Weight Management

Question 1

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

Answer 1

< 5%

Question 2

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

Answer 2

5-84%

Question 3

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

Answer 3

85-94%

Question 4

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

Answer 4

> 95%

——(or >30 kg/m^2)

Question 5

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

Answer 5

Focus on parental education

Question 6

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

Answer 6

Focus on adolescent education

Question 7

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

Answer 7

Family-based programs are best

Question 8

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

Answer 8

Get peers involved for best outcomes

Question 9

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

Answer 9

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

Question 10

What is the minimum physical activity requirement for obese children?

Answer 10

60m min/day

Question 11

What is a healthy waist circumference for men and women?

Answer 11

Men < 40 inches

Women < 35 inches

Question 12

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

Answer 12

Men < 0.95

Women < 0.8

Question 13

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

Answer 13

< 0.50

Question 14

Genetics explains what % of BMI?

Answer 14

40-50%

Question 15

What are a couple of medical disorders that cause obesity?

Answer 15

• -Thyroid

- -Cushing’s

Question 16

What are a couple of psychiatric conditions causing obesity?

Answer 16

• -Binge eating

- -Night eating

Question 17

What are 4 anthropometric nutritional assessments?

Answer 17

BMI
Waist circumference
Waist to hip ratio
Waist to height ratio

Question 18

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

Answer 18

Patient history

Question 19

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

Answer 19

True

Question 20

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

Answer 20

10%

Question 21

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

Answer 21

1-2 lbs/wk

Question 22

What are 4 lifestyle modifications for weight management?

Answer 22

Goal setting
Self-monitoring
Stimulus control
Confront barriers

Question 23

What method of weight loss is the most evidenced based?

Answer 23

Restricted energy diets

Question 24

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

Answer 24

500 - 1000 kcal/day

Question 25

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

Answer 25

1200 - 1800 kcal

Question 26

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

Answer 26

Carbs 50% Protein 25% Fats 30%

Question 27

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

Answer 27

Meal replacement

Question 28

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

Answer 28

Weight Watchers

Question 29

What % of rapid weight loss is fluid?

Answer 29

50%

Question 30

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

Answer 30

Gout and gallstones

Question 31

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

Answer 31

Energy restriction and water loss

Question 32

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

Answer 32

Moderate: 150 minutes Vigorous: 75 minutes

Question 33

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

Answer 33

Moderate: 300 minutes Vigorous: 150 minutes

Question 34

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

Answer 34

> 2 days/week

Question 35

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

Answer 35

1 mile

Question 36

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

Answer 36

11 lbs

Question 37

Bariatric surgery is recommended for what BMI's?

Answer 37

BMI > 40 or > 35 w/ comorbidities

Question 38

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

Answer 38

``` Vitamin B12, Vitamin A, Vitamin C, Vitamin D, Vitamin K ```

Question 39

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

Answer 39

``` Thiamine Folate Iron Selenium Copper Zinc Calcium ```

Question 40

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

Answer 40

B12 Iron Calcium Vitamins ADEK

Question 41

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

Answer 41

Every 3 months

Question 42

Energy requirements are reduced ~___% following weight loss.

Answer 42

~25%

Question 43

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

Answer 43

~25%

Question 44

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

Answer 44

60-90 minutes

Question 45

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

Answer 45

200 kcal/day

Question 46

What controls metabolism?

Answer 46

Lean mass

Question 47

Is lean tissue lost w/ weight loss?

Answer 47

Some lean tissue is also lost, so metabolism slows

Question 48

Underweight is below what % typical weight?

Answer 48

15-20%