Weight Management & Energy Balance Flashcards
Weight loss program adherence factors
Social
Economic
Psychological
Physiological
Emotional
Social obstacles to weight loss
Over consumption/trying all dishes
Large portions at buffet/self serve
Eating out of boredom/anxiety
Location/proximity eating
Eating to acknowledge host effort
Ordering large portions based on appetite at restaurant
Not realizing caloric density
Throwing out restrictive habits because of environment
Allowing alcohol to skew judgement
Eating/drinking in response to peer pressure
Economic factors of weight loss
High cal, low cost foods are prevalent in America
“Food desserts” restrict healthy options in low income communities
Physiological factors of hunger
Hunger, stimulated by hypothalamus, is primary need to eat
Several variables can disregulate satiety signals (lack of sleep)
Satiation is experienced when
The body indicates it has consumed enough food
Ignoring hunger can lead to
Heightened appetite, resulting in overeating
Appetite
Heightened psychological perception of energy needs
Energy balance
Cal consumed v cal expended
Significant calories restriction loses weight via
Water and lean body mass (catabolism)
Cutting below needed calories for RMR causes
Hypothalamus to create strong hunger signals
Resting Metabolic Rate (RMR)
Energy required to supply energy to body during resting conditions
Very low cal diet (VLCD)
8-1200 kcal/day; should only be prescribed by doctor
Minimum recommended cal intake for nutrient consumption
1200 kcal/day
Yo-yo dieting
Cyclical loss/gain of weight over time due to failure to adhere to diet
Intermittent fasting
Umbrella term for several patterns of fasting/non fasting over a defined period
Basic nutrients to evaluate in a food log/recall
% of Cals
Carbs
Sugar
Fat
Protein
Saturated fat
Additional nutrients to evaluate in a food recall
Cholesterol
Fiber
Sodium
Calcium
Iron
Water
Food log can be completed over
24-72 hours
Common errors in food log
Serving size
Unfamiliar with measurements
Forgotten items
Falsifying quantities/items
Temporarily changing habits
Limited knowledge of pre made foods
Overlooking condiments
Guessing
Improving accuracy in food log
Recall in sequence of day
Quantify portion size w measurements
Describe eating experience
Identify what was added to food
Recall drinks seperately
Recall snacks outside of meals
Ask if they’ve forgotten anything or are unsure
Identifying caloric intake provides info for
Half the energy-balance equation
Total daily energy expenditure (TDEE)
Physical activity, RMR + thermic effect of food
Cunningham Lean Mass equation is preferred when
Body composition is known
RMR is affected by several factors
Genetics
Sex
Age
Body size
Lean body mass
Hormone activity
RMR is proportionate to
Body size
Decreases with age
Impacted by total quantity of muscle
Common RMR equations
Cunningham Lean Mass
Revised Harris-Benedict
Mifflin-St Jeor
Cunningham Lean Mass Equation
RMR = (21.6 x Fat Free Mass in kg) + 370
Physical activity accounts for
20-30% of TDEE
Activity multipliers estimate
Caloric expenditure & need