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NDT FINALS > SIR BEVS DISCUSSION > Flashcards

SIR BEVS DISCUSSION Flashcards

1
Q

What causes Overwt and obesity?

A

Biology
Environment
Medications and Wt. Gain

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2
Q

_____ of adolescent females report dieting in 2015 when _____ are overwt or obese (Kann et al, 2016)

A

60%
< 30%

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3
Q

Accog to Golden et al, 2016, _____ has shown to be a predictor of development of an eating d/o

A

dieting

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4
Q

are more likely to engage unhealthy dieting behaviors

A

overwt adolescent

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5
Q

the accumulation of excess fat around the midsection of the trunk vs. the hips.

A

Abdominal obesity

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6
Q

In the US, _____ of adults are overwt/ obese (CDC, 2016)

A

> 70%

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7
Q

is associated c increased mortality.

A

morbid obesity

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8
Q

Improving clinical parameters (such as improved blood sugar & lipids), can be accomplished c as little as a _____ wt. reduction (Jensen et al,

A

3% -5%

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9
Q

having more body weight than is considered normal or for a healthy individual

A

overweight

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10
Q

this is a medical condition involving excess body fat that increase the risk of health problems

A

obesity

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11
Q

What are under assessment

A

physical
medical hx
nutrition
motivation & readiness for change

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12
Q

Tx Options

A

a. Intervention for wt control depends on the results of the assessment
b. Population specific
c. Motivation & readiness to address wt management should be understood

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13
Q

near starvation to merely subtracting 500-1000 calories from an indiv baseline daily energy needs

A

Low Calorie Diets

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14
Q

Reduced Kcalorie diets result in wt loss regardless of composition

A

Altered fat, CHO, CHON DIETS

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15
Q

What medications are used for nutritional interventions

A

Orlistat
Lorcaserin
Naltrexone-buprion
Liraglutide

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16
Q

Orlistat works by causing ____ rather than absorption

A

excretion

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17
Q

term used that encompasses all types of intestinal surgeries performed to foster wt loss

A

bariatric

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18
Q

More recent term for treatments to foster wt loss

A

metabolic surgery

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19
Q

_____ can alter gut hormones associated with satiety and reduced dietary restraints

A

stress and lack of sleep

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20
Q

Calorie-balance equation

decrease in expenditure of energy but there is an increase of calorie

A

Imbalance

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21
Q

What are the advantages of metabolic surgery

A

Improvements in sleep apnea, hypertension, and degenerative joints

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22
Q

What is the disadvantage of metabolic surgery

A

remission of type 2 diabetes

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23
Q

What are the types of Surgery?

A

Restrictive
Restrictive/Malabsorption

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24
Q

reduce the size of gastric reservoir > weight loss

A

Restrictive

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25
Q

What are the procedures under restrictive surgery

A

Adjustable gastric banding
Vertical gastric sleeve

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26
Q

reduce the intestinal absorptive surfaces to foster weight loss

A

restrictive/malabsorption

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27
Q

What are the procedures under restrictive/malabsorption

A

Roux-en-Y
Biliopancreatic diversion (BPD)

28
Q

Categorized as psychiatric illnesses

A

eating disorder

29
Q

Physical activity recommended for school age children

A

1 hr per day

*less than 1/3 actually met the reco

30
Q

Physical activity reco for adults

A

150 mins per week

31
Q

clinical eating disorder diagnoses are based on the

A

DSM-5 criteria

32
Q

Significantly low weight vs. expected for age, gender, and developmental stage resulting from energy restriction

A

Anorexia nervosa

33
Q

characterized by habitual intake of low cost high fat foods and possible physiological adaptation to periodic hunger from lack of food

A

Hunger-Obesity Paradox

34
Q

A BMI ____ is considered the most extreme severity classification

(Anorexia nervosa)

A

<15

35
Q

Laboratories in Anorexia Nervosa

A

Usually within normal limits
(WNL)
Increase Cholesterol
Anemia
Altered thyroid function

36
Q

With medication and wt. gain, what meds?

A

antipsychotropics meds

(cozatine) olanzapine

37
Q

Normal or above normal weight, weight fluctuations
Bingeing over a short period of time with a sense of loss-of-control, followed by inappropriate compensatory behaviors at least 3 times a week for 3 months

A

Bulimia Nervosa

38
Q

What are the laboratory values of bulimia nervosa

A

Dehydration
Low Potassium with vomiting or
laxative abuse
Low Chloride w/chronic laxative or diuretic use
• High Bicarbonate from vomiting or chronic diuretic use

39
Q

A broader term including male athletes and a wider range of symptoms associated with low energy availability.

A

Relative Energy Deficiency in Sports

40
Q

BMI of morbid obesity

A

40 Bmi

41
Q

Occurs when energy expenditure exceeds energy intake.

A

low energy availability

42
Q

Consists of low energy availabilily, reduced bone mineral density, and amenorrhea.

A

female athlete triad

43
Q

What are the three physical parameters

A

BMI
waist circumference
Body fat percentage

44
Q

Normal sugar for Type 1 diabetes

A

80-130

45
Q

Children sugar

A

90-120

46
Q

Pregnant sugar

A

Less than 90

47
Q

65 older

A

80-180

48
Q

Normal without diabetes

A

70-90

49
Q

Starvation

A

200-800 kcal per day

50
Q

Anything above 800

A

Low calorie diet

51
Q

greater than 50 % as CHO and 25-35 % as FATS

A

Moderate to high fat carb

52
Q

< 25 % fat but high in carbs and high in fiber

A

Very low fat or low fat diet

53
Q

an obsession with eating healthy food

A

Orthorexia

54
Q

can happen when someone who has been malnourished begins feeding again

A

Refeeding syndrome

55
Q

Overweight and obesity is labeled as

A

Epidemic

56
Q

Is recommended to compensate for decreased absorption of fat soluble vit

A

Daily multivitamins

57
Q

Orlistat is not safe for children under

A

12 yrs old

58
Q

Eating disorder occur primarily in ___ and ___ but are found in individuals across the lifespan

A

Adolescents and young adults

59
Q

What Neurotransmitters are involved in eating disorder

A

Dopamine and serotonin

60
Q

Weight restoration of anorexia nervosa

A

0.5-1 lb per week outpatient
2-3 lb/week inpatient

61
Q

Is considered the extreme severity classification of bingeing

A

> 14 times per week

62
Q

Binge eating is associated with

A

Eating in secret

63
Q

are molecules that provide starting materials for bioenergetic reactions, includingphosphagens (ATP and creatine phosphate), glucose, glycogen, lactate, free fatty acids and amino acids.

A

Energy substrates

64
Q

Symptoms if female athelete triad

A

Eating disorder
Osteoporosis
Amennorrhea

65
Q

What vitamins is recommended for anorexia nervosa

A

Vitamin D

66
Q

if a food does not contain nutrients or if the calories from sugar and fats outweigh the nutrients found in the food

A

Empty calorie foods

67
Q

is a type of eating disorder that is characterized by hyperphagia in the evening with 25% or more of daily caloric intake after dinner with not less than two nocturnal awakenings during the week to eat food

A

Night eating syndrome

NDT FINALS (2 decks)

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