The document discusses various treatment options for obesity, including dietary approaches, exercise, behavioral therapy, medication, and surgery. It provides details on meal replacement plans, the exchange diet, types of aerobic and anaerobic exercise, very low calorie diets, and components of behavioral treatment programs. Surgical options like gastric banding, bypass procedures, and their risks and advantages are also outlined.
This document discusses strategies for weight management, including body mass index (BMI), meal replacement plans, and exchange diets. It defines overweight and obesity based on BMI and describes how waist circumference correlates with chronic disease risk. It then provides details on how to use the exchange diet system and meal replacement plans, outlining examples of daily menus for each. The goal is to educate on healthy and effective methods for modest weight loss and maintenance through nutrition.
Low-calorie foods are processed foods developed for individuals needing to restrict calories, such as those with diabetes or obesity. They mimic regular foods in taste and texture but contain substantially fewer calories. Various techniques can be used to lower the calorie content, including substituting or reducing sugars, fats, and other calorie-dense components; adding water, air, or fiber; using enzymes or microparticulation; and replacing foods with lower-calorie alternatives. The goal is to provide tasty, appealing low-calorie options to help with weight control and reduce calorie intake.
Product presentation basic (for official product lecturer)Jhun Lagansua
The document discusses the benefits of multivitamins and antioxidants for health and wellness. It provides information on several supplement products like Prime, Spirulina, L-Glutapower/700, Pinkish Glow, and Royale-C. The supplements contain vitamins, minerals, antioxidants and other compounds that support immunity, energy, skin health, aging and overall well-being. Dosage recommendations are provided for general use and specific conditions. The document emphasizes the importance of antioxidants in protecting cells from free radical damage.
Can snacking really be good for today’s teens? - Vitafoods Europe 2016Nutrition & Biosciences
The Life Stages Theater presentation at Vitafoods Europe 2016 by Garry J. Mendelson, PhD, Applied Nutrition Science Manager, DuPont Nutrition & Health.
A concise but comprehensive guide to sports nutrition. Written for MMA but the principles hold true across all sports like football, rugby, tennis etc. - optimising recovery, longevity, performance and health.
Of course, this special sale is only available for a limited time, so it makes sense to stock up now, especially considering this is the lowest price on LeanBelly 3X you'll find anywhere — lower than Amazon.com and our own website. With all that in mind, we highly recommend stocking up and saving more today with our 3- or 6-bottle options.
Here discuss about DRI, BMR, Daily Energy, Activity expenditure, Fruits & Food & its nutritional value. Such as energy, protein, fiber. fat, carbohydrate, sugar, and others nutrient in food.
The physical version of the Essential Keto Cookbook with 100+ Keto recipes including breakfast, appetizers, entrees, desserts, drinks, and snacks. Net-carb, fat, protein, and calorie count for every recipe. Enjoy recipes like Creamy Breakfast Porridge, Fiery Buffalo Wings, Mini Burgers, Jalapeño Corn Bread, Fish Tacos, Popcorn Shrimp, and tons more.
This document discusses strategies for weight management, including body mass index (BMI), meal replacement plans, and exchange diets. It defines overweight and obesity based on BMI and describes how waist circumference correlates with chronic disease risk. It then provides details on how to use the exchange diet system and meal replacement plans, outlining examples of daily menus for each. The goal is to educate on healthy and effective methods for modest weight loss and maintenance through nutrition.
Low-calorie foods are processed foods developed for individuals needing to restrict calories, such as those with diabetes or obesity. They mimic regular foods in taste and texture but contain substantially fewer calories. Various techniques can be used to lower the calorie content, including substituting or reducing sugars, fats, and other calorie-dense components; adding water, air, or fiber; using enzymes or microparticulation; and replacing foods with lower-calorie alternatives. The goal is to provide tasty, appealing low-calorie options to help with weight control and reduce calorie intake.
Product presentation basic (for official product lecturer)Jhun Lagansua
The document discusses the benefits of multivitamins and antioxidants for health and wellness. It provides information on several supplement products like Prime, Spirulina, L-Glutapower/700, Pinkish Glow, and Royale-C. The supplements contain vitamins, minerals, antioxidants and other compounds that support immunity, energy, skin health, aging and overall well-being. Dosage recommendations are provided for general use and specific conditions. The document emphasizes the importance of antioxidants in protecting cells from free radical damage.
Can snacking really be good for today’s teens? - Vitafoods Europe 2016Nutrition & Biosciences
The Life Stages Theater presentation at Vitafoods Europe 2016 by Garry J. Mendelson, PhD, Applied Nutrition Science Manager, DuPont Nutrition & Health.
A concise but comprehensive guide to sports nutrition. Written for MMA but the principles hold true across all sports like football, rugby, tennis etc. - optimising recovery, longevity, performance and health.
Of course, this special sale is only available for a limited time, so it makes sense to stock up now, especially considering this is the lowest price on LeanBelly 3X you'll find anywhere — lower than Amazon.com and our own website. With all that in mind, we highly recommend stocking up and saving more today with our 3- or 6-bottle options.
Here discuss about DRI, BMR, Daily Energy, Activity expenditure, Fruits & Food & its nutritional value. Such as energy, protein, fiber. fat, carbohydrate, sugar, and others nutrient in food.
The physical version of the Essential Keto Cookbook with 100+ Keto recipes including breakfast, appetizers, entrees, desserts, drinks, and snacks. Net-carb, fat, protein, and calorie count for every recipe. Enjoy recipes like Creamy Breakfast Porridge, Fiery Buffalo Wings, Mini Burgers, Jalapeño Corn Bread, Fish Tacos, Popcorn Shrimp, and tons more.
Shaklee Energy Chews are packed with a whole lot of healthy attitude -- the kind that gets your body moving, sharpens your mind, and improves your mood.* These great tasting chews are 75% organic and contain B vitamins, amino acids L-theanine and L-tyrosine, natural caffeine from green tea - plus vitamins C and D! And there are no artificial flavors, sweeteners or added preservatives you'll find in other energy products.
The document summarizes the key points from presentations by Dr. T. Colin Campbell, Dr. Caldwell Esselstyn, and Dr. Neal Barnard on adopting a whole foods plant-based diet. A plant-based diet can help prevent and reverse many chronic diseases like heart disease, diabetes, and cancer by lowering cholesterol and blood pressure. It emphasizes eating grains, fruits, vegetables, and legumes while avoiding meat, dairy, eggs, and processed foods. Studies show this diet can not only treat symptoms but address the underlying causes of disease.
This document provides information on dietary education tools for people with diabetes. It discusses the goals of dietary advice, which are to maintain health through appropriate food choices and achieve optimal health outcomes. The role of the dietician is described, which includes assessing individuals' specific needs and beliefs to develop a realistic eating plan. Dietary education tools are separated into two stages - stage one focuses on basic concepts like the food pyramid and plate model, while stage two covers more advanced topics such as food exchanges and carbohydrate counting. Carbohydrate counting is explained in detail as a key method for meal planning and insulin dosing.
The document describes the MonaVie RVL Weight Management Program, which includes nutrient-dense shakes and bars, meal plans designed by a nutrition expert, and online support tools to help users achieve their weight loss goals through increased nutrient intake and reduced calories. The program is supported by clinical research showing that meal replacements can help with greater and longer-lasting weight loss compared to traditional dieting.
This document discusses the benefits of detoxification through live juice fasting. It summarizes that juicing improves digestion, provides vital nutrition, transforms poor diets, reforms eating habits, reduces cravings, purifies the body, enhances body intelligence, and improves health and aids in weight loss. The document outlines how juicing delivers earthly elements to rebuild cells, carries toxins from the body, and awakens body intelligence to guide healthier food choices and overall well-being.
The document discusses low carb, high fat fueling as a potential better way for athletes. It notes that confirmation bias should be avoided and there is no one-size-fits-all approach. Potential benefits of a low carb approach discussed include easier fat oxidation, improved insulin sensitivity and body composition, and lower disease risk. Suggestions provided include experimenting with fueling choices, respecting the three hour post-meal window, and focusing on whole foods like vegetables, fruits, healthy fats and proteins. Resources on low carb performance and training are also listed.
Your 24-Hour Diet Transformation to Make Your Body a Fat-Burning Machine
Eating the right food can achieve the goal of losing weight quickly, read this book, he can bring you a lot.
Genacol® Plus is a product specifically designed for joint health. The collagen-glucosamine combination is the winning formula when it comes to ensuring good joint function and health. Combined with glucosamine, which helps lubricate and protect joints, Genacol® Plus made with AminoLock® Collagen is the perfect 2-in-1 product, and provides excellent value for money. https://genacol1.blogspot.com/
This document discusses sports nutrition and supplementation for physically active individuals, from weekend warriors to world-class athletes. It emphasizes that what you consume after a workout is as important as the workout itself for recovery. While food today contains fewer nutrients and more chemicals than in the past, Shaklee products can help fill nutritional gaps. The document recommends choosing nutrient-rich whole foods and outlines formulas for daily protein, carbohydrate and fluid intake. It also promotes Shaklee supplements like Vitalizer, Energizing Soy Protein and CorEnergy to enhance performance, immunity and recovery.
This document promotes the health benefits of juicing, claiming it can help prevent and treat heart disease, diabetes, obesity, and incurable diseases like cancer. It lists several benefits such as providing organic nutrients that give energy and healthier skin while slowing aging. The document also advocates a holistic approach to health that includes physical, mental, and spiritual well-being through practices like acupuncture, aromatherapy, meditation, and holistic nutrition in addition to juicing.
This document provides an overview of the principles of a nutritional reset plan, which aims to eliminate problematic foods in order to restore health. The plan involves eliminating grains, sugar, dairy, legumes and alcohol for 30 days to meet "good food standards" and address psychological responses to food, hormonal effects, gut integrity and balance, and inflammation. The document outlines the scientific rationale for the plan and provides guidance on implementing it, including meal planning, expected effects, and resources for support.
For more information, visit https://www.timberlandmedical.com
This presentation is by Dr LO SIAW PING, a visiting dietician at Timberland Medical Centre
Timberland Medical Centre is a private hospital that has been in operation since 1994. We are strategically located at the 3rd Mile roundabout on Jalan Rock, Kuching, Sarawak, East Malaysia. Our hospital is 10 minutes from the Kuching International Airport and 15 minutes from the Central Bus Terminal. We continually seek to improve and upgrade our services and facilities, as we strive to provide the best medical care for our patients and customers.
http://coachkeena.com "Becoming a fat adapted athlete," or could be called, "Why American's are fatter since the food pyramid was introduced. (It's upside down!) Anyway, this excellent training by Coach Keena, BS Health, CrossFit certified, USAT certified, etc etc, will not only explain why a fat based diet is superior, it includes all the science, recommended foods to eat, what to avoid etc.
Especially useful for CrossFit and CrossFit Endurance. Lean more on this at http://davesherwin.com
To your health success!
Wom part 1 - training jhb-sts-december 09Hansie Louw
This document provides information about Herbalife products and balanced nutrition:
1) It discusses Herbalife's history and operations in over 70 countries, as well as its CEO and advisory board of doctors and scientists.
2) It explains the importance of balanced nutrition with the proper amounts of proteins, vitamins, minerals, and other nutrients, and how modern lifestyles can lead to imbalances.
3) It introduces Herbalife's core nutrition products - Formula 1, Formula 2, and Fibre & Herb - which are designed to provide a balanced source of nutrition to support weight management, health, and wellness.
Understanding the role of basic nutrition in physical activity and quality of life. Learn to identify food sources that supply needed nutients and vitamins for energy and protection.
Exipure is a natural weight loss supplement that aims to help users burn fat safely and effectively.
According to the manufacturers of this formula, brown adipose tissue (BAT) is the actual cause of belly fat.
Brown adipose tissue (BAT) burns calories 300 times faster than standard fat.
This implies that lean people have a burning furnace inside them, which others don’t.
Exipure is the only diet pill in the world with a mix of eight exotic nutrients and plant extracts, which target low brown adipose tissue levels.
Carbohydrate counting is an effective meal planning method that was used in the Diabetes Control and Complications Trial. It involves assessing a patient's needs, developing an optimal carbohydrate intake pattern based on lifestyle and schedule, and teaching patients how to achieve euglycemia through various carbohydrate intake patterns. Summarizing key points from the document, carbohydrate counting decreases A1C by 1-2% in people with diabetes, achieves and maintains target blood glucose and lipid levels, and prevents or slows chronic diabetes complications by modifying nutrient intake and lifestyle.
This document provides information on carbohydrate counting for diabetes management. It defines carbohydrate counting as a method to calculate grams of carbohydrates consumed. The goals are to maintain consistent carb intake, increase dietary flexibility, and manage blood glucose. Carbohydrates are broken down into glucose and absorbed into the bloodstream. Foods like fruits, starches, grains and milk contain carbs. Counting carbs involves identifying carb-containing foods and determining servings equal to 15 grams of carbs. Tools like mobile apps, food labels and visual guides can help estimate carb amounts. Physical activity also impacts blood sugar, so carb intake may need adjustment based on activity level and intensity.
Chia seeds provide many health benefits. They are high in omega-3 fatty acids which help cardiovascular health. Chia seeds also contain a significant amount of fiber and protein. The fiber aids digestion and supports weight loss while the protein provides nutrition. Chia seeds have antioxidants that may reduce the risk of chronic diseases. Overall, chia seeds are a nutritious seed that was an important part of the ancient Aztec and Maya diets and continue to benefit health today.
Nutrient sensing and metabolic disturbanceshelix1661
This document summarizes potential causes of metabolic syndrome and insulin resistance, including ectopic fat accumulation, impaired fat oxidation, defects in mitochondrial function, and impaired lipid metabolism. It also discusses adipose tissue as an endocrine organ and the roles of adipocytokines like adiponectin and resistin. Finally, it examines nutrient sensing pathways such as AMPK that regulate cellular energy levels and metabolism.
1) Alcohol consumption can cause both negative health effects such as increased risk of certain cancers, heart disease, and neurological disorders, as well as some cardiovascular benefits when consumed in moderation.
2) Binge drinking, defined as having more than 3-4 drinks in a short period, increases risks including stroke, heart conditions, and long-term health problems.
3) While moderate alcohol consumption may provide some heart benefits for some by raising HDL cholesterol, it is not recommended for everyone and excessive drinking can seriously damage health, leading to conditions like liver disease, brain damage, and fetal alcohol syndrome.
Shaklee Energy Chews are packed with a whole lot of healthy attitude -- the kind that gets your body moving, sharpens your mind, and improves your mood.* These great tasting chews are 75% organic and contain B vitamins, amino acids L-theanine and L-tyrosine, natural caffeine from green tea - plus vitamins C and D! And there are no artificial flavors, sweeteners or added preservatives you'll find in other energy products.
The document summarizes the key points from presentations by Dr. T. Colin Campbell, Dr. Caldwell Esselstyn, and Dr. Neal Barnard on adopting a whole foods plant-based diet. A plant-based diet can help prevent and reverse many chronic diseases like heart disease, diabetes, and cancer by lowering cholesterol and blood pressure. It emphasizes eating grains, fruits, vegetables, and legumes while avoiding meat, dairy, eggs, and processed foods. Studies show this diet can not only treat symptoms but address the underlying causes of disease.
This document provides information on dietary education tools for people with diabetes. It discusses the goals of dietary advice, which are to maintain health through appropriate food choices and achieve optimal health outcomes. The role of the dietician is described, which includes assessing individuals' specific needs and beliefs to develop a realistic eating plan. Dietary education tools are separated into two stages - stage one focuses on basic concepts like the food pyramid and plate model, while stage two covers more advanced topics such as food exchanges and carbohydrate counting. Carbohydrate counting is explained in detail as a key method for meal planning and insulin dosing.
The document describes the MonaVie RVL Weight Management Program, which includes nutrient-dense shakes and bars, meal plans designed by a nutrition expert, and online support tools to help users achieve their weight loss goals through increased nutrient intake and reduced calories. The program is supported by clinical research showing that meal replacements can help with greater and longer-lasting weight loss compared to traditional dieting.
This document discusses the benefits of detoxification through live juice fasting. It summarizes that juicing improves digestion, provides vital nutrition, transforms poor diets, reforms eating habits, reduces cravings, purifies the body, enhances body intelligence, and improves health and aids in weight loss. The document outlines how juicing delivers earthly elements to rebuild cells, carries toxins from the body, and awakens body intelligence to guide healthier food choices and overall well-being.
The document discusses low carb, high fat fueling as a potential better way for athletes. It notes that confirmation bias should be avoided and there is no one-size-fits-all approach. Potential benefits of a low carb approach discussed include easier fat oxidation, improved insulin sensitivity and body composition, and lower disease risk. Suggestions provided include experimenting with fueling choices, respecting the three hour post-meal window, and focusing on whole foods like vegetables, fruits, healthy fats and proteins. Resources on low carb performance and training are also listed.
Your 24-Hour Diet Transformation to Make Your Body a Fat-Burning Machine
Eating the right food can achieve the goal of losing weight quickly, read this book, he can bring you a lot.
Genacol® Plus is a product specifically designed for joint health. The collagen-glucosamine combination is the winning formula when it comes to ensuring good joint function and health. Combined with glucosamine, which helps lubricate and protect joints, Genacol® Plus made with AminoLock® Collagen is the perfect 2-in-1 product, and provides excellent value for money. https://genacol1.blogspot.com/
This document discusses sports nutrition and supplementation for physically active individuals, from weekend warriors to world-class athletes. It emphasizes that what you consume after a workout is as important as the workout itself for recovery. While food today contains fewer nutrients and more chemicals than in the past, Shaklee products can help fill nutritional gaps. The document recommends choosing nutrient-rich whole foods and outlines formulas for daily protein, carbohydrate and fluid intake. It also promotes Shaklee supplements like Vitalizer, Energizing Soy Protein and CorEnergy to enhance performance, immunity and recovery.
This document promotes the health benefits of juicing, claiming it can help prevent and treat heart disease, diabetes, obesity, and incurable diseases like cancer. It lists several benefits such as providing organic nutrients that give energy and healthier skin while slowing aging. The document also advocates a holistic approach to health that includes physical, mental, and spiritual well-being through practices like acupuncture, aromatherapy, meditation, and holistic nutrition in addition to juicing.
This document provides an overview of the principles of a nutritional reset plan, which aims to eliminate problematic foods in order to restore health. The plan involves eliminating grains, sugar, dairy, legumes and alcohol for 30 days to meet "good food standards" and address psychological responses to food, hormonal effects, gut integrity and balance, and inflammation. The document outlines the scientific rationale for the plan and provides guidance on implementing it, including meal planning, expected effects, and resources for support.
For more information, visit https://www.timberlandmedical.com
This presentation is by Dr LO SIAW PING, a visiting dietician at Timberland Medical Centre
Timberland Medical Centre is a private hospital that has been in operation since 1994. We are strategically located at the 3rd Mile roundabout on Jalan Rock, Kuching, Sarawak, East Malaysia. Our hospital is 10 minutes from the Kuching International Airport and 15 minutes from the Central Bus Terminal. We continually seek to improve and upgrade our services and facilities, as we strive to provide the best medical care for our patients and customers.
http://coachkeena.com "Becoming a fat adapted athlete," or could be called, "Why American's are fatter since the food pyramid was introduced. (It's upside down!) Anyway, this excellent training by Coach Keena, BS Health, CrossFit certified, USAT certified, etc etc, will not only explain why a fat based diet is superior, it includes all the science, recommended foods to eat, what to avoid etc.
Especially useful for CrossFit and CrossFit Endurance. Lean more on this at http://davesherwin.com
To your health success!
Wom part 1 - training jhb-sts-december 09Hansie Louw
This document provides information about Herbalife products and balanced nutrition:
1) It discusses Herbalife's history and operations in over 70 countries, as well as its CEO and advisory board of doctors and scientists.
2) It explains the importance of balanced nutrition with the proper amounts of proteins, vitamins, minerals, and other nutrients, and how modern lifestyles can lead to imbalances.
3) It introduces Herbalife's core nutrition products - Formula 1, Formula 2, and Fibre & Herb - which are designed to provide a balanced source of nutrition to support weight management, health, and wellness.
Understanding the role of basic nutrition in physical activity and quality of life. Learn to identify food sources that supply needed nutients and vitamins for energy and protection.
Exipure is a natural weight loss supplement that aims to help users burn fat safely and effectively.
According to the manufacturers of this formula, brown adipose tissue (BAT) is the actual cause of belly fat.
Brown adipose tissue (BAT) burns calories 300 times faster than standard fat.
This implies that lean people have a burning furnace inside them, which others don’t.
Exipure is the only diet pill in the world with a mix of eight exotic nutrients and plant extracts, which target low brown adipose tissue levels.
Carbohydrate counting is an effective meal planning method that was used in the Diabetes Control and Complications Trial. It involves assessing a patient's needs, developing an optimal carbohydrate intake pattern based on lifestyle and schedule, and teaching patients how to achieve euglycemia through various carbohydrate intake patterns. Summarizing key points from the document, carbohydrate counting decreases A1C by 1-2% in people with diabetes, achieves and maintains target blood glucose and lipid levels, and prevents or slows chronic diabetes complications by modifying nutrient intake and lifestyle.
This document provides information on carbohydrate counting for diabetes management. It defines carbohydrate counting as a method to calculate grams of carbohydrates consumed. The goals are to maintain consistent carb intake, increase dietary flexibility, and manage blood glucose. Carbohydrates are broken down into glucose and absorbed into the bloodstream. Foods like fruits, starches, grains and milk contain carbs. Counting carbs involves identifying carb-containing foods and determining servings equal to 15 grams of carbs. Tools like mobile apps, food labels and visual guides can help estimate carb amounts. Physical activity also impacts blood sugar, so carb intake may need adjustment based on activity level and intensity.
Chia seeds provide many health benefits. They are high in omega-3 fatty acids which help cardiovascular health. Chia seeds also contain a significant amount of fiber and protein. The fiber aids digestion and supports weight loss while the protein provides nutrition. Chia seeds have antioxidants that may reduce the risk of chronic diseases. Overall, chia seeds are a nutritious seed that was an important part of the ancient Aztec and Maya diets and continue to benefit health today.
Nutrient sensing and metabolic disturbanceshelix1661
This document summarizes potential causes of metabolic syndrome and insulin resistance, including ectopic fat accumulation, impaired fat oxidation, defects in mitochondrial function, and impaired lipid metabolism. It also discusses adipose tissue as an endocrine organ and the roles of adipocytokines like adiponectin and resistin. Finally, it examines nutrient sensing pathways such as AMPK that regulate cellular energy levels and metabolism.
1) Alcohol consumption can cause both negative health effects such as increased risk of certain cancers, heart disease, and neurological disorders, as well as some cardiovascular benefits when consumed in moderation.
2) Binge drinking, defined as having more than 3-4 drinks in a short period, increases risks including stroke, heart conditions, and long-term health problems.
3) While moderate alcohol consumption may provide some heart benefits for some by raising HDL cholesterol, it is not recommended for everyone and excessive drinking can seriously damage health, leading to conditions like liver disease, brain damage, and fetal alcohol syndrome.
The release of Oracle Hyperion Planning 11.1.2.2 brings enhancements, new features, and a new module. In this webinar we will show:
New user interface
Compared to System 9 and Version 11
New features
Manage substitution variables from Planning
Rolling forecasts
Predictive Planning
Composite form enhancements
Display data as charts
Cell data history
New module: Project Financial Planning
Dimensions and members
Pre-packaged Forms
Pre-packaged Task Lists
Pre-packaged Calculation Manager Rules
Green tea is one of four types of tea that come from the plant Camellia sinensis. The beneficial effects of green tea are attributed to polyphenols called catechins, which make up 30% of dry green tea leaves. Catechins like EGCG are present in higher amounts in green tea than other teas due to differences in processing. Recent studies suggest catechins promote weight loss by inhibiting fat absorption and increasing fat burning. Animal studies show green tea supplementation decreases food intake, body weight gain, and fat mass. Green tea may be a valuable natural treatment for obesity.
This document summarizes information from the Pennington Nutrition Series on body mass index (BMI), overweight and obesity definitions, chronic disease risk factors, behavior change tools for weight loss, diet plans like the exchange diet and meal replacements, weight loss medications, and weight loss surgeries. The Pennington Biomedical Research Center conducts research to promote healthier lives through nutrition and preventive medicine research and education.
The document discusses how physical activity plays an important role in energy expenditure and balance, and is necessary along with diet control to lose or maintain weight. It outlines the many health benefits of regular exercise, including reduced risk of heart disease, diabetes, obesity, and psychological disorders. Maintaining an active lifestyle through physical activity is important for both weight loss and prevention of weight regain.
Vitamin D is produced in the skin upon exposure to sunlight and plays an important role in bone health and cellular functions throughout the body. It is hydroxylated in the liver to 25-hydroxyvitamin D and then in the kidneys to its active form, 1,25-dihydroxyvitamin D. Deficiency is linked to increased risk of various chronic diseases. Vitamin D receptors exist in most cells and 1,25-dihydroxyvitamin D has wide-ranging effects, including roles in immune function, cell growth regulation, and reduction of inflammation. Adequate vitamin D levels may protect against cancer, cardiovascular disease, diabetes, and autoimmune conditions like multiple sclerosis.
This document provides an overview of what constitutes a healthy diet according to various health organizations. It discusses that a healthy diet emphasizes fruits, vegetables, whole grains, lean proteins and low-fat dairy, while limiting saturated fats, added sugars and sodium. It also covers dietary guidelines, food groups, serving sizes, exercise recommendations and how to calculate calorie needs based on factors like age, gender, height and physical activity levels.
Learn from Bethany Doerfler, MS, RD, LDN, a registered dietitian whose clinical practice and research focuses on providing wellness-based medical nutrition therapy for digestive disorders and allergic bowel diseases. She currently practices in the Division of Gastroenterology and Hepatology at Northwestern Medicine in Chicago, IL. She is the first dietitian to be fully integrated into a gastroenterology division for both research and patient care. This presentation is optimized for Scleroderma patients to learn about their diet options to improve scleroderma symptoms and their gut health.
Healthy diet | Nutrition and Diet : weight loss Indiaweightlossindia
We are committed to helping you reach important weight loss goals and we are here to support you. Surgery is just one step on your journey.Following surgery, many patients lose weight rapidly.But it's important to make the commitment to a lifestyle of healthy eating and regular exercise.
Practical Dietary Prescription for Ambulatory Diabetic PatientIris Thiele Isip-Tan
The document provides guidance on setting behavioral goals and meal planning for patients with diabetes. It discusses establishing individualized and measurable goals agreed upon by the patient to encourage lifestyle changes. Examples of initial nutrition education priorities for newly diagnosed type 2 diabetes patients include eating regular meals and snacks spaced a few hours apart and setting gradual behavior change goals based on current eating habits. Two approaches to meal planning discussed are the plate method and diabetic exchanges, which allow flexible substitutions within food categories.
This document provides an overview of key topics related to nutrition and fitness. It discusses the essential nutrients required for a healthy diet, including proteins, fats, carbohydrates, vitamins, minerals and fiber. It recommends obtaining nutrients from whole, minimally processed foods. The document also outlines the five components of health-related fitness: cardiorespiratory endurance, muscular strength, muscular endurance, flexibility, and body composition. It provides examples of exercises to improve each component and recommends engaging in regular physical activity for health benefits.
A therapeutic diet is a meal plan prescribed by a physician to treat a medical condition. It involves modifying the intake of certain foods or nutrients by removing, adding, or changing foods and nutrients. The goals are to assist body organs, aid in digestion, improve health conditions, and modify weight. Common therapeutic diets include clear liquid, soft, low-residue, diabetic, low-calorie, and heart-healthy diets. Nurses play an important role in implementing therapeutic diets by reinforcing the diet plan and encouraging patients. Nutrition is important for managing cardiovascular diseases and diabetes through diet and lifestyle modifications.
The document provides an overview of obesity and weight management strategies in Malaysia and Singapore. It states that 39% of Malaysians are overweight or obese, up from 20% in 1996. Common causes of obesity include sedentary lifestyles, excessive calorie intake, and high consumption of saturated fats and sugars. It then outlines a 6-week meal plan and supplement regimen from Nutrilite for healthy weight loss and management.
Management of Diabetes by Ayurveda & Yoga | Treatment and Medicine | BK ArogyamBK Arogyam
Controlling blood sugar through diet, oral medication or insulin is the main treatment. India is said to be the diabetes capital of the world. With nearly 50 million people in India suffering from diabetes, the country has a big challenge to face. First, let's know what is diabetes. Regular screening for complications is also required. Permanent Cure for Diabetes without Taking Insulin - New Research. Diabetes cure by islet transplantation (Edmonton Protocol )
In pancreatic islet transplantation, cells are taken from a donor pancreas and transferred into another person. Once implanted, the new islets begin to make and release insulin. Researchers hope that islet transplantation will help people with type 1 diabetes live without daily injections of insulin.
Transform your health. Transform your life.
For so many people, weight loss is an overwhelming process that includes starvation, feeling unhappy and tired, and ultimately, gaining back what was once lost.
The Nature’s Sunshine weight management program changes all that. Offering an array of products that can be customized to help you achieve your ideal weight, we take a holistic approach to help recharge and balance your internal weight management system.
From delicious meal replacement shakes and metabolic boosters to products designed to curb hunger and support healthy blood sugar levels, this comprehensive, personalized program isn’t about weight loss. It’s about achieving a healthy weight through optimal nutrition. Create a habit of health with Nature’s Sunshine and get on the path to lasting health and wellness today.
This document provides guidelines for the management of diabetes through diet and nutrition. It outlines the main goals of treatment as making patients symptom-free and preventing complications. Target blood glucose and lipid levels are listed. A balanced diet with appropriate proportions of carbohydrates, proteins, fats, and fibers is recommended. Factors like age, gender, diabetes type, weight, and medical conditions determine an individual's diet. Meal planning considers calorie needs and glycemic index values of foods. Dietary education tools like food groups, exchanges, and carbohydrate counting are discussed to help patients understand healthy eating.
Diabetes is a disease where the body does not properly produce or use insulin, leading to high blood sugar. There are two main types of diabetes - type 1 where the body does not produce insulin and type 2 where cells do not respond to insulin properly. Good management of diabetes involves nutrition therapy such as carbohydrate counting to control blood sugar levels as well as medication, exercise, and monitoring of blood glucose levels.
The document provides guidance on planning a healthy diet including:
- Using food groups and exchanges to create balanced meals with adequate nutrients and energy.
- Choosing foods with high nutrient density by focusing on whole grains, vegetables, fruits, lean proteins and low-fat dairy.
- Reading nutrition labels to select processed foods lower in sugars, salt and saturated fat.
This document discusses concepts of nutrition and dietary patterns. It begins by defining key terms like nutrition, nutrients, and metabolic patterns. It then outlines the essential nutrients - protein, fats, and carbohydrates - and their sources and digestion. Nutritional considerations across the lifespan are reviewed. Manifestations of altered nutrition and nursing interventions to promote optimal nutrition are also summarized. The objectives are to help learners understand nutrition definitions and sources, normal digestion and metabolism, nutritional needs over life stages, and nursing's role in addressing altered nutrition status.
Living with diabetes and making healthy food choices iiKarenKramser
This document provides information on making healthy food choices for people with diabetes. It emphasizes that what you eat makes a big difference for both type 1 and type 2 diabetes. For type 1 diabetes, tracking carbohydrate intake helps determine insulin needs, while for type 2 diabetes, medication, weight control, exercise and diet help manage blood sugar levels. It recommends choosing low-fat, high-fiber carbohydrates and being cautious of refined sweets. Fiber-rich whole foods should replace low-fiber options. Meals should incorporate protein, vegetables and fruits, and small amounts of whole grains. Healthy snacks can help stabilize blood sugar between meals. Both glycemic index and glycemic load are mentioned to explain the impact of
The document provides information on natural weight management including metabolic rate measurements, digestive enzymes, basal metabolic rate calculations, energy balance, macronutrient recommendations, body fat classifications, and tips for healthy weight loss such as consuming satiating foods and increasing physical activity.
The document discusses changing nutrition guidelines and recommendations over the past 30 years as well as trends in obesity, diabetes, and childhood obesity in the United States. It notes that obesity rates have risen significantly in most states over the past decade and that obesity-related diseases continue to be highly prevalent. While current recommendations generally focus on reducing calorie intake and increasing exercise, some clinical studies have shown low-carbohydrate, high-fat diets can promote greater weight loss and improve health markers compared to low-fat diets. The document argues that lifestyle changes including adopting a paleo/low-carb diet, focusing on whole foods, sufficient sleep, and regular exercise are needed to lose weight and prevent obesity-related diseases.
Diabetes is a condition where there is too much sugar in the blood due to lack of or insufficient insulin produced by the pancreas. Proper management of diabetes through diet, exercise, medication and monitoring of blood sugar levels is important to prevent serious complications such as blindness, nerve damage, heart disease and amputation. The document provides guidance on diabetes self-management including healthy eating through use of food exchanges and groups, monitoring blood sugar levels, treating hypoglycemia and ketoacidosis, and balancing food, exercise and medication.
This document discusses gluten free eating and its benefits. It states that individuals with celiac disease or gluten sensitivity cannot eat foods containing gluten, which is found in wheat, barley, and rye. It provides lists of hidden sources of gluten and acceptable gluten-free grains and starches. The document recommends eating gluten-free only if medically necessary, as it can be expensive and risk nutrient deficiencies. Whole grains are promoted as heart-healthy due to fiber, vitamins, and minerals that may reduce risks for chronic diseases.
Coconut oil has various health benefits. It contains antioxidants and antimicrobial fatty acids. While high in saturated fat, studies show coconut oil may not increase heart disease risk like other saturated fats due to its unique fatty acid composition. Coconut oil is solid at room temperature and can be used for cooking or baking, where it adds flavor and has a higher burning point than other oils. The fatty acids in coconut oil are metabolized differently than other fats and may provide benefits for conditions like malabsorption.
This document summarizes the health effects of coconut oil by comparing its fatty acid composition to other oils like corn oil. It finds that while coconut oil has more saturated fat than corn oil, its medium-chain fatty acids may provide benefits like supporting immune function and reducing abdominal fat. However, it cautions that coconut oil should not completely replace unsaturated vegetable oils which provide essential fatty acids and are generally healthier. Overall, the document concludes coconut oil can be consumed in moderation as part of a balanced diet for its possible health benefits and flavor in cooking.
Resveratrol is a compound found in various plants and foods like grapes, blueberries, and red wine. It has many health benefits such as being an antioxidant that reduces oxidative damage, inhibiting cancer development at various stages, reducing inflammation, and helping to regulate blood glucose and lipid levels. Resveratrol protects cells and tissues from damage by reducing free radicals, preventing platelet aggregation, inhibiting cancer-promoting enzymes, and modulating inflammatory pathways. These properties may help prevent chronic diseases like heart disease, diabetes, and neurodegenerative conditions.
The document discusses the health benefits of blueberries. It states that blueberries contain phytochemicals called anthocyanins that act as antioxidants and may reduce the risk of chronic diseases like cancer and heart disease. Regular consumption of blueberries may improve brain, vision and heart health, and reduce the risk of conditions like diabetes and Alzheimer's disease. The document concludes that blueberries are a superfood due to the various health benefits provided by their phytochemical content.
This document provides an overview of research on flavonoids found in cocoa and chocolate. It summarizes that cocoa and chocolate are high in flavonoids like catechins and epicatechins which have been linked to health benefits. Studies show these flavonoids can improve blood vessel function, lower blood pressure, and reduce risk factors for cardiovascular disease by reducing oxidation of LDL cholesterol and inhibiting platelet aggregation. However, the amount of flavonoids varies depending on cocoa processing and the type of chocolate. More research is still needed on the long term effects of cocoa flavonoids in humans.
This document provides information about blueberries, including:
- Blueberries have many health benefits and antioxidant compounds that may delay chronic diseases.
- They are related to cranberries, bilberries, and cowberries, and are cultivated and picked wild.
- Blueberries have the highest concentration of antioxidants and may reduce cancer and heart disease risk by inhibiting tumor growth and reducing risk factors.
The document discusses the DASH diet plan for reducing hypertension. It provides information on hypertension prevalence, blood pressure goals, and how high blood pressure affects the body. The DASH diet is highlighted as an effective non-pharmacological approach to treating hypertension through its focus on fruits, vegetables, whole grains, and low-fat dairy while limiting sodium, red meat, and sugar. Weight loss through diet and exercise is also emphasized as important for reducing hypertension risk factors like obesity.
Gestational diabetes occurs in approximately 5% of pregnancies and results in high blood sugar levels during pregnancy. It develops when the placenta produces hormones that prevent the mother's cells from properly using insulin. To manage gestational diabetes, patients must monitor their blood sugar levels, follow a healthy diet with balanced carbohydrate intake, engage in moderate physical activity, and potentially take insulin or other medications. Maintaining blood sugar control is important for the health of both the mother and baby.
This document discusses several studies related to gestational diabetes and macrosomia. The first study found that maternal BMI had a greater influence on the development of large for gestational age (LGA) babies than glucose control. A second study identified that maternal BMI and LGA in a previous pregnancy most influenced fetal growth in the late second and early third trimesters, while maternal glycemia predominantly impacted growth later in the third trimester. A third study examined the degree of glucose control needed in women with type 1 diabetes to achieve normal fetal growth and neonatal proportions.
This document discusses common complications that can arise from diabetes, including heart disease, kidney disease, eye complications, nerve damage, foot complications, skin complications, and depression. It provides details on each complication, such as how diabetes increases the risks of heart attack, stroke, and kidney failure. It emphasizes the importance of controlling blood sugar, blood pressure, and cholesterol to reduce health risks.
This document discusses obesity in teens and children. It finds that Mexican-American and non-Hispanic black youth have higher rates of overweight than white youth. Adolescents and older adults are more likely to be overweight than younger groups. Obesity results from long-term energy imbalance where calories consumed exceed calories used. Having two overweight parents significantly increases a child's risk of becoming overweight themselves. Measuring tricep skinfold thickness from ages 3 to 17 showed children of two obese parents were three times as fat as children of two lean parents by age 17.
This document provides an overview of childhood obesity including prevalence, risks, environmental and genetic factors, critical periods of development, diet, physical activity, and recommendations for prevention. Some key points:
- Rates of childhood obesity in the US have increased 2-3 fold over the last 25 years. Approximately 18.8% of US children ages 6-11 are overweight.
- Risk factors for childhood obesity include family history, low income, lack of physical activity, excess calorie intake, excessive screen time, and lack of breastfeeding.
- Critical periods for the development of obesity are gestation, ages 5-6, and adolescence. Early life nutrition and growth patterns can impact future health.
This document discusses lycopene, a carotenoid pigment found in tomatoes and other red fruits and vegetables. It provides lycopene's sources, history of research on it, levels of intake in different populations, content in various foods, biological activities including antioxidant effects, and potential health benefits related to reducing risks of certain cancers and cardiovascular disease. The Pennington Nutrition Series publishes research from the Pennington Biomedical Research Center on nutrition, chronic disease prevention, and healthy aging.
Grilling vegetables and fruits instead of red meats can reduce the risk of chronic diseases. When vegetables are grilled, they do not form cancer-causing compounds like meats do. Colorful vegetables like corn, zucchini, and bell peppers as well as fruits make for healthy grilling options. To prevent the formation of cancer-causing PAHs and HCAs when grilling meats, one should use techniques like pre-cooking meats, avoiding excess fat and charring, frequent flipping, and marinating meats in herbs and spices.
This document summarizes potential health benefits of green tea. It discusses how green tea contains polyphenols, particularly catechins like EGCG, that may provide benefits. Some potential benefits highlighted include reduced risk of cardiovascular disease, obesity, diabetes, certain cancers, and neurodegenerative diseases. The document also discusses how green tea's antioxidants may protect cells from damage and help prevent chronic diseases associated with aging.
Genetic considerations in obesity developmenthelix1661
The document summarizes genetic research on human obesity from the Pennington Biomedical Research Center. It details that over 600 genes have been associated with obesity. Specific genetic disorders are described that can cause obesity like Cushing's syndrome. Mouse models are used to study obesity genes and their role in food intake and metabolism. Genome-wide studies have linked obesity phenotypes to particular chromosomes. The research aims to identify gene combinations and mutations that influence obesity risk and how they interact with environment.
This document outlines a lesson plan on dietary fat for high school students. It covers key concepts about fat including what fat is, the functions of dietary fat, different types of fat like saturated, unsaturated and trans fats, and how fats affect health. The lesson defines terms like cholesterol and lipoproteins and discusses the importance of reducing unhealthy fats and increasing healthy fats. It provides information on fat content of different foods and evaluating fat on nutrition labels. The plan includes slides, activities and handouts to teach students about fats and their impact on health.
The document discusses common potential complications of diabetes such as heart disease, kidney disease, eye complications, diabetic neuropathy, foot complications, skin complications, gastroparesis, and depression. It provides details on each complication including causes, risk factors, signs and symptoms, and treatment or prevention options. The document emphasizes the importance of controlling blood sugar, blood pressure, and cholesterol to reduce the risk of developing diabetes complications.
This document promotes the health benefits of eating seafood. It recommends consuming 3-5 ounces of seafood 2-3 times per week as it is high in protein and omega-3 fatty acids. Omega-3 fatty acids are important for health, growth, brain function and lowering the risk of diseases. Salmon, trout, tuna and mackerel are good sources of omega-3. The document was created by researchers at the Pennington Biomedical Research Center to educate the public about nutrition.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
2. Treatment options
When does obesity threaten the health
and life of a patient?
Which patients have co-morbidities
that make an aggressive treatment
necessary?
2012 2
3. Steps in determining treatment
Determine BMI.
Assess complications and risk factors
2012 3
4. Steps in determining treatment
Determine BMI-related health risk
Determine weight reduction
exclusions
Mental illness
Unstable medical condition
Some medications
Temporary
Pregnancy or lactation
2012 4
5. Steps in determining treatment
Possible exclusions
Osteoporosis
BMI in minimal or no-risk category
History of mental illness
Medications
Permanent exclusions
Anorexia nervosa
Terminal illness
Assess patient readiness
2012 5
6. Steps in determining treatment
Treatment Options
1. Mild energy-deficit regimen
Diet, diet and exercise, behavioral therapy
2. Aggressive energy-deficit regimen
VLCD
Extensive exercise program
3. Obesity drugs
4. Surgery More extreme
options
2012 6
7. Dietary treatment
When someone is a few pounds overweight
and is motivated to lose weight, dietary
approach is a safe and effective method for
weight loss. It is also the best method for
helping to acquire new skills for maintaining
a weight loss.
2012 7
8. Dieting with the Exchange List
The Exchange diet.
Monitor intake of carbohydrates, fat
and protein as well as portion sizes.
Includes foods from each group and
can be used indefinitely.
It also works well in weight
maintenance.
2012 8
9. Dieting with the Exchange List
Foods are divided into 6 categories:
Starch/Bread
Meat
Vegetables
Fruit
Milk
Fat
2012 9
10. The Exchange List
The number of exchanges is
determined by the total number of
calories required.
Different for each person and
depends on:
height, weight, and energy expenditure.
2012 10
12. Example of daily exchange diet: 1800
Kcals daily
BREAKFAST
1 c orange juice 2 Fruits
2 slices of toast 2 Breads
1 hard-cooked egg Yields 1 Meat
2 tsp margarine 2 Fat
1 c 2% milk 1 Milk
Coffee or tea Free Food
2012 12
13. Example of daily exchange diet: 1800
Kcals daily
LUNCH
½ c tuna 2 Meat
2 slices whole wheat bread 2 Bread
½ c tomato slices 1 Vegetable
Lettuce/cucumber salad Raw Vegetable
Yields
1 c sliced peaches 2 Fruit
1 tsp margarine 2 Fat
Tea with lemon Free Foods
2012 13
14. Example of daily exchange diet: 1800
Kcals daily
3 oz baked chicken DINNER 3 meat
½ c mashed potato 1 Bread
1 small whole grain roll 1 Bread
½ c broccoli, ½ c carrots 1 Vegetable
Yields
Tossed salad Raw Vegetable
1 Tbsp salad dressing 1 Fat
1 tsp margarine 1 Fat
Coffee Free Food
2012 14
15. Example of daily exchange diet: 1800
Kcals daily
EVENING
SNACK
2 graham crackers 1 Bread
1 c 2% milk 1 Milk
2012 15
16. The Exchange Diet
For more information please visit:
http://www.diabetes.org/home.jsp
2012 16
17. Dieting Using Calorie Controlled
Portions
MEAL REPLACEMENT PLAN
Liquid formula or a packaged item
Fixed number of calories to replace a meal.
Control portion sizes
Fat, carbohydrate, calories
Balanced meals
2012 17
18. Meal Replacement Plan
4 types of meal replacers:
Powder mixes
Shakes
Bars
Prepackaged Meals
2012 18
19. Meal Replacement Plan
An intake of five fruits and vegetables is
recommended.
Effective
Convenient
Nutritionally balanced
2012 19
20. Example:
A MEAL REPLACEMENT PLAN
Breakfast Meal Replacement
Lunch Sensible Meal or Meal
Replacement
Dinner Sensible Meal
Snacks Fruit, vegetable, fat-
free yogurt or cheese,
nuts, pretzels, or air-
popped popcorn
2012 20
21. Exercise
Adults: 30-45 minutes of exercise three to five days
each week
Include 5-10 minute warm up and cool down
Weight loss: at least 30 minutes of aerobic activity a
day for five days
2012 21
22. Exercise
Energy Balance = maintaining
weight.
Positive energy balance leads to
weight gain.
Negative energy balance leads to
weight loss.
2012 22
23. Exercise: Benefits
Exercise builds lean body mass.
Walking, running and doing physical activity
can burn two to three times more calories
than similar amount of time sitting.
With exercise there is an improvement in
overall physical fitness.
Exercise improves maintenance of weight after
weight loss.
2012 23
24. Exercise
For Weight Loss
150 to 200 minutes of moderate physical activity
each week
diet for weight loss
For Improved Health
An exercise program with less than 150 minutes a
week and lower intensity can result in improvement
in cardio-respiratory fitness.
2012 24
25. Aerobic Activity
Aerobic exercise is any extended activity that makes the
lungs and heart work harder while using the large muscle
groups in the arms and legs at a regular, even pace.
EXAMPLES
Brisk walking
Jogging
Bicycling Racket sports
Swimming Lawn mowing
Aerobic dancing Ice or roller skating
Using aerobic equipment
(treadmill, stationary bike)
2012 25
26. Anaerobic Activity
Anaerobic activity is short bursts of very
strenuous activity using large muscle groups
(Ex: weight lifting, curls, power lifting).
Helps build and tone muscles, but it does not
benefit the heart or the lungs.
2012 26
27. Very Low Calorie Diets (VLCD)
Formula diet of 800 calories or less.
Must be under proper medical
supervision.
Produce significant weight loss in
moderately to severely obese patients.
2012 27
28. VLCD: Facts
Not recommended for pregnant or breastfeeding
women
Not appropriate for children or adolescents
Not recommended for older individuals
2012 28
29. Behavioral Treatment
Widely used strategy
Based on adjusting energy balance
Individual treatment, or
Group Format
(Around 18-24 weeks)
One of the most successful
treatment programs
2012 29
30. Group Approaches
Social support
integration into social network and positive
interactions with others.
Individual feels support, acceptance, and
encouragement by others.
2012 30
31. Behavior Treatment
Need to change one’s approach
thinking
feelings
actions
to eating and physical activity.
2012 31
32. Behavioral targets
Total energy _ Total energy
Weight = intake expenditure
Eating Activity
Targets of behavioral therapy
2012 32
34. Behavior Therapy:
Important Components
3. Setting Goals
Calories, fat, physical activity.
Short-term goal of losing 1 to 2 pounds a week.
Choose specific, attainable, and realistic goals.
Have a long-term goal.
2012 34
35. Behavior Therapy:
Important Concepts
4. Keeping Track of Eating and Exercising
Tracking to raise awareness.
Self monitoring.
Record time, activating event, place and quantity of
eating, and activity behaviors.
2012 35
37. Behavior Therapy:
Important Concepts
Techniques to conquer eating triggers include:
eating regular meals
eating at the same time and place
use smaller plates
keeping accessible food out of sight
eating only when hungry
avoiding activities that encourage eating
2012 37
38. Behavior Therapy:
Important Concepts
6. Changing Eating and Activity Patterns
slowing pace of eating
reducing portion sizes
measuring food intake
leaving food on plate
improving food choices
eliminating second servings
2012 38
39. Behavior Therapy:
Important Concepts
Changing Eating and Activity Patterns
Programmed exercise vs lifestyle
Lifestyle activity preferable for weight
loss.
2012 39
40. Behavior Therapy:
Important Concepts
7. Contingency Management
Positive reinforcement (reward)
An effective reward - immediate, desirable, and given
based on meeting a specific goal.
Tangible rewards - a new CD
Intangible reward – taking time off
2012 40
41. Behavior Therapy:
Important Concepts
8. Cognitive Behavioral Strategies
Traditional behavioral treatment components
with emphasis on thinking patterns that may
affect eating behaviors.
2012 41
42. Behavior Therapy:
Important Concepts
9. Stress Management
Stress is a primary predictor of
overeating and relapse.
Stress management skills
2012 42
43. Drug Treatment of Obesity:
Indicated when
BMI is greater than 30
BMI is higher than 27 and there are
other cardiovascular complications
After several attempts diet alone is
not enough
Cardiovascular complications include:
Hypertension, Dyslipidemia, Coronary Heart
Disease, Type 2 Diabetes, and Sleep Apnea
2012 43
44. Drug Therapy
Commonly prescribed drugs for the
treatment of obesity include:
Phentermine
Sibutramine
Orlistat
2012 44
45. Drug Therapy: Phentermine
Brand names are Adipex-P, Obenix, Oby-Trim
Most commonly prescribed medication for weight
loss.
Phentermine increases norepinephrine, a
neurotransmitter in the brain that decreases
appetite.
Phentermine has stimulant properties, and it may
cause high blood pressure or irregular heat beats.
2012 45
46. Drug Therapy: Sibutramine
The brand name is Meridia
Sibutramine induces weight loss by reducing food intake.
It stimulates the
satiety centers in the brain.
Sibutramine use may increase heart rate and blood
pressure.
Sibutramine is not recommended for someone with
uncontrolled hypertension, tachycardia, or serious
heart, liver, or kidney disease.
2012 46
47. Drug Therapy: Orlistat
The Brand name is Xenical
Orlistat prevents the digestion of dietary fat.
Bowel habits will likely change.
Leads to improvement in blood lipids.
Multivitamin supplement is encouraged.
2012 47
48. Surgical Treatment of Obesity
Criteria used for surgical treatment:
BMI is 40 or higher
BMI of 35-39.9 and a serious obesity-related
health problem
such as: Type 2 diabetes, hypertension, heart
disease, or sleep apnea
2012 48
49. Types of GI surgeries available
Restrictive
Malabsorptive
Combined restrictive/malabsorptive
2012 49
50. GI Surgeries: Restrictive
Purely restrictive operations only limit food intake and
do not interfere with the normal digestive process.
Create a pouch.
Delay in food emptying.
2012 50
52. Restrictive Operations: Examples
2. Vertical banded gastroplasty.
Uses the band and staples to create
a small pouch. Not commonly used
today.
2012 52
53. Restrictive Operations: Advantages
1. Generally safer than malabsorptive
procedures.
2. Done via laparoscopy allowing for
smaller incisions.
3. Surgeries can be reversed if necessary.
4. Result in few nutritional deficiencies.
2012 53
54. Restrictive Operations:
Disadvantages
1. Smaller weight loss.
2. Can lead to weight gain over time.
3. No change in eating habits.
4. Success depends on the patient’s
willingness to adopt a healthy lifestyle.
2012 54
55. Restrictive Operations: Risks
1. Overeating can lead to vomiting.
2. Break in tubing.
3. Problems leading to a second operation.
These risks need to be taken into account
by any individual considering the
surgery!
2012 55
56. Malabsorptive Operations
The main malabsorptive operation is the
jejunoileal bypass which is not
performed today because of the high
incidence of health complications.
2012 56
57. Combined Restrictive and Malabsorptive
Operations
Restricts both food intake and the amount of
calories and nutrients the body absorbs.
Roux-en-Y gastric bypass (RGB)
Creates a pouch.
Connects the small intestine
to the pouch, bypassing large
sections of the intestines.
2012 57
58. Combined Restrictive and
Malabsorptive Operations
Biliopancreatic diversion (BPD)
Remove portion of stomach.
Connect this directly to the
final segment of the small intestine
completely bypassing sections of
intestines.
2012 58
59. Combined Operations: Advantages
1. Rapid weight loss.
2. Maintain good weight loss for 10 years or
more.
3. Can lose up to 75-80% of excess weight.
4. May lead to greater improvement in
health.
2012 59
60. Combined Operations: Disadvantages
1. Can be difficult.
2. May result in long-term nutritional
deficiencies.
3. Decreased absorption of iron and calcium.
4. Requires fat soluble vitamin
supplementation.
5. May have dumping syndrome.
2012 60
61. Combined Operations: Risks
1. May lead to complications.
2. Greater risk for abdominal hernias.
3. The risk of death may be higher.
2012 61
62. Bariatric Surgery: Facts
Procedures cost from $17,000 to $35,000.
Medical insurance coverage varies by state.
2012 62
63. NIDDK
(National Institute of Diabetes and Digestive and Kidney
Diseases)
The patient should consider the following
questions prior to weight loss surgery:
1. Are you unlikely to lose weight or keep weight
off long-term with non-surgical measures?
2. Are you well informed about the surgical
procedure and the effects of treatment?
3. Are you determined to lose weight and
improve your health?
2012 63
64. NIDDK
4. Are you aware of how your life may change
after the operation?
5. Are you aware of the potential for serious
complications, dietary restrictions, and
occasional failures?
6. Are you committed to lifelong medical follow-
up and vitamin/mineral supplementation?
2012 64
65. Conclusions
When there are no complications or co-
morbidities associated with obesity,
dietary, exercise and behavioral
approaches are the safest and best
approaches and can lead to long term
successful weight loss.
For successful weight loss to become
permanent, an individual has to adopt new
and permanent eating and exercise
behaviors.
2012 65
66. Conclusion
It is very important for individuals considering
weight loss drug therapy or surgeries to be well
aware of the risks associated with the
treatments.
Once all risks are understood, then ultimately it
is the individual’s decision whether to go along
with the treatment.
2012 66
67. References: Behavior Therapy and
VLCD Information
http://www.medhelp.org/NIHlib/GF-390.html
Foreyt, J.P., & Poston, W.S.C., Jr. (1998a). The role of the
behavioral counselor in obesity treatment. J Am Diet Assoc,
10(Supplement 2), S27-S30
Foreyt, J.P., & Poston, W.S.C., Jr. (1998b). What is the role of
cognitive-behavior therapy in patient management? Obes Res,
6(Supplement 1), 18S-22S
Foster, G.D., Wadden, T.A., Vogt, R.A., & Brewer, G. (1997).
What is a reasonable weight loss? Patients' expectations and
evaluations of obesity treatment outcomes. J Consult Clin
Psychol, 65, 79-85
2012 67
68. References : Behavior therapy
Poston, W.S.C., Jr., Hyder, M.L., O'Byrne, K.K., & Foreyt,
J.P. (2000). Where do diets, exercise, and behavior
modification fit in the treatment of obesity? Endocrine,
13(2), 187-192.
Wadden, T.A., Sarwer, D.B., & Berkowitz, R.I. (1999).
Behavioural treatment of the overweight patient. Baillieres
Best Pract Res Clin Endocrinol Metab, 13(1), 93-107.
Wing, R.R. (1993). Behavioral approaches to the
treatment of obesity. In G. Bray, C. Bouchard & P. James
(Eds.), Handbook of Obesity (pp. 855-873). New York:
Marcel Dekker, Inc.
Wing, R.R., & Tate, D.F. (2002). Behavior modification for
obesity. In J.F. Caro (Ed.), Obesity.
http://www.endotext.org/obesity/index.htm:
2012 68
69. Sites: Drug Therapy Info & Surgery
http://www.cdc.gov
National Heart, Lung, and Blood Institute, Clinical Guidelines
on the Identification, Evaluation, and Treatment of
Overweight and Obesity in Adults, 1998.
Astrup A, Hansen DL, Lundsgaard C, Toubro S. Sibutramine
and energy balance. Int J Obes Relat Metab Disord 1998
Aug; 22 Suppl 1: S30-S35.
Bray GA, Ryan DH, Gordon D, et al. A double-blind
randomized placebo-controlled trial of sibutramine. Obes Res
1996 May; 4(3): 263-70.
Heal DJ, Aspley S, Prow MR, et al. Sibutramine: a novel anti-
obesity drug. A review of the pharmacological evidence to
differentiate it from d-amphetamine and d-fenfluramine. Int J
Obes Relat Metab Disord 1998 Aug; 22 Suppl 1: S18-S29.
2012 69
70. References: Drug therapy & Surgery
www.meridia.net
Waitman, JA, Aronne LJ. Phrmacotherpay of obesity.
Obesity Management 1: 15-19, 2005.
Greenway, F. Surgery for obesity. Endocrinology and
Metabolism Clinics of North America 25(4):1005-1027.
Surgery for morbid obesity: What patients should know. 3rd
Ed. American Society for BariatricSurgery, Gainesville, FL
2001.
http://win.niddk.nih.gov/publications/gastric.htm
Escott-Stump, S. Nutrition and Diagnosis-Related Care. 5th
Edition. 2002.
70
2012
71. References: Exercise
http://www.cdc.gov
Ross R, Jansses I, Dawson J, Kungl A-M, Kuk JL, Wong SL,
Nguyen-Day T-B, Lee SL, Kilpatrick K, Hudson R. Exercise
induced reduction in obesity and insulin resistance in women: a
randomized controlled trial. Obesity Research 12:789-798, 2004.
Jakicic JM, Marcus BH, Gallagher KI, Napolitano M, Lang W.
Effects of exercise duration and intensity on weight loss in
overweight, sedentary women. JAMA 10: 1323-1330, 2003.
Ross R, Katzmarzyk PT. Cardio respiratory fitness is associated
with diminished total and abdominal obesity independent of body
mass index. International Journal of Obesity 27: 204-210, 2003.
McArdle WD, Katch FL, and Katch VL. Exercise Physiology:
Energy, Nutrition and Human Performance, 5th Edition. Lippincott
Williams & Wilkins 2004.
2012 71
72. References: Diet
http://www.cdc.gov
Noakes M, Foster PR, Keogh JB, Clifton PM. Meal replacements
are as effective as structured weight-loss diets for treating obesity in
adults with features of metabolic syndrome. J Nutr. 2004
Aug;134(8):1894-9.
Truby H, Millward D, Morgan L, Fox K, Livingstone MB, DeLooy A,
Macdonald I. A randomised controlled trial of 4 different commercial
weight loss programmes in the UK in obese adults: body
composition changes over 6 months.
Asia Pac J Clin Nutr. 2004 Aug;13(Suppl):S146.
http://www.slim-fast.com/plan/index.asp?bhcp=1 Accessed
September 16, 2004.
Halford JCG, Ball MF, Pontin EE, Maharjan LB, Dovey TM, Pinkney
JH, Wilding JPH, Mela DJ. The impact of using meal-replacements
versus standard dietetic advice on body weight, appetite, mood, and
satisfaction during a 12-week weight control. North American
Association for the Study of Obesity Conference, November 14-18,
2004, Las Vegas, Nevada.
2012 72
73. Pennington Biomedical Research
Center
Division of Education
Heli J. Roy, PhD, RD
Beth Kalicki
Division of Education
Phillip Brantley, PhD, Director
Pennington Biomedical Research Center
Steven Heymsfield, MD, Executive Director
2012 73
74. About Our Company…
The Pennington Biomedical Research Center is a world-renowned nutrition research center.
Mission:
To promote healthier lives through research and education in nutrition and preventive medicine.
The Pennington Center has several research areas, including:
Clinical Obesity Research
Experimental Obesity
Functional Foods
Health and Performance Enhancement
Nutrition and Chronic Diseases
Nutrition and the Brain
Dementia, Alzheimer’s and healthy aging
Diet, exercise, weight loss and weight loss maintenance
The research fostered in these areas can have a profound impact on healthy living and on the prevention of common
chronic diseases, such as heart disease, cancer, diabetes, hypertension and osteoporosis.
The Division of Education provides education and information to the scientific community and the public about
research findings, training programs and research areas, and coordinates educational events for the public on various
health issues.
We invite people of all ages and backgrounds to participate in the exciting research studies being conducted at the
Pennington Center in Baton Rouge, Louisiana. If you would like to take part, visit the clinical trials web page at
www.pbrc.edu or call (225) 763-3000.
2012 74