NHP for weight loss Flashcards

1
Q

who does the BMI calculation not apply to

A

ages 20-65
infants, children, adolescents
pregnant or breast feeding

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2
Q

safe amount of weight loss

A

<2 pounds/week

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3
Q

how can you lose 2 pounds a week

A

aerobic exercise for 45 min

reduce intake by 400cal

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4
Q

what should be used instead of the outdated canadian food guide

A

brazilian

use natural food an avoid processed

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5
Q

some reasons patients seek dietary supplements for weight loss

A
social stigma of obesity
easier
frustration with previous attempts
easily accessed - dont need consultation or prescription 
......
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6
Q

thermogenic agents

A
ephedra
caffiene
dimethylamylamine
catecin/green tea 
green coffee/chlorogenic acid
capsaicin
raspberry ketone
forskolin
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7
Q

ephedra mechanisma

A

adrenergic agonist - peripheral vascular resistance, receptors on smooth muscle cells in the baldder to increase the resistance to outflow of urine
beta agonists - stimulate rate and force of cardiac contraction, promotes bronchodilation in the lung
CNS stimulant
enhances release of NE
anorectic by acting on the satiety center

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8
Q

side effects of ephedra

A
hypertension 
cardiac arrhythmias
insomnia 
tachyphylaxis
anxiety and changes in mood 
nausea
vomiting
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9
Q

serious adverse events for ephedra

A
heart attack
arrhythmia 
stroke
psychosis
seizures
death
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10
Q

ephedra restriced to what kind of sales

A

health canada recalled products being marketed for weight loss that contained ephedra

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11
Q

what products contain caffiene

A
coffee
cocoa
guarana
kola nut
green tea
yerba mate
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12
Q

caffiene mechanism

A

inhibits cAMP - stimulates lipolysis by stimulating lipase, stimulates uncoupled respiration
reduced food intake after caffiene intake
antagonizing the negative modulatory effect of adenosine on increased noradrenalin release

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13
Q

why is ephedrine not recommended even tho some studies found weight loss

A

risks outweigh the small benefit

no long term efficacy

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14
Q

dimethylamylamine adverse effects

A
high BP 
SIB
chest pain 
stroke
psychiatric disorders
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