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Information Presentation – 2012

metabolic balance®
Your Roadmap for Natural Weight Management
Developed by Dr. Wolf Funfack,
Specialist internal medicine and nutritional medicine




                                                        1
Overweight and Obesity is a Global Issue


  Worldwide obesity has more than doubled since 1980.
  65% of the world's population live in countries where overweight and
  obesity kills more people than underweight.
  Nearly 43 million children under the age of five were overweight in 2010.
  Overweight and obesity is preventable!


                                                                              2
People in the industrialized world are becoming
                            .
progressively heavier.

What are the main causes for this increase in
overweight and obesity?

Poor nutrition and lack of exercise are the causes!
Poor nutrition being the principle cause.

                                                      3
For most of our species history, external factors constrained the expression of
obesity.
1) Early man’s existence depended upon exerting lots of energy while hunting
   and gathering food.
2) The foods he ate and the ratio of macronutrients.
   Carbs 40 45%, Fats 30 35%, Proteins 20 30%




            Our genetic Bio Software is the same as this early man’s!
                                                                                  4
                     But is our Food Source still the same?
80 years ago obesity was a         Why were our grandparents
  rarity.                            leaner?
                                     1. Food source: More natural &
                                        unprocessed foods.
                                     2. How & when they ate.
                                     3. More physical labor.
                                     4. Transportation.



                                                                5
Circa 1930’s – Library of Congress
Classification of Obesity
in Accordance with the Criteria of the WHO – World Health Organization

     Classification             BMI (lbs./ins)             risk of disease


  Underweight                      < 18.5                     increased

  Normal weight                  18.5 – 24.9                  average

  Overweight                     25.0 – 29.9                  increased


  Obesity degree I               30.0 – 34.9                  high

  Obesity degree II              35.0 – 39.9                very high

  Obesity degree III                 40.0                 extremely high

                                                                             6
Obesity Trends* among U.S. Adults
1990                                                                                     2000



                                                 2010




                                                                      Source: Behavioral Risk Factor
                                                                      Surveillance System, CDC
(*BMI < 30, or about 30 lbs. overweight for 5’4” person)
                                                                                                       7
     No Data      <10%        10%–14%         15%–19%      20%–24%   25%–29%       30%
THE SITUATION IN THE USA
   3 out of 4 Men are too fat




                                8
THE SITUATION IN THE USA
   3 out of 5 Women are overweight




                                     9
Newly introduced Foods and BMI
Number                            Condiments
of newly                                       Frequency
introduced                        Sweets &     of BMI > 25
                                  Snacks
foods
                                  BMI


                                  Bakery
                                  products




                                  Entrées

                                  Fruit &
                                  Vegetables


                                                     10
Metabolic Syndrome and its medical consequences



   The Metabolic Syndrome                                  Diseases & Ramification
                                                             Arterial hypertension

                      Obesity                                Hypercholesterolemia
                                          Hypertension       Cardiovascular disease
                                                             Gout

              Fat metabolism disorders   Diabetes Type 2     Fatty liver disease
                                                             Gall stones
                                                             Carcinomas
                                                             Polycystic ovary syndrome
                                                             Thrombosis
                                                             Depression
                                                             Arthritis
                                                             Etc…..                11

© metabolic balance GmbH
Common Diet Recommendations
              vs. The metabolic balance® Approach


 Low fat diet                No fear of fat – healthy fats
 High carbohydrate (60%)     Fewer, high quality
 diet                        carbohydrates
 5 6 meals divided through   Only 3 meals divided through
 the day                     the day
 Low calorie diet            Normal calorie diet

                                                             12
What do you recommend for Overweight?


          Low fat diet
          High carbohydrate (60%) diet
          5 6 meals divided through the day
          Low calorie diet


                                              13
WHICH DIET?
    Nutrient oriented Approach

40 overweight patients with
elevated blood lipid levels
                              Diet             Fat             Sat. fat             Cholesterol
(HDL< 40 or < 50 mg/dl
TG > 150 mg/dl)               A              59%                  22%                    600 mg

were put on 2 different       B              24%                    7%                   140 mg
low caloric diets over a             Source: Volek J. Carbohydrate restriction.. Lipids; Oct. 2008
12 week period.
                                                                                                     14
WHICH DIET?
  Results oriented Approach


  Diet   Kcal    Blood             Diet. Trigl.                 HDL              Body     Body fat
                 sugar                                                           weight

  A      1,500     12%                  51%                    +13%               10%       6 kg

  B      1,500      2%                  19%                       1%               5%       4 kg
                 Source: Volek J. Carbohydrate restriction.. Lipids; Oct. 2008



                                                                                                     15
BMI > 30
  Fat Consumption and Overweight
    Nation           Dietary fat   Men     Women

    Denmark             44%        11.8%   12.5%

    France              42%        16.1%   17.6%

    Germany             38%        22.5%   23.3%

    Czech Republic      34%        24.7%   26.5%

    United States       33%        32.2%   35.5%
                                                   16
What do you recommend for Overweight?


          Low fat diet
          High carbohydrate (60%) diet
          5 6 meals divided through the day
          Low calorie diet

                                              17
CARBOHYDRATES
  Blood Sugar Levels and short chain Carbohydrates

      Blood sugar     200
      Concentration
                      150                                 Insulin (% of normal)

                      100           Ravenous hunger

                                                          Blood sugar level (mg /100 ml)
                       50
                                Ingestion

                        0
                            0   1       2       3     4   5 Time (h)


                                                                                           18
CARBOHYDRATES
  Blood Sugar Levels and long chain Carbohydrates

      Blood sugar     200             Lasting Satiety
      concentration
                      150
                                                            Insulin (% of Normal)
                      100

                                                            Blood sugar level (mg / 100 ml)
                       50
                                Ingestion

                       0
                            0   1       2        3      4   5 Time(h)


                                                                                              19
CARBOHYDRATES
  Elevated Insulin leads to the following Changes
                             Insulin
             Cholesterol                 Melatonin

             Triglyceride
                                          DHEA
              Adrenalin

               Cortisol                    HGH

             Fat Synthesis             Fat Breakdown

                                        Fibrinolysis   20
              Hemostasis
Michelangelo's David
                                 After 2 year's Stay in the US




                                                            21
                 His proud sponsors were:
What do you recommend for Overweight?


         Low fat diet
         High carbohydrate (60%) diet
         5 6 meals divided through the day
         Low calorie diet

                                             22
Blood Sugar Levels with 6 Meals a Day
                                                                        Fatty Tissue




                    Meal                  Meal   Meal   Meal   Meal   Meal




Source: Deutscher Ärzteverlag 2001, Gesundheit                                         23
Blood Sugar Levels with 3 Meals a Day
                                                                                         Fatty Tissue



                          Insulin                                 Insulin                Insulin
                           Cork                                    Cork                   Cork


                                                 Burning of fat              Burning of fat




                                Meal                                  Meal                    Meal
                             Breakfast                               Lunch                    Dinner
Source: Deutscher Ärzteverlag 2001, Gesundheit
                                                                                                       24
What do you recommend for Overweight?


          Low fat diet
          High carbohydrate (60%) diet
          5 6 meals divided through the day
          Low calorie diet

                                              25
Calorie Reduction leads to the Yo Yo Effect
American soldiers were given a choice whether to go to the European front or
participate in a dietary experiment conducted by the U.S. Army.
32 young, healthy normal weight men were kept isolated for 56 weeks in a
metabolic laboratory.
    Weeks              Fat   Protein   Carbohydrate       Calorie
                                                        deprivation

    A) Week 1 24       17%    25%          58%              50%

    B) Week 25 36                                          100%

    C) Week 37 44      35%    14%          51%          self selected      26
Calorie Reduction leads to the Yo Yo Effect
Phase A:   Feelings of intense hunger, reduction     Body fat reduced to 30%
           in muscles and connective tissue          Protein content     83%

Phase B:   Rapid increase in                         Body fat to          80%
           Restoration of                            Protein to           88%

Phase C:   50% more calories than required           Body fat up to     174% !!
                                                     Protein at          98%
 Fat stores are restored more rapidly, and there is a fat and protein “memory.”
 Sense of hunger only returns to normal when the protein content is normal
 again.
 By then, the fat stores are over saturated!!                               27
So what is the
  Difference
      ?



                 28
29
METABOLIC BALANCE®
   The Foundation of the Program

 "Every person is able to produce the necessary hormones and
enzymes essential for a well balanced metabolism when supplied
with the required building blocks (vitamins, minerals, trace
elements) through appropriate nutrition.

  With a well balanced metabolism, everyone is able to choose the
food items which contain exactly these building blocks with the help
of their inner signals (appetite or aversion).                   30
HOW DOES METABOLIC BALANCE® WORK?
  The Procedure             with your personal Coach
                                          1. Learn why it works


        4. The 4 Phases                          2. Blood tests & Profile

 2 Day Preparation Phase
 Strict Conversion Phase
 Relaxed Conversion Phase
 Maintenance Phase
                                               3.Nutrition Plan

                                                                       31
METABOLIC BALANCE®
                                  Few sweets,
  Nutrition Pyramid              no soft drinks

       Occasional cereals, cereal products,
              potatoes, red wine or beer

             Milk products, fish, meat,
                    poultry, eggs, tofu

           Fresh fruit, vegetables,
salads (prepared with healthy oil),
    rye bread, potatoes in the skin

                                                  32
  Enough water!
HOW DOES METABOLIC BALANCE® WORK?
 The 8 Rules
       Rule 1: Eat only three meals a day. Do not eat more or less than
               the plan prescribes.

       Rule 2: Ensure there is a five hour break between meals.

       Rule 3: Make sure each meal lasts no longer than 60 minutes.

       Rule 4: Begin every meal with one or two bites of the protein
               (i.e. meat, fish, cheese or yogurt, etc.).
                                                                          33
HOW DOES METABOLIC BALANCE® WORK?
 The 8 Rules
       Rule 5: Eat only one kind of protein at each meal, and do not
               repeat the same kind of protein in the same day.

       Rule 6: Finish evening meal by 9:00 PM.

       Rule 7: Drink the quantity of water calculated for you divided
               through the day (rule of thumb is half your body weight
               in fl oz.).

       Rule 8: Eat one apple a day.
                                                                         34
What is possible through metabolic balance®?


        313 lb.




                                   143 lb.




                                               35
THE STUDY
  Independent Study evaluating the Program
                      Dr. Nikolaus Gerdes, Dipl. Soz.
                         Cornelia Meffert, Soz. MA
     Hochrhein Institut für Rehabilitationsforschung, Bad Säckingen
       Department for Quality Management & Social Medicine,
                  Freiburg University Medical Center
               (Director: Prof. Dr. med. Wilfried H. Jäckel)
                 Source: http://www.hri.de/index.php?menuid=1&reporeid=58

                                                                            36
STUDY TO EVALUATE THE METABOLIC BALANCE® PROGRAM
                          Changes in the BMI
                    31                                               Definition of
                   30.5                                              long term success:
                    30
                                                              30.3
                   29.5                                              A reduction of the




BMI kg/(Height)2
                                                              29.3   original BMI by 1
                    29
                                                                     point, which is
                   28.5
                                                                     maintained for at least
                    28                                               1 year.
                   27.5                                       27.6   " Committee to develop Criteria for
                    27                                               Evaluating the Outcomes of
                                                                     Approaches to prevent and treat
                   26.5                                              obesity & Institute of Medicine“

                    26
                                               After 1 year                                   37
                                Initial
METABOLIC BALANCE® STUDY
         Standard Requirements for Reduction in Body Weight



                                                                                   62.5 %
                                                                                   of participants reduced
                                    50 %                                           their weight by more than
        of participants need to                                                    5% and maintained it at
        reduce their weight by                                                     least for one year.
     more than 5% and need to
      maintain it for more than
                       one year.


                                                                              „Committee to develop Criteria for Evaluating
International recommendations for long term success of a                       the Outcomes of Approaches to prevent and
         potentially efficient weigh management program    metabolic balance®          treat obesity & Institute of Medicine“
                                                                                                                    38
© metabolic balance GmbH & Co. KG
STUDY TO EVALUATE THE METABOLIC BALANCE® PROGRAM
  Summary of the Results
 Adherence to the program guidelines (compliance) was surprisingly good.

 Average weight loss: 15.84 lbs. (7.2 kg)

 The goal of long term weight reduction of at least 5% was achieved by 62.5%
 of the clients.

 33% lost as much as 10 % and more of their initial weight.

 Significant improvements in relevant metabolic parameters.

 Significant improvements in health related quality of life.
                                                                           39
metabolic balance®
New e book in English!
     by Dr. Wolf Funfack

   Nutrition basics
Introduction to the success program

       Order today on
        Amazon.com



                                      40
THE END?
Or is it your new
Beginning?

It’s your Choice!

Speak today with your
certified metabolic balance®
coach about
how to get started.            41
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