Considerations for clients with Obesity

Question 1

Possible causes of obesity

Answer 1

Stress, Genetics, Hormones, Sleep, Energy Balance

Question 2

Leptin

Answer 2

Resides in all fat cells and communicates with hypothalamus
Negative feedback loop; when fat cells decrease in size, leptin decreases directing body to eat more.

Question 3

Adiponectin

Answer 3

Helps insulin by sending blood glucose into the bodys cells, thus increasing the cells insulin sensitivity or glucose metabolism.

Question 4

Ghrelin

Answer 4

Secreted by the stomach and plays chief role in appetite regulation

Question 5

Obstructive sleep apnea (OSA)

Answer 5

58% caused by obesity

Question 6

RDA for protein

Answer 6

46-56 g/day or 10-35% of total caloric intake

Question 7

Cardiorespiratory training

Answer 7

Work up to at least 5 days a week
Work at highest intensity that can be sustained comfortably for an extended period of time
30-60 mins per day
Low impact, rhythmic exercises using large muscle groups

Question 8

Muscular Training

Answer 8

2-3 days a weak; 1 day rest in between
Moderate level intensity; 60-70% 1 rep max
20-30 mins
All major muscle groups

Question 9

Body weight goals

Answer 9

Realistic goal 5-15% weight reduction

Question 10

Behavioral weight loss program

Answer 10

Calorie reduction; produce 500-1000 kcal daily deficit
Physical activity
Behavioral strategies; practice self monitoring, avoid tempting situations

Question 11

Pharmacological interventions

Answer 11

phentermine <3 months

Question 12

Major factors that contribute to obesity

Answer 12

Environment, genetic predisposition, human behavior

Question 13

American Dietetic Association’s caloric deficit recommendation

Answer 13

500-1000 k/cal day

Question 14

Current RDA (recommended daily allowance) for protein intake

Answer 14

10-35% of total caloric intake

Question 15

Non-Exercise Activity Thermogenesis (NEAT)

Answer 15

Common daily activities such as walking, standing, and fidgeting