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lose weight in a wheelchair (article)

Adults who use wheelchairs can find it difficult to lose weight, because they tend to use fewer calories through physical activity. But if you are wheelchair users and you are overweight, there are still changes you can make to achieve a healthy weight.
Many of us in England eat more calories than we need, and not doing enough physical activity. Over time, this leads to an increase in weight. This is why nearly two-thirds of adults in England are overweight or obese.
If you are wheelchair users, and you are at a particular risk of weight gain, partly because wheelchair users do not tend to use the large muscles in the legs, using less energy in the day to day life.
Overweight or obese puts you at the top of a range of serious health risk conditions, including type 2 diabetes, heart disease and some types of cancer.
Check your weight
It uses the body mass index (BMI) usually as a measure to see if it is a healthy weight for their height.
However, it is sometimes not enough to use the body mass index to check the weight of a person with a disability, because this may not give a complete picture. For example, you may have a health situation that can affect your weight or height.
If you are unsure of your weight, talk with your doctor. And you will be able to advise on whether the body mass index is a measure suitable for you, and whether you are currently a healthy weight.
Your doctor can also help if you were not able to weigh yourself.
Why are overweight
Helen Bond is a dietitian with experience in working with wheelchair users.
She says that users can in a wheelchair find it difficult to measure the number of calories you need to eat. This means that they can eat more than they need, leading to weight gain.
"In wheelchair users is quite different from other adults mode when it comes to the number of calories they need," she says. "This can be difficult to adapt to.
"If you are new to using a wheelchair, you may eat as you did before, but you are using less than during physical activity, energy, and then begin to put on weight. If you live with other adults who need more calories than you, you can can eat as much as them, and again this will lead to weight gain.
"Wheelchair users can also lose muscle in the legs with the passage of time. When we have less muscle, we need fewer calories to maintain body weight we have."
Weight loss in a wheelchair
The key to losing weight in a healthy way to adjust your diet and level of physical activity.
To lose weight, you need to regularly use more energy than you consume through food and drink. You can do this through a combination of eating fewer calories and be more active. However, if your ability to move very restrictive condition, then the diet will be the main way in which you can lose weight.
Aiming to lose between 1LB (0.5KG) and 2 LB (1KG) per week until you reach your target weight. A healthy diet and a balanced and regular physical activity can help you maintain a healthy weight over the long term.
Ask your doctor if there is a weight management community service available near you. The service aims to help people:

Lose weight and keep it off
Limit further weight gain
Get into a normal eating pattern
The achievement of a balanced diet
Become more physically active
Reduce overeating and portion sizes
Learn new skills lifestyle in the long term
Anyone who wants to use this service, which welcomes wheelchair users, are scanned by a qualified weight management counselor to determine their suitability for service and the preference of their program. For some people, may be available on a single program to one.
Your diet change

The average man needs about 2,500 calories a day to maintain his body weight. The average woman needs about 2,000 calories a day.
If you are wheelchair users, it is likely that you will need less than these amounts guideline.
And GP or dietitian can help you work from your everyday needs of calories.

Counting calories? Check out our handy guide to what 100 calories looks like. You may be surprised at the differences between certain food groups.
While adjusting your diet so that you can lower calorie intake, it is important to make sure you eat healthy food and get all the nutrients you need.
"A balanced diet for wheelchair users is the same as it is for other adults," says Helen Bond. "You just need to adjust the amount of calories you eat, to take into account the fact that you're likely to be moving lower."

A healthy and balanced diet means eating:
Plenty of fruits and vegetables - aim to eat at least five servings a variety of fruits and vegetables every day
A lot of starchy foods such as brown bread, pasta and whole grains, potatoes
Some milk and dairy products
Some meat, fish, eggs, beans and other non-dairy sources of protein
Attempt to consume only a small amount of foods and beverages that are high in fat or sugar. You can learn more by reading eight tips for healthy eating.
You can get tips on the amount of salt, fat and sugar in the diet management family that the food campaign Change4Life's smart.
Get active

It becomes more active it is important to maintain a healthy weight. This will help you use more calories than you regularly consume in food and drink, and this will improve fitness and help you lose weight.
Being a wheelchair user does not have to mean lead inactive lifestyle.
If you can, aim to do the normal heart and vascular activity, as well as regular exercise to strengthen muscles. Physical activity cardiovascular particularly important when it comes to weight loss. This is an activity that raises the heart rate and gets you a little bit of breathing and cause you to break a sweat.
This does not necessarily mean the sport, or time in the gym. You could start by making short trips by pushing yourself in a wheelchair, instead of taking the car or public transport.
If the gym does not appeal, even though the presence of a wide range of good options for wheelchair users. These could include rowing machines adapted to use a wheelchair, and weight machines for resistance exercises.

FA of Sports deficit runs a comprehensive initiative Fitness (international financial institutions), a plan to ensure gyms are suitable for use by people with disabilities. Find a local gym with international financial institutions in the FA disability sports site.
Other options include swimming, if you can, or sports wheelchair, such as basketball, netball, badminton and BOCCIA, the sport wheelchair featured in the Paralympic Games of London 2012. BOCCIA looks like dishes, which rolled leather balls toward a target. It can be a good choice, especially for those who are strict limitations on the movement, such as people with quadriplegia. Although it may not help with weight loss, simply to participate can have a very positive impact on the overall health of a person.

WheelPower is an organization that helps wheelchair users to interfere in sport. Learn more at WheelPower: sports federations have.
For more information and activity ideas, and read tips for fitness for wheelchair users.
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