Obesity Flashcards
Obesity increases the risk of…
- Hypertension
- Type II Diabetes
- Heart Disease
Measure obesity by
measuring waist
men >102cm
women >88cm
BMI standards
underweight <18.5 normal 18.5-24.9 overweight 25-29.9 obese 30-40 (I, II, III) *asians are much lower
Genetic factors
-thrifty gene hypothesis (protective genes when exposed to famine)
Environmental factors
diet, activity, meds, coping, location
Best way to lose weight
personalized plan losing 1-2lbs a week. lose 10% of weight from baseline for 6 months
increase energy expenditure or reduce energy intake permanently
Strategies for weight loss
- dietary, behavioral or combined therapy
- physical activity
- surgery
FDA requirements for weight loss drugs
must produce alpha = .05
>35% of treated patients achieve a greater than 5% reduction of weight
must improve obesity related disorders
Orlistat
blocks absorption of fat in the GI
eat with a low fat diet or you shit yourself
Weight loss surgery
gastric restriction or gastric bypass
concerns; patients don’t change eating habits
Fucoxanthin (seaweed)
may target abdominal fat
Green Tea
raise metabolism and suppress appetite
Green coffee extract
modest weight loss
caffeine causes nervousness and insomnia
White bean extract
“starch blocker” blocks breakdown of carbs into glucose
CLA
fatty acid, decrease fat while building muscle
Bitter Orange
synephrine (similar to ephedrine) raises number of calories burned by unsure if safe
Glucomannan
from konjac plant, rich in soluble fiber–turns to gel like substance in GI to promote feeling of satiety
Chitosan
sugar from crustacea shells –blocks absorption of fat and cholesterol
Chromium
enhances insulin to help burn calories
7 keto DHEA
boosting metabolism to help you burn more cals
Vit D
may help
HCG
suppress appetite, increase metabolism, reduce body fat
reservatrol
speed up metabolism
When should you consider med therapy
- **only after 6 months of physical activity and other mods
* **prevention is preferable to treatment
