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Weight Management: Overweight and Underweight
Distribution of Body Weights in American Adults
油
How Does US Stand? ADD Stat% of US Adults were overweight in 1998
Fat Cell Development During periods of growth in late childhood/early puberty, # on fat cells increase During periods of excess intake, fats cell size increases When fat cells have reached their maximum size, the cell number increases Even with fat loss, the cells may shrink but not the number
LPL Levels and Set Point Theory LPL  (Lipoprotein Lipase) -- located on adipose cell membranes and promote fat storage -- higher the activity level of LPL, the more efficient storage of fat is -- after weight lose, LPL increases, increasing fat deposition
The Weight-Cycling Effect of Repeated Dieting Each period of dieting results in a resetting of your homeostatic set point. Therefore, each loss is followed by a gain even larger than the loss
The  ob  Protein:  Leptin
Leptins Action in the Body: Negative Energy Balance
Leptins Action in the Body: Positive Energy Balance
The Psychology Weight Cycling Where does this Im not happy with my appearance come from?
Comparison of Average Women,  Barbie and Store Mannequins  Average Women Barbie  Store  M annequin s Height Weight Dress size Bust Waist Hips BMI 5   4 145 lbs. 11 -14 36 - 37  29 - 31  40 - 42  24.97 6   0  101 lbs 4 39  19  33  13.7 6   0  Not available 6 34 23 34
BMI of Miss America Winners
Jamie Lee Curtis Interview on Dateline following her Cover Story in  More Magazine Add link to video
Aggressive Methods of Weight Control Drugs: Sibutramine  - suppresses appetite by inhibiting uptake of serotonin Orlistat  - inhibits pancreatic lipase activity lowering the efficiency of fat digestion and absorption Over the counter: Benzocaine, Acutrim, Dex-A-Diet, Phenyldrine, Phenoxine,
Aggressive Methods of Weight Control Herbal: St. Johns Wort Ma Huang  -  Ephedrine (Natures Own Fat Burner!!) CLA (Conjugated Linoleic Acid)
Aggressive Methods of Weight Control Surgery: Suction lipectomy - Liposuction Stomach restriction   - Gastric Bypass Surgery
Surgical Methods of Weight Control Gastric Bypass
More Reasonable Methods for Weight Loss Weight Loss Eating Plans: - emphasize Adequacy - smaller portions  (e.g. grazing) - emphasize Complex Carbs - select Fats wisely - emphasize Nutitional Density - drink lots of water - increase Physical Activity
More Reasonable Methods for Weight Gain Weight Gain Eating Plans: - Energy Dense Foods - Regular Meals - Add Extra Snacks - Juice & Milk - Physical Activity builds Muscle
Athlete Eating Disorders  Female Athlete Triad Add video
Anorexia Nervosa Bulimia Nervosa Binge Eating Disorders The Vicious Cycle:
Anorexia Nervosa -  refusal to maintain healthy body weight ( Usually < 85% of healthy body weight ) -  intense fear of gaining body weight -  see themselves in unrealistic way -  restrictive and binge-and-purge types
Bulimia Nervosa -  relatively normal body weight -  see themselves in unrealistic way - purge and non-purging types
Binge Eating Disorder - normal and obese body weight -  see themselves in unrealistic way - rarely purge - behavioral disorder
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Chapter 9 Weight Management

  • 2. Distribution of Body Weights in American Adults
  • 3.
  • 4. How Does US Stand? ADD Stat% of US Adults were overweight in 1998
  • 5. Fat Cell Development During periods of growth in late childhood/early puberty, # on fat cells increase During periods of excess intake, fats cell size increases When fat cells have reached their maximum size, the cell number increases Even with fat loss, the cells may shrink but not the number
  • 6. LPL Levels and Set Point Theory LPL (Lipoprotein Lipase) -- located on adipose cell membranes and promote fat storage -- higher the activity level of LPL, the more efficient storage of fat is -- after weight lose, LPL increases, increasing fat deposition
  • 7. The Weight-Cycling Effect of Repeated Dieting Each period of dieting results in a resetting of your homeostatic set point. Therefore, each loss is followed by a gain even larger than the loss
  • 8. The ob Protein: Leptin
  • 9. Leptins Action in the Body: Negative Energy Balance
  • 10. Leptins Action in the Body: Positive Energy Balance
  • 11. The Psychology Weight Cycling Where does this Im not happy with my appearance come from?
  • 12. Comparison of Average Women, Barbie and Store Mannequins Average Women Barbie Store M annequin s Height Weight Dress size Bust Waist Hips BMI 5 4 145 lbs. 11 -14 36 - 37 29 - 31 40 - 42 24.97 6 0 101 lbs 4 39 19 33 13.7 6 0 Not available 6 34 23 34
  • 13. BMI of Miss America Winners
  • 14. Jamie Lee Curtis Interview on Dateline following her Cover Story in More Magazine Add link to video
  • 15. Aggressive Methods of Weight Control Drugs: Sibutramine - suppresses appetite by inhibiting uptake of serotonin Orlistat - inhibits pancreatic lipase activity lowering the efficiency of fat digestion and absorption Over the counter: Benzocaine, Acutrim, Dex-A-Diet, Phenyldrine, Phenoxine,
  • 16. Aggressive Methods of Weight Control Herbal: St. Johns Wort Ma Huang - Ephedrine (Natures Own Fat Burner!!) CLA (Conjugated Linoleic Acid)
  • 17. Aggressive Methods of Weight Control Surgery: Suction lipectomy - Liposuction Stomach restriction - Gastric Bypass Surgery
  • 18. Surgical Methods of Weight Control Gastric Bypass
  • 19. More Reasonable Methods for Weight Loss Weight Loss Eating Plans: - emphasize Adequacy - smaller portions (e.g. grazing) - emphasize Complex Carbs - select Fats wisely - emphasize Nutitional Density - drink lots of water - increase Physical Activity
  • 20. More Reasonable Methods for Weight Gain Weight Gain Eating Plans: - Energy Dense Foods - Regular Meals - Add Extra Snacks - Juice & Milk - Physical Activity builds Muscle
  • 21. Athlete Eating Disorders Female Athlete Triad Add video
  • 22. Anorexia Nervosa Bulimia Nervosa Binge Eating Disorders The Vicious Cycle:
  • 23. Anorexia Nervosa - refusal to maintain healthy body weight ( Usually < 85% of healthy body weight ) - intense fear of gaining body weight - see themselves in unrealistic way - restrictive and binge-and-purge types
  • 24. Bulimia Nervosa - relatively normal body weight - see themselves in unrealistic way - purge and non-purging types
  • 25. Binge Eating Disorder - normal and obese body weight - see themselves in unrealistic way - rarely purge - behavioral disorder