Nutrition

Question 1

T/F There are more overweight & obese Americans than those of normal weight.

Answer 1

TRUE

Question 2

What percentage of children are obese?

Answer 2

ages 2-19
7%
12.5 million

Question 3

In preschool age children how many children are obese?

Answer 3

1/7

Question 4

Who is more common to be obese?
Hispanic Boy/White Boy
African American Girl/White Girl?

Answer 4

Hispanic Boy

African american girl

Question 5

T/F Obesity costs a lot of money for the American healthcare system.

Answer 5

TRUE

Question 6

At the end of the day: what causes obesity?

Answer 6

an excess of energy intake over expenditure

Eat less, exercise more

Question 7

T/F There has been a sharp decrease in the number of calories available in the food supply.

Answer 7

False.
used to be 3200 calories/day per person available
now is around 3900 calories/day per person available

Question 8

What are the top 5 sources of calories in U.S. Diets?

Answer 8

Grain-based desserts
yeast breads
chicken & chicken mixed sites
sodas, energy & sports drinks
pizza

Question 9

T/F Most Americans don’t recognize that excess calories cause excess weight.

Answer 9

TRUE. A lot of people don’t even know what their calorie budget is or how many calories are in foods…

Question 10

T/F Weight gain is caused by the type of food you choose to eat.

Answer 10

False. It is how much you eat…

Although it is important what you choose to eat…

Question 11

T/F Some foods, like @ heart attack grill are so high in calories you couldn’t possibly offset it with exercise.

Answer 11

TRUE…many dishes significantly over 2000 calories…

Question 12

Lifestyle therapy is important for which patients?

Answer 12

Those who are obese, BMI>30 & those who are overweight with a comorbidity or even normal weight with a comoribidity.

Question 13

What does lifestyle therapy include?

Answer 13

motivational interviewing, planning, help w/ diet & physical activity etc.

Question 14

What was the Diabetes Prevention Program?

Answer 14

weekly meetings
150 minutes of activity/week
goal: lose 7% of body weight

Question 15

Lifestyle intervention reduced the incidence of diabetes by what %? What about metformin?

Answer 15

58%!

Metformin caused a decreased incidence of 31%

Question 16

What length of lifestyle intervention is necessary for success?

Answer 16

probably years & years…

at least once a year…annual visit

Question 17

Does it help when physicians recommend & counsel patients in losing weight?

Answer 17

YES! Increases desires & attempts

Question 18

What percentage of doctors talk to patients about BMI?

Answer 18

29% of physicians

Question 19

What percentage of doctor visits include taking weight & height?

Answer 19

1/2

Question 20

What percentage of obese patients are diagnosed as obese?

Answer 20

70%

Question 21

What are the best terms to use? Worst terms?

Answer 21

Best: unhealthy weight, overweight, weight outside of healthy range
Worst: morbidly obese, fat

Question 22

If patients feel stigmatized, what percentage of them will return?

Answer 22

like 75%…25% ish will seek a new doctor.

Question 23

T/F Some insurance companies cover the cost of obesity treatment.

Answer 23

TRUE

Question 24

What is the national weight control registry?

Answer 24

a huge database of people who have lost weight & been successful at keeping it off for years…
can look at what they do!

Question 25

What are some easy wins?

Answer 25

• Prescribe less sugar Sweetened Beverages
• no juices, no sports drinks
• Prescribe fruits & vegetables
• Prescribe a meal replacement
• lean cuisine or thick shake
• prescribe a pedometer
• decrease foods consumed away from home

Question 26

How many things should you give to patients to work on with each visit?

Answer 26

usu only one thing @ a time

Question 27

If you are trying to lose weight…should you drink organic orange juice?

Answer 27

NO

Question 28

Should you write down the “eat 5 cups fruits & vegetables” on a prescription pad or loose leaf piece of paper?

Answer 28

On a prescription pad–>has more power!

Question 29

How many calories do you need to not eat or burn off to lose a pound?

Answer 29

3500 calories=1 pound.