Met 2: Dietary Tx of Obesity

Question 1

A body weight loss of _____% is enough to improve outcomes!

Answer 1

A body weight loss of 5-10% is enough to improve outcomes!

Question 2

Patients with obesity have _____ resting metabolic rate and _____ total energy expenditure than lean patients.

Answer 2

Patients with obesity have higher resting metabolic rate and higher total energy expenditure than lean patients.

*The idea that they have “slow metabolism” is really not correct

Question 3

Fill in the sentence with the best term:

Can we talk about your _______?

Answer 3

Can we talk about your weight?

*Patients do not prefer “obese”

Question 4

Which is preferred:

obese patients or patients with obesity?

Answer 4

Patients with obesity

Question 5

What macronutrient content is best for weight loss?

Answer 5

Macronutrient content of your diet does not affect weight loss

Question 6

How is metabolic rate affected by

Question 7

Define energy density

Answer 7

kcal / g of food

Question 8

How does intermittent fasting compare to daily calorie restriction?

Answer 8

Intermittent fasting produces equal weight loss to daily calorie restriction (if total calories consumed in each is the same)

Question 9

How does meal timing affect weight loss?

Answer 9

Moving large meals earlier in the day is better (large breakfast, small dinner)

Question 10

High intensity programs must have ___________ feedback

Gold standard for weight loss therapy is ______________

Answer 10

High intensity programs must have individualized feedback

Gold standard for weight loss therapy is in-person programming

Question 11

How does physical activity affect short-term weight loss?

Answer 11

Physical activity does not increase weight loss short term weight loss (first 6 months)

Question 12

Why is physical activity important in long-term weight loss?

Answer 12

It helps preserve non-fat (lean) body mass, which is needed to keep metabolism up.

Question 13

What are the physical activity recommendations for general public?

Answer 13

• 30 minutes per day 5x a week of moderate/vigorous aerobic activity
• AND 2 days per week of resistance training

Question 14

Why is weight loss maintenance so difficult? (2)

Answer 14

• Muscle becomes more efficient (burns fewer calories and stores nutrients more readily)
• Ghrelin levels are higher (hungrier)

Question 15

What should the calorie deficit be for weight loss?

Answer 15

Deficit of 500-1,000 kcal per day

Question 16

What type of diet is commonly reported in the Weight Control Registry?

Answer 16

low-fat diet