Obesity P3 - Management of Obesity

Question 1

What are the 5As of obesity management in adults?

Answer 1

Ask
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Question 2

According to experiments, a modest increase in __ and reduction in __ favoured maintenance of body weight

Answer 2

protein content ; GI index

Question 3

What are the most common pharmacological treatments for weight loss?

Answer 3

• lipase inhibitors

- appetite suppressants

Question 4

At what time of the day should Orlistat be taken?

Answer 4

Right before a meal

Question 5

Which supplements should be taken with Orlistat?

Answer 5

Vitamins ADEK

Question 6

Which patient would you recommend Orlistat to?

Answer 6

• People not ready to change their diet yet

- Most use = patient with obesity that have comorbidity (not just to deal about extra wt but also improving health)

Question 7

What does weight loss improve for diabetes control?

Answer 7

Improves:

• glucose tolerance and insulin sensitivity
• need for glucose lowering medication is reduced

Question 8

What are cardiovascular improvement of weight loss?

Answer 8

• normalized TG levels
• raises HDL chol
• lowers LDL chol
• improves CHD risk profile
• reduces need for antihyperlipidemic medication

Question 9

What does lean mass loss depend on? (2)

Answer 9

• degree of weight loss

- initial body fat

Question 10

If a patient has a very high BMI how would you estimate weight loss duration?

Answer 10

• aim for 5% weight loss

- proceed in stages: - loss - maintenance- loss - maintenance

Question 11

What are the priorities of setting a balanced diet?

Answer 11

• create an energy deficit
• avoid nutritional deficiencies
• preserve lean mass
• promote long term adherence

Question 12

In %, what is a high protein diet?

Answer 12

> 30%

a standard protein diet is <20%

Question 13

a modest increase in _ content and modest reduction in _ index favoured maintenance of body weight

Answer 13

protein ; GI

Question 14

What is the “Balanced Diet”

Answer 14

• Weight reduction diet for 6-12 months with high protein and moderate fat
• within AMDR

Question 15

AMDRs (Acceptable Macronutrient Distribution Ranges) for BALANCED DIET

Answer 15

10-35% PROT
45-65% CARB
<30% FAT

Question 16

What is the AMDR for PROT during weight loss?

Answer 16

25-30%

Question 17

What are the 3 food groups the CFG emphasises on?

Answer 17

• protein foods
• whole grains
• fruits & vegetables

Question 18

Def of endurance activities

Answer 18

Large muscle group physical activity of continuous nature

Question 19

What are the Canadian Physical Activity Guidelines

Answer 19

To accumulate 150min of moderate to vigorous intensity aerobic activity per week
strength training 2x per week