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Chapter 4: weight management
Obesity literature review
Evidence based practice application
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Recommended: Chapter 4: weight management
Behavior plays a significant role in weight management, and modifying behaviors that contribute to weight gain is the best way to combat obesity. Lifestyle modification techniques apply to both obesity prevention and treatment, and include three primary components: diet, exercise, and behavior therapy. The purpose is to change eating and activity behaviors that contribute to obesity and initiate new behaviors needed to achieve and maintain a healthy weight. The World Health Organization (WHO) and the National Institutes of Health (NIH) recommend that overweight adults with comorbid conditions and obese adults lose 10% of their initial weight. [1]
The health care bill H.R. 3962, or the Affordable Health Care for America Act, states that overweight and obesity prevention programs are to be evidence-based and emphasize improved nutrition and increased physical activity. [2] In 2014, a study of 60 meta-analyses and 23 systematic reviews concluded that dietary and multi-component interventions are the most effective strategies for weight loss and improving diet and activity compared to other interventions including pharmaceutical, surgical, and activity alone. [3] Thus, the National Heart, Lung, and Blood Institute recommends a comprehensive program of program of diet, exercise, and behavior therapy as a first line treatment for obese persons and those who are overweight with at least two risk factors.
Introduction
According to WHO, obesity is a global epidemic. Obesity is caused by a chronic state of positive energy balance, meaning that more energy is being consumed than expended. Excess fat tissue is the characteristic sign of obesity, defined as a body mass index (BMI) of at least 30 kilograms per square meter. BMI compares weight...
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...rcise habits. Programs of greater length are more effective than those of shorter length, so maintaining weight loss can be improved by prolonging contact between patients, health professionals, and support groups. Also, programs with clinically demonstrated efficacy should be first choices, like DPP and Look AHEAD. Furthermore, new technologies like smartphones and tablets make it easier and more convenient to monitor food intake, activity, and weight. Call centers, web-based programs, and social networking sites increase the accessibility of lifestyle modification programs. Implementing BT with these electronic delivery channels should supplement efforts to prevent overweight and obesity. It clear that behavior modification is the cornerstone of weight management and, regardless of how the person lost weight, BT is recommended for both weight loss and maintenance.
Obesity remains an extremely serious issue worldwide. Once considered a problem for wealthier counties, overweight and obesity are now dramatically increasing in low and middle income countries (WHO, 2011). In American, the rates of obesity continue to soar. CDC (2009) recognizes obesity as a risk factor for diabetes, heart disease, high blood pressure, and other health problems. According to NHANES over two-thirds of the US are overweight or obese, and over one-third are obese (CDC, 2009). Treatment for this illness varies; it may include the incorporation of diet, exercise, behavior modification, medication, and surgery. Since there is no single cause of all overweight and obesity, there is no single way to prevent or treat overweight and obesity that will help everyone (CDC, 2009).
Obesity is a rising problem in the United States. With obesity rates on the rise something must be done to prevent this massive issue. There are ways to help including educating at young ages, improving nutrition facts at restaurants, and providing more space for citizens to get physically active.
Change your mindset and you can change your body, discipline can be the difference between dieting and weight management. Health behaviors have a great effect on how we live our lives, often dictating how we experience our environment. One health behavior that many find difficult, including myself, to alter or manage over time is weight. The physical weight of an individual affects how the individual sees the world and poses a risk to health and wellbeing. A way to manage weight is through a behavioral contract, which aims to change current health behavior and form better, healthier habits. Through an individualized, self-monitored behavior contract and social support, healthy weight management may be achieved.
Obesity has increasingly become a significant public health concern in the United States. In the past four decades, the numbers of overweight children, adolescents, and adults has shot to high margins, and the rise cut cross all ages, races, and ethnicities for both males and females. A recent analysis by the National Health and Nutrition Examination Survey found that 30% of the American adult aged over the ages of twenty, which is a representation of over 60 million adults, was obese. Still the same survey indicated 16% of those between the ages of 16years and 19 years, which is over 9 million children and teenagers, were obese. This has come with its share of repe...
Obesity is defined by Webster’s dictionary as increase body weight due to excessive accumulation of body fat. It is a condition or disease in which the “the natural energy reserve of humans or mammals, which is stored in fat tissue, is expanded far beyond usual levels to the point where it impairs health.” Obesity is most often measured by using the BMI (body mass index). BMI is calculated by dividing the weight in kilograms by the height squared in meters. A desirable BMI for children to sustain a healthy life is between 18.5 and 25. A child with a BMI over 25.0 kg/m 2 is considered overweight. A BMI over 30.0kg/m 2 is considered obese, and a BMI over 40 is morbid obesity. “An estimated 80% of overweight adolescents continue to be obese into adulthood, so the implications of childhood obesity on the nation’s health are huge”. (Survey on childhood obesity, 2014). Obesity is a chronic condition that develops as a result of genetic, behavioral and environmental factors.
Obesity is when a person’s calorie intake exceeds one’s activity level. Activity burns calories and what ever calories are not burned, are stored as fat cells in the body. 19-24% is a healthy body mass index (BMI) for an individual. Mary Jo Thomas, M.D., states that “One that is obese has a body mass index of over 30. With a BMI of 30 or greater, one is at an immediate health threat.” (Thomas, 2013) Scientific evidence supports that the main causes of an obesity may include: ““increasingly sedentary lifestyle; high consumption of simple carbohydrates and fats (especially the refined sugars and greasy preparations common in junk and fast foods); and stress. To a lesser degree illnesses such as hypothyroidism (u...
...mption of food and physical activity. To make their children more active, parents should stop buying videogames and set a time limit to decrease the amount of time their children spend in front of a computer screen. Another way to increase physical activity is to encourage children to join an extra-curricular activity. Although it is easiest to prevent obesity at a young age, many people in the United States grow up obese or become obese. To help and to encourage adults who are suffering from obesity, they need to learn the life-threatening effects that accompany the “heavy” burden.
The healthcare community defines obesity as being 20 percent or more over a person?s ideal body weight, which is based on their height (?U.S. Health Professionals?? np). Usually this is 100 pounds or more over their ideal body weight. Researchers found that the two main causes of obesity are the overabundance of food and people?s sedentary lifestyles (?U.S. Health Professionals?? np). Other causes include genetics, lifestyle choices and environmental factors. These alarming statistics have prompted many to seek a solution for a problem that is clearly not going to go away by itself.
Obesity is a very common health problem in the U.S., and the number of people considered obese is forever increasing. More than 35.7% of U.S. adults are considered obese (“Adult Overweight”). The Journal of Clinical Endocrinology & Metabolism points out that “obesity is a chronic medical condition characterized by too much body fat” (Beeson, Hill, Wyatt). It is diagnosed by a number called the Body Mass Index or BMI. This number calculates the amount of body fat based on the person’s height and weight. The higher the BMI the more body fat obese people have which leads to obesity. An adult with a BMI between 25 and 29.9 is considered overweight. An adult with a BMI of greater than 30 is considered obese (“Adult Overweight”). While Obesity is an extremely serious problem in the U.S., this condition, except possibly for the cases of genetic and hormonal disorders, can be prevented by portion control, exercise, and eating a well-balanced diet.
I. Introduction: You’ve probably heard it a million times that obesity is an issue on the rise in America. Well, why if everyone knows that it is a problem is nothing being done to fix it? I’m here to propose a solution to this problem affecting over a third of the adult American Population.
After a long deliberation I decided to do my behavior modification project on my unhealthy eating habits. There are many meaningful reasons why I choose this as my behavior to modify. I want to kick start a healthy lifestyle change by eating healthier and being more active. Another upside to modifying this behavior is too hopefully *fingers crossed* lose a few unwanted pounds. The long term goal of this change is to live a happier, healthier life, and become more confident in myself. I have high hopes that I can achieve all of these goals by cutting out junk food and sweets and replacing those items with nutritious and balanced food.
At the outset of treatment, the patient and health care provider should discuss and agree upon goals. The goals must take into account the food habits, exercise behaviors, psychological outlook and support systems of the individual. Realistic expectations, short- and long-term, may be promoted by a discussion of a healthy weight versus an ideal body weight. Features of weight management interventions may include behavior modification, dietary principles, energy balance components, and a sound food plan.
...he treatment of obesity prior to seeking the most invasive measures. Behavioral modification has proven to yield positive, long lasting results in the treatment of some modifiable risk factors. I will seek those interventions and encourage my patients to participate and or incorporate them in their day-to-day lives. In order to improve my practice regarding complementary and alternative medicine, I plan on researching continued education classes that will allow me awareness on how to go about using this type of tool.
Weight loss and health: Is loosing weight closely tied to health benefits to know this we have to review the evidence of the long-term effects of weight-loss diets on health outcomes. Physicians recommend a diet to their patients with the only assumptions that losing weight will lead to improved health. The original standard weight recommended by a physician was based on Metropolitan Life insurance tables. The tables designated for an average height women 5 '5" the expected weight would be 134 lbs. Reviews of diet studies showed that over next 30years individuals tended to lose an average of 8% of their starting weight. To be a successful dieter the standard would be an average height women weighing 200 lbs would need to lose 10lbs even
Obesity, also referred to as being overly overweight, is a condition caused when one eats excessive amounts of food leading to storing more calories than one burns. These calories are stored as fats1. Obesity can develop from several causes and is usually influenced by genetics.