advancedacupuncture.com

1. Natural Weight Management
AAI wellness Class 2007

2. Metabolic Rate Measurements
 Metabolic rate =
Calories burn rate
 Energy expenditure :
1) Resting calories (70-80%)
2) Activity Calories
3) Exercise Calories

3. Why stomach is acidic?
 Saliva: pH=6.0-7.0
 Stomach: pH=2.0-2.5
it contains:
1) Pepsin
2) HCL
3) Intrinsic factor
4) Lingual ligase

4. Digestive Enzyme
= 30 g/day secreted
 Protein Proteases
 Starch Glycosidases
 Triglycerides Lypases
 Nucleic Acid Nucleases

5. Basal Metabolic Rate (BMR)
 Female:
0.9 kcal/kg/hour X 24= 21.6kcal/kg/day
= 9.8kcal/lb/day
 Male:
1.0 kcal/kg/hour X 24= 24.0kcal/kg/day
= 10.9kcal/lb/day

6. Total Energy Requirement
 BMR= Weight X
9.8 /10.9 kcal
=
 Thermic effect of food
= 10 %
 Physical activity
= 20%(stationary)
= 50% (heavy work)

7. Total Energy Output (TEO)
 BMR= 9.8 cal X
=
10.9 cal X
=
 TEF= 10 % of food
consumed
=
 PAC=BMRX 20-50%
=
 TEO= BMR + TEF + PAC
=

8. Energy Balance
 The body gains or
loses fat based on
energy balance
 Energy intake=
Energy expenditure
 3 states:
1. Normal
2. Negative
3. Positive

9. Protein 4 calories/gram
 RDA: 10-15 % of total
calories
 Adult: 1.76cal/lb/day
 Athletes:3.52/cal/lb/day
 To build up new proteins
 To replace worn out ones
 Essential amino acid come
from food (at least 20, 10 for
children, 8 for adults
 Adults:Isoleucine, leucine,
lysine, methionine,
phenylalanine, tryptophan,
valine,
 Children: Argnine and histidine

10. Carbohydrates: 4 calories/g
 RDA: 55-60% of total
calories
 Sugar: 10 % of total
calories
 Protein-sparing action
 Antiketogenic effect of
CHO-ketosis
 CNS glucose
dependent
 Sources for fiber

11. FATS: (Triglycerides) 9 cal/gram
 RDA: 30 % of total
calories
 10% polyunsaturated
 10 % saturated
 10 % monounsaturated
 To provide energy source
 3 essential fatty acids
 Fat soluble vitamins only be
absorbed in the presence of fat
in the intestine
 Used for making hormones
and essential cell structures.

12. Unsaturated fats: Cis & Trans?
 Cis fatty acid
double bonds are
present in naturally
occurring fatty acids.
Low melting point.
 Trans fatty acids:
double bonds
occurring in
hydrogenated fats
(peanut butter,
margarine)

13. Body Fat Classification
Female:
Lean < 8%
Healthy <15%
Mild over fat <16-19%
Over fat <20-24%
Health Risk > 24%
Your body Fat:____%
Male:
Lean <15%
Healthy <15-23%
Mild over fat <24-27%
Over fat <28-33%
Health Risk > 33 %

14. Body Mass Index
Status Men Women
Underweight <20.7 <19.1
Acceptable
weight
20.7-27.8 19.1-27.3
Overweight >27.8 >27.3
Severe
overweight
>31.1 >32.3
Morbid Obesity >45.4 >44.8

15. How many calories of fat can eat per
day?
To Maintain weight:
a) Your weight_____lbs
b) X 13= _______ cals
(at rest)
c) X 0.20=______ cals
(from fat)
d) /9=________g
(fat gram/day)

16. How many calories can you eat/day to lose fat?
To lose fat:
a) Your weight_____lbs
b) X 13 =
cals
c) -500 cals = ______
d) X 0.20 =
e) / 9cals/g= g
fat gram allowed/day

17. How many calories does exercise burn?
 Walking 1 mile
=100 cals
 Calories in 1pound of
body fat
=3500 cals
 Miles needed to walk/run
to burn 1 lb of body fat
= 35 miles

18. How long should you exercise?
 Start: 5-10 min.
 Increase: add 2-5
min/day, until reach
40-60 min.
 Maintain: 40-60 min.
until you reach desired
weight goal.
 Begin 3 days per week
gradually increase to 5
days per week.

19. Case study ( sample calculation)
 A female,54 years old
 Weight =146 lb
 Consumes2,236c/day
 Protein=58 g
 Fat=99.5 g
 CHO=263 g
 Calcium=800 mg
(RDA= 1200mg/day)

20. Evaluation of case study
 Protein= 58g x 4cal/g
=232 cal/2236
=10.4%(10-15)
 Fat =99.5 g x 9 cal/g
=895.5 cal/2236
= 40% (30%)
 CHO= 263g x 4cal/g
= 1072 cal/2236
= 48% (55-60%)

21. Recommend Daily Allowence
(RDA)
Energy Values:
 FAT = 9 cal/g
 Protein = 4 cal/g
 CHO = 4 cal/g
RDA:
 FAT 20-30 %
 Protein 10-15 %
 CHO 55-60 %

22. Calories Reduction:
-Calculate the % how to reduce the fat/calories
 BMI= weight/height= 146lb/64in=2.28lb/in
 BMR=146lb X 9.8cal/lb=1430.8cals
 Physical(20)+Themic(10)= 30%Z X = 429.24cals
 Total energy esxpenditure=1430.8 + 429.24 =1860 cals
 Loss 1lb of adipose tissue= 450g X7.8cal/g=3500cals
 Wants reduce 2lb/wk=3500cals X 2= 7000cals/wk
 Cals reduce per day=7000cals/7days=1000cals/day
 Limitation per day=1860-1000= 860 cals/day
 Fat=30% X 860 =258/9=29g /day
 Protein=15 % X 860=129/4=32g/day
 CHO=55 % X 860=473/4=118g/day

23. Fat loss Summary
 Consume less fat ( < 20 % of total
calories)
 Absorb less fat by add fibers
 Reduce 500 calories/day
 Use antioxidants to neutralize free radicals
release
 Exercise 3-5 days per week.
 Seek professional help if you are in health
risk

24. Daily Reference Value
1500 calorie diet
 Fat= 50g
(30%X1500cal/9cal/g)
Saturated = 15 g
Unsaturated= 35 g
 Protein=37.5- 56.25 g
(10-15% X1500c/4cal/g)
 CHO =206-225 g
(55-60%x1500c/4cal/g)

25. Develop your own free diet plan
5 steps:
1. Estimate calorie requirements for your present weight
2. Roughly calculate your present calorie consumption by
recording food consumed in an average day
3. Start the free diet plan by reducing you present daily
calorie intake by 500 calories
4. When weight loss slows reduce calorie consumption by a
further 100cal/day
5. A free diet plan should consist of mainly natural foods
low in calories and high in nutrients to help avoid any
nutrient deficiency

26. Calculate
the energy value of a meal
C a lc u la te
C H O
3 0 g X 4 c a l/g
= 1 2 0 c a ls
P R O T E I N
2 0 g X 4 c a l/g
= 8 0 c a ls
F A T
1 0 g X 9 c a l/g
= 9 0 c a ls
T h e t o t a l e n e r g y
v a lu e o f a m e a l
1 2 0 + 8 0 + 9 0
= 2 9 0 c a ls

27. Basic Diet Plan
Breakfast
8 ozofskim milk
1 poachedegg on 1slice toast
4 ozoforangejuice
Lunch
Largesalad oflettuce,tomato,celery,radish,cucumber
1 sliceamericen chees,1 smalllmufinorroll
1 cup ofmilkortea,1/2cup unsweetenedapple sauceorpear
Dinner
Bouilon,4ozleanmeat,fish orfowll
1 cup brussselsprouts,1/2cupcarrits,
1/2cup pineapple,teaorcoffee
BasicDiet
1000calories

28. Our refreshment today
 Protein = g X4cal/g
 Fat= g X 9cal/g
 CHO= g X4cal/g
 Total energy value
= g + g + g
=

29. Healthy Weigh Loss
 Healthy fat loss:
2 lbs/week by dieting and
exercises
Combine with our natural
weight management
program
3-5 lbs /week

30. Top 10 Satiating Foods
Soup-Pennsylvania state university found
two soups/day for weight loss average 16
lbs/year
Salad-Research from Penn State shows
people who eat salad at the start of a meal
wind up taking in fewer calories
Eggs-University of washington found who
eat 30% protein diet less 44 calories than
the 40%
Grapefruit-98 percent water and only 39
calories.
Fish-cooked white fish is proven to keep
you full
Oatmeal-providing more protein per serving
than any other grain as well as a good dose
of fiber
Beef-Partner beef with a high fiber side dish
(wild rice or bulgur)
Beans- global nutrition research shows that
high fiber foods are processed slower and
last longer in the stomach
Popcorn-Keeps your mouth moving longer
than the same amount of calorie of other
snacks
Apples- high water content means you get
more food for less calories.

31. Natural Weight Management
 Initial evaluation &
differential diagnosis
 Individualized treatment
plan to treat “root”
 Speed up metabolic rates
 Natural protocols of
1) Acupuncture
2) Auricular therapy
3) Herbal formula
4) Herbal wrap & cream
5) Qi Gong therapy

32. Obesity Treated by Auricular Acupuncture
 60 patients diagnosed as
pathological obesity (20
% > normal weight)
 Each patient measured
body weight, Bp, glucose
& lipids level
 Auricular points with
electrical stimulation for
20 min. each session
 Treatment was given
three time a week for
1month.
 The average weight loss
was 12 lbs.( 3lbs/week)

33. Herbal Seed- Lose water and lbs
 Semen Vaccariae
Segetalis
 Function & clinical
use: Moves blood
and promotes
circulation and
diuretic functions
 Contraindication:
pregnancy

34. Slim Crystal
-natural herbal beverage to lower fatty acid
 Active ingredients:
Fructus crataegi, Fructus Forsythiae
Trichosanthis, Radix Astragl,Porio
Cocos,Semen Plantaginis.Glycyrrhizae
 Functions:
Effect on lipid metabolism:
Fatty enzymes dissolves fat acid chain.
It lower the serum cholesterol and
triglerceride level. In the clinical trial
studies, it found to lower the lipids level
with one to two month of dosage.
 Dosage:
1 bag a day, divide two time to drink,
dilute with warm water.

35. Slim Capsules
 Active ingredients:
Fructus crategi, Massa Fermentata
Semen Raphani, Pericarpium citri pee,
Rizoma Pinella,Poria Cocos.Fructus
Forsythiae, Ginseng
 Functions:
Metabolic effect: Suppressing the
appetite and increasing protein
syntheisis
Lipid effect:: Lower cholesterol
Effect on stress: anti-stress by
stimulates serotonin release
Gastrointestinal effect: It prevent on
peptic ulcer and gastrictitis

36. Oprah’s Weight Loss Tip
-you can too
 Authentic premium
Chinese Slimming
Tea
 Most effective weight
loss
 Benefit the digestion
 Lower the serum
lipids level
 Increase HDL, lower
LDL.

37. Passion Green Tea
 Ingredients:
Green tea leaves,
1 of Oroxyli Indici
flower
2 of Golden Lily flowers
 Functions:
1) Benefits heart functions
2) Nourishing skin
3) Regulate lipids level.

38. Outstanding Green Tea
 Ingredients:
Young green tea leaves,
8 of Jasmine flowers and
1 of globe amaranth flower
Functions:
1) Nourishes and hydrates skin,
2) Brightens eyes
3) Protects liver and
4) Reduces lipids level.

39. 8 secrets of burn more calories
1. Eat right-calculate
your food calories
5. Sleep well-increase
your metabolism
2. Green Tea-
Antioxidant, lower LDL
6. Taking adequate
nutrition and vitamin
(magnesium 400 mg/day)
3. Balance your energy
Intake= or < than
expenditure
7.Avoid high potency
estrogen ( retains salt
and water)
4. Exercises moderate 8. Do not on diet- only
imbalance your system