Lifestyle and long term conditions

What are the six steps of the model and process of care?

1. assessment

2. nutrition diagnosis

3. strategy

4. implementation

5. monitor and review

6. evaluation

What does the ABCDEF method stand for?

Anthropometry

Biochemistry

Clinical signs/symptoms/condition

Dietary intake

Environmental

Focused

What is ABCDEF method used?

to make a nutritional assessment at the beginning of the model and process of care

what is the PASS statement used for?

used to identify nutritional problems

what does PASS stand for?

Problem

Aetiology

Signs

Symptoms

What are the three steps of building a nutritional strategy?

1. dietetic outcome

2. dietetic goal

3. proposed action

obesity

condition in which abnormal or excessive fat accumulation in adipose tissue impairs health

edmonton obesity staging system 

A classification system used to assess the severity of obesity by evaluating clinical and psychosocial factors, including physical health, mental health, and the impact of obesity on a person's quality of life.

leptin

hormone produced by adipose tissue that regulates food intake and energy expenditure, to support weight maintenance

insulin

hormone produced by pancreas which communicates adiposity to the brain

ghrelin

hormone which triggers hunger and is released in response to lack of food

peptide YY

a gut hormone released after a meal that reduces appetite and signals fullness

monogenic obesity

rare form caused by pathogenic variation in a single gene

syndromic obesity

form of severe obesity that occurs with other clinical phenotypes

polygenic obesity

the most common form of inherited obesity, caused by the combined effects of numerous common gene variants interacting with environmental and lifestyle factors, rather than a single gene

prader-willi syndrome

rare genetic disorder caused by a loss of function of specific genes on chromosome 15 causing constant hunger 

basal metabolic rate

metabolic activity required to maintain life

total energy expenditure comprised of

BMR

DIR

PA

mifflin-st jeor equation

equation used to calculate REE in patients with BMI over 30 and between 19-78years old