CSOWM STUDY GUIDE CORRECT
100%
BMI Classification for Underweight - ANSWER < 18.5
BMI Classification for Normal Weight - ANSWER 18.5 - 24.9
BMI Classification for Overweight - ANSWER 25-29.9
BMI Classification for Overweight Class 1 - ANSWER 30-34.9
BMI Classification for Overweight Class 2 - ANSWER 35-39.9
BMI Classification for Overweight Class 3 - ANSWER >40
Micronutrients of Concern at Risk of Deficiency for People with Obesity - ANSWER Iron,
B12, Folic Acid, Zinc, Vit D
What is the leading cause of death in the US? - ANSWER Heart Disease
What % of People have HTN? - ANSWER 45%
What % of People have Diabetes? - ANSWER 11%
What % of People have Prediabetes? - ANSWER 35%
What % of People have Hyperlipidemia? - ANSWER 11%
What % of People have Osteoporosis? - ANSWER 17% Women, 5% Men
What % of People have Gestational Diabetes? - ANSWER 6-9%
What % of People are Overweight/Obese? - ANSWER 74% (Highest Rates Ages 40-
59)
Most Common Cancers - ANSWER Colorectal for men, breast for women
What % of American's Adhere to DGA? - ANSWER 59%
Healthy Adult Meal Pattern Guidelines (2,000 Kcals) - ANSWER 1. Veggies of all colors
(2.5 cups/day)
2. Whole fruits (2 cups/day)
3. Starches: at least half of all grains be whole (6 oz per day)
4. Fat free or low-fat dairy and/or soy alternatives (3 cups/day)
,5. Protein: lean meats, legumes, nuts, seeds, seafood, eggs, soy (5.5 oz per day + 8 oz
seafood per week, 5oz nuts/seeds per week)
6. Healthy oils/fats: veg oils, fatty seafood, nuts (27g per day)
7. <240 kcals (~12%) from added sugar, alcohol, sat fat
Exercise Guidelines - ANSWER 150-300 minutes moderate intensity + 2 strength
training days per week
How Many Extra Daily Kcals Needed For Trimester 1? - ANSWER 0
How Many Extra Daily Kcals Needed For Trimester 2? - ANSWER 340 kcals
How Many Extra Daily Kcals Needed For Trimester 3? - ANSWER 452 kcals
How Many Extra Daily Kcals Needed For Lactation Months 0-6? - ANSWER 330 kcals
How Many Extra Daily Kcals Needed For Lactation Months 6-12? - ANSWER 400 kcals
What Are The 3 Main Components of Behavior Change? - ANSWER Goal Setting: .5-1
kg per week wt loss, targeting 10% wt loss at 6 months + behavior goals
Self-Monitoring: recording target behaviors, are they improving, deteriorating or
maintaining? Self-assessments include food logs, exercise logs, enhanced by adding
hunger levels, mood, place, time, etc.
Stimulus Control: intentional change to both internal and external cues associated with
targeted behavior or eating plans (ex: change environment to increase visibility of
healthful foods or setting out workout clothes at night to cue for morning walk)
Medical Cause of Obesity: Syndromes - ANSWER Prader-Willi, Barget-Biedi, Cohen,
Alstom, Froehlich
Medical Cause of Obesity: Genetic Disorder - ANSWER Leptin-deficiency, POMC
deficiency, Melanocortin-4
Medical Cause of Obesity: Neurological - ANSWER Brain injury, brain tumor, cranial
irradiation, hypothalamic obesity
Medical Cause of Obesity: Psychological - ANSWER Hypothyroid, cushings, GH
deficiency, pseudohypoparathyroid
Medical Cause of Obesity: Drug Induced - ANSWER Antidepressants, contraceptives,
antipsychotics, anticonvulsants, glucocorticoids, sulfonylureas, beta blockers, insulin,
glitazones
4 Meds Approved for Pediatrics (12+) - ANSWER 1. Orlistat (Xenical)
, 2. Liraglutide (Saxenda)
3. Phentermine-topiramate (Qsymia)
4. Semaglutide (Wegovy) very rare use for imcivree for 6+ for rare genetic causes
General Health Guidelines - ANSWER 1. Reduce added sugar (<10% total kcals)
2. Reduce sat fat (<10% total kcals)
3. Reduce sodium (2300 mg/day)
4. Reduce alcohol (1 drink/day or less for women, 2/day for men)
5. Limit caffeine to 400 mg/day
Pregnancy Weight Gain Guidelines: <18.5 Underweight - ANSWER 28-40 lbs, 1 lb per
week of 3rd trimester
Tips for Office-Based MI - ANSWER Ask permission, are they open/receptive to
discussion?
Use empathy, build rapport and trust
Scale motivation, determine readiness to change
Scale confidence, identify barriers
Use curiosity, ask questions
Pros & cons of change vs no change (decisional balance)
Reinforce positive talk
Let the pt generate ideas for change
Promote ownership and confidence
Set actionable, small goals to start
Best Equation for Energy Needs - ANSWER MSJ
Women: 10 x kg + 6.25 x cm - 5 x age + 161
Men: 10 x kg + 6.25 x cm - 5 x age + 5
Multiply x AF (activity factor)
Sedentary: 1.0
Low: 1.4
Active: 1.6
Very Active: 1.7-2.5
100%
BMI Classification for Underweight - ANSWER < 18.5
BMI Classification for Normal Weight - ANSWER 18.5 - 24.9
BMI Classification for Overweight - ANSWER 25-29.9
BMI Classification for Overweight Class 1 - ANSWER 30-34.9
BMI Classification for Overweight Class 2 - ANSWER 35-39.9
BMI Classification for Overweight Class 3 - ANSWER >40
Micronutrients of Concern at Risk of Deficiency for People with Obesity - ANSWER Iron,
B12, Folic Acid, Zinc, Vit D
What is the leading cause of death in the US? - ANSWER Heart Disease
What % of People have HTN? - ANSWER 45%
What % of People have Diabetes? - ANSWER 11%
What % of People have Prediabetes? - ANSWER 35%
What % of People have Hyperlipidemia? - ANSWER 11%
What % of People have Osteoporosis? - ANSWER 17% Women, 5% Men
What % of People have Gestational Diabetes? - ANSWER 6-9%
What % of People are Overweight/Obese? - ANSWER 74% (Highest Rates Ages 40-
59)
Most Common Cancers - ANSWER Colorectal for men, breast for women
What % of American's Adhere to DGA? - ANSWER 59%
Healthy Adult Meal Pattern Guidelines (2,000 Kcals) - ANSWER 1. Veggies of all colors
(2.5 cups/day)
2. Whole fruits (2 cups/day)
3. Starches: at least half of all grains be whole (6 oz per day)
4. Fat free or low-fat dairy and/or soy alternatives (3 cups/day)
,5. Protein: lean meats, legumes, nuts, seeds, seafood, eggs, soy (5.5 oz per day + 8 oz
seafood per week, 5oz nuts/seeds per week)
6. Healthy oils/fats: veg oils, fatty seafood, nuts (27g per day)
7. <240 kcals (~12%) from added sugar, alcohol, sat fat
Exercise Guidelines - ANSWER 150-300 minutes moderate intensity + 2 strength
training days per week
How Many Extra Daily Kcals Needed For Trimester 1? - ANSWER 0
How Many Extra Daily Kcals Needed For Trimester 2? - ANSWER 340 kcals
How Many Extra Daily Kcals Needed For Trimester 3? - ANSWER 452 kcals
How Many Extra Daily Kcals Needed For Lactation Months 0-6? - ANSWER 330 kcals
How Many Extra Daily Kcals Needed For Lactation Months 6-12? - ANSWER 400 kcals
What Are The 3 Main Components of Behavior Change? - ANSWER Goal Setting: .5-1
kg per week wt loss, targeting 10% wt loss at 6 months + behavior goals
Self-Monitoring: recording target behaviors, are they improving, deteriorating or
maintaining? Self-assessments include food logs, exercise logs, enhanced by adding
hunger levels, mood, place, time, etc.
Stimulus Control: intentional change to both internal and external cues associated with
targeted behavior or eating plans (ex: change environment to increase visibility of
healthful foods or setting out workout clothes at night to cue for morning walk)
Medical Cause of Obesity: Syndromes - ANSWER Prader-Willi, Barget-Biedi, Cohen,
Alstom, Froehlich
Medical Cause of Obesity: Genetic Disorder - ANSWER Leptin-deficiency, POMC
deficiency, Melanocortin-4
Medical Cause of Obesity: Neurological - ANSWER Brain injury, brain tumor, cranial
irradiation, hypothalamic obesity
Medical Cause of Obesity: Psychological - ANSWER Hypothyroid, cushings, GH
deficiency, pseudohypoparathyroid
Medical Cause of Obesity: Drug Induced - ANSWER Antidepressants, contraceptives,
antipsychotics, anticonvulsants, glucocorticoids, sulfonylureas, beta blockers, insulin,
glitazones
4 Meds Approved for Pediatrics (12+) - ANSWER 1. Orlistat (Xenical)
, 2. Liraglutide (Saxenda)
3. Phentermine-topiramate (Qsymia)
4. Semaglutide (Wegovy) very rare use for imcivree for 6+ for rare genetic causes
General Health Guidelines - ANSWER 1. Reduce added sugar (<10% total kcals)
2. Reduce sat fat (<10% total kcals)
3. Reduce sodium (2300 mg/day)
4. Reduce alcohol (1 drink/day or less for women, 2/day for men)
5. Limit caffeine to 400 mg/day
Pregnancy Weight Gain Guidelines: <18.5 Underweight - ANSWER 28-40 lbs, 1 lb per
week of 3rd trimester
Tips for Office-Based MI - ANSWER Ask permission, are they open/receptive to
discussion?
Use empathy, build rapport and trust
Scale motivation, determine readiness to change
Scale confidence, identify barriers
Use curiosity, ask questions
Pros & cons of change vs no change (decisional balance)
Reinforce positive talk
Let the pt generate ideas for change
Promote ownership and confidence
Set actionable, small goals to start
Best Equation for Energy Needs - ANSWER MSJ
Women: 10 x kg + 6.25 x cm - 5 x age + 161
Men: 10 x kg + 6.25 x cm - 5 x age + 5
Multiply x AF (activity factor)
Sedentary: 1.0
Low: 1.4
Active: 1.6
Very Active: 1.7-2.5
