N16 Ch.6

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lvn2011
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35173
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N16 Ch.6
Updated:
2010-09-16 17:16:00
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N16
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Nutrition Ch.6 Obesity
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  1. medical problems associated with obesity
    hypertension, dyslipidemia, gout, diabetes, early cardiovascular disease, and certain forms of cancer, cholelithiasis, osteoarthritis, & sleep apnea
  2. hypertension
    due to increase of salt intake, increase of stress brought on by being overweight and inactivity
  3. dyslipidemia
    high HDL or bad cholesterol, which builds up and clogs vessels
  4. gout
    increase of salty food intake
  5. diabetes
    increase of sugar intake due to poor nutrition, and increase of food intake
  6. early cardiovascular disease
    high HDL, refer to dyslipidemia
  7. cholelithiasis
    (gall stones) due to poor nutrition
  8. osteoarthritis
    due to stress brought on by excess weight brought on by obesity
  9. sleep apnea
    due to extra weight on the person's chest, which constricts proper breathing
  10. body mass index
    (BMI) a tool used to determine ones ideal weight
  11. causes of obesity
    sedentary lifestyle (lack of activity), increase of food portions, increase in consumption of sugar based beverage, poor eating habits
  12. things one can do to change eating habits
    set a structured eating habit (timed schedule), increased chewing of foods, self regulation of food intake & increase the intake of water, hydration may improve insulin resistance and promotes the body's use of insulin
  13. physiologic influence on obesity
    thrifty genes, predisposition, gender, emotional, activity, altered metabolism and hormonal
  14. prevention of obesity
    begin in infancy with appropriate weight gain, develop pos. food habits in childhood, encourage high-fiber foods & slow paced eating, avoid rewarding & comforting w/ food, drink water, include regular physical activity on most days
  15. treatment strategies for obesity
    count calories (use the labels), promote intake of fibers, chew more, more unsaturated fat, use the food Pyramid, eat more legumes to replace grains, set a realistic goal, eat less fat & carbs, & increase physical activity
  16. obesity meds
    orlistat, meridia, buproprion, topamax, controversial supplement
  17. orlistat
    potent inhibitor of intestinal lipases; side effects include diarrhea and potential nutritional deficiencies, especially of fat soluble vitamins, decrease absorption of many prescriptions
  18. meridia
    appetite suppressant; can be prescribed short term only
  19. buproprion (Wellbutrin)
    an antidepressant
  20. topamax
    not FDA approved for weight loss
  21. controversial supplement
    conjugated linoleic acid (CLA)
  22. surgical interventions
    Gastric banding, stomach stapling, bariatric surgery, gastric bypass
  23. Bariatric surgery
    reduces stomach size to volume of about 1/4 cup and bypasses a portion of the small intestine for decreased absorptive area
  24. possible nutritional complications of bariatric surgery
    iron-deficiency anemia, folate deficiency, vitamin B12 def., osteoporosis from decreased cal. absorption, thiamin def. caused by vomiting, hair loss

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