Helping An Overweight Friend or Family Member

It's very difficult to offer help without sounding like you're interfering or nagging or, worse, giving the impression that you don't like your friend or relative because of their weight.
There's no point trying to encourage someone to lose weight if they don't want to. Even highly motivated dieters find it tough going - someone who's half-heartedly agreed to keep a food diary or cut out chocolate just to please you is unlikely to manage it for long.
But you can help friends or family members to improve their health and fitness. Here are some things to try.
Note: I have used "she" and "he" alternately throughout. Of course your friend or family member could be either gender.
First: Check Whether You Just Have Different Priorities
Perhaps you work out for an hour every day, you avoid all saturated fat, and you'd rather eat worms than eat one of these burgers. You're proud of your super-buff figure.
Your friend or family member is forty pounds overweight. She thinks it's no big deal - it doesn't stop her doing anything she wants to. And she doesn't see why your gym obsession is any more worthy than her knitting habit.
Be careful that you're not trying to "help" someone who's perfectly happy with her life. Unless she's putting her health at serious risk, it's not your business if she's carrying a few extra pounds - and trying to change her is likely to seriouslyjeopardise your relationship.
On the other hand, if you know someone who does occasionally talk about wanting to lose weight or get fit, or who has a negative self-image due to their size, you might be in a position to help out...
Focus On Health
It's important to emphasise health, not looks. This is especially crucial if your friend or relative is young. For example, don't say "You'd look so much nicer if you lost twenty pounds," say, "You could really improve your health by losing a bit of weight from around your waist."
With children, don't just tell them to eat their vegetables "because I say so" -- explain (in terms that your child can understand) the benefits of doing so. For example, you might tell them how carrots keep their eyes functioning well.
Never try to put a child or teen on a "diet". Focus on healthy eating and exercise, and don't ban foods - this will only make them more desirable. You might want to read Mike's article Parents: How to Address Your Teenager's Weight for more help on this.
Cook For Your Whole Family
If one family member is trying to lose weight, don't serve them separate meals from the rest of the family. Make changes to the whole family's menu in order to show support and solidarity. This might mean eating some different meals from your usual (vegetable-based dishes tend to be low-fat), or it may just mean tweaking the way you cook (using as little oil as possible, for example, and grilling instead of frying).
In some case - with children or touchy spouses - you might not want to raise the issue of weight directly. One way to subtly encourage them to be healthier is to simply try some new recipes, making them low-fat ones, and to arrange some joint activities like walking or swimming.
Support and Encourage Them
If your friend or family member does start on a healthy eating plan, do everything you can to be supportive. Never berate them for eating something you think they shouldn't have had, but if they ask for advice, suggest healthy alternatives ("I really enjoy..." or "Have you ever tried..." are low-pressure ways to introduce these).
Be enthusiastic and pleased for them when they do see success, and be there on any bad days to make sure that they don't give up for good.
Have you helped a friend or family member to lose weight? What tips do you have?
This is a never ending battle for me.
ReplyMy mother is about 70 pounds overweight, and she has been diagnosed with high blood pressure, AND smokes cigarettes. I should also mention my mother is now widowed and lives alone (I am her only child)
I, her daughter, live in another area of the country and am the opposite. Fitness and healh are VERY important to me. I work out 6 days a week, and watch my diet carefully. Do not smoke, am a healthy weight, etc.
I am CONSTANTLY encouraging my mother to help herself and lose some weight, as she has expressed to me on many occasions that she wants to. She knows she is hurting her health. BUT she will do something, like join a gym or go to weight watchers, etc, but it will last for 1 week and she gives up!!! It hurts me very much, and I dont know what to do. I've laready figured out that she will not respond to negativity at all (if I nag her or get upset with her, she will shut me out). However, I have also tried praising the CRAP out of her when she does something right (go to gym, etc) so that she sees how proud I am of her. This does not work either. I am at a loss
Good luck with this one! If you can get someone to change, it will be a first. Setting a good example is the best you can do. When and if they are ready, and they see how your good habits benefit you, they may improve their lifestyle.
ReplyMy father is 56 and has a BMI of 30 (same for my mother) My father does want to lose weight and knows he needs to, he is diabetic as well. I am very concerned for his health. He just always comes up with excuses as to why he can't go to the gym we belong to or he won't admit that he eats more than he thinks he does. He won't write down what he eats, he know's he uses food for comfort but he just won't do anything. I'm really afraid he's going to die before he's 60 if he doesn't change. Any advice on what I could do? I've tried telling him this, I've given him articles about how to eat healthy at restaurants and I've even stocked his freezer with Healthy Choice type frozen meals and veggies. He just won't educate himself. He's no busier than I am (I am full time grad student, working on research and on getting a study published, with a 6 day/ 30 hour a week job and I still find time to run 50 miles a week, so I know he, who is a successful independent contractor can make time to go to the gym 3 times a week for 30 min).
ReplyMy mom is hopeless, she too is obese, but she doesn't care. It's like she wants to die. She knows better but she doesn't care, and she says so.
Help! I don't like watching my parents kill themselves!
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ReplyI think that until somebody asks for your help, you don't go there. This goes for weight, smoking, money problems, parenting...any topic for which people's opinion differs and judgment abounds.
I appreciate that people say its hard to watch someone they love "killing themselves" but just imagine how you would feel if someone you loved approached you to change a behaviour you didn't want to change. I personally find it difficult to see people stop challenging their brains once they are done school, and I could argue that they are at risk for dementia in the long run, but I'm not bugging them to read more or pick up a hard-core crossword puzzle habit. Just because you see it as a problem, doesn't mean they will, and if they don't, you're wasting your breath and risking your relationship.
Replybut in my case, at least my father is aware that it's a problem, yet he doesn't change, though he says he wants to. My mom I know is a lost cause, so I don't talk to her about it.
ReplyI've simply given up on helping a close one. You can lead a horse to water, but you can't force it to drink. When I'm asked for help, I will help, and help a lot.
But until then, I lead by example -- I lead "from the front". If someone doesn't want to follow or ask, then that's their prerogative. I've given up any other way.
ReplyI like to say, "You can lead a horse to water, and sometimes, he might be thirsty." :-)
ReplyThis, I think, is the best attitude to have. When you try to shape others' lives, they can become resentful. But if you lead by example and those people see good results, they may be inspired to give your way of living a try.
ReplyI think the whole "different priorities" thing definitely applies to my husband and myself. Exercise and eating well is a huge priority for me. I work out 6 or 7 days a week and am in terrific shape. My husband is probably 20 or 25 lbs overweight and doesn't really care about it. Occasionally, he'll mention that he should "get back in shape" and every time he mentions it, I try to be very encouraging. But, in the end, he usually just decides that he'd rather bum out on the couch instead of working out. I know I can't force him to do anything, but I gently try to encourage him to eat better by serving him the one veggie he'll eat (broccoli) and trying to keep his portions reasonable. I suppose it would be a little different if he were visibly unhealthy, but for now it's really just vanity weight.
My mother in law is another story though. She is probably 60 or 70 pounds or more overweight and she has a myriad of health issues. She's diabetic, has high blood pressure, is on thyroid meds, has sleep apnea and takes a statin to control her cholesterol. I think she really WANTS to be healthier, but at the same time I think she sort of likes being unhealthy. It's an attention thing...every time I see her, she tells me all about her conditions and what new meds she's on or her new CPAP machine or whatever. I give her suggestions about how to eat better when she asks, but I don't think she takes any of it to heart because she really does like being ill so she doesn't have to take responsibility for anything. Once, something happened where she was unable to do much for a while and my father-in-law had to do EVERYTHING for her and she milked it for all it was worth. She thrives on that sort of attention, so if she were to get healthy and be able to funtion on her own, I think it would be a very scary thing for her. I wonder how many people feel that way when it comes to being overweight or having serious health issues. Sort of like Munchausen syndrome or something like that.
ReplySecondary gain is what physiologists call it.
"Secondary gain can also be a component of any disease, but is an external motivator. If a patient's disease allows him/her to miss work, gains him/her sympathy, these would be examples of secondary gain. These may, but need not be, recognized by the patient. If he/she is deliberately exaggerating symptoms for personal gain, then he/she is malingering. However, secondary gain may simply be an unconscious psychological component of symptoms and other personalities." Wikipedia
ReplyPsychologist (spell check fault:-)
ReplyThanks, Dr. J! I was wondering if there was a technical term for it. I just wish that she didn't get the secondary gain from being overweight, but I guess as long as my father in law caters to her, she'll continue on. IMHO, he needs to be practicing some tough love, but I doubt he'll change his ways anytime soon.
Replyalso in these notes remember that healthy changes don't always lead to weight loss-lots of people can bring down their blood pressure/cholesterol, and generally be healthier and only lose a few pounds.
ReplyA friend of mine is very overweight, and also gets secondary gain from her condition (Thx Dr.J) Her weight is so bad, at the age of 14 (a couple months ago) She got a clogged artery in her left arm. Yes, an artery not a blood vessel. She was walking on a bench, and when she fell, she hit her arm on the ground, bursting the artery. She was rushed to the hospital and she now has a foot-long scar on her arm.The scar always has a strange pink/blue/purple color to it, and uses the color to get out of gym class by saying, "When it's this color, I can't do gym because of the lack of blood flow in my arm." Therefore, she gets sympathy for an injured arm, while avoiding excercise. It's been at least a month since she has participated in P.E. at school, and she deliberatley skips days that we have fittness. She is always complaing that she wants to lose weight. How do I help her get over herself, while motivating her to lose weight, and still do enjoyable activities?
ReplyI love this blog. I have tried in the past to get my family to improve their health and wellness and at times it has created resentment towards me, and I don't want that. Great ideas. If they are healthy and aren't interested don't push them, its not their priority. I love the idea of cooking for the whole family!
ReplyI believe that when you have responsibility for a child, you need to do everything you can to shape their habits to eat well and exercise.
Good tips in this article.
However, an adult family member or friend has to make their own choices and I have found that even if they say they want help, mostly they just keep on with the bad habits and whinge. At the adult level, looking after yourself is all you can do and be a shining example rather than a horrible warning.
Replylike smokers, they already know that a poor lifestyle contributes to poor health. They don't need to hear it from you, as it's all over the news, on billboards, and on the tongues of busy bodies not minding their own business. Unless a person does something to change, you are wasting your breath and are looking for a fight. Set an example, and be supportive if they want to change, otherwise wait for them to have a serious health issue, then they might get the message.
Replydo they have support groups or something for weight loss or for families of people trying to lose weight where you don't actually have to do a weekly weigh in or something?
ReplyI thought this may be of interest with so many striving towards a healthier lifestyle. Big Daddy Weave frontman Mike Weaver took on the challenge of losing 90 pounds this year. He's doing this with the help of two health and fitness experts to guide him along the way. Mike has been tracking his progress online with the hope that his successes and struggles will encourage others to live a healtier lifestyle. You can go to www.90in09.com to check out Mike's daily updates, find healthy living tips and ideas, take on your own fitness challenge, and join the online community!
ReplyI know I can't "make" someone lose weight or accomplish any other goal unless the person wants it to happen. What I can do --and have done-- is create an environment that doesn't throw up roadblocks. Keeping sugary goodies out of the pantry when I know sugar cravings are hard for my loved one to resist. Taking time to create meals that are healthy. Buying healthy snack foods. Offering encouragment that doesn't sound fake. And I believe in the power of prayer so I quietly pray that my loved one will see in himself all the best that he has in him to be.
ReplyThat might work for family members that are young, but an adult will just go out later and buy something to satisfy his needs. My friend's wife cooks healthy, so he says, and rather than hear it from her, he just runs to a fast food joint when she's not around and satisfies his needs and wants. Along with his underweight child, they head off to Wienerschnitzel for fat, sugar, salt, and additives. Ummm.
ReplySo true! I tell my husband that I refuse to be the "food police". I cook healthy at home, but if he chooses to drink pop and eat fast food, that's his choice. You truly cannot control someone else's behaviour!
ReplyIt's funny, people will ask me how I managed to lose weight and when I tell them they don't believe me or want another way aka a magic pill.
I think that many overweight people tend to have addictions to food or the effects of food and/or weight etc.
It's impossible to help those who don't want to give up addictions. I've been there and I can tell you that the issue is so so SO much more than eating too much and not exercising enough. The weight is a little more than a symptom of what is going on inside - mentally and/or emotionally.
You can't really "help" an overweight friend or family the same way you can't get an alcoholic sober. They have a saying in Al-Anon, "I didn't cause it, I can't control it, and I can't cure it."
The best we can do is lend support to those WANTING and willing to do the work to make the lifestyle changes required.
Some people choose not to step outside their comfort zones - no matter how harmful and painful those comfort zones may be. And as humans, I believe it is their right to choose.
ReplyThis blog has been very helpful. I am now confronted with my husband, who has blood sugar levels in the diabetic range and he is in total denial that he could be diabetic. He keeps on spinning the issue when he sees is doctor. I guess the best thing to do like everyone has been saying is to lead by example. My new approach is going to be to have him eat every few hours try and get more exercise in instead of the exercise he gets with his index finger. This will definitely be my challenge for 2009.
ReplyI like the following from the book, Grace on the Go: Quick Prayers for Determined Dieters.
What great supporters DO
o They do help you strategize a good eating plan—but only if invited to do so.
o They offer encouragement, especially if you should momentarily fall.
o If you live in the same home, they do keep wholesome foods on hand.
o They share their own stories and their own struggles.
o They have a good sense of humor and keep life upbeat.
o Some may change their own eating habits to keep you company.
o When hosting a party, they consider your need for low-calorie food.
o They look for ways to get together that are non-food based.
What great supporters DON’T DO
o They never criticize or make fun of you.
o They don’t act like “Food Police” and tell you what to do.
o They don’t announce to the world that you’re on a diet.
o They don’t use secret sabotage by bringing home the “danger foods” you love or by pressing you to eat something you have taken off your food list.
ReplyI am a female teenager who was overweight in her mid-elementary years, but since last fall has become an anorexic and has now recovered her weight but still struggles. As I receive perspective from health professionals and myself examine my situation, I realize that not only my personal fear of being unhealthy or looking fat, but also my families influence creates huge stress and struggle. My two brothers and parents are all overweight/obese. My family has just started, for maybe the third time, to spend time together and try to eat healthier. This time, interestingly, my mom initiated the change.
The problem is, I'm trying to work together with my mom and, as patiently as I can, give her advice about my brothers' diet change. My brothers have eaten healthier foods and fairly better portions these past few days, and have been happy b/c we're being a family now.
BUT, my mom sees a half of cup of cantaloupe eaten by her son to mean that he can have a cup of ice cream (for example). Whereas most the food she has been preparing with me is healthy, my mom is cutting and cooking much more food than needed and as usual, eating unstructured servings herself. She eats to get rid of food. She clears my brothers' plates and the close-to-due-date food in the fridge. I think she also eats for the taste too, though. And in the first two to five minutes of dinner, my dad has at least two burgers or double servings of lasagna wolfed down.
My parents unhealthy (disgusting to me) eating habits very much stresses me out, especially when I am trying to guide my mom to guide my brothers. It's terribly difficult not to be strict. My mom reprimands me whenever I calmly suggest that she slow down while eating or that maybe she shouldn't feed the boys an extra cracker serving. And it's not only the stress from trying to guide the family, but also the stress from having to keep myself eating enough when I am disgusted and depressed at meals by my family's eating.
I know that changing their eating habits is more for me and I want that to change. I need to change my heart, I'm selfish at the moment. I don't want to hear their heavy breathing, their sucking in air and disgusting chewing noises while they eat, I don't want to watch them gulp their food without even chewing. I am agitated that they care so little about how they are harming themselves and indulging. But the Lord loves them, and reminds that He is only judge. I just pray that I will remain healthy and trust in the Lord to either give me love and patience or help my family overcome their bad health, bad habits.
ReplyI have a son (33 years old) who just got married. He is extremely obese. It is breaking my heart. He and his new wife seem to be in complete denial. He was so uncomfortable at his wedding because the tux didn't fit right. He is scheduled to undergo gastric bypass surgery in January, 2010. He's not doing anything to cut back, afraid to break the machines at the gym (when he does go, which is not often)I think he's got it in his mind that he doesn't have to do anything, just wait til January. His father and I are so afraid for his health. He is adopted (at 5 mos. old) We can't even mention fat to him, he gets so defensesive. His wife just wants him to be happy and doesn't want us mentioning anything to him about it. It's scaring us to death! I wish someone had some suggestions for us. My sister and her husband tried to intervene and it almost cost them their relationship with him, so it was dropped. Complete denial. Please help if you can.
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