Chapter 9 Notes

Chapter 9 Notes - Adult Weight Management Criteria for...

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1 Chapter 9 Obesity Treatment NHM 101 Adult Weight Management • Criteria for choosing weight control programs: – Program claims, outcomes – Therapeutic approach • Describe 3 modes of therapy: – Lifestyle – Pharmacotherapy (drug intervention) – Surgical Obesity Treatment Pyramid Surgery Pharmacotherapy Lifestyle Modification Diet Physical Activity Diet and Physical Activity • Basic tenets of obesity treatment • More than knowing what to do • Complexities of obesity require multiple strategies and targeted therapies Dieting for Weight Loss • Calories In – Calories Out = +/- Weight Change – Calories do matter! – But excess calories can be negated by increased energy expenditure – Vitamin and mineral supplementation cannot make up fully for empty calories (nutrient poor foods) – Diet composition matters, too! • Encourage low energy dense foods. Is one option better than the other? • The dietary strategy should be individually tailored based on risk assessment, current behaviors, and weight loss goals. • Significant education regarding appropriate food choices is often necessary.
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2 Guidelines for Use of Drugs NIH Consensus Panel • Drugs will not eliminate the need to change lifestyle • Should be considered only after 4-6 months of lifestyle therapy • Should be considered as an adjunct to lifestyle therapy only for persons with: – BMI 30 with no comorbidities or risk factors – BMI 27 with comorbidities or risk factors • Hypertension, dyslipidemia (abnormal lipids), coronary heart disease, Type 2 diabetes, sleep apnea NIH Expert Panel Report, Am J Clin Nutr 1998;68:899-917 Orlistat (Xenical®) Efficacy • Produces maldigestion by inhibiting intestinal lipase • Resulted in 3% greater weight loss after 1 year
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This note was uploaded on 04/20/2008 for the course NHM 101 taught by Professor Baker- during the Spring '08 term at Alabama.

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Chapter 9 Notes - Adult Weight Management Criteria for...

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