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A review for non-pharmacological management of obesity through diet, physical activity and lifestyle modification
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C:\Documents And Settings\Louay Labban Uok\Desktop\All\Obesity Management1
- 1. Non-pharmacological management of obesity Dr. Louay Labban, RD, FADA
- 3. ALL answers are Wrong
- 5. But why do you eat too much? You eat because you’re hungry. So fat people get hungrier than thin people?
- 6. Obesity vicious cycle Fat people eat more Fat people get fatter Fat people feel hungrier
- 7. Evolution 1
- 8. Evolution 2
- 10. Burger queen
- 14. Calories Reduction Dietary Physical Activity Non-drug Obesity management Life-Style modification
- 23. Expected weight loss in days Daily calorie deficit 5 pounds 10 pounds 15 pounds 20 pounds 25 pounds 200 87 175 262 350 438 400 44 88 131 176 219 500 35 70 105 140 175 700 25 50 75 100 125 800 22 44 66 88 109 1,000 17 35 52 70 88 1,500 12 23 35 46 58
- 30. Healthy snacks
- 31. Fad diets
- 32. Categorization of Diets by CHO and Fat Riley RE. Clinics in Sports Medicine . 18(3):691-701, 1999. Dean Ornish Diet <10% Fat Pritikin Diet <15% Fat Weight Watchers, Jenny Craig, DASH diet, Food Guide Pyramid 55-60% CHO <30% Fat The Zone Diet 40% CHO 30% Fat Carbohydrate Addicts Diet < 30% CHO Atkins (20-60g CHO), Protein Power (<60g CHO), VLCD-protein sparing modified fast < 20% CHO
Hinweis der Redaktion
- Here are some of the reasons I’ve been given over the years. In order of increasing politeness. Greed – implies you voluntarily stuff your face all the time because you really don’t care. Laziness – implies you can exercise weight off. That doesn’t work because if you exercise you develop an even bigger appetite. Fat people get more exercise than thin people anyway. No willpower – implies you can starve the weight off. No-one can do this unless it is enforced. Even then the weight will come back when enforcement stops. Low metabolic rate – implies thin people burn more fat than fat people. Demonstrable rubbish. There are good reasons why fat people have higher metabolic rates than thin people.
- And its all rubbish.
- Very difficult to eat when you’re not hungry. Most obese people have forgotten what its like not to feel hungry. They feel bloated or even nauseous after a big meal, but not satiated.
- So how do we maintain healthy weight in children ? – it’s all about balance. Simply, if a child consumes more energy, that is, kilojoules, than they use, the extra energy is stored as body fat. It doesn’t take much extra food intake each day to result in a substantial weight gain over a year. CLICK
- People often do not make the link between their simple habits such as drinking diet soda over regular and its impact on weight gain. By posting a simple chart, can make an impression and just may be an incentive to change a habit. It takes a decrease in 3500 calories to lose a pound. And to get there, every bit adds up. Every year, the typical American now consumes 149 pounds of caloric sweeteners, 54 gallons of soda and 200 pounds of mostly refined grains. Between 1977 and 1996, a typical salty snack rose from 132 calories to 225 calories; French fries from 188 calories to 256 calories; a hamburger from 389 calories to 486 calories; and a soft drink from 144 to 193 calories.
- Based on nutritional components Range from low CHO (High Pro and Fat) to low fat (high CHO) Protein sparing mod fast is low in CHO, high in PRO causing ketosis
- Stones (nephrolithiasis) excessive urinary Calcium excretion - decrease in urinary citrate due to decrease in GI alkali absorption from high PRO and decrease in dietary alkali sources (fruits and veggies) Osteoporosis – increase in urinary Calcium loss because: High protein increases renal calcium excretion (urinary calcium loss), because calcium is used as a buffer in metabolism of animal protein. (estimated 1 gram of excess protein, 1 mg increase in urinary calcium excretion). There is increased bone resorption without affecting rate of bone formation. Renal Insufficiency High protein could potentially hasten renal failure in patients with baseline renal insufficiency