Weight Management Prescription

Question 1

effective weight managment program

Answer 1

combo of reduced sed behaviour, regular PA and exercise, and dietary mod based on Canada’s Food Guide

Question 2

benefits of exercise in weight management

Answer 2

1. increase EE and creates neg E balance
2. promote fat loss while preserving FFM (better all cause mortality, and limits bone breakdown) unlike diet which results in FFM loss
3. maintain weight loss after dieting
4. increases resting metabolism due to greater muscle mass

Question 3

helping client understand dieting

Answer 3

1. there are risks to severe caloric restrictions and fad diets such as malnutrition and muscle loss
2. diet can achieve temp weight loss but will exp yo-yo effect since the underlying problem (disordered eating, sedentarism, etc) has not been addressed
3. diff between fat loss and weight loss, FFM weighs more than FM
4. use food labels and food guide to help client be aware of food intake

Question 4

effects of servere E restriction

Answer 4

1. body thinks it’s starving
2. resting metabolism decrease by 15% due to muscle loss
3. body gets efficient at using E to prevent loss of E sources
4. lethargy, decrease in activity

Question 5

weight loss strategies

Answer 5

exercise regularly, follow canada’s food guide, set realistic goals, consume more fruits and veg, increase water consumption since thirst and hunger cues go together; all for long term E regulation for health

Question 6

establishing weight loss goals for health

Answer 6

1. modest, realistic, and attaniable
2. health can be improved with relaitvely minor weight loss at 2-3 % body weight
3. reg PA without weight loss improves health risk by decreasing VAT

Question 7

healthy weight loss basics
1. how much weight should be lost
2. E balance
3. mixed results?

Answer 7

1. recommended max loss 1lb (3500 kcals), no more than 1 kg per week, set realistic short term goals and readjust based on changes, set re-appraisal date to monitor chnages in BMI and WC
2. recommend decrease EI and increase PA by 250 kcals/day
3. weight loss may not occur as quickly as desired because non-fat mass weighs more than fat and muscle may increase with PA since goal is to decrease adipostiy