Weight Management
Chapter 9
A Closer Look at Obesity
Overweight
 Obesity
 Societal trends

Increased opportunities for poor nutrition
 Decreased opportunities for physical activity

Problems Associated with
Weight
Problems of underweight
 Problems of overweight/obesity

What Is a Healthful Weight?
Body weight vs. body fat
 Measuring body fat

Underwater weighing
 BodPod
 Skinfold test
 Dual-energy X-ray absorptiometry (DEXA)
 Bioelectrical impedance

What Is a Healthful Weight?
Distribution of body fat
 Weighing in for health

Body mass index (BMI)
 Waist circumference
 Weight-related health problems & disease
risk factors

Energy Balance
Energy in vs. energy out
 Basal metabolism
 Voluntary activities
 Total energy needs

Causes of Obesity

Genetics
Set-point theory
 Leptin
 Fat cell theory


Environment
Causes of Obesity

A closer look at eating behavior
Hunger vs. appetite
 Regulation - hypothalamus
 Arousal
 Stress

Weight Gain & Loss
Body composition
 Weight gain

Carbohydrate to glycogen or fat
 Fat to storage fat
 Protein to fat

Weight Gain & Loss

Weight loss & fasting
Early fasting - glycogen & fat
 Continued fasting - protein & fat
 Prolonged fasting - ketosis

Weight Gain & Loss

Drugs & weight loss
Prescription & OTC drugs
 Nutritional supplements
 Herbal supplements


Surgery & weight loss
Gastric bypass
 Gastric banding
 Liposuction

Diet Confusion--Weighing the
Evidence

How do diets work?


By limiting food consumption
What are common diets?
Dr. Atkins New Diet Revolution
 The Zone Diet
 The South Beach Diet
 Weight Watchers

Diet Confusion--Weighing the
Evidence

What are common diets?
Dr. Ornish Eat More, Weigh Less
 Eat Right for Your Blood Type
 Dr. Phil’s Ultimate Weight Solution
 The New Glucose Revolution

Diet Confusion--Weighing the
Evidence

How can you determine if a diet is
healthful?


Questions to ask
Don’t give up!

Research diets that interest you carefully
using reliable sources
Never Say “Diet”
Adopt a nondiet approach to weight loss
 Set achievable goals
 Focus on health rather than appearance

Successful Weight-Loss
Strategies
Personalize your weight-loss plan
 Aim for gradual weight loss

Expect to reach a plateau
 Aim for a positive gain in lean body mass
 Maintain bone health by increasing calcium
intake


Adopt a physically active lifestyle
Aiming for a Healthy Weight
While Dining Out
Choose carefully
 Request sauces/condiments on the side
 Downsize your order
 Eat slowly & enjoy the meal
 Eating well on the run


Fast-food choices
Weight-Gain Strategies
Physical activity
 Changes in eating habits

Breaking Old Habits

Behavior modification
Set a goal & get to know yourself
 Change behaviors & reward yourself
 Plan to take small steps
 Give it a try & adapt your plan!
 Be prepared for a relapse
 Set priorities
 Consider the “rule of three”

Breaking Old Habits

Strategies for changing the way you eat





Record present eating behavior
Identify cues/situations that trigger inappropriate
eating
Make it easy for yourself to eat the way you want to
eat
Take a look at and alter the manner in which you
eat
Reward yourself for positive behaviors
Addressing Overweight in
Childhood
Prevalence of overweight in children
 Problems associated with overweight in
children
 Reasons for overweight in children &
adolescents today
 What children & adolescents eat & how it
affects their health

Addressing Overweight in
Childhood
Impact of the media on children’s nutrition
status
 Impact of schools on children’s diets



Efforts to help build more healthful school
environments
Prevention efforts recommended for
addressing overweight in children
The Eating Disorders
Types of eating disorders
 Eating disorders vs. disordered eating
 Symptoms of anorexia nervosa
 Symptoms of bulimia
 Treatment of anorexia nervosa & bulimia

The Eating Disorders
Early warning signs of eating disorders
 Prevention strategies
 Helping someone who might have an
eating disorder
