obesity and weight management

First steps

Define, measure, understand, learn and incorporate weight management

Abnormal or excessive fat accumulation

Obesity

PT argument

Health based, doesn’t transverse into body image

Being 10-20lbs overweight may decrease life by how many years

3

20% over recommended weight may decrease life by how many years

7

Health impact of obesity

• functional disabilities

• Limitations arise from fat mass increase

• Metabolic changes

Obesity assessment

BMI

Waist circumference

Waist - to - hip ratio

Skinfold

Bioelectrical impedance

Underwater weighing

Bod pod

Isotope dilution

DEXA

CT/MRI Scans

obesity classification

PA levels, diet, behavioral/environmental factors, change readiness

Increased childhood obesity

• formula

• Obese parents

• Increase intake of processed/sugary foods w low activity

Obesity intervention

• guide to management programs

• Community resources

• Relèvent education materials

• Referral

Diet/obesity myths, inconsistencies, falsehoods

• eating too much

• Calories in less than calories out — energy density

• Just diet

Best method for weight management

• diet, aerobic, strength training

• 97% fat loss rate w/ 3% lead body mass loss

Hungry hormone

Ghrelin

Full hormone

Leptin

Sleep deprivation effect on hormone levels

Elevates ghrelin, decreases leptin

Higher BMI w/ those w less than 6 hours of sleep

Intervention to weight loss

• educate

• Avoid high fat w high card

• Daily food logs

• Step counters