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Cinical Nutrition Exam 2 > Weight Management > Flashcards

Weight Management Flashcards

1
Q

What is the pediatric BMI percentile cut-off value for underweight?

A

< 5%

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2
Q

What is the pediatric BMI percentile cut-off value for healthy weight?

A

5-84%

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3
Q

What is the pediatric BMI percentile cut-off value for overweight?

A

85-94%

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4
Q

What is the pediatric BMI percentile cut-off value for obese?

A

> 95%

——(or >30 kg/m^2)

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5
Q

When discussing weight management in children ages (6-12) who should we focus on educating, parents or adolescents?

A

Focus on parental education

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6
Q

When discussing weight management in children ages (12-18) who should we focus on educating, parents or adolescents?

A

Focus on adolescent education

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7
Q

What is the best strategy for weight management in kids aged 6-12?

A

Family-based programs are best

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8
Q

What is the best strategy for weight management in kids aged 12-18?

A

Get peers involved for best outcomes

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9
Q

For childhood obesity and behavior treatment, what are 5 tings to focus on when appropriate?

A
  • -Stimulus control
  • -Self-monitoring
  • -Goal setting
  • -Rewards for reaching goals
  • -Problem solving
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10
Q

What is the minimum physical activity requirement for obese children?

A

60m min/day

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11
Q

What is a healthy waist circumference for men and women?

A

Men < 40 inches

Women < 35 inches

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12
Q

What is a healthy waist to hip ratio for men and women?

A

Men < 0.95

Women < 0.8

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13
Q

What is a healthy waist to height ratio for men and women?

A

< 0.50

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14
Q

Genetics explains what % of BMI?

A

40-50%

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15
Q

What are a couple of medical disorders that cause obesity?

A
  • -Thyroid

- -Cushing’s

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16
Q

What are a couple of psychiatric conditions causing obesity?

A
  • -Binge eating

- -Night eating

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17
Q

What are 4 anthropometric nutritional assessments?

A

BMI
Waist circumference
Waist to hip ratio
Waist to height ratio

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18
Q

When performing a nutritional assessment on a new patient, how do you figure out patient comorbidities?

A

Patient history

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19
Q

Rate of weight loss determines amount of lean mass lost. True or False?

A

True

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20
Q

When managing obesity in adults, what % of body weight should be lost in 6 months?

A

10%

21
Q

When managing obesity in adults, how much weight should be lost a week for 6 months?

A

1-2 lbs/wk

22
Q

What are 4 lifestyle modifications for weight management?

A

Goal setting
Self-monitoring
Stimulus control
Confront barriers

23
Q

What method of weight loss is the most evidenced based?

A

Restricted energy diets

24
Q

What is the daily kcal deficit associated w/ restricted-energy diets?

A

500 - 1000 kcal/day

25
Q

How many kcal’s are allowed w/ the restricted-energy diet?

A

1200 - 1800 kcal

26
Q

What is the restricted-energy diet portions for: carbs, protein, and fats?

A

Carbs 50%
Protein 25%
Fats 30%

27
Q

What method of weight loss may be beneficial for patients w/ portion control issues?

A

Meal replacement

28
Q

What commercial weight loss program is the only one w/ evidence of a beneficial effect?

A

Weight Watchers

29
Q

What % of rapid weight loss is fluid?

A

50%

30
Q

What health risks are increased when fasting or on very low calorie diets?

A

Gout and gallstones

31
Q

For patients on low carb, high fat diets, weight loss is due to what 2 things?

A

Energy restriction and water loss

32
Q

What is the minimum amount of moderate or vigorous activity needed per week for weight maintenance?

A

Moderate: 150 minutes

Vigorous: 75 minutes

33
Q

What is the ideal amount of moderate or vigorous activity needed per week for weight maintenance?

A

Moderate: 300 minutes

Vigorous: 150 minutes

34
Q

A combination of aerobic and resistance activity is recommended how many days a week for weight loss?

A

> 2 days/week

35
Q

How many miles do you need to walk to burn off the calories for every light beer consumed?

A

1 mile

36
Q

1 extra beer/day adds up to how many pounds/year?

A

11 lbs

37
Q

Bariatric surgery is recommended for what BMI’s?

A

BMI > 40 or > 35 w/ comorbidities

38
Q

What are 5 vitamin deficiencies are associated w/ bariatric surgeries?

A 
Vitamin B12, 
Vitamin A, 
Vitamin C, 
Vitamin D, 
Vitamin K
39
Q

What are 7 major mineral deficiencies associated w/ bariatric surgery?

A 
Thiamine
Folate
Iron
Selenium
Copper
Zinc
Calcium
40
Q

Bariatric surgery patients should take multivitamin w/ what 4 supplements?

A

B12
Iron
Calcium
Vitamins ADEK

41
Q

Nutrient levels should be monitored how often for bariatric surgery patients?

A

Every 3 months

42
Q

Energy requirements are reduced ~___% following weight loss.

A

~25%

43
Q

In order to maintain a reduced body weight, what % of energy should come from fat?

A

~25%

44
Q

How much physical activity is required everyday to maintain a reduced body weight?

A

60-90 minutes

45
Q

In order to maintain a reduced body weight, you need to keep the extra calories limited to how many kcal/day?

A

200 kcal/day

46
Q

What controls metabolism?

A

Lean mass

47
Q

Is lean tissue lost w/ weight loss?

A

Some lean tissue is also lost, so metabolism slows

48
Q

Underweight is below what % typical weight?

A

15-20%

Cinical Nutrition Exam 2 (8 decks)

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