does "eat less move more" work? with dr.pamela peeke
TRANSCRIPT
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80% women 20% men Lost an average of 66 lbs and kept it off
for 5.5 years› Weight losses have ranged from 30 to 300
lbs. › Duration of successful weight loss has
ranged from 1 year to 66 years.› Some have lost the weight rapidly, while
others have lost weight very slowly--over as many as 14 years.
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45% of registry participants lost the weight on their own and the other 55% lost weight with the help of some type of program.
98% of Registry participants report that they modified their food intake in some way to lose weight.
94% increased their physical activity, with the most frequently reported form of activity being walking.
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Most report continuing to maintain a low calorie, low fat diet and doing high levels of activity.
› 78% eat breakfast every day. › 75% weigh themselves at least once a week. › 62% watch less than 10 hours of TV per week. › 90% exercise, on average, about 1 hour per
day.
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EPIGENETICS
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16
Many typical signs of aging are actually symptoms of mental and physical disuse.
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Fat burning enzymes shut down Cholesterol metabolism decreases
increasing risk for heart disease For every 2 hrs spent sitting your
risk of diabetes increases by 7% Lower blood flow to brain means
higher risk for depression Hip flexors & hamstrings tighten,
back supporting muscles weaken, increased back pain
4 hours of sitting in front of screen twice as likely to have heart attack
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Get NEAT: Non-Exercise Activity Thermogenesis: Get off your butt 10 minutes per hour---double metabolic rate
Fidget Dance Walk and Talk Stick your treadmill in front of
TV Rearrange work space to get up
more often
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TOTAL ADIPOSE INTRAABDOMINAL ADIPOSE
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Excess Intraabdominal Adipose or Excess Intraabdominal Adipose or Toxic FatToxic Fat
TOTAL ADIPOSETOTAL ADIPOSEINTRAABDOMINAL INTRAABDOMINAL
ADIPOSEADIPOSE
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The mind is the body & vice versa
Mind and body are plastic or changeable throughout the life span
Healing is a constant, dynamic psychobiological process
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Stage 0 No co-morbidities: Counseling to prevent further weight gain through lifestyle measures including healthy eating and increased physical activity.
Stage 1 One or more co-morbidities, mild mental/physical symptoms: Investigation for other (non-weight related) contributors to risk factors. More intense lifestyle interventions, including diet and exercise to prevent further weight gain. Monitoring of risk factors and health status.
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Stage 2 One or more obesity-related chronic diseases & moderate physical limitations: Initiation of obesity treatments including considerations of all behavioral, pharmacological and surgical treatment options. Close monitoring and management of comorbidities as indicated.
Stage 3 End-organ damage, incapacitating osteoarthritis, significant psychopathology, significant functional limitation: More intensive obesity treatment including consideration of all behavioral, pharmacological and surgical treatment options. Aggressive management of comorbidities as indicated.
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Stage 4 severe disabilities from obesity-related chronic diseases, severe disabling psychopathology, severe functional limitations: Aggressive obesity management as deemed feasible. Palliative measures including pain management, occupational therapy and psychosocial support.
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