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Self Care Exam II Overweight and Obesity
Terms in this set (75)
When energy intake is greater than energy expenditure there is an increase in
About how many calories is 1 pound of adipose tissue
What environmental factors can affect weight?
increased portion size
sedentary working hours
What genetic factors influence body weight?
balance of hormones and proteins
What is the formula for BMI
weight (kg) / height (m^2)
weight (lb) / heigh (in^2) x 703
A higher BMI is a risk factor for what diseases
type 2 diabetes
Body mass index may_ body fat in athletes and others with a _ build
Body mass index may _ risk in Asian and South Asian populations
What BMI is considered underweight?
What BMI is considered overweight?
What BMI is considered normal?
What BMI is Obesity Class 1
30 - 34.9
What BMI is Obesity Class 2
35 - 39.9
What BMI is extreme obesity?
40 or greater
What percentile is overweight
What percentile are people who are obese
95th and greater
At what waist circumference do men and women become at risk for type 2 diabetes and cardiovascular disease?
men greater than 40
women frater than 35
What is characterized by the presence of certain metabolic risk factors and has been associated with increased risk of coronary artery disease, other vascular disease, and type 2 diabetes
If a person has three or more of these characteristics, they are at risk for having metabolic syndrome
blood pressure level of 130/85 or higher
HDL less than 40 in men and less than 50 in women
Fasting serum glucose of 100 mg/dL or greater
serum triglycerides of 150 mg/dL
Waist circumference greater than 40 inches in men and 35 in women
What are lifestyle changes that can be made to battle overweight and obesity?
What are pharmacotherapy methods used to make lifelong changes in weight ?
What weight loss surgeries are typically used to make lifelong changes in weight
The initial goals of weight loss are to reduce body weight by ___ to ___% over a _ month time span.
5;10; 6 month
If the patient benefits off the first _% weight loss, further eight loss can me attempted.
What is the daily caloric allowance of a 30 year old man?
2400 - 3000 kcal/day
What is the daily caloric allowance of a 30 year old woman?
1800 - 2400 kcal/day
What is the formula for basal energy expenditure for men?
66.5 + (6.23 x weight in lbs) + (12.7 x height in in.) - (6.8 x age in year)
What is the basal energy expenditure formula for women?
655.1 + (4.35 x weigh in lb) + (4.7 X heigh in in.) - (4.7 x age in years)
What is the caloric need for people who are sedentary?
BMR x 1.2
What is the caloric need for people who are lightly active about 1 - 3 days a week?
BMR x 1.375
What is the caloric need for people who are moderately active about 3-5 days a week?
BMR x 1.55
What is the caloric need for people who are very active in hard exercise and sports 6-7 days a week?
BMR x 1.725
What is the caloric need for people who are extra active ?
BMR x 1.9
On average how many pounds a week does a person on a low calorie diet lose?
1 - 2 pounds/week
How many calories are in a LCD?
800 -1500 kcal/day
How many calories is in a VLCD?
800 or fewer calories
What type of diet is recommended for a patient with a BMI greater than 30
A VLCD should contain at lead _ g/kg of IBW of protein per day.
A person should consume no more than _% of total calories from fat.
A person should consume no more than _ to _% total calories from saturated fat.
A person should consume no more than _% calories from carbs.
What are examples of sugar substitutes?
Saccharin - Sweet 'n Low
Aspartame - Nutra Sweet
Acesulfame potassium - Sweet One
Scucralose - Splenda
What are examples of fat substitutes?
Microparticulated protein - Simplesse
Soluble fiber - Oatrim
Sucrose polyester - Clean
Meal replacement therapy replaces _ meals daily with a liquid drink, snack bar, or measured frozen meal.
The initial weight loss due in meal replacement therapy is due to
What weight loss method is expensive, more used by women than men, social support, and has data supporting use is sub-optimal and efficacy/cost
Children and adolescents should have about _ or more minutes of moderate or vigorous activity every day, and vigorous activity at least _ days a week.
Adults should have about _ minutes of moderate aerobic activity OR _ minutes of vigorous physical activity a week. This should be initially performed in at least 10 min or more increments.
Behavior therapy is important to evaluate a patient's
readiness for chance
What is the timeline of OTC medications?
1991 FDA banned 11 wight control ingredients in nonRx products
2000 Discontinuation of phenylpropanolamine products
2001 Ephedrine combined with a stimulant or analgesic could no longer be marked
2002 Stimulant laxatives banned in OTC drugs (aloe and cascara sagrada)
2004 Dietary supplements increase risk of illness or injury
Many of these may still me marketed in dietary supplements
This drug decreases absorption of dietary fats by inhibiting gastric and pancreatic lipase and inhibits hydrolysis of triglycerides
What is the dosage of Orlistat?
60 mg TID before meals containing fats
Most patients lose _ - _ pounds over _ months in clinical trials.
5; 10; 6
Orlistat may decrease the absorption of _ _ vitamins
What are the side effects of Orlistat?
Reduced absorption of the fat soluble vitamins
increased urinary oxalate
loose frequent stools
What are the drug interactions with Orlistat?
Patients should stop the use of orlistat and contact their PCP if the develop signs and symptoms of
loss of appetite
light colored stools
_% of adults trying to lose weight reported using a __ __.
34; dietary supplement
What herbal supplement is used in many reformulated products after ephedra ban
Bitter orange (citrus aurantium)
Synephrine is structurally similar to
Octopamine is structurally similar to
Bitter orange is often combines with sources of
Trials have reported that bitter orange has increases in ___ __ and __ __
heart rate; blood pressure
Fat and carbohydrate modulators claim to alter fat and or carbohydrate metabolism such as
Rhabomyolysis and renal failure has been reported with _ doses of herbal supplements
Guar gum, glucomannan, psyllium, and hoodia are examples of
appetite suppressants and satiety promoters
chitosan is an example of what?
fat absorption blockers
Kidney bean extract and mung bean extract are examples of
carbohydrate absorption blockers
dandelion and caffeine are examples of
Herbal therapy should be discouraged and is not appropriate if contraindications exist. True or False?
If patients insist on using herbal therapy, the pharmacist should
counsel them on the side effects and role in weight loss
monitor side effects
Reasonable foal is _% weight loss over _ months
The safest approach to weight loss is __ __ with increased physical activity
What is the key to maintaining weight loss
Patients should avoid all OTC drugs and supplements including Orlistat. True or False
False , Orlistat îs okay to use if it is not contraindicated
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