RANDY CALVERT Flashcards
what is randy culverts background?
started at children exercise and nutrition centre - graduated masters in physiology and pharmacology
over the last 17/18 years, randy culvert worked to develop what?
one of the only calorie weight management programs for kids/families in Canada
what happens once you get invited into the program?
you get invited to the orientation session
why must you attend orientation session?
helps with efficiency of program and prevent from having a wait list
why is it important that clients engage in the program?
so they do not lose interest
- and because only 50-60% of people would show up for their appointments
what does the orientation session allow for?
opportunity for families to come - do it in group setting to come and learn all about what they can expect to do an see
what is discussed at session?
talk about that it needs to be a family project - includes dietitian, kinesiologist, behaviour therapist, exercise physiologist and physician
- talk about the process
what is life style changes mainly about?
behavioural modification
are the children put on a diet?
no
- diets only work if you stay on it
how often are the appointments?
monthly for a year - average length of the program
when should you follow up with clients?
follow up for a second year (3 times) - to make sure they’re doing okay (8-24 visits in both years)
what is the process of having physiological tests?
meet with physician an have medical history performed, measure perfect body fat in conjunction with height an weight
what physiological tests are generally performed?
lipid panel, insulin, blood glucose, an some may require extensive blood work
what is height an weight necessary for in the program?
to plot values on growth chart and progress
why is it expected that kids will gain height and weight?
because as you grow taller, you get more muscle and bone
when would a stress test be done?
if there are cardiac concerns
why is a fitness test done on the kids?
to show that kids can do vigorous exercise
what is measured in the program?
electrocardiogram, BP, pulmonary function, rule out asthma
what percentage of kids come into the program with asthma?
68
60-70% of all kids entered into the program would have abnormal values of what?
cholesterol and triglycerides as well as hypertension
about 25% of kids in the program have impaired what?
fasting glucose or impaired glucose tolerance
about 5% of kids in the program have what?
pre diabetes or have T2D
why should you not focus on eating low fat products?
many low fat products might have as many or more calories that non low fat products do
eat regular foods NOT _____
specialized foods
why does the families in the program receive a calendar?
encourage them to use stickers/check boxes to track goals
what do they suggest for exercise?
doing something they like and close to home
what are benefits of physical activity?
gets kids outside doing things they enjoy, experiencing new things while being active - and u dont consume any calories
what is the percentage of success rate in the program?
70%
how is the success measured?
changes in body composition, decrease in body fat - using mathematical index
what is the mathematical index?
changes in underwater weighting and bioelectrical impedance
- comparison of expected H+ with Wt+ changes over a monthly period
- expected H+ and wt+ multiplied by a factor of 10
what does a positive point gain mean?
means they have a positive change in growth (quicker H+ increase or slower wt increase than expected)
