INTERMITTENT FASTING Flashcards
(22 cards)
Surgery – Bariatric
Reduce size of stomach
* limit SI absorption
* short circuit > induce GLP1 much more
* accessible to those with obesity AND comorbidities
Problems with bariatric surgery
- Expensive
- Some people too overweight to undergo anesthetic
Medication
Good alternative to surgery
* side effects - nausea, vomiting
Ad libitum
free access to food
Simple method of calorie restriction
- Estimate ave. energy intake per day
- Decrease by some fixed amount
Physical Activity (PA) can be…
controlled
* Intensity
* Duration
* BW
* Genes
Resting energy expenditure (REE)
Keeps you alive (e.g. pump blood, brain function)
Diet induced thermogenesis (DIT)
Energy you have to burn in order to digest food
Which organ contributes the most to REE
Brain (19%) and Liver (18%)
Traffic Light Diet Categories for CR
Red - eat rarely (e.g. desserts)
Yellow - eaten judiciously (e.g. bread)
Green - eat freely (e.g. veg)
Very Low Energy Diets (VLED)
840 kJ per meal
* cost effective
* often in a bar or shake
* often for 12 weeks to a year
Problems with VLED
- Not suitable for ages > 65 or < 18
- If no fat is consumed, bile will build up in gall bladder > gall stones
How to combat problems with VLED
Take tablespoon of oil with meals
* eat cup of veg > fibre + keep microbiome happy
Very Low Energy Diet - 2520 kJ per day
> 80% reduction in energy intake
* up to 2.5kg weight loss per week
Ketogenic diet
0 carbs
* No insulin = lipolysis without restriction
* AA stimulate satiety signals
Intermittent Fasting (IF)
Every other day fasting
* Fed day = 6 meals
* Hard to do without feeling nasueous
5:2 diet
PER WEEK:
* 2x Fast day
* 5x Feast day
Time-restricted Feeding (TRF)
Cannot consume food outside time period
* psuedo calorie restriction
* cannot eat full 3 meals during eating window
Improvements based on duration of aerobic exercise per week
Weight loss (>300min)
Metabolic improvements (>150min)
Hopefully become more insulin sensitive
Cardiometabolic benefits of exercise
- Improved insulin sensitivity (esp right after)
- Improve BP and endothelial function
- Reduce inflammation
Musculoskeletal benefits of exercise
- Improved body comp
- Increase calorie expenditure and metabolic rate
- Improve bone health
Type of exercise needed to reduce visceral fat (ranked)
- Aerobic AND Resistance
- Aerobic
- Resistance (but growth of skeletal muscle)