Final Exam

Question 1

Secondary Contributors of Obesity

Answer 1

Skewed Lipid Ratio
Gall bladder disease
Surgical Complications
Mental Health

Question 2

Primary Contributors of Obesity

Answer 2

Heart disease
Hypertension
Chronic Heart Failure
Type 2 Diabetes
Menstrual Abnorms
Arthritis
Gout

Question 3

Issues that affect Body Weight

Answer 3

Body weight can effect health
Increased visceral fat
Exercise can reduce Visceral Fat
Low VF has lower CVD

Question 4

Cultural

Answer 4

People like bigger
But it is what people think

Question 5

Socioeconomic

Answer 5

People cant afford to eat well

Question 6

Genetics

Answer 6

Are a big part of Obesity
Mostly by parents
If both parents are heavy the child is 80% chance of heavy
Lifestyle is the biggest risk

Question 7

Thrift genotype

Answer 7

Low RMR & insufficient thermogenesis
Burns Low amount of cals

Question 8

Hyperphagic genotype

Answer 8

Poor appetite satiety (over eat)
Takes more to be full

Question 9

Sedentary genotype

Answer 9

Tend to be a couch potato
Burn few cals

Question 10

Low Lipid Oxidation genotype

Answer 10

Tend to have low oxidizer
Dosnt burn fat well

Question 11

Adipogenesis genotype

Answer 11

Have high lipid storage capacity

Question 12

Three major components of Daily Energy Expenditure

Answer 12

Thermic Effect of Activity- 15-30%
Thermic Effect of Feeding -10%= cost of burning Food
RMR- 60-75%
TEA- is low in most people

Question 13

Metabolic

Answer 13

Fat Free mass is major determinant of RMR
Declines on physical activity leads to declines in muscle mass

Question 14

Environmental

Answer 14

Work, school

Question 15

Behavioral

Answer 15

What we eat
More cals then needed & junk food

Question 16

Steps of weight loss program

Answer 16

Why
Will they hit Goals
Behavior Change
Not on weight change

Question 17

Multi-intervention approach

Answer 17

LEARN
L-Lifestyle
E-Exercise
A-attitude
R-Relationship
N-Nutrition

Question 18

ABCs of behavior change

Answer 18

Stimulus control
Self-monitoring
Goal-setting
Positive reinforcement
Social Support

Question 19

Stimulus Control

Answer 19

Antecedents
Minimize conditional behaviors
Maximize cues to desired behaviors

Question 20

Self-monitoring

Answer 20

Behaviors
Diet records- helps clients learn the who, what, where of eating behavior

Question 21

Goal setting

Answer 21

Consequences
Short-term & long-term
Be SMART

Question 22

Positive Reinforcement

Answer 22

Consequences
Rewards for short & long term

Question 23

Social Support

Answer 23

all ABCs
Your, family, partner

Question 24

Reasons why exercise is critical to weight loss

Answer 24

1. Burn calories
2. maintains/develops muscle mass
3. Offsets change in RMR with yo-yo dieting
4. Relatively decreases appetite or controls
5. Increased sense of control= increased compliance
6. Health effects
7. Maintenance

Question 25

Modifying Clients Diet

Answer 25

ChooseMyPlate
Macronutrient Goals
Dietary Guidelines

Question 26

Dietary Guidelines

Answer 26

Follow healthy dietary pattern at all life stages
Nutrient-dense foods & beverages
Avoid High added sugar saturated fat sodium and alcohol

Question 27

Macronutrient Goals

Answer 27

Protein- 10-35% daily cals
Carbs: 45-65% <10% added sugars
Fats: 20-35%
<10% saturated

Question 28

Reality Macronutrients

Answer 28

Protein: 16%
Carbs: 47%
Fats: 35%
11% saturated

Question 29

Choose My Plate

Answer 29

1. Complete s 3 day diet diary
2. ask if weight is stable
3. determine amount of kcals it equates to
4. determine caloric intake

Question 30

Portion Sizes

Answer 30

1 1/2 cup fruits
2 1/2 cups veggies
6oz grains
5 oz protein
3 cups dairy/calcium

Question 31

Intensity Methods

Answer 31

RPE
HRR
VO2R
ACI

Question 32

RPE

Answer 32

Rating of perceived exertion
12-17

Question 33

HRR

Answer 33

(HRmax-HRmin) x %intensity) + HRmin
30/40- 89%
208-.7(age)

Question 34

VO2 Reserve

Answer 34

(VO2max-VO2min) x %intensity) + VO2min
VO2max is usually given
VO2min is 3.5