Obesity Tx

Question 1

1. Recognize the appropriate application of diet, physical activity, and behavioral changes in obesity treatment.

Answer 1

most effective in BMIs b/n 25 and 30
should be used in all BMI’s above 27
and above 25 with comorbidity

expect 3-10% wt loss

Question 2

2. Recognize that weight bias exists and is prevalent among clinicians.

Answer 2

find obese people less self dsiciplined, less compliant, more annoying

Question 3

3. List specific dietary approaches that can be used in the office to help obese patients achieve a negative energy balance and lose weight.

Answer 3

reduce food intake, decrease calorie intake 500-100 cal per day–> lower intake until they start to lose weight

food diaries, record keeping-> the more accuarte you are, the more wt loss

fat gram budget = 30%. 10 sat, 10 polyunsat, 15 mono unsat

meal replacements

decrease portions by 1/4-1/3

reduce energy dense foods

diet books commercial programs- all pretty similar, there is no best diet

reduce TV time, get enough sleep

Question 4

4. Define the amount of physical activity that is recommended to maintain general health, to prevent weight gain, and to prevent weight regain in individuals that were previously obese.

Answer 4

150 min of moderate intensity a week
75 min high intensity
2+ wt lifting days

60 minutes a day to prevent regain

good for maintenance but not wt loss
increase muscle mass, appetite regulation, BP, and CV health

Question 5

5. Understand the differences between weight loss and weight loss maintenance and the challenges involved for patients.

Answer 5

wt loss can be acute, exercise really helps in wt loss maintenance.

Question 6

6. Describe the use pedometers and the evidence for counseling patients about both “programmed” physical activity as well as “lifestyle” physical activity.

Answer 6

wear a pedometer for a week to find baseline
increase steps 500 steps/day/week until you get 10,000-15,000 steps a day

whether you do programmed activity or lifestyle activity you still keep wt off!!

Question 7

7. List the things that individuals in the National Weight Control Registry do to maintain a reduced weight.

Answer 7

to qualify they have to have lost 30 lbs for a minimum of 1 year

1. self monitoring
2. low caloried diet
3. eat breakfast daily
4. regular physical activity
5. limit TV time