WEIGHT MANAGEMENTforFITNESS PROFESSIOALS

PED 147

Joann Pell, M.S., R.D.

Obesity

A. Define1. Chronic disease characterized by excessive body fat in relation to LBM2. Usually reported as BMI not actual BF

B. Measurement 1. BMI greater than 30

2.Body fat (BF) greater than 30% for women and 20% for men

3. Waist to hip ratio >.85 women & >1.0 men

B. Overweight vs. Obesity1. Overweight- BMI greater than 25

2. Obesity- BMI greater than 30

3. Overweight is defined as excessive weight according to a given standard.

4. A client can be overweight but not obese. Why?

BMI CHART

C. Stats 1999, 63% of men & 55% women are overweight 21% men & 27% of women are obese Last decade alone, the average adult weighs 15lbs more Any given moment, 44% of women & 29% of men are on

diets. 40 billion $ spent on weight loss, most going to weight loss

products and plans

Starting at age 25, the US adult gains 1.5 pounds of body fat per year

National Health Institutes of Health attribute medical costs of over 100 billion $ to obesity related diseases

The Bad News….

Obesity kills an estimated 300,000 Americans every year-just behind the 430,000 person toll of smoking

McDonalds spends 1000 times as much a\on advertising as the federal government does on promoting good nutrition

The Good News…

When St. Lewis built a network of walking trails, 42% of residents used them & 60 % reported an increase in physical activity

One eight week in school education program in California increased fruit & vegetable intake by 14 %

CausesA. Genetics/Physiology of client

1. RMR- thrifty genes 1-10% variances2. body type3. # fat cells4. thyroid disease (less than 1%)5. set point6. fat metabolizing enzyme

B. Society/Family/Culture

1. norms

2. celebrations

3. types of food

4. portions/eating patterns

5. media

C. Psychological Make-up

1. self esteem

2. body image

3. stigma

4. abuse

Myths Associated with Weight Management

A. Can you lose 10 lbs. in a week?

B. Realistic changes in body composition

1.1-2 lbs./wk

2.1-2% body fat/month

3.gain 1 lb. LBM in 2-3 weeks

4.swings in fluids 1st 2 months

5.exercise may influence scale

Assessing Client Readiness

A. What is main motivating factor?

B. Are goals realistic

C. Support systems available

-friends-family-work.

D. Time to prepare foods and exercise

E. High and low stress/change time

F. Survey

C. Establishing a healthy weight for client:1. calculate IBW based on BF

2. take circumferences

3. evaluate past weight history

4.evaluate energy level and sickness incidences

5. evaluate body type

6. consider culture norms

Principles of Weight Loss Program DevelopmentA. Assess/Interview client

1. health history

2. exercise history

3. weight cycles/previous dietary regimes

4. food journals

5. medications/supplements

6. goals

7. readiness

B. Develop program based on 3 components

Nutrition

Exercise Psychology

But…..