SIR BEVS DISCUSSION

Question 1

What causes Overwt and obesity?

Answer 1

Biology
Environment
Medications and Wt. Gain

Question 2

_____ of adolescent females report dieting in 2015 when _____ are overwt or obese (Kann et al, 2016)

Answer 2

60%
< 30%

Question 3

Accog to Golden et al, 2016, _____ has shown to be a predictor of development of an eating d/o

Answer 3

dieting

Question 4

are more likely to engage unhealthy dieting behaviors

Answer 4

overwt adolescent

Question 5

the accumulation of excess fat around the midsection of the trunk vs. the hips.

Answer 5

Abdominal obesity

Question 6

In the US, _____ of adults are overwt/ obese (CDC, 2016)

Answer 6

> 70%

Question 7

is associated c increased mortality.

Answer 7

morbid obesity

Question 8

Improving clinical parameters (such as improved blood sugar & lipids), can be accomplished c as little as a _____ wt. reduction (Jensen et al,

Answer 8

3% -5%

Question 9

having more body weight than is considered normal or for a healthy individual

Answer 9

overweight

Question 10

this is a medical condition involving excess body fat that increase the risk of health problems

Answer 10

obesity

Question 11

What are under assessment

Answer 11

physical
medical hx
nutrition
motivation & readiness for change

Question 12

Tx Options

Answer 12

a. Intervention for wt control depends on the results of the assessment
b. Population specific
c. Motivation & readiness to address wt management should be understood

Question 13

near starvation to merely subtracting 500-1000 calories from an indiv baseline daily energy needs

Answer 13

Low Calorie Diets

Question 14

Reduced Kcalorie diets result in wt loss regardless of composition

Answer 14

Altered fat, CHO, CHON DIETS

Question 15

What medications are used for nutritional interventions

Answer 15

Orlistat
Lorcaserin
Naltrexone-buprion
Liraglutide

Question 16

Orlistat works by causing ____ rather than absorption

Answer 16

excretion

Question 17

term used that encompasses all types of intestinal surgeries performed to foster wt loss

Answer 17

bariatric

Question 18

More recent term for treatments to foster wt loss

Answer 18

metabolic surgery

Question 19

_____ can alter gut hormones associated with satiety and reduced dietary restraints

Answer 19

stress and lack of sleep

Question 20

Calorie-balance equation

decrease in expenditure of energy but there is an increase of calorie

Answer 20

Imbalance

Question 21

What are the advantages of metabolic surgery

Answer 21

Improvements in sleep apnea, hypertension, and degenerative joints

Question 22

What is the disadvantage of metabolic surgery

Answer 22

remission of type 2 diabetes

Question 23

What are the types of Surgery?

Answer 23

Restrictive
Restrictive/Malabsorption

Question 24

reduce the size of gastric reservoir > weight loss

Answer 24

Restrictive

Question 25

What are the procedures under restrictive surgery

Answer 25

Adjustable gastric banding Vertical gastric sleeve

Question 26

reduce the intestinal absorptive surfaces to foster weight loss

Answer 26

restrictive/malabsorption

Question 27

What are the procedures under restrictive/malabsorption

Answer 27

Roux-en-Y Biliopancreatic diversion (BPD)

Question 28

Categorized as psychiatric illnesses

Answer 28

eating disorder

Question 29

Physical activity recommended for school age children

Answer 29

1 hr per day *less than 1/3 actually met the reco

Question 30

Physical activity reco for adults

Answer 30

150 mins per week

Question 31

clinical eating disorder diagnoses are based on the

Answer 31

DSM-5 criteria

Question 32

Significantly low weight vs. expected for age, gender, and developmental stage resulting from energy restriction

Answer 32

Anorexia nervosa

Question 33

characterized by habitual intake of low cost high fat foods and possible physiological adaptation to periodic hunger from lack of food

Answer 33

Hunger-Obesity Paradox

Question 34

A BMI ____ is considered the most extreme severity classification (Anorexia nervosa)

Answer 34

<15

Question 35

Laboratories in Anorexia Nervosa

Answer 35

Usually within normal limits (WNL) Increase Cholesterol Anemia Altered thyroid function

Question 36

With medication and wt. gain, what meds?

Answer 36

antipsychotropics meds (cozatine) olanzapine

Question 37

Normal or above normal weight, weight fluctuations Bingeing over a short period of time with a sense of loss-of-control, followed by inappropriate compensatory behaviors at least 3 times a week for 3 months

Answer 37

Bulimia Nervosa

Question 38

What are the laboratory values of bulimia nervosa

Answer 38

Dehydration Low Potassium with vomiting or laxative abuse Low Chloride w/chronic laxative or diuretic use • High Bicarbonate from vomiting or chronic diuretic use

Question 39

A broader term including male athletes and a wider range of symptoms associated with low energy availability.

Answer 39

Relative Energy Deficiency in Sports

Question 40

BMI of morbid obesity

Answer 40

40 Bmi

Question 41

Occurs when energy expenditure exceeds energy intake.

Answer 41

low energy availability

Question 42

Consists of low energy availabilily, reduced bone mineral density, and amenorrhea.

Answer 42

female athlete triad

Question 43

What are the three physical parameters

Answer 43

BMI waist circumference Body fat percentage

Question 44

Normal sugar for Type 1 diabetes

Answer 44

80-130

Question 45

Children sugar

Answer 45

90-120

Question 46

Pregnant sugar

Answer 46

Less than 90

Question 47

65 older

Answer 47

80-180

Question 48

Normal without diabetes

Answer 48

70-90

Question 49

Starvation

Answer 49

200-800 kcal per day

Question 50

Anything above 800

Answer 50

Low calorie diet

Question 51

greater than 50 % as CHO and 25-35 % as FATS

Answer 51

Moderate to high fat carb

Question 52

< 25 % fat but high in carbs and high in fiber

Answer 52

Very low fat or low fat diet

Question 53

an obsession with eating healthy food

Answer 53

Orthorexia

Question 54

can happen when someone who has been malnourished begins feeding again

Answer 54

Refeeding syndrome

Question 55

Overweight and obesity is labeled as

Answer 55

Epidemic

Question 56

Is recommended to compensate for decreased absorption of fat soluble vit

Answer 56

Daily multivitamins

Question 57

Orlistat is not safe for children under

Answer 57

12 yrs old

Question 58

Eating disorder occur primarily in ___ and ___ but are found in individuals across the lifespan

Answer 58

Adolescents and young adults

Question 59

What Neurotransmitters are involved in eating disorder

Answer 59

Dopamine and serotonin

Question 60

Weight restoration of anorexia nervosa

Answer 60

0.5-1 lb per week outpatient 2-3 lb/week inpatient

Question 61

Is considered the extreme severity classification of bingeing

Answer 61

> 14 times per week

Question 62

Binge eating is associated with

Answer 62

Eating in secret

Question 63

are molecules that provide starting materials for bioenergetic reactions, including phosphagens (ATP and creatine phosphate), glucose, glycogen, lactate, free fatty acids and amino acids.

Answer 63

Energy substrates

Question 64

Symptoms if female athelete triad

Answer 64

Eating disorder Osteoporosis Amennorrhea

Question 65

What vitamins is recommended for anorexia nervosa

Answer 65

Vitamin D

Question 66

if a food does not contain nutrients or if the calories from sugar and fats outweigh the nutrients found in the food

Answer 66

Empty calorie foods

Question 67

is a type of eating disorder that is characterized by hyperphagia in the evening with 25% or more of daily caloric intake after dinner with not less than two nocturnal awakenings during the week to eat food

Answer 67

Night eating syndrome