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Nutrition Ch. 14

Nutrition Chapter 14

QuestionAnswer
1. Carbohydrates make people fat. 1. FALSE. The body converts calories consumed in excess of need to body fat, whether those calories are from carbohydrates, protein, fat, or alcohol.
2. People shaped like “apples” have greater health risks than people shaped like “pears.” 2. TRUE. Although the mechanism is not clear, people of either gender with a high distribution of abdominal fat (“apples”) have a greater health risk than people with excess fat in the hips and thighs (“pears”).
3. Anyone with a high body mass index (BMI) is at risk for health problems. 3. FALSE. BMI can be elevated for reasons other than excess fat such as large muscle mass.
4. Inactivity is a major cause of obesity in Americans. 4. TRUE. Physical inactivity, as well as overeating, are major contributors to obesity.
5. Obesity-related health problems improve only after BMI is lowered to normal. 5. FALSE. Obesity-related problems improve or are resolved with a modest weight loss of 5 to 10% of initial weight even if healthy weight is not achieved.
6. If a person will try only one strategy, lowering calories is more effective at promoting short-term weight loss than increasing activity is. 6. TRUE. Most short-term weight loss occurs from a decrease in total calorie intake. Physical activity helps to maintain weight loss.
7. Even if weight loss does not occur, increasing activity helps to lower blood pressure and improves glucose tolerance. 7. TRUE. With or without weight loss, an increase in physical activity helps to lower blood pressure and improve glucose tolerance.
8. People who eat fewer than 1200 cal may need a multivitamin and mineral supplement. 8. TRUE. Eating plans that provide less than 1200 calories may not provide adequate amounts of essential nutrients.
9. For weight loss, it is better to cut carbohydrates than to cut fat grams. 9. FALSE. Neither cutting carbohydrates nor cutting fat grams ensures weight loss unless total calories are reduced. There is no magic combination of nutrients that causes weight loss independent of reducing calories.
10. Bulimia poses fewer nutritional problems than anorexia does. 10. TRUE. People affected by bulimia tend to have fewer medical complications than those affected by anorexia because the undernutrition is less severe.
Storing a disproportionate amount of total body fat in the abdomen increases risks for what type 2 diabetes, dyslipidemia, hypertension, and cardiovascular disease.
Men with a waist circumference greater than ?? inches and women with a waist circumference greater than ?? inches are at increased risk for health problems associated with central adiposity. Men 40 inches Women 35 inches
Percent of Americans that claim to be active for 30 minutes/day? 22%
A better alternative is a commitment to? A lifestyle change that is permanent
Self-monitoring eating involves recording the how, what, when, where, and why of eating to provide an objective tool to help identify eating behaviors that need improvement.
Stress management involves using strategies such as meditation and relaxation techniques to lower stress, which may improve eating behaviors.
Stimulus control involves avoiding or changing cues that trigger undesirable behaviors (e.g., keeping “problem” foods out of sight or out of the house) or instituting new cues to elicit positive behaviors.
Obese clients should change their activity patterns how? slowly, gradually increasing the frequency, duration, and intensity of exercise.
Four things to do to promote weight loss? 1. Replace “bad” fats with “good” fats but use “good” fats in moderation. 2. Choose carbohydrates carefully. 3. Get enough calcium. 4. Be flexible in the approach.
Morbid Obesity BMI > 40, or about 100 pounds of excess weight for men, 80 pounds for women.
Two Drugs approved for the treatment of morbid obesity? Sibutramine & Orlistat
Anorexia Nervosa (AN) a condition of self-imposed fasting or severe self-imposed dieting (clients weigh less than 85% of expected weight, which translates to a BMI of 17.5 or less for adults (>20 years old
Bulimia Nervosa (BN) an eating disorder characterized by recurrent episodes of bingeing and purging
What is the percent of eating disorders that occur in adolescence? 85%
What is the percentage of eating disorders attributed to women? Peak Years? 90-95% 12-13 y/o and 19-20y/o
Refeeding Syndrome a reaction to overfeeding characterized by sudden and sometimes severe hypophosphatemia, sudden drops in potassium and magnesium, glucose intolerance, hypokalemia, GI dysfunction, and cardiac arrhythmias.
Created by: cspearsall
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