RU2401136C1 - Method of weight correction learning - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: psychophysiological correctional intervention in eating behaviour is applied. Internal self-modification, weight correction self-direction habit training, psychophysiological control and regulation habit learning motivations are stimulated. The pre-identification of actual reasons of hunger is trained in a trainee with using a reason identification algorithm to distinguish "hunger", or "hunger + appetite", "appetite" versions by 3 criteria: somatic, temporal, food-related; and the identification of true hunger-caused appetite, the self-determination of individual calorie per day corridor calculated by the individual basal metabolism according to body fat analyser. Entrance techniques and activation of metabolic processes are trained. Motivated infusion forms a new eating behaviour and stimulates the will. Self-testing by a continuous-flow analysis of the individual basal metabolism according to body fat analyser, and regulation by daily alternation of daily caloric content from near-bottom to near-top boundaries of the calorie corridor, eating behaviour self-analysis and dynamic assessment of psychological adaptation to new eating behaviour with using the reason identification algorithm are trained.

EFFECT: method allows training body weight reduction people, self-control habits, self-testing and psychoregulation, and formation of conscious eating behaviour.

3 tbl, 3 ex

Description

The method of teaching people how to correct overweight relates to psychology, namely to psychophysiology, and is intended to form a new eating behavior, self-control, self-testing and self-regulation skills in students.

The problem of excess weight in many developed countries comes to one of the first places among other diseases. In most cases, the deposition of adipose tissue is associated with an energy imbalance. Other options are associated with the presence of genetic, endocrine pathology, damage to the central nervous system. Hypodynamia, stress, difficult environmental conditions - factors contributing to the onset and intensification of the disease. Any accumulation of fat in the body occurs due to the predominance of energy over its consumption (positive energy balance), i.e. obesity can always be considered as the result of overeating and, therefore, it can be called alimentary regardless of whether obesity is primary or secondary.

The modern treatment of nutritional obesity is based on the recognition of the chronic nature of obesity and, therefore, the need for long-term treatment. The desire to get rid of a large number of kilograms in a short time leads to a compensatory increase in food intake and repeated weight gain (the so-called "rebound syndrome"). Accordingly, weight loss of 5-10 kg for 4-6 months and maintaining this result over the long term is more effective than losing 15 kg in a short time and acquiring 20 kg (Butrova S.A., Bad A.A. Treatment of obesity : Current Aspects. - Russian Medical Journal, Volume 9, No. 24, 2001. - C.1140-1146).

The metabolic rate of a person decreases steadily with age, which changes the ratio of food intake and energy expenditure towards arrival, and leads to constant obesity in food calories and physical activity.

Alimentary obesity is a form of a peculiar food dependence, because craving for food is hypertrophied, and other cravings are weakening, which is also characteristic of classical drug addiction and alcoholism.

The meaning of the formed way of life is the attraction to food. Without naming a lifestyle, shifting the emphasis from food to other needs, it is pointless to fight obesity (Syuris N.A. Features of rehabilitation in people who lose weight / A.S. Molchadskaya // Rehabilitologist in the XXI century: Collection of materials of the international elementary-practical Conf. to the 15th anniversary of the Moscow Institute of Medical and Social Rehabilitation “Moscow Institute of Medical and Social Rehabilitation” / Edited by V.A.Vladimirtsev. - M.: MIMSR, 2007. - P.127).

Treatments include: diet therapy; physical activity of a sports and fitness plan; psychotherapy, reflexology and psychic effects.

The famous "Method A.V. READY, A.L. PANCHENKO of psychocorrection of obesity ”according to patent No. 2218944 from 2002.05.16, publ. 2003.12.20, IPC 7 A61M 21/00.

The invention relates to medicine, namely to psychotherapy. Correction is carried out in the form of three night psychotherapeutic sessions lasting from 8 to 10 hours each, alternating them with 40-42 hours of rest. Each session is formed from a rational, suggestive and relaxation part. At the first session, rational psychotherapy is used to formulate targeted motivations of the patient’s behavior, using verbal information, the content of which allows the patient to understand the psychic causes of excess weight, then the patient is put into a trance and an aversive suggestive psychotherapy with modalities of positive and negative images is performed. In the second session, subjective attitudes are monitored and corrected by the method of rational psychotherapy, in a trance state, the dominant for weight loss is formed, and the “vegetative memory” of a healthy organism is launched or re-formed on the basis of the “systemic structural trace”. At the third session by the method of rational psychotherapy, the positive effect of treatment is fixed, then hypnotic suggestive verbal coding of the desired weight is carried out. Moreover, each session is completed by physical relaxation of the patient, and the suggestive part of each session is supplemented by the implementation of elements of respiratory gymnastics and / or increased motor activity of the patient.

The methods of exposure claimed by the authors: hypnotic suggestive psychotherapy, verbal coding, 8-10 hour night sessions can cause negative perception in a certain part of patients, due to directive effects, manipulation of the mental state, deprivation orientation of night sessions, possible overload with respiratory techniques (with unconditional the presence of somatic concomitant pathology).

The presented data on the effectiveness of the method - 86-93%, history is inconclusive, due to the lack of criteria for evaluating the effectiveness; for how long can we talk about the stability of the supported weight, what is the quality of life of a person who is reducing weight, is weight loss vital for each specific situation?

Also known is the "Method of MS Norbekov teaching people how to realize their potential" according to patent No. 2240719 from 2003.10.22, publ. 2004.11.27, IPC 7 А61В 5/00. The invention is aimed at teaching people the ability to change their psychophysiological state. They teach them how to create an image of "perfection" and create a positive emotional attitude, fix it in physical sensations, create conditions, mainly associative-sound ones, for experiencing the corresponding states, the students perform physical exercises, changing their emotions and thoughts from positive to negative and vice versa to consolidate a positive emotional mood in physical sensations, they additionally form the ability to change the imaginary image of "perfection" and physical sensations when closing lyze this image.

This method is designed for groups of people, without the use of objective criteria for evaluating effectiveness for monitoring and self-monitoring of each student.

Control is carried out according to subjective data, through a survey, verification of personal diaries with notes, questionnaires.

The closest in technical essence to the claimed is the "Method of teaching people how to correct excess weight" according to patent No. 2319516 from 2006.07.19, publ. 2008.03.20, IPC A61M 21/00. The invention relates to psychology and is intended to teach people how to correct overweight. According to this method, groups of trainees are formed, stimulate the students' desire for self-change in the learning process, make it conscious, while using rational therapy and metaphors. An imaginary image is formed using suggestive influence, neurolinguistic programming and metaphors. As an imaginary image form the image of "My ideal image" - the image of himself after graduation. Every day they fix the imaginary image by training the imagination, using the verbal anchor, hand-eye reaction by keeping a handwritten diary and the “mirror” exercise, which is approaches to the mirror and the search in yourself for only positive changes that have occurred every day.

The method forms the skills of self-regulation of weight correction, using suggestive effects, neuro-linguistic programming, fasting.

Achieving persistent weight stabilization requires constant monitoring by a specialist. Claims that during fasting a person can lead his usual lifestyle are debatable, since the so-called “positive experience of fasting” leads to “rebound syndrome”, weight loss, and does not allow the body to form a natural reaction to food: food by “hunger” , with the exception of food for non-food purposes.

The negative attitude of a large population to medical manipulation, hypnosis, coding, reflexology, irritating substances, led to the development of the proposed method of teaching people how to reduce overweight through psychological corrective action, motivation motivation: the formation of students' skills of self-control, self-testing and self-regulation. The proposed method is carried out without coding, reflexology, fasting.

The objective of the proposed solution is to teach people to reduce excess body weight, the formation of conscious eating behavior among students, the "conduct" of the "product" through the "head", to determine the true desire, hiding under the feeling of "hungry", as well as the skills of self-control, self-testing and psychos self-regulation , for the future period of life of trainees, without outside help.

It is to train awareness, not to hypnotize or encode.

The problem is solved by a method of teaching people how to reduce excess body weight by psychophysiological corrective effects on eating behavior, stimulating internal motivation for self-change, developing self-regulation skills for weight correction, learning how to control and regulate the psychophysiological state, while teaching them how to determine the true causes the student wants to “feel hungry” using the algorithm to find the cause, to distinguish between the “hunger” options, and whether “hunger + appetite”, or “appetite” according to 3 criteria: bodily, temporary, grocery, and determine the true desire, which is hidden behind feelings; to establish independently an individual calorie corridor for a day, calculated taking into account the individual level of basic metabolism according to the data of the fat analyzer; teach methods of entering into a trance, activation of metabolic processes; motivated by suggestion form a new eating behavior, stimulate the will; they teach self-testing by constant analysis of the individual level of basal metabolism according to the fat analyzer, and self-regulation, daily alternation of daily calories, from close to the lower border, close to the upper border of the calorie corridor, introspection of eating behavior and assessing the dynamics of psychological adaptation to new eating behavior, using an algorithm for finding the cause.

The formation of a motivated suggestion of a new eating behavior, against the background of learning how to enter a trance, allows you to create a conscious eating behavior, to teach the "conduct" of the "product" through the "head", through the algorithm of eating behavior, to distinguish between true desire, hiding under the feeling of "hungry" , since with regular analysis, an algorithm is developed for a rational attitude to food intake. It is to train awareness, not to hypnotize or encode.

Using the data of the fat analyzer allows the student to independently determine the individual level of basal metabolic rate (UOE), and establish an individual calorie corridor per day, calculated taking into account the individual (UOE), as well as to motivate self-testing, using objective data.

Using an individual calorie corridor for a day, persuading a student to alternate daily calorie intake, from close to the lower border to close to the upper border of the calorie corridor, the urge to self-regulation, including the activation of metabolic processes in the body; allows you to adapt the physiological processes of the body to a new eating behavior,

Mastering the skills of entering into a trance allows, if necessary, to independently conduct psychophysiological correction using the mastered elements of psychos self-regulation, and independently adhere to new eating behavior for the future period of students' lives.

Using the algorithm for finding the cause and using the data of the individual level of the main exchange according to the readings of the fat analyzer allows you to objectively conduct self-analysis of eating behavior and assess the dynamics of psychological adaptation to new eating behavior, for the future period of students' lives.

The main difference between the proposed method and analogues and prototypes is in transferring to students without hypnosis and coding skills to enter a trance without outside help, determining the cause of the physiological state at the moment, and subsequent self-monitoring using the algorithm to find the cause, and self-regulation skills, abdominal breathing, " scanning "from top to bottom of the whole organism, daily alternation of an individual calorie corridor per day, established by calculation, taking into account the individual level of basic metabolism according to zhiroanalizatora.

A method of teaching people to reduce overweight is as follows.

The training is conducted by specialists with professional psychological training, by means of a psychophysiological corrective effect on eating behavior, in which they stimulate will, energy to life, and internal motivation for self-change.

Education in new eating behavior, skills of self-control, self-testing and self-regulation is carried out in a psychophysiological corrective way of the psychologist’s influence on the student, with subsequent training in self-entry into altered states of consciousness:

- focus on the possibility of training correction through the abdominal type of breathing, followed by "self-management";

- after reaching a steady rhythm of breathing, heart contractions, and the passage of the respiratory flow, a "scan" from top to bottom of the entire body is carried out to determine the level of discomfort.

Further influence on the process of mastering and assimilation of information on the formation of a new eating behavior is carried out in a state concentrated on the sensations of your body, an altered state of consciousness - a state of trance:

- through the sensations of the body, deep breathing with the stomach - the abdominal type of breathing, with concentration of attention and working with images to reduce the stomach;

- through trance techniques that allow a person to access the resources of their own subconscious, they represent images of “negative” reasons that served as a reason for weight loss, with the subsequent transition to images of harmony:

- when revealing uncomfortable sensations in the body, an imaginary energy flow is conducted through the formed image of the problem; the ultimate goal is to “destroy” the image.

The student learns the transitions to various altered states of consciousness (ASC), through meditation reaches a state of relaxation, comfort, active performance and conducts psychophysiological self-regulation.

They teach people how to reduce overweight in five four-hour classes, of which the first three classes are conducted daily, the fourth lesson in a day, the fifth lesson in a month.

For an individual psychological approach to each student, at the beginning of training, they determine the sociotype, the psychological profile of the person, and the characteristics of the psychological response of each student.

Before starting the training, psychological tests are carried out with tests - “Kearsey” - they determine the participant’s sociotype (belonging to groups: realists, innovators, romantics, conservatives). Multilevel personality questionnaire (MLO) "Adaptability" - determine the psychological profile of a person, the characteristics of psychological response on a scale (Minnesota Multiphasic Personality Inventory - MMPI) test MLO "Adaptability".

In the first lesson, they introduce the principles of good nutrition, the eating behavior algorithm, teach self-control techniques using the “Food Behavior Diary”, self-testing taking into account the individual level of basic metabolism according to the fat analyzer, through body sensations, and self-regulation using the complex technique of “stomach reduction” and establishing lower calorie intake limits.

Consistently introduce the method, illuminate its main components.

After that, they cover the attitude to the problem in our country and discuss the principles of good nutrition: breakfast for an hour after the rise. All the waking hours there is a hearty, tasty, economical in calories, with breaks between meals no more than 4-4.5 hours, dinner - 0.5-1.5 hours before bedtime.

They recommend taking hepatoprotectors, multivitamins for the period of weight loss in prophylactic dosages, and drinking water consumption of more than 1-1.5 liters per day half an hour before meals or 1-1.5 hours after meals.

Then they conduct a trial trance for 15-20 minutes, familiarize themselves with the sensations of the body, focus attention according to the algorithm proposed by the specialist, to relaxation music.

They explain the algorithm for filling out the “Diary of Eating Behavior” according to a formalized form, the logic of counting the amount of food eaten, including complex dishes, and its calorie content, the reason for eating and the degree of severity of the received taste sensations. Evaluation of the goodness of food in a 10-point system. The concepts are divided, “Hunger” is the physiological reaction of the body, and “Appetite” is a meal with non-food purposes.

Combine deep breathing with the stomach (abdominal breathing) with attention and working with images to reduce the stomach for 15-25 minutes.

To prepare for the second lesson recommend:

- fill in the "Diary of eating behavior", according to these recommendations;

- to prepare food sufficient for saturation for the second lesson in order to avoid large breaks between meals, set the figures for the lower calorie intake: at lunch - more than 250, kcal, other meals - more than 150 kcal, food to saturation.

- for the exercise, prepare an apple that is not included in the diet;

- find more than 10 reasons to praise yourself;

- describe in a workbook the reason for accessing this method, possibly a negative situation.

In the second lesson, they master the development of self-control, self-testing and self-regulation techniques.

They teach self-control techniques for conscious eating, for recognizing the need to change eating behavior, breathing exercises to accelerate metabolic processes: warm-up - associated breathing - getting out of the respiratory load, analysis of sensations.

They train awareness of behavior, prompting them to find out the reasons for weight gain, motivating them to devote more time to themselves, and form a new eating behavior.

Evaluate compliance with the rules of eating behavior, according to the completed "Diaries of eating behavior."

They introduce the “Algorithm for finding the causes of eating behavior” (table 1). They reveal what lies behind the desire to eat with a non-food purpose, according to "appetite."

Conduct a lesson, 20-25 minutes, on a conscious meal. Exercise "Apple", accompanied by a description of the participants tactile sensations in all areas of contact with the product during meals.

They teach the sensation of primary satiety, in which you need to stop eating, leave food on a plate.

After this, the exercise “Circles” is carried out, which allows the participant in a state of frustration to realize the need to change behavior in relation to himself, to pay attention to the inconsistency, irrationality of attitude to himself, his behavior. A detailed verbalization of the sensations from this exercise is carried out the next day.

Participants are informed about the emotional tension of this exercise.

To accelerate metabolic processes, they teach elements of active muscle relaxation in the form of a warm-up. They introduce a variant of the associated breathing that the participants breathe to music that includes musical fragments unfamiliar to the participants:

changing rhythm from calm at the beginning to the frequent rhythm in the middle, with the subsequent transition to calm, relaxing topics.

At the exit, they spend 5-7 minutes under slow relaxing musical fragments, meditation-visualization “Flight of the Eagle”, which helps a person gradually reduce the load and in a calm state enter into a dissociated state in order to see and realize their problems from the outside. They soften negative feelings, find new, unexpected ways to solve problems, and increase self-confidence. Utilization of experienced feelings is carried out, if necessary, additional discussion is carried out at the beginning of the next session, after independent rational processing of sensations.

To prepare for the third lesson recommend:

- fill in the "Diary of eating behavior", according to these recommendations;

- to prepare food sufficient for saturation for the third lesson in order to avoid large breaks between meals, it is recommended to bring “tasty food” to the lesson, which is usually high-calorie, because of which, according to the participant, the body weight also increases (calorie content this product is not included in the diet of this day);

- find more than 10 reasons to praise yourself;

- describe in the workbook the “image of harmony” - to which a person strives, how he looks visually, what others around him (verbally) say, how the person himself feels in this state, bodily sensations;

- prepare for the third lesson a doll of small size, gender, estimated age 5-7 years.

In the third lesson, a discussion is held of the sensations after the second day.

They check the effectiveness of mastering the methods of self-control, self-testing and self-regulation.

They form the motivation to realize their eating behavior.

Encourage motivation to develop a controlled attitude to eating with non-food goals.

They strengthen the skills of breathing exercises to accelerate metabolic processes: warm-up; associated breathing; exit from the respiratory load; analysis of sensations.

They are motivated to search for the motivations of new eating behavior, using resource topics from childhood. Establish an individual calorie corridor for a day.

One leader begins the lesson with the participants verbalizing the sensations of the exercises of the previous day, “Circles”, breathing technique. After an independent rational processing of sensations, the necessity of changing behavior in relation to oneself is realized. The second presenter discusses with students the “Diaries of Eating Behavior” and eating behaviors for non-food purposes.

To train mindfulness of behavior, the exercise “Chairs” is carried out for 20-25 minutes, the participants are warned about the emotional tension and the existing functional resources of the participants and the rationality of their use are evaluated.

In a playful form, they suggest holding a chair in bent at the elbows with the ability to lower it at any time, provided that the phrase “I am weak! I am powerless! I give up!". In the process of simultaneously holding chairs by all participants, the presenters give an example of metaphors regarding the meaninglessness of unnecessary load, irrational behavior, habits, so that participants can logically understand and recognize the meaninglessness of this load.

More detailed disposal, in order to process the situation, is transferred to the next lesson.

To control the products, due to which, according to customers, there is weight gain, an exercise is carried out by the exercise "bag". This exercise is accompanied by a discussion of emotions in various life situations associated with excess body weight, the association of this product with any events in life. Then they form a “public stomach" - the product is placed on the left palm, then chewed in 2-3 movements, without swallowing food, and transferred to the right palm. After that, they are collected from each in a transparent plastic bag by one of the leading ones, to visualize the contents, subsequently palpate the package, simulate peristaltic contractions of the muscle wall of the imaginary stomach, add saliva, a substitute for gastric juice, accompanied by a musical fragment with a set of specific sounds for disorders x the gastrointestinal tract. Discuss the sensations that appear. Remind and compare the associations of the product and the events before and after the session. Emphasize the need to control the attitude to the "appetizing" product, and not cause disgust for it, because it's just food and more nothing.

They note the need to take this “mouth-watering” product over the next day with an assessment of sensations in comparison with previous days.

Master the breathing exercise to accelerate metabolic processes, the elements of active muscle relaxation.

They breathe to the music, including unfamiliar musical fragments for the participants, change the rhythm from calm at the beginning to the frequent rhythm in the middle. Go to the exercise "Travel to childhood", in which for 20-25 minutes the participants have a doll in their hands. To the music of minor topics, the presenter talks about a journey into childhood, focuses on emotional moments.

Dispose of, pronouncing sensations - at will. The main discussion is carried over to the next lesson. The doll in the future is a kind of "talisman" with which they communicate when problems arise.

Each participant is scheduled an individual calorie corridor for a day based on the performance of the TANITA fat analyzer - 2/3 of the basal metabolic rate +250 kcal - the upper limit, -150 kcal - the lower limit.

To prepare for the fourth lesson, they recommend:

- fill in the "Diary of eating behavior", according to the recommendations;

- prepare food sufficient for satiation for the lesson to avoid long breaks between meals;

- to prepare a “souvenir” - a small subject “which is not a shame to give and not a pity to give” for classes on consolidating intra-group ties;

- to the next lesson - in a day, independently test a rational attitude to nutrition and behavior.

In the fourth lesson, a day later, they discuss the sensations after the third day.

They check the effectiveness of mastering the methods of self-control, self-testing and self-regulation.

They form the incentive motives for self-control of their eating behavior using the algorithm for finding the cause.

They teach the fixing of indicators for self-testing and self-control: the effectiveness of rational eating behavior: maintaining a schedule of daily calorie intake, weight loss schedule.

They consolidate the skills of formation by students of an imaginary image of harmony, motivation to change eating behavior. They use archetypal images in trance to use their own resources of the subconscious.

In the lesson, to assess how much the sensations have changed after their critical reflection, they utilize the exercises - “Chairs”, “Journey into childhood”.

After watching the "Diaries of Eating Behavior", they discuss options for eating with non-food goals, and use the "Algorithm for Finding the Causes of Eating Behavior."

All participants are questioned according to the scheme, individual calorie corridors are adjusted individually for the period up to the 5th session in a month.

Participants learn self-testing techniques by answering questions:

- weight dynamics for the period of classes as of morning weighing on an empty stomach on their scales (difference in weight on the 1st and 4th day);

- calorie intake of food for the 2nd and 3rd day of classes.

Teachers clarify questions on self-regulation and self-control for the period up to the 5th lesson in a month.

The trainers are explained the graphing algorithm, “Monitoring the daily calorie intake of food”, “Dynamics of weight loss”, where the horizontal line of the graphs shows the days of the month, the vertical line shows the daily calorie content, weight recorded in the morning on an empty stomach, after the toilet.

According to the calorie schedule, it is recommended to maintain the boundaries of the daily calorie corridor, in which weight is reduced optimally for the body:

- the lower limit is calculated taking into account the individual level of basal metabolism (hereinafter referred to as UOO) according to the TANITA fat analyzer, 2/3 UOO -150 kcal, food intake of lower calorie content is prohibited, because this leads to a decrease in metabolic processes;

- the upper limit is calculated - 2/3 UOO +250 kcal, this is a conditional border, which is recommended to exceed once every 2 weeks by 500 kcal;

- It is recommended to alternate daily calorie content from - closer to the upper, to - closer to the lower border of the corridor, to exclude the body’s addiction to uniformity.

Exercise “Group images of harmony” - allows you to simulate the state of a person who reduces excess body weight, changes his eating behavior, changes life priorities. Topics - “Slimness and health”, “Slimness and work”, “Slimness and family”, “Slimness and vacation”, “Slimness and sexuality” and others. Exercise performance is evaluated on a 10-point scale by all participants, with the definition of occupied places. Winners are awarded with prizes.

Self-control of eating behavior according to the scheme "Seeds of harmony" during the previous day with scoring. Control the correctness of assimilation of exercises.

The presenter for relaxation music pieces performs the trance exercise “Time Machine”, during which they use the abdominal version of breathing, focus on the sensations of the body, after which they present images of the “negative” reasons that served as an impetus for weight loss, go on to the images of harmony that they seek person.

At the exit - trance exercise "Sage from the temple." Archetypal images of an ancient elder sage, temple, candle flame - allow a person to access resources of his own subconscious.

After the exercises, a group discussion is held on the key points of the exercises.

To consolidate the intragroup ties carry out the exercise "Souvenir". Participants present in turn a “souvenir” - a small item “which is not embarrassing to give and not a pity to give” to another participant, choosing him as “Appetite Curator”. If you have questions, problems related to eating behavior, the participant contacts his “Appetite Curator” for advice.

In the fifth lesson, the effectiveness of self-monitoring of eating behavior over the past month is checked, and skills for self-correction of eating behavior are fixed.

They strengthen the skills of breathing exercises to accelerate metabolic processes, reinforce incentive motives for maintaining rational eating behavior.

Motivation for self-change is carried out by testing, taking into account the individual level of basal metabolism according to the data of the fat analyzer.

To induce self-control, objective indicators are selected, individual level of basic metabolism is measured and recorded before training, according to the performance of the TANITA fat analyzer.

In the lesson, they control independent eating behavior over the past month. The correction program is 5 days, after 30-40 days they conduct a behavioral psychocorrection session, which is monitored, using data from the “Diary of Eating Behavior”, calorie graphs, weight loss, and dynamics of body composition indicators using the TANITA fat analyzer.

They stipulate further self-correction of the calorie corridor upon reaching the planned body weight. Weekly, increase both borders of the calorie corridor by 100 kcal before starting to increase body weight, and then return it to 100 kcal. They are in this corridor of calorie content for 2 to 3 weeks, with the stability of weight indicators, they stop calculating caloric value of food and keeping a diary.

Food - only with the appearance of the physiological urge "hunger", to satiety. This behavior by this time has already been developed, in connection with the formed habit (reflex), a new eating behavior.

The recommended average daily calorie content, depending on gender, age, and initial weight, is 1800-2200 kcal.

At the request of the participants, they again conduct trance techniques, breathing techniques and “stomach contractions”.

In the future, individual psychocorrectional work is recommended for adaptation to new eating behavior in society.

After 1-2 months, they recommend physical exercises of interest: a swimming pool, fitness trainings and others, as well as massage and cosmetic procedures.

EXAMPLES

Example 1. T.A., 51 years old, height 163 cm, initial weight 140.1 kg.

Before the program, she tried to lose weight on her own (by 25 kg), using low-calorie diets, fasting, and laxatives. Reduced weight with advertised drugs. Each time - after 1-2 months, the weight returned and even increased from the original. Excess weight is associated with hormonal imbalance, premenopausal period, uncontrolled eating with non-nutritional goals, at the same time almost no desire to eat “for hunger”.

Passed a training program. Based on individual indicators of the basal metabolic rate by the TANITA-VS-532 fat analyzer, a calorie corridor has been assigned: the lower limit is 1348 kcal, the upper limit is 1748 kcal (until the desired optimal weight is reached (75 kg). Data on the dynamics of body composition during weight loss during the year are presented in table 1.

During the first week, she began to distinguish between the reason for eating with non-food purposes (loneliness, boredom), the physiological behavior: communication, visiting the theater, saunas, etc. - allowed to improve the quality of life, stimulate further development and strengthening the principles of rational eating behavior.

The general trend according to the composite body composition in dynamics is positive: for 12 months - a decrease in body weight from 140.1 kg to 105.4 kg,% fat content decreased from 49.4% to 34% (N - 23-34%) , water - from 37.6% increased to 50.6% (N - 45-60%), muscle mass - slightly changed during weight loss, which indicates rational eating behavior, there was no hunger, leading to a significant decrease in muscle tissue (from 67.3 kg at the beginning to 66.8 kg after 12 months). Reducing muscle tissue to 55.2 kg in a month, with an increase in fat to 57.3%, a decrease in water content to 31.2% and a decrease in the level of basal metabolism to 1959 kcal - allowed us to adjust the nutrition on the basis of including and data of the "Diary of eating behavior" in the direction of increasing the content of animal protein in the diet, increasing the amount of fluid taken additionally outside of meals. A uniform calorie content was noted at the lower boundary of the corridor (1390-1450 kcal). It is recommended to alternate calories from close to the lower border (1348 kcal) to close to the upper (1748 kcal), exceeding once every 2 weeks +500 kcal to the upper border of the calorie corridor to prevent adaptation of the body to a uniform calorie content and activation of metabolic processes.

Objectification of intermediate results on a fat analyzer, discussion of the "Diary ..." data allowed the client, after analyzing the errors, to motivate herself to further reduce weight. After 12 months, weight loss of 34.7 kg. It is aimed at further reduction to the desired result (up to 75-80 kg).

Example 2 - E.A., 39 years old, height - 169 cm, initial weight - 118.5 kg

Before the program, it reduced weight (by 23 kg) using various encoding programs. After 2-4 months, the weight returned and even increased from the original. Overweight is associated with hormonal imbalance (gynecological surgery on the appendages), uncontrolled eating with non-digestive goals. Over the past six months, there is almost no desire to eat, but the weight does not decrease.

Passed a training program. Based on individual indicators of the basal metabolic rate by the TANITA-VS-532 fat analyzer, a calorie corridor was assigned - the lower limit was 1079 kcal, the upper limit was 1479 kcal (until the desired optimal weight (80 kg) was achieved. Data on the dynamics of the composite composition of the body during weight loss during the year are presented in table 2.

table 2 2-E.A. 39 years old, 169 cm Date of measurement The weight % fat % water Internal fat Muscle mass, kg Physical state UOO, kcal Biolo-
Giche in age Baseline 118.5 51.1 36 fourteen 54.7 3 1844 fifty a month later 111.2 51.9 35.3 13 50.8 3 1722 fifty 2 months later 107.1 49 37,2 12 51.8 3 1731 fifty after 4 months 97.7 44.7 40,2 10 51.3 3 1683 fifty after 8
months 91 43 41.1 9 49.2 2 1606 fifty after 12 months 85,4 37.3 45.6 8 51.8 2 1698 fifty

The general trend according to the composite body composition in dynamics is positive: over 12 months - a decrease in body weight from 118.5 kg to 85.4 kg,% fat content decreased from 51.1% to 37.3% (N - 23-34 %), water - from 36% increased to 45.6% (N - 45-60%), muscle mass - slightly changed during weight loss, which indicates rational eating behavior, there was no hunger, leading to a significant decrease in muscle tissue (from 54.7 kg at the beginning to 51.8 kg after 12 months).

A decrease in muscle tissue to 50.8 kg in a month, with an increase in fat to 51.9%, a decrease in water content to 35.3% and a decrease in the level of basal metabolism to 1722 kcal - made it possible to adjust nutrition on the basis of including and data of the "Diary of eating behavior" in the direction of increasing the content of animal protein in the diet, increasing the amount of fluid taken additionally outside of meals. A uniform calorie content was noted at the lower boundary of the corridor (1079-1179 kcal). It is recommended to alternate calories from close to the lower border (1079 kcal) to close to the upper (1479 kcal), exceeding once every 2 weeks +500 kcal to the upper border of the calorie corridor, to exclude adaptation of the body to uniform calorie content and activation of metabolic processes.

Objectification of intermediate results on a fat analyzer, discussion of the "Diary ..." data allowed the client, after analyzing the errors, to motivate herself to further reduce weight. After 12 months, weight loss by 33.1 kg. It is aimed at further reduction to the desired result (up to 80 kg).

Example - 3. O.V., 30 years old, height - 166 cm, initial weight - 109.7 kg

Before the program, she reduced weight (by 15 kg) with the help of reflexology, coding, fasting, enemas. After a few months, the weight was restored. Overweight is associated with heredity (sisters, parents are overweight), uncontrolled eating with non-digestive goals, shift nature of work (works on night shifts 1-2 times a week).

Passed a training program. Based on individual indicators of the basal metabolic rate by the TANITA-VS-532 fat analyzer, a calorie corridor has been assigned: the lower limit is 1065 kcal, the upper limit is 1465 kcal (until the desired optimal weight (77 kg) is reached. Dynamics of the body’s composition in the course of weight loss during the year are presented in table 3.

Table 3 3 - O.V.
30 years, 166 cm Date of measurement The weight % fat % water Internal fat Muscle mass (kg) Physical condition UOO, kcal Biologichesky cue in age Baseline 109.7 48 38.3 12 54,2 3 1823 fifty a month later 104.9 49.2 37,4 eleven 50.6 3 1716 fifty 2 months later 102.3 46.3 39.2 10 52.1 3 1743 fifty after 5 months 95.7 43.6 41 9 51.3 3 1694 fifty after 12 months 88.7 40.3 43.3 8 51,4 2 1710 fifty

The general trend according to the composite body composition in dynamics is positive: over 12 months - a decrease in body weight from 109.7 kg to 88.7 kg, the fat content decreased from 48% to 40.3% (N - 23-34%), water - from 38.3% increased to 43.3% (N - 45-60%), muscle mass - slightly changed during weight loss, which indicates rational eating behavior, there was no hunger, leading to a significant decrease in muscle tissue ( from 54.2 kg at the beginning to 51.4 kg after 12 months).

A decrease in muscle tissue to 50.6 kg in a month, with an increase in fat to 49.2%, a decrease in water content to 37.2% and a decrease in the level of basal metabolism to 1716 kcal - allowed us to adjust the nutrition on the basis of including and data of the "Diary of eating behavior" in the direction of increasing the content of animal protein in the diet, increasing the amount of fluid taken additionally outside of meals. A uniform calorie content was noted at the lower boundary of the corridor (1065-1210 kcal). It is recommended to alternate calories from close to the lower border (1065 kcal) to close to the upper (1465 kcal), exceeding once every 2 weeks +500 kcal to the upper border of the calorie corridor, to exclude adaptation of the body to a uniform calorie content and activation of metabolic processes.

Objectification of intermediate results on a fat analyzer, discussion of the "Diary ..." data allowed the client, after analyzing the errors, to motivate herself to further reduce weight. After 12 months: weight loss of 21 kg. It is aimed at further reduction to the desired result (up to 77 kg).

It is warned that while maintaining the shift mode of operation, desynchronosis can lead to a breakdown, as the body does not have time to adapt to such stressful loads: irregular sleep, insufficient hours for continuous sleep - 4-5 hours instead of 7-8. According to the composite body composition presented in the table, this is also confirmed. Instability of indicators.

The technical effect of the proposed solution is to teach people to reduce excess body weight, to form a conscious eating behavior among students, to “conduct” a “product” through the “head”, to determine the true desire, hiding under the feeling of “hungry,” as well as self-control, self-testing and psychosamoregulation, for the future period of life of trainees, without outside help, due to the fact that they are being trained, preliminary determine the true causes of the feeling of “I want to eat” from the learner, using the algorithm ma finding the reasons, to distinguish between options “hunger”, or “hunger + appetite”, or “appetite” according to 3 criteria: bodily, temporary, grocery and determine the true desire, which is hidden behind feelings; to establish independently an individual calorie corridor for a day, calculated taking into account the individual level of basic metabolism according to the data of the fat analyzer; teach methods of entering into a trance, activation of metabolic processes; motivated by suggestion form a new eating behavior, stimulate the will; they teach self-testing by constant analysis of the individual level of basal metabolism according to the fat analyzer, and self-regulation, daily alternation of daily calories, from close to the lower border, close to the upper border of the calorie corridor, introspection of eating behavior and assessing the dynamics of psychological adaptation to new eating behavior, with using the algorithm for finding the cause;

Claims (1)

A way to teach people to reduce excess body weight by psychophysiological corrective effects on eating behavior, stimulate intrinsic motivation for self-change, develop self-regulation skills for weight correction, and learn how to control and regulate the psychophysiological state, characterized in that they teach you to determine the true causes of the feeling “I want to eat "The student using the algorithm for finding the cause, to distinguish between options" hunger "or" hunger + appetite "," appe tit ”according to 3 criteria: bodily, temporal, grocery and to determine the true desire, which is hidden behind feelings; to establish independently an individual calorie corridor for a day, calculated taking into account the individual level of basic metabolism according to the fat analyzer; teach methods of entering into a trance, activation of metabolic processes; motivated by suggestion form a new eating behavior, stimulate the will;
Self-testing is taught by constant analysis of the individual level of basal metabolism according to the fat analyzer and self-regulation by daily alternating daily calories from close to the lower border to the upper border of the calorie corridor, introspection of eating behavior and assessing the dynamics of psychological adaptation to new eating behavior using the algorithm for finding the cause.