FAMILY MEDICINE® COLUMN

By Martha A. Simpson, D.O., M.B.A.
Associate Professor of Family Medicine
Ohio University College of Osteopathic Medicine

3426-FM
01/01/11


NEW YEAR’S RESOLUTIONS SHOULD BE SPECIFIC AND REALISTIC

Question: The new year is coming, and I know I need to make some resolutions about my health. But every year I make and break them. How can I make resolutions that I can keep?

Answer: Making “New Year’s resolutions” is a longstanding tradition. Many people feel the beginning of a new year is a good time to make changes to improve their health and future. However, most resolutions are so broad, they’re impossible to keep. An example might be, “I’m going to lose 20 lbs.” Note that there’s nothing in the resolution about how you are going to lose the 20 lbs., or by when.

Some resolutions are just downright vague, like “I’m going to exercise this year.” If you make no specific plan, it’s very easy to put the resolution aside.

If you want to make New Year’s resolutions you can keep, make them focused and achievable. Sometimes you’re better off to make one good, reasonable resolution than several that aren’t sustainable.

Once you have decided on your resolution, write it down very specifically. If your goal is weight loss, then spell out what you want to do: “I want to lose 12 pounds by April 1, 2011.” You can continue your resolution by stating how you are going to accomplish this. You might say: “I am going to limit myself to 1500 calories per day. I will weigh myself every Saturday morning. I expect to lose one pound every week.”

In April you can reassess your goal and perhaps set a new goal for the next 12 weeks as well as reevaluate your methods for weight loss. At that point, ask yourself questions like: “Did it work?” “Did I lose 12 pounds?” “Was sticking to 1500 calories a day hard or easy?”

A research study several years ago shed further light on the differences between “good” and “bad” resolutions. The study involved more than two hundred people who had made New Year’s resolutions, most relating to health. By July 1, about forty percent of them were still keeping their commitment. The researchers found that those forty percent had several things in common.

First, they believed from the very beginning that they had the ability to change. They had self-confidence, and they set realistic goals. Second, they did not engage in self-blame. And third, they avoided wishful thinking. In other words, they didn’t go into the new year believing their life would change completely if they lost weight or quit smoking. Rather, they kept themselves centered on realistic thinking, like “I’ll feel better when I look in the mirror if I lose weight,” or “I’ll be able to smell and taste my food a lot more if I quit smoking.”

Remember that a New Year’s resolution is not about adding to the stress in your life; it’s about improving your life. If making and breaking a resolution is too stressful for you, don’t make resolutions. But if you do make a resolution and break it, don’t get discouraged -- just try again. For most people, relapses are a part of breaking any bad habit. Don't forget: It doesn’t have to be New Year’s Day to make resolutions. You can make a vow to improve your health any time you want.



Family Medicine® is a weekly column. General medical questions can be sent to Martha A. Simpson, D.O., M.B.A., Ohio University College of Osteopathic Medicine, Communication Office, Athens, Ohio 45701, or familymedicine@oucom.ohiou.edu. Please do not send letters asking Dr. Simpson to diagnose a condition or suggest a treatment plan. Medical information in Family Medicine® is provided as an educational service only and does not replace the judgment of your personal physician, who should be relied on to diagnose and recommend treatment for your medical conditions. Past columns are available online at www.familymedicinenews.org.
 
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Last updated: 01/19/2011