self-monitoring
keep a diary for several days, recording what you eat, when you
eat it, how you felt, and where you were when you are. Help
bring to light negative patterns.
social support
from family friends, social programs, and professional help.
drastic weight loss measures
medications, extremely low calorie diets and surgery
medications
amphetamines, appetite reduction and fat absorption inhibitors.
amphetamines
stimulate CNS and burn calories. Used for short term loss, abuse
or dependency can happen
appetite reduction medication
phentermine - reduces hunger sensations. Good for people who
eat healthily but eat excess quantities.
decrease fat absorption
Orlistat (Xenical) inhibits lipase enzymes from breaking down
fat in the small intestine. 1/3rd of dietary fat is taken in its not
absorbed, fat goes through body through feces.
extremely low calorie diet
,400-800 calories per day. Low carb, high protein in liquid form.
Monitoring is necessary
surgery
last resort when medications and diets fail.
bariatrics
medicine that focuses on cause, prevention and treatment of
obesity.
gastric banding
restrictive procedure, opening from the esophagus to the
stomach is restricted using a gastric band. Forms a small pouch
in stomach. Can be inflated or deflated to control the amount of
food a person can consume.
gastroplasty
stomach stapling - reduces the stomach capacity and bypasses a
small part of the small intestine. Causes patient to feel full
quickly and cannot overeat.
health risks of gastroplacity
bleeding, clots, hernias, infection, nutrient deficiency and
increased risk of death.
gastric balloon
silicone is inserted through esophagus into the stomach. no
surgery required, balloon is inflated to size of grapefruit.
removed after 6 months.
underweight BMI
, < 18.5
Low body weight
caused by genetics or GI disorder like IBS. AIDS or cancer can
also cause low weight.
principles of gaining weight
controlling calories (increasing), exercise is to build muscle, and
behavior medications focus on replenishing body mass.
Tips on increasing body mass
adding healthy snacks, adding healthy fats to meals, limiting
fluid consumption to delay satiety.
risks of being underweight
loss of body fat causes cessation of menstrual period. Can have
long term effects, loss of bone mass. can affect immune system
and cause complications from surgery or healing. If low weight
is due to genetics and person is healthy, there is not a problem
fad diet
emphasizes one food group and gimmicks
moderate calorie restriction
diet limits to 12-1800 calories per day. If plan includes all food
groups and encourages exercise then this might be okay. Weight
watchers, Jenny Craig, Dieting for dummies
low carbohydrate
severe carbohydrate restriction, causes the body to turn stored
glycogen and protein fro energy, leads to weight loss but also