Obese Prev. Exam 3

What is lorcaserin?

agonist of serotonin, enhances satiety

What is pharmacotherapy?

the application of drugs for the purpose of disease prevention and treatment of suffering

What does a patients BMI have to be in order to try pharmacotherapy?

BMI at least of 35 and over

What is orlistat?

lipase(fat) inhibitor

What is Phentermine/Topiramate?

appetite suppressant, releases norepinephrine (fullness)

What is liraglutide?

Mimics a hormone made in intestines that curbs eating

What is natrexone-bupropion?

appetite suppressant, controls cravings

What are the two medical treatment for obesity?

Pharmacotherapy and surgical therapy

What is the corner stone of obesity?

Lifestyle modification (reducing calorie intake and increasing PA)

What percentage does the combination of dietary intake and PA intervention lose weight?

10%

What is behavioral therapy?

focuses on extinction and relearning of undesired thoughts and behaviors through aversion therapy, systematic desensitization and flooding

What are the components of behavioral therapy thats appropriate for weight management?

Self-monitoring, stimulus control. goal setting, social support, problem-solving, cognitive restructuring/re-framing

What is the most important behavioral component?

Self-monitoring, helps record PA and dietary eating

What is stimulus control?

behavior is reinforced in the presence of a specific stimulus, but not in its absence

What are some examples of stimulus controls in behavioral therapy?

removing or limiting unhealthy eating, high-calorie foods. limiting eating out.

What are the four ways social support are expressed?

Emotional, physical, practical, inspiring

What is the cognitive restructuring/reframing behavioral strategy?

the way an individual views themselves and their behaviors can influence their ability to initiate and sustain behavior changes

What goal is to reframe negative attitudes, thoughts, and emotions that reduces weight loss efforts into positive ones to enhance weight loss success?

Cognitive restructuring/re-framing

What is the USPSTF?

United States Preventive Services Task Force

What does the USPSTF do?

medical experts who evaluate scientific evidence and make recommendations about preventive health care.

What does the USPSTF conclude about behavioral therapy?

Engaging in behavioral therapy was the most effective strategy for obese adults to lose weight and improve obese -related conditions.

What percentage of weight do BT programs help support weight loss?

5-10%

How many weeks are typically BTTP programs?

16-24

What are TBI's and why were they made?

Technology-based behavioral interventions and were developed to address common barriers associated with traditional face-to-face interventions

individuals who consistently self-monitor during weight loss intervention are more likely to achieve better weight loss within 6 months? T/F

True

What is short activity bouts?

performing activity in short bouts

Parental involvement is critical for the success of weight loss in youth? T/F

True

What has been the only effective surgical treatment for obesity?

Bariatric surgery

What bariatric surgical option is used for malabsorption?

gastric bypass (small intestine is shortened.

What bariatric surgical option is used for restricting?

gastric stapling

What are examples of invasive weight-loss surgieries?

1. Roux-en-y gastric bypass
2. Sleep gastrectomy

What are examples of non-invasive weight loss surgeries?

1. Laparoscopic adjustable gastric bonding
2. Duodenal switch with biliopancreatic diversion

What is the most common side effect for weight loss surgeries?

Dumping syndrome

What is the first line of defense in treating obesity?

Lifestyle modification

How many minutes of exercise should a person do while trying to lose weight?

250 min

What are the 3 obesity interventions?

Intrapersonal, community and organizational, government and public policies

What is dietary periodization?

Breaking an individuals weight loss goal into seperate dieting phases, where a person moves in and out of phases of calorie decifiet

What is a maintenance block?

weight maintenance period. Increases ones dietary intake. helps individual practive the skill of body weight management

For small, food based changes... how many calories are reduced?

100-200

For large, food based changes..... how many calories are reduced?

500-750

How many calories are in a LDC (low calorie diet)?

1200-1600

How many calories are in a VLDC diet?

less than or equal to 800

What is a dietary pattern?

The quantities, proportions, variety, or combination of different foods, drinks, and nutrients in diets, and the frequency with which they are habitually consumed

What is DASH?

Dietary Approaches to Stop Hypertension. limits red meats and focuses more of fruits and veggies (whole and natural foods)

What is the Mediterranean diet?

- High intake of fruits, vegetables, whole grains, legumes, potatoes, nuts, seeds, some dairy (yogurt)
- Moderate intake of olive oil (primary monounsaturated oil)
- Low-moderate intake of high fat dairy, fish, and poultry
- Little or no red meat
- Eggs up to 4 times weekly
- Low-moderate alcohol intake (red wine)
- Seasonal and fresh foods
- Daily exercise