OBESITY

Question 1

Obesity is a complex web of factors. List some of these

Answer 1

• biological - genetics and health
• environment - influence on activity, influence on food choice
• society - media, culture, peer pressure
• psychology - eating behaviour

Question 2

Leptin, ghrelin, GLP-1 and CCK are involved in hunger control. Explain how

Question 3

Explain what is meant by the term metabolic syndrome

Answer 3

Cluster of risk factors associated with an increased risk of diabetes mellitus and cardiovascular disease

Diagnosed by presence of three or more of the following risk factors -
- large waist circumference
- high fasting blood glucose / insulin resistance
- low levels of HDL
High levels of triglycerides
- high blood pressure

Question 4

What are the 5As to consider in the dietetic assessment of a person living with obesity

Answer 4

• ask for permission to discuss weight
• assess obesity related risk and potential root cause
• advise on obesity risk discuss benefits and options
• agree on realist weight loss expectations and on a SMART plan
• assist in addressing barriers and facilitators

Question 5

What’s the transtheoretical model for change

Question 6

Explain the theory of planned behaviour and the health belief method

Question 8

criteria for diagnosis for metabolic syndrome

Answer 8

At least 3 of the 5 following criteria
- abdominal obesity - waist circumference of >102cm in men and >88cm in women
- hypertriglyceridemia - >150mg/dl
- low HDL-C - <40mg/dl in men and women<50g/dl in women
- high blood pressure - >130/85mmHg
- high fasting glucose - >110mg/dl