Ch 4 Flashcards
Subcutaneous Fat
Fat beneath the skin, critical for normal body functioning.
Visceral Fat
Fat inside the abdominal wall and around internal organs, linked to heart disease and metabolic issues.
Ectopic Fat
Fat located on or within organs, increasing the risk for metabolic syndrome and heart disease.
positive energy balance
Consuming more calories than expended, leading to weight gain.
negative energy balance
Burning more calories than consumed, resulting in weight loss.
1 kg of body fat
7000kcal
Men with overweight tend to have an
apple (android) shape
Women with overweight tend to have a
pear (gynoid) shape
Nutrigenomics
the study of the interaction between nutrients and genes
Metabolism
key factor in the regulation of body fat and weight
Sum of all vital processes making food energy and nutrients available
Resting Metabolic Rate (RMR)
Energy to maintain vital body function at rest
Accounts for 60 – 70% of daily energy expenditure
Heredity and behaviour affect
metabolic rate
Males have a higher RMR
due to increased muscle mass
High RMR
means the individual expends more energy while at rest
Resistance training may protect
against age related declines in RMR
Exercise will increase the RMR in addition to increasing muscle mass
Leptin & Ghrelin hormones
regulate body weight
Ghrelin released by the stomach
increases appetite
What lowers ghrelin levels?
Adequate Sleep
& diet high in whole grains and protein
adipose tissue =
body fat
adipose cells =
fat cells
The amount of fat
is dependent on the number and size of (fat cells)
Visceral fat
contains biologically active substrates
Inflammatory chemicals and growth factors
Adhere to blood vessels – decrease cardiovascular health
Promotes insulin resistance
The more visceral fat – the greater risk of developing metabolic syndrome
Subcutaneous fat
appears to have little health risk – not metabolically active
An Obesogenic Environment promotes
Growth in endocrine disrupting chemicals (EDC) – obesogens
Disrupt the control over fat production and energy balance
Susceptibility to obesity and diabetes in later life
Women tend to be obese
at lower income levels
men tend to be more obese at
higher income levels
Diet refers to daily food choices
everyone has a diet but is not dieting
Pay special attention to
total caloric intake
Portion size
energy density
eating habits
Best approach is to increase physical activity with moderate caloric restriction
DO NOT go on a crash diet
Diet needs to incorporate all essential nutrients
Maintaining weight is harder than losing weight**
Consequences of sleep deprivation include:
- Cognitive impairment
- Daytime sleepiness
- Difficulty concentrating and remembering
Reject any book or advice that offers the following:
An unbalanced manner of eating – e.g. a high CHO diet or very low CHO diet
A “scientific breakthrough” or secret to success
Uses gimmicks such as matching blood type to eating, hyping insulin resistance or combining foods in different ways
Promises quick weight loss or severely limits food choices
Many diets can cause weight loss;
maintaining the weight loss is the challenge
Genetic Factors in Obesity
40-70% genetic contribution to obesity, influencing body size, shape, and metabolic rate
Body dysmorphic disorder (BDD)
extreme dissatisfaction of the body image
Often Underrecognized and underdiagnosed
People with BDD require professional intervention
Anorexia nervosa
A person with anorexia nervosa does not eat enough to maintain a healthy body weight
90% of this group are female
Muscle dysmorphia
another form of distorted body image
Experienced in bodybuilders – see themselves as small and out of shape