and community aspects of programs (whether live or online). As well, research shows us the longer the program and the longer people are engaged the more weight they will lose. And if we are going to help the millions of people who are overweight or obese and at risk or with weight-related health issues, we’re going to have to use and maximize the technologies at our fingertips. Vtrim is just one solution.

Yes, I’m sold and I’ll be facilitating more groups. Hear more from two women blogging about their vtrim weight loss journeys: healthylosergal.com and puff2buff.com.

Facilitator Name: Sally Ross Nolan

Education/background: M.S. from St. Michael’s College in VT.  I worked for years in several counseling/education positions at Planned Parenthood of Northern New England.  My day job for the past 11 years or so is at The Clinical Neuroscience Research Unit at UVM doing research studies.  I’ve been a Vtrim facilitator since 2006.

Years experience in health area: 30ish years (where’d the time go?!)

Favorite form of exercise: snow shoeing in the winter, tennis in warm weather

Favorite meal or snack: tamari almonds

My top 5 favorite foods: Chocolate-need you ask?, Tofu-there’s so much you can do with it and it can be put together quickly,  my mother’s chicken salad- pure comfort food,  turkey sandwich the day after Thanksgiving (and don’t tell, but I use white bread this one time).

What do you enjoy about facilitating Vtrim weight management groups? It’s a privilege for me to witness people taking hold of their life and making positive changes.  And it’s fun-we laugh a lot!

If you had a day to do whatever you wanted, how would you spend it? Working with a documentary film crew

What is one of the most common hurdles you see people face in changing behaviors and what are 1-2 things you find helpful for overcoming that hurdle? Negative self talk can keep people stuck..  It takes awareness and then conscious practice to change an attiude/belief AND it can be done.  Replace negative thoughts with a positive ones.  And if you’re not there yet-”fake it till you make it”.

One thing you would love to do in the future/personal goal for the future: Spend more time doing photography

Any favorite tip you love to share about behavior change: Just keep learning from each challenge and keep getting “back on the horse”.

Interested in one of Sally’s classes? She’ll be teaching on Tuesdays beginning later this month. Check out our schedule at http://www.uvm.edu/vtrim/register/

Most importantly we teach the way to sustainable lifestyle change since ultimately that is how you keep the weight off and get healthier long-term.  The YMCA supports your Vtrim efforts by providing the exercise infrastructure to meet your weekly exercise goals.  Plus, the face to face interaction at the Y is a nice complement to the online aspect of Vtrim.  These two programs together provide the momentum needed to make consistent, healthier choices and to finally learn a new way of living. 

Read more about this exciting initiative, currently through the Greater Burlington YMCA, YMCA of Greater Boston and YMCA of Greater Pittsburgh.  We are starting 2 Vtrim @ the Y classes in February.  The classes are open to members and non-members and you do not need to live in  Burlington, Boston or Pittsburgh to participate.   Sign up today!

For those of you who aren’t familiar with the Dragon Boat Festival, it is a huge summer event where teams dress up in crazy costumes and race boats on Lake Champlain as a way to fund raise for cancer efforts.

Despite the gloomy weather forecast, thousands of dedicated spectators showed up bright and early to the event. The 75 teams made up of businesses, families, and organizations throughout the community came ready to race their hearts out. Even as the storm clouds came through, the racers pushed on with energy and excitement up until the festival was inevitably cut short. More details about the festival can be found at http://www.ridethedragon.org/.

This year, Vtrim sponsored the athletes village, the area where each team could set up a tent and use a staging area, stretching space, and where other sponsors set up shop. As a sponsor, we were also featured on all of the pendants throughout the village.

Let us just say that in a nutshell, the energy and excitement that was in the air that Sunday was inspiring!  It was truly amazing to see so many people supporting cancer survivors, cancer research and most of all Camp Te Kum Ta (half of this years profits went to the camp http://www.takumta.org/).  Vtrim was  honored to be a featured sponsor at this event, which emphasized fitness, fun, and philanthropy all at the same time.  Check out our photos and let us know if you were there!  We would love to hear about your experience.  http://www.flickr.com/photos/vtrim/

Obese patients had more incidence of diseases like hypertension, heart
disease, and diabetes, all of which can complicate health and needed
medical care. The study also showed that those patients who had been
obese the longest also had the longest hospital stays.

What does this mean for you? Now is the time to improve your health
risks through weight loss. Remember, a reduction of even 5-10% of
starting body weight yields significant reductions on disease risks.
Moving from an obese body mass index (BMI) to the overweight BMI range,
or from overweight BMI to normal BMI range can result in great health
savings. The sooner the better!

Check out our schedule of upcoming Vtrim classes if you are ready to improve your health.

www.uvm.edu/vtrim

While it was a small study, it raises some thoughts about the benefits of an eating routine or schedule. Random eating times and grazing can set you up to consume more calories through mindless eating. Having a routine makes it easier to plan ahead and be prepared with healthier options to eat.

Need another reason to implement an eating schedule or routine? Having a plan in place for eating behaviors helps facilitate greater weight management success. Afterall, healthy habits don’t just happen–they take effort and planning.

At Vtrim, we distinguish programmed exercise from lifestyle exercise very clearly.  However, both play an important role in lifelong weight management.  Programmed exercise is exercise you do specifically for weight control.  You plan it into your day and you take time to burn calories.  That calorie burn, along with a reduced-calorie intake, creates the calorie deficit necessary for weight loss.  Regular exercise is critical to keeping weight off.  People in Vtrim build up slowly to burning 2000 calories per week (20 miles of walking) through programmed exercise.  Think walking, biking, swimming…

But what about lifestyle exercise?  What is it and how does it fit into  a weight management program? Lifestyle exercise represents the choices you make to be more active on a daily basis.  Think, stairs instead of elevator, parking farther away, raking leaves, walking to the store instead of driving.  All of these choices add up to burning more calories than if you had chosen their sedentary counterpart, elevator instead of stairs, park in the closest spot, pay the neighbor to rake your leaves, drive .25 mile to the store.

Think of lifestyle exercise as insurance.  You will NEVER be 100% accurate in calculating exactly how many calories you are eating and how many you are burning through exercise.  But just the act of recording in a food journal gets you closer to your actuals.  Lifestyle exercise covers this margin of error.  By moving more on a daily basis you are making up for the inevitable errors of journaling.  It is a fact that people underestimate what they eat and typically overestimate the calories burned through exercise.

Take stock of your daily routine.  Do you value “efficiency” over moving more?  This can be deceiving.  You’ll typically beat people waiting for the elevator when you take the stairs to the lower floors.  It is always a good feeling to make it to your destination at the same time as those who rode up but you burned a few extra calories to boot.

Don’t underestimate the importance of lifestyle exercise and get creative with new ways to move more throughout the day.  We like creative out of the box ideas.  Taking the stairs instead of the elevator is tried and true.  But, do you have any unique suggestions you’d like to share?

S = Specific: Set specific goals.  Specific goals have detail and state exactly what you are working on.  For example, “I want to lose 10 pounds by June 1st” instead of “I want to lose weight.”

M = Measurable: Measurable goals include the “how much” and “how often” details of the goal you have set above.  “I will exercise more” is not enough.  “I will walk 3 miles on Monday, Wednesday and Friday” is more like it.  You can measure your success.

A = Achievable: Your goal should be achievable.  Losing 10 pounds in 3 months is achievable.  Losing 50 in 3 months is not.

R = Realistic: Do you believe you can accomplish the goal you have set out to achieve?  If yes, your goal is realistic.  Meeting realistic goals and reevaluating when you get there is more rewarding than shooting for the moon and always missing.

T = Time-limited: Goals need to have a time-frame.  A time frame gives you the framework to monitor your progress and evaluate how you are doing.  If what you are doing is working and you are getting closer to your stated goal, great!  If not, how can you adjust so you still meet your goal in your stated time-frame?

If your motivation is high and changing your lifestyle to manage your weight sounds like a worthy goal, then go with that train of thought and get on board with Vtrim.  Check out our schedule of March classes and let Vtrim show you the way to lasting weight control!

Many sites are inexpensive and that is because they are self-help programs.  It is up to you to take advantage of what is offered and to keep your motivation high.  Weight loss is difficult and keeping it off is even harder, so for many people a self-help program is not enough.  However, there are certainly success stories that come out of these programs and they are usually front and center on the homepage with a disclaimer that says, “results not typical”.

The Vtrim program is online and we utilize a website to deliver our program, however we are much more than a weight loss website.  We know how difficult behavior change is for weight loss and our program is considered the gold-standard treatment for obesity in the research world.  The word treatment gives respect to the weight loss process.  In order to lose weight and have the best chance of keeping it off, you need a plan, a systematic approach.  Relying on willpower alone is usually a set up for failure.  Changing behaviors takes time and support.  All websites have something to offer but remember they are not all created equal.  Know yourslef, know what you need to succeed and seek out a site that will deliver for you.  If you need expert feedback, accountability and peer support, a structured program, like Vtrim, is a good option.

Download the Article Here

The Denver Post article suggests that high tech can work as well as old school. They base this conclusion on the research paper we published in Obesity in 2007 comparing Vtrim to eDiets.com, a popular commercial online weight loss program. eDiets.com is one of the few programs to put their protocol through a randomized clinical trial. Kudos to them! The results they achieved were promising from a public health standpoint. They have hundreds of thousands of active participants. However, a program like Vtrim provides the best results and the best chance of keeping the weight off long-term.

In this study, participants lost an average of 18 pounds in 6 months, 2x that of eDiets.com. How come the weight loss is so much greater in Vtrim? We attribute the difference to the systematic delivery over 24 weeks of a behavioral weight loss curriculum. We teach people how to manage their daily choices around food and exercise. And, we offer expert support and accountability throughout the process. Vtrim participants get weekly feedback on their food journal and their personal reflection activities from a professional facilitator.

The Denver Post article offers a cheat sheet on what to look for in a solid online weight loss program. They say look for the following attributes:

Questions that determine your height, weight, age and weight loss or fitness goals (and, ideally, your body-fat ratio).

A food journal to monitor daily calorie intake.

An activity log with a drop-down menu of tasks and exercises.

An educational element (behavior-modification articles, e-mail access to a therapist or personal trainer).

Community support via e-mail, chat rooms or discussion boards.

Vtrim has all of these and more and we guide you through the process of losing weight. Check us out today. We’d like to suggest you stop wasting money on fast, false-promise programs and invest in your weight management future with a scientifically-validated program like Vtrim.