2. Objectives:
Explain the concept of appropriate body
weight.
Discuss the relationship of excess body
weight to the development of chronic
disease.
Explain the concept of energy balance.
Explain body mass index calculation.
Explain the role of diet in weight
management.
3. Cont…..
Identify factors in the Pakistani diet that
are particularly conducive to weight gain.
Explain the role of exercise in weight
management.
Explain the role of behavior modification
technique in weight management.
Council patient regarding weight
management.
4. Determining the Right body Weight:
Overweight: increased body weight in
relation to height
Body mass index (BMI): a formula for weight
assessment based on a weight-to-height
relationship
Obesity
Mild: 20 to 40 percent over ideal weight
Moderate: 41 to 99 percent over ideal weight
Severe, morbid, or gross: 100 percent or more
5.
6. Assessing Fat Levels
Body mass index (BMI)
Weight (kg) / height squared (m2)
With the metric system, the formula for BMI
is weight in kilograms divided by height in
meters squared.
Healthy weight is a BMI of 19 to 25.
Overweight is a BMI of 25 or more.
Obese is a BMI of 30 or more.
8. Waist Circumference and Ratio
Measurements
Waist circumference should be less than:
Men: 40 inches
Women: 35 inches
9. Risk Factors for Obesity
Higher in minorities, especially women
Environmental factors
Advertising
Fast food
Bottle feeding infants
Sedentary lifestyles
Automated equipment
Computer and TV use
Decline in physical education requirements in
schools
11. Managing Your Weight
Keep weight control in perspective.
Understand calories.
Include exercise.
Improve eating habits.
Select a nutritional plan.
13. Selecting a nutritional Plan
Set realistic goals.
Reward yourself for meeting goals.
Seek assistance in selecting a dietary plan.
14. Body Mass Index (BMI)
Incorporates height and weight to
estimate critical fat values at which
disease risk increases.
15. Disease and Mortality Risk Based on BMI
Even though the
risk for premature
illness and death
is greater for
those who are
overweight, the
risk also increases
for individuals
who are
underweight.
16. waist Circumference:
Predicts disease risk according to the way
people store fat (waist versus other areas)
Disease Risk according to WC.
17.
18. eating disorder:
Anorexia nervosa, bulimia
nervosa, binge-eating
disorder: physical and
emotional conditions
thought to stem from
individual, family, and social
pressures
Eating disorders are
increasing steadily in most
industrialized nations where
society encourages low-
calorie diets and thinness.
19. Cont….
Intense fear of becoming fat does not
disappear even when losing extreme weight
Individuals clip images from magazines to
use as their ideal body goal
Articles on dangers of eating disorders fail to
deter behavior in these individuals; instead,
they look for ideas in these articles to use in
their search for a "perfect body"
20. Pakistan diet and weight gain:
Pakistan is a developing country, and
literacy rate is also low.
The people of Pakistan like to have a
stronger body, and they believe that the
much you gain weight will be more strong
and healthy.
Illiteracy.
Imbalance diet.
Use of fats.
21. Change in Eating Habits
Decrease fat intake: for good.
Eat adequate grains, fruits, and
vegetables.
Limit meat consumption.
Count calories when on a diet.
Small changes make a BIG difference
Plan prior to socializing around food
People who are successful in losing weight
carefully monitor caloric intake
22. Behavior Modification Techniques
Make a
commitment to
change
Set realistic goals
Exercise regularly
Exercise control
over your
appetite
Consume less fat
in the diet
Eliminate unnecessary
food items from the diet
Include calcium-rich foods
in the diet
Avoid automatic eating
Eat small frequent meals
on a regular schedule
“Everything in moderation”
is better than making
certain foods off limits
23. Behavior Modification Techniques
Stay busy.
Pay attention to the
number of calories in
food
Cook wisely
Do not serve more food
than you should eat.
24. Treatment for Eating Disorders
Reduce the threat to life and stabilize
patient.
Begin long-term therapy that involves
family, friends, and significant others.
Focus on psychological, social,
environment, and physiological factors.
Join support groups that help the family
and patient
25. References:
P. Angulo, Obesity and nonalcoholic fatty liver disease,
Nutrition Review 65 (2007):S57-S63;E.Yan and
coauthors, Non alcoholic fatty liver disease:
pathogenesis, identification, progression, and
management, nutrition review 65(2007):S39-S45.