Causes/Physiology
Consequences
Counseling Strategies
Lifestyle Interventions
Beyond Lifestyle
100
What is the chemical sent by adipose tissue to the brain to communicate the state of the body's fat stores?
Leptin (see green slides)
100
Obesity-related preventable illnesses in the U.S. cost 66 billion/yr, but obesity costs us an additional 390-580 billion per year. How?
Lost productivity. (gray slide)
100
What is an appropriate strategy/role for the provider when a patient is in the precontemplative stage of change?
Provide information about the risks and benefits of health behavior. ("Would you like information on the health risks of obesity?")
100
What information do you need to calculate a person's daily calorie needs?
Age, gender, height, weight, estimate of activity level, and whether pregnant or lactating. (see yellow slides)
100
How does stress affect weight?
Cortisol stimulates appetite, and especially carb cravings.
200
What is the simple equation most commonly used to explain weight gain?
calories in > calories out (go to slide 2)
200
What three factors prenatally are known to increase a child's obesity risk?
Smoking. Excessive weight gain. Gestational diabetes.
200
How would you address a patient in "contemplative" stage?
Explore barriers. Discuss benefits. Discuss what would need to change.
200
Kids over age 2 should be limited to 2 hours or less of what daily activity?
TV
200
How does sleep affect weight?
Sleep deprivation leads to lower ghrelin and higher leptin.
300
What is the number of calories in a plain bagel today? For reference, 20 years ago a bagel contained 140 calories.
350 calories (see purple slide)
300
The National Weight Control Registry reports that those with successful weight loss exercise, on average, how many minutes per day?
60 minutes (see slide)
300
What are the 5 A's, used in health coaching?
Assess Advise Agree Assist Arrange
300
Does eating fat make you fat?
Carbs drive insulin, and insulin drives fat accumulation. There is no direct correlation between fat content of the diet and weight status or gain.
300
Name 4 types of bariatric surgery available in the U.S.
Adjustable Gastric Banding. Sleeve Gastrectomy. Roux en Y Gastric Bypass. Biliopancreatic Diversion with Duodenal Switch. (see brick red slides)
400
Three or more of these risk factors gives a person the diagnosis of metabolic syndrome.
See pink slide.
400
What affect does a low fat diet, high in simple carbs, have on lipids?
High TG, low HDL. Low fat may decrease LDL and TC.
400
How much "Intensive Behavioral Therapy for Obesity, done by the PCP, is covered by Medicaid/Medicare?
A LOT! 20 visits in just ONE YEAR. With NO co-pay or deductible. (see brown slide)
400
What is a low GI diet and what are its benefits?
See orange slide
400
What medications are prescribed for weight loss?
See white slides.
500
What factors in the environment affect weight regulation?
Availability of healthy foods. Safe, enjoyable places to recreate. Learned family habits. POPs increase diabetes risk, regardless of BMI.
500
Besides promoting weight gain, high GI (i.e. high sugar, high processed carbs) diet is linked to what disease of the eye?
age-related macular degeneration (and mixed studies on cataracts)
500
What is a SMART goal? And give us an example.
Specific. Measurable. Attainable. Realistic Timely
500
Do diets work?
Yes! As long as they are followed.
500
What lessons did we learn from National Geographic's study of the Blue Zones?
Blue Zones are where people live long, healthy lives. See dark green slide.
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