Against the scales, throw yourself into the water ...

Difficult when one is overweight or obese, to find good eating habits and eliminate a few pounds. A specific management seems promising: the slimming cure. Care, but also tips, diet, exercise and relaxation ... we wanted to test this formula, by going to Brides-les-Bains.



Spa treatments are extremely popular with the French: more than 500,000 people each year find treatments with water. But if one knows their virtues, skin disorders or joint disorders, it is less known that some treatments have specialized in issues of weight. This is the case of Brides-les-Bains in the Alps. But in practice, how does a cure against the weight?

A magic water?

Obesity Before any spa, hydrotherapy is based on an essential element: water! It is thus of care to aid lymphatic drainage massage to tone the muscles and give the skin a little flexibility, etc.. Underwater massage, jet showers, whirlpool bath and other festivities are thus proposed by specialized technicians and physiotherapists. The argument put forward by Brides-les Bains, it is of course the special virtues of its waters, rich in silicon, which can invigorate blood circulation and act on cellulite deposits ...

A program adapted

But you say, if the massage was enough to lose weight, it is not! Therefore, this weight loss program offers many other treatments and activities. Thus, besides the usual medical examination, dietary consultations are planned to determine the nutritional imbalances and define the caloric needs. Guarantee of quality, programs and nutritional information are validated by two doctors nutritionists: Drs Patrick and Thierry Serog Hanh. Another positive: psychologists interviews can be offered not only to help overcome eating disorders, but also help them regain self-esteem. Not to mention physical activity: gym, pool exercises ...

Village slimming

Here, the presbytery itself is at the heart of care, one of the key strengths of Brides-les-Bains is that the entire village plays the game! Thus, the hotels offer very low-fat menus (average 1000 kcal per day!) Designed in collaboration with the sanatorium.

And it is clear that leaders were able to compose varied meals and good despite the constraints. Calorie restriction, which, indeed, is painful for people suffering from obesity, "it is sometimes the limit conk" confided one of the spa guests ... A remark, since for cravings, the fruits are available at will ... Also note: trips and excursions are offered, as well as cooking classes, lectures on food ... Even the newsagent and pharmacy offer the latest in for books and other dietary products! Only two bakeries in Brides-les-Bains did not play the game, offering spa guests excellent pastries ...

A long-term benefit

Ultimately, this spa weight loss is extremely interesting alternative in the management of overweight and obesity. First, in the short term, it allows weight loss in the majority of therapy clients (normal, a thousand calories per day ...). But the real interest is in the long term. This "immersion" in the management of its food and weight to better understand the concepts. For the officials' own admission, "the goal is not to learn to eat less but eat better." And it works: the principles of giving a more balanced diet, showing that one can enjoy without too many calories, people can change their habits. And people seeking admission, the effect continues long after the cure: most incorporate new dietary habits and continue to lose weight in the months that follow.

Note: The cure of Brides-les-Bains is supported by social security, under certain conditions of course. In this case, it is a three-week stay. But it is open for free treatments one to two weeks for anyone wishing to get into shape ... and the line!

Obesity relieve primarily

Treating obesity is essential to prevent many complications. Surgery, medication ... what are the methods used against the pounds? Professor Arnaud Basdevant, Head of Nutrition at the Hospital of the Hotel-Dieu, reveals the complex care of the real disease.




Is there a cure for obesity?

Basdevant: In almost all cases, obesity is a chronic disease. The treatment goal is primarily to relieve the patient and prevent complications. We know that only a minority of people able to "cure" a lasting obesity. Obesity is a disease that can be compared to diabetes. It is part of chronic illnesses. However, it has a peculiarity: it is a symptom. But management has a special feature compared to other chronic diseases: symptoms are subject to value judgments. While no one is shocked that a person with diabetes can not cure and requires lifelong treatment, many physicians believe that obesity should just heal with some effort a little willpower. The blood sugar regulation is a noble field which it understands and accepts the sound disorders. Nobody believes that diabetes is due to a weakness of diabetic patients for sweets! For obesity, the situation is radically different: the irrational side prevails including physicians.

Much of surgery to treat obesity. Is this the cure "miracle"?

Basdevant: Surgery for obesity is a major step forward in terms of therapeutic tools. But this is not a panacea. While this may be saving, but it is far from trivial. Do not prescribe to rhyme. It must be particularly vigilant about the signs and indications-cons. Similarly, we must not overlook preparation before the operation and especially the monitoring. Because the surgery is to create a disease of the stomach to relieve a metabolic disease. Those carriers are made of a new disease. The decision to operate in all cases must be carefully considered, prepared at a support of at least one year and be part of a long-term it is only one component.

Drugs Are they effective aid in the treatment of obesity?

Basdevant: The really effective drugs against obesity are reduced now to two molecules. These drug treatments lead to nearly the same results: 5-15% lower on the scale. This may seem small, but it is definitely interesting to health as a loss of only 10% helps relieve many complications and prevents the onset of diseases associated with obesity such as diabetes or hypertension.

Moreover, these treatments prevent weight regain that usually occurs after a diet, provided of course take a very long term. The problem is they are expensive and not reimbursed. Other specialties are likely to appear in the years to come. In 10 or 15 years, there will be so many treatments to very different modes of action, focusing on the behavior, energy expenditure, intestinal absorption or the development of adipose tissue ...

Obesity requires she always multidisciplinary care?

Basdevant: Obesity is highly heterogeneous. It is due to different determinants: a genetic predisposition to gain weight, sedentary lifestyle, excessive food intake (due to psychological determinants, social ...). In a given individual the relative share of these factors varies. We must adapt the strategy and therapeutic tools for each patient. There is no universal method applicable to all. It's custom work. Also do not forget that obesity is a chronic disease: is treated differently someone who just 10 kilos and someone overweight in 30 years! Any support is based on the fact of identifying the key determinant and complications predominate, to build an individual response. Unfortunately, the response of the medical profession is often invariant, stereotyped, reproducing the failure known and announced.

Do you think it is now possible to stop this "epidemic" of overweight and obesity?

Basdevant: I do not know if this is possible, but everything must be done for! As the childhood obesity eg double every 15 years! In 2020, we will be at the same point as the Americans. But the problem that will arise will be that of all the complications related to obesity that must be addressed! I think the key word is partnership preventive. Because we can not solve the problem of obesity stigmatizing simplistically or fast food industry. It is much more complex: the scapegoat strategy is doomed to failure, the responsibilities are shared. Everyone must act in its field of competence in partnership. Prevention can not be strictly medical. It must include actions at the policy of the city, schools, prevention nutrition of food manufacturers ... But is that France is prepared to do? I am not totally pessimistic about this: the health authorities appear to have actually realized the problem.

Losing weight through hypnosis ...!

To lose weight, he must learn to change their eating habits. And hypnosis may help you change behavior! Dr. Jean-Marc Benhaiem, medical hypnotherapist and responsible for training medical hypnosis, reveals the secrets of a method which seems very effective. When the pendulum swung the balance of the good side ...



How hypnosis can practically do it to lose weight?

Dr. Benhaiem: Through hypnosis, we can change the behavior and the person's relationship to power. For example, if it considers the sweets as a form of reward, it can not do without it without feeling like a punishment. For it to lose weight, you have to change this perception. Similarly, if a person is too sad vegetables, alcohol, gay, or think we eat a lot to show that we have health, we must change these behaviors.


How do you practice during your workout to change these bad habits?


Dr Benhaiem: First, several interviews can identify the patient's position in respect of hypnosis in general, in two sessions, we can determine if it is sensitive to this approach. Because if everyone can benefit from hypnosis, some are not ready to change. For example, they have enough support around them, or find the questioning of their lifestyle too much. Then we start the therapy in groups of 2 to 4 people, where everyone is involved and can discuss their problems. The hypnosis sessions start then, so I take what was said at the suggestion.

What is the success rate of this method?

Dr. Benhaiem: Changing eating habits is difficult. Especially when there is an undermining Standing whether it comes from advertising, parents, friends ... because we must fight against the pressure of society and family! Faced with these pressures, some resist and others are cracking. Overall, 20% of people lose weight permanently, 20% are influenced by their environment and operate more or less their accustomed food. Others fail to change their behavior. But by comparison, this undermining is less important for tobacco, and thus it is easier to quit than to lose weight! On packets of sweets and cakes should indicate "risk of obesity and high cholesterol!"

Besides the relationship to food, do you work on self-image?

Dr. Benhaiem: We have patients who are obese, anorexic, bulimic ... so we often work on the self-image. What I tell them is that they do not need to love their fat under the skin but they should love their bodies, and they should not punish him. They are asked to feel affection for their physical, even if it means to expel the excess weight. Because we can not really change their behavior if they are reconciled first with yourself.

You were talking about anorexia and bulimia. Hypnosis is effective against these eating disorders?

Dr. Benhaiem: Anorexia and bulimia are disorders difficult to treat because they involve deep issues of self image, relationships with parents ... If the disturbance and very recently, we interfere with hypnosis . However, if the problem has been around for many years, and it is life-threatening, a full support, and possibly a hospital is essential.

12 tips for eating well

To eat well, it is not enough to make balanced meals! We must avoid the mistakes and excesses! In 12 councils, we will explore the pitfalls to avoid in your diet is very good!



Eat well, these tips can help you avoid making mistakes:

Nutrition1 Tips

1 - Avoid snacking or so take a real snack with fruit and dairy.

2 - Eat a low fat cooking and seasoning
(Butter, oil).

3 - Eat fruits and / or vegetables, raw or cooked, at all meals.

4 - Give a strong focus on bread.

5 - Eat more often pulses.

6 - Limit sweets.

7 - Moderate your consumption of fried foods, there is no light oils.

8 - Eat a dairy product with every meal including breakfast,
is the only way to cover the calcium requirements for all ages
life.

9 - Vary the cheese as often as possible, try to taste
new.

10 - Eat in a calm and spend time with your meal.

11 - Drink water freely during the meal or outside.

12 - Beware of calories provided by wine and spirits
(1 g alcohol = 7 calories).

Overweight and obesity: the importance of psychological support

The extra pounds also weigh on the mind! This was emphasized by Prof. Daniel Rigaud, nutritionist at the Hospital Le Bocage, Dijon and researcher at the CNRS. It reveals the origin of these disorders and emphasizes the importance of support.




Do you encounter more psychological disorders in the obese?

Daniel Rigaud: We actually met frequently psychological disorders in people suffering from obesity. Beware, it is not serious disorders such as schizophrenia, etc.. These are essentially mood disorders, irritability, sleep disturbances, etc..

These psychological problems are directly related to their excess weight. In fact, before becoming obese, studies show they do not suffer more than other disorders. While it is true that in some cases, psychological problems can lead to obesity, not the rule. Epidemiological studies show that weight gain is not related to a particular psychological fragility.

How do you explain these psychological problems?

Daniel Rigaud: There are two reasons that may explain the psychological problems suffered by overweight people. First, excess weight, the gaze that is focused on those who suffer, is directly responsible. This is particularly apparent in children: he has a kind of shame, sense of responsibility. This issue of body image concerns all the environments: family, work ... The second factor is the regime itself. Indeed, when the diet is too restrictive and infringes on the needs, the patient will make adjustments neuro-sensory, it will change its focus and lost its physiological cues. It will then develop psychological problems directly related to the plan. These problems will be even more important that the regime is restrictive.

You think then that obesity requires psychological support?

Daniel Rigaud: Do not send all the obese at the shrink! Some do not need. But it is true that in any , psychological support is essential.

This is particularly true for obesity, where there are personal suffering, where the gaze of others is often hard to bear, he must sometimes cope with treatment failure. More than just a support-ideally a reflection-type behavior: why do I eat? How do I eat differently? Because it is easier to quit than to lose weight! In one case, you can hunt totally tobacco of their lives. While the obese can not stop eating! He will continue his whole life to eat differently and restrict! We must always ensure that the plan is too restrictive. A cognitive-behavioral therapy is more effective in the scheme, but in the provinces, it is difficult to find therapists.

Once the weight loss achieved, the psychological problems they disappearing?

Daniel Rigaud: I had some patients who, after a weight loss of 35 pounds, were more evil than to start! Therefore, the administration of self-image and support are important. It is thus necessary to enhance efforts in the scheme. But the support does not stop at weight loss. Ideally, it should monitor and support thereafter, the general practitioner may also perform without problem.