Ch 19 Exercise and Obesity

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cici_acuna
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79469
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Ch 19 Exercise and Obesity
Updated:
2011-04-18 21:34:53
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Exercis Obesity
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Description:
classification of obesity, effects of obesity, medications and prescription for obesity
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  1. Obesity can be documentes by examining the relationship between __ and __ (BMI) or evaluating %BF.
    height and weight
  2. BMI requires simple measurements and for majority of adults it correlates well to ___ ___.
    body fatness
  3. What is the clinically preferred method of assessing obesity?
    BMI
  4. What BMI classifys you as obesity?
    BMI of 30 kg m2 or higher
  5. OBESITY CLASSIFICATIONS

    Class 1 BMI is
    30-34.9 kg˙m2
  6. OBESITY CLASSIFICATIONS

    Class 2 BMI is
    35-39.9 kg˙m2
  7. OBESITY CLASSIFICATIONS

    Class 3 BMI is
    BMI > 40 kg˙m2
  8. What contributes to obesity?
    Lifestyle and genetic factors
  9. How much did the US obesity prevalence rise from 1960 to 2000?
    From 13.4% to 30.9%
  10. What fraction of American adults are either overweight or obese?
    2/3
  11. What is the culprit in etiology of obesity?
    Consuming excess calories in relation of daily caloric need
  12. What are biological factors of obesity?
    Genetic predisposition leading to lower metabolic rate
  13. What are psychological factors of obesity?
    Poor body image
  14. What huge range percentage do GENETIC factors contribute to obesity?
    25-70%
  15. study this
  16. How many children and teens today in the US are overweight and how many are at risk of overweight?
    12 MILLION and 12 MILLION
  17. What fraction of children are at overweigh or at risk?
    1 out of 6
  18. Childrens obesity could lead to what kind of early health problems?
    • high BP
    • type 2 Diabetes (1/3 of kids born in 2000 will develop this)
    • high blood cholesterol
  19. Overweight children have a ___% chance of becoming overweight adults.
    70%
  20. Epidemic of childhood obesity, how much did the rate of kids 6-19 increase in the past 25 yrs?
    TRIPLED
  21. Rapid increase in obesity in the US over the last 4 decades supports the contention that LIFESTYLE CHOICES NOT ___ are primarily responsible for the increasing prevalence of obesity.
    GENETICS
  22. COMIRBIDITIES of Obesity: (11)
    • CHD
    • CHF
    • Stoke
    • Type 2 Diabetes
    • Hypertension
    • Dyslipidemia
    • Gallbladder disease
    • Osteoarthritis
    • Some Cancers
    • Sleep Apnea
    • Menstrual Irregularities
  23. Estimate how many deaths in the US each year attribute to the complication of obesity?
    300,000
  24. What is the total economic cost of obesity in 2000.
    $117 BILLION
  25. The rapid Increase in obesity apprers to be linked to low physical activity OR excessive energy intake.
    BOTH
  26. True/False

    Once weight has been gained, exercise alone can result in modest weight loss.
    True
  27. Caloric restriction combined with Aerobic exercise seems to be the MOST useful in __ and __.
    weight loss and weight maintenance
  28. It is important to screen for Comorbid conditions prior to exercise testing.
    Yea, like type 2 diabetes and hypertension
  29. True/False

    Standard exercise testing protocols can be used, but the choice of protocol must take into consideration the potential for severe deconditioning.
    True
  30. XENICAL is also called
    Orlistat
  31. XENICAL What does it do?
    • Blocks absorption of Fat in the GI
    • Decreases weight and blood lipids
  32. XENICAL side effects
    hypertension
  33. MERIDIA What brain neurotransmitters does it affect?
    Serotonin and Norepinephrine
  34. MERIDIA What does it do?
    • Increase BMR
    • Decrease Hunger Pains
    • Evevates Energy Levels
  35. MERIDIA side effects
    increase HR and BP
  36. Over the counter medications with what were banned due to reported Tachycardia?
    meds with EPHEDRINE ALKALOIDS (EPHEDRA)
  37. When is Bariatric Surgery used ?
    For individuals with extreme obesity (BMI> 40kg˙m2 )Who have been unsuccessful in previous weight loss attempts and have serious comorbid conditions.
  38. How does Bariatric surgeries modify the GI system response to food?
    they restrict food intake
  39. What is the recommeded exercise prescription?

    Frequency days/week
    5-7 days /week
  40. What is the recommeded exercise prescription?

    Intensity
    • Moderate (40-60 % HRR)
    • PROGRESSING to higher intensity (50-75%HRR)
  41. What is the recommeded exercise prescription?

    Duration?
    start low and progress to 45-60 min/day

    ACSM suggests 150 min/week and 200-300 min/week for more effective long term weight control
  42. what kind of exercise helps maintain lean tissue?
    resistance exercise
  43. what is an appropriate weight loss goal?
    .5 to 1 kg˙wk
  44. what kind of fat is the bad fat?
    saturated fat

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