1
CSOWM Questions and Answers | Already
passed | Latest Update
Self-monitoring
🗸🗸: provides regular feedback on if target behaviors are improving, maintaining, or decreasing.
This is strongly associated with weight loss success. Examples: food log
stimulus control
🗸🗸: change cues with target eating/activity behavior to facilitate a particular behavior
(environmental manipulation to encourage behaviors). Example: if person struggles to only eat 1
serving of ice cream; don't keep large container in freezer, instead have them purchase single
serving 1x/week.
goal setting
🗸🗸: provides clear assessment of progress; DPP tracks avg daily calorie goal, weekly mins of
physical activity, # of days to record food log.
weight loss effectiveness
🗸🗸: weight loss of 8-10 kg/%initial weight; rate = 0.4-0.5 kg/week.
, 2
monitoring weight
🗸🗸: the most successful in maintaining lost weight were those who monitored their weight
>weekly.
Most effective delivery method for behavioral therapy
🗸🗸: face to face>internet>minimal... A study found that 2x/month of 15-20 min phone calls were
equally effective to 60 minutes on site group counseling in maintaining initial weight loss --
academic setting > community or primary care setting.
Exercise impact on weight regain, recommendation
🗸🗸: minimize weight regain by 60 minutes/day of brisk walking. Weight loss benefit seen in 30-60
minutes/day of activity; if doing this much exercise more likely to limit wt regain by >30%.
Maintain 10%+ wt lost by increasing exercise by 275 minutes/wk above baseline.
Orlistat
🗸🗸: fat blocker (lipase inhibitor), only FDA approved drug for weight loss, moderately effective
yielding 3-4 kg weight loss.
Behavioral therapy effectiveness
🗸🗸: effective to reduce weight by 10% and significantly improve health.
, 3
Intervention with BMI 25+
🗸🗸: exercise, diet, and behavioral modification
Long-term weight loss and regain success
🗸🗸: frequent, long-term provider contact after initial wt loss; when therapy stopped, weight
regain occurs.
adherence to diet vs actual diet more effective for weight loss?
🗸🗸: adherence to diet
average weight loss via behavioral intervention in first 6 months
🗸🗸: decrease by 8 kg BW, average weight regain 1-2 kg/yr (faster initially).
What is a reason weight maintenance can be more difficult?
🗸🗸: decrease in positive feed back when in weight maintenance vs weight loss
Small improvements to weight regain seen with these strategies
🗸🗸: 1. increase professional/peer support
2. decrease boredom by varying intervention i.e. food replacement.
, 4
3. facilitate self-regulation (establish prior to weight loss efforts)
4. vary dose/intensity/behavioral support for physical activity.
*generic/behavior/psych characteristics do not equate to weight loss outcomes prediction.
**very small, but statistically significant increase seen.
Negative physiological results of weight loss
🗸🗸: 1. increased rewarding value of food
2. decreased satiation
3. increased metabolic efficiency
4. prefer to use CHO over fat for energy
5. maximize absorption/storage of nutrients when available. (positive fat balance)
*these do not reset once new steady state weight is achieved.
T/F : determinants of weight regain include decreased energy expenditure and increased appetite.
🗸🗸: True
Exercise impact on weight regain mechanisms
🗸🗸: decreases intake and increases energy expenditure, this can counter biological factors
promoting weight gain; attenuates weight regain.
CSOWM Questions and Answers | Already
passed | Latest Update
Self-monitoring
🗸🗸: provides regular feedback on if target behaviors are improving, maintaining, or decreasing.
This is strongly associated with weight loss success. Examples: food log
stimulus control
🗸🗸: change cues with target eating/activity behavior to facilitate a particular behavior
(environmental manipulation to encourage behaviors). Example: if person struggles to only eat 1
serving of ice cream; don't keep large container in freezer, instead have them purchase single
serving 1x/week.
goal setting
🗸🗸: provides clear assessment of progress; DPP tracks avg daily calorie goal, weekly mins of
physical activity, # of days to record food log.
weight loss effectiveness
🗸🗸: weight loss of 8-10 kg/%initial weight; rate = 0.4-0.5 kg/week.
, 2
monitoring weight
🗸🗸: the most successful in maintaining lost weight were those who monitored their weight
>weekly.
Most effective delivery method for behavioral therapy
🗸🗸: face to face>internet>minimal... A study found that 2x/month of 15-20 min phone calls were
equally effective to 60 minutes on site group counseling in maintaining initial weight loss --
academic setting > community or primary care setting.
Exercise impact on weight regain, recommendation
🗸🗸: minimize weight regain by 60 minutes/day of brisk walking. Weight loss benefit seen in 30-60
minutes/day of activity; if doing this much exercise more likely to limit wt regain by >30%.
Maintain 10%+ wt lost by increasing exercise by 275 minutes/wk above baseline.
Orlistat
🗸🗸: fat blocker (lipase inhibitor), only FDA approved drug for weight loss, moderately effective
yielding 3-4 kg weight loss.
Behavioral therapy effectiveness
🗸🗸: effective to reduce weight by 10% and significantly improve health.
, 3
Intervention with BMI 25+
🗸🗸: exercise, diet, and behavioral modification
Long-term weight loss and regain success
🗸🗸: frequent, long-term provider contact after initial wt loss; when therapy stopped, weight
regain occurs.
adherence to diet vs actual diet more effective for weight loss?
🗸🗸: adherence to diet
average weight loss via behavioral intervention in first 6 months
🗸🗸: decrease by 8 kg BW, average weight regain 1-2 kg/yr (faster initially).
What is a reason weight maintenance can be more difficult?
🗸🗸: decrease in positive feed back when in weight maintenance vs weight loss
Small improvements to weight regain seen with these strategies
🗸🗸: 1. increase professional/peer support
2. decrease boredom by varying intervention i.e. food replacement.
, 4
3. facilitate self-regulation (establish prior to weight loss efforts)
4. vary dose/intensity/behavioral support for physical activity.
*generic/behavior/psych characteristics do not equate to weight loss outcomes prediction.
**very small, but statistically significant increase seen.
Negative physiological results of weight loss
🗸🗸: 1. increased rewarding value of food
2. decreased satiation
3. increased metabolic efficiency
4. prefer to use CHO over fat for energy
5. maximize absorption/storage of nutrients when available. (positive fat balance)
*these do not reset once new steady state weight is achieved.
T/F : determinants of weight regain include decreased energy expenditure and increased appetite.
🗸🗸: True
Exercise impact on weight regain mechanisms
🗸🗸: decreases intake and increases energy expenditure, this can counter biological factors
promoting weight gain; attenuates weight regain.
