Weight Management Flashcards
What is the pediatric BMI percentile cut-off value for underweight?
< 5%
What is the pediatric BMI percentile cut-off value for healthy weight?
5-84%
What is the pediatric BMI percentile cut-off value for overweight?
85-94%
What is the pediatric BMI percentile cut-off value for obese?
> 95%
——(or >30 kg/m^2)
When discussing weight management in children ages (6-12) who should we focus on educating, parents or adolescents?
Focus on parental education
When discussing weight management in children ages (12-18) who should we focus on educating, parents or adolescents?
Focus on adolescent education
What is the best strategy for weight management in kids aged 6-12?
Family-based programs are best
What is the best strategy for weight management in kids aged 12-18?
Get peers involved for best outcomes
For childhood obesity and behavior treatment, what are 5 tings to focus on when appropriate?
- -Stimulus control
- -Self-monitoring
- -Goal setting
- -Rewards for reaching goals
- -Problem solving
What is the minimum physical activity requirement for obese children?
60m min/day
What is a healthy waist circumference for men and women?
Men < 40 inches
Women < 35 inches
What is a healthy waist to hip ratio for men and women?
Men < 0.95
Women < 0.8
What is a healthy waist to height ratio for men and women?
< 0.50
Genetics explains what % of BMI?
40-50%
What are a couple of medical disorders that cause obesity?
- -Thyroid
- -Cushing’s
What are a couple of psychiatric conditions causing obesity?
- -Binge eating
- -Night eating
What are 4 anthropometric nutritional assessments?
BMI
Waist circumference
Waist to hip ratio
Waist to height ratio
When performing a nutritional assessment on a new patient, how do you figure out patient comorbidities?
Patient history
Rate of weight loss determines amount of lean mass lost. True or False?
True
When managing obesity in adults, what % of body weight should be lost in 6 months?
10%
When managing obesity in adults, how much weight should be lost a week for 6 months?
1-2 lbs/wk
What are 4 lifestyle modifications for weight management?
Goal setting
Self-monitoring
Stimulus control
Confront barriers
What method of weight loss is the most evidenced based?
Restricted energy diets
What is the daily kcal deficit associated w/ restricted-energy diets?
500 - 1000 kcal/day
How many kcal’s are allowed w/ the restricted-energy diet?
1200 - 1800 kcal
What is the restricted-energy diet portions for: carbs, protein, and fats?
Carbs 50%
Protein 25%
Fats 30%
What method of weight loss may be beneficial for patients w/ portion control issues?
Meal replacement
What commercial weight loss program is the only one w/ evidence of a beneficial effect?
Weight Watchers
What % of rapid weight loss is fluid?
50%
What health risks are increased when fasting or on very low calorie diets?
Gout and gallstones
For patients on low carb, high fat diets, weight loss is due to what 2 things?
Energy restriction and water loss
What is the minimum amount of moderate or vigorous activity needed per week for weight maintenance?
Moderate: 150 minutes
Vigorous: 75 minutes
What is the ideal amount of moderate or vigorous activity needed per week for weight maintenance?
Moderate: 300 minutes
Vigorous: 150 minutes
A combination of aerobic and resistance activity is recommended how many days a week for weight loss?
> 2 days/week
How many miles do you need to walk to burn off the calories for every light beer consumed?
1 mile
1 extra beer/day adds up to how many pounds/year?
11 lbs
Bariatric surgery is recommended for what BMI’s?
BMI > 40 or > 35 w/ comorbidities
What are 5 vitamin deficiencies are associated w/ bariatric surgeries?
Vitamin B12, Vitamin A, Vitamin C, Vitamin D, Vitamin K
What are 7 major mineral deficiencies associated w/ bariatric surgery?
Thiamine Folate Iron Selenium Copper Zinc Calcium
Bariatric surgery patients should take multivitamin w/ what 4 supplements?
B12
Iron
Calcium
Vitamins ADEK
Nutrient levels should be monitored how often for bariatric surgery patients?
Every 3 months
Energy requirements are reduced ~___% following weight loss.
~25%
In order to maintain a reduced body weight, what % of energy should come from fat?
~25%
How much physical activity is required everyday to maintain a reduced body weight?
60-90 minutes
In order to maintain a reduced body weight, you need to keep the extra calories limited to how many kcal/day?
200 kcal/day
What controls metabolism?
Lean mass
Is lean tissue lost w/ weight loss?
Some lean tissue is also lost, so metabolism slows
Underweight is below what % typical weight?
15-20%
