NS 220: Nutritional Planning and Management
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Transcript of NS 220: Nutritional Planning and Management
Unit 7: Meeting Energy Needs
Anthropometrics
Basal Metabolic Rate
Body Mass Index
kcal
What factors influence our energy needs?
10-15% of total energy needs
Are there any food “myths” you have heard that may be attributed to the thermic effect of food?
One pound of fat = 3500 kcals
How many calories do you need to decrease per day in the diet to achieve a one pound loss per week?
How does this translate to weight gain?
Energy Input = Energy Output(or calories in = calories out)
Energy Input= Calories from food
Energy Output= Metabolism (BMR) Physical Activity Thermic Effect of Food
First, calculate your BMI
What about body composition? Have you ever had this calculated? By what method?
What are the different categories of BMI weight status?
Obesity◦ Is it possible to be obese and malnourished?
◦ What can be done to decrease weight in an obese individual?
◦ What health problems are associated with obesity?
◦ Can culture play a role in weight status?
◦ What other factors influence weight status?
Chapter 8 9
Fat Distribution◦ Distribution of body fat may be more critical
than the amount◦ Intra-abdominal fat/Central obesity
Increased risk of heart disease, stroke, diabetes, hypertension, and cancer
Common in men and post-menopausal women Waist Circumference
◦ Indicator of fat distribution Women greater than 35 inches Men greater than 40 inches (Waist-to-Hip ratio)
Women with a Waist to Hip ratio of .80 or greater Men with a Waist to Hip ration of .90 or greater
May have an increased risk for health problems.
Obesity is a chronic disease◦Treatment requires long-term lifestyle changes
(no quick fix). Dieters are misdirected
◦More concerned about weight loss than healthy, active lifestyle.
◦Unrealistic weight expectations.
Usually lack fiber, carbohydrates, selected vitamins, minerals, and antioxidants; deficiencies may exist
Emphasizes one or two foods. Severely restricts food choices; rigid eating
plans. Temporary solution to weight loss…not long-
term. Focus is not on permanent eating, exercise, or
behavior changes.
Pick a fad diet that’s popular to discuss with the class
Promote quick weight loss Limited food selections; rituals Use of testimonials Cure-alls Recommend expensive supplements No permanent lifestyle changes advocated Critical of the scientific community
National Weight Control Registry www.nwcr.ws Investigates characteristics of individuals who
have succeeded at long-term weight loss. 45% lost weight on their own; 55% used a
program. 98% modified their food intake. 94% increased their activity (walking most
reported).
Calorie control◦ Portions◦ Eat less overall, but still choose variety of foods
Exercise on regular basis; ACSM Position◦ To prevent weight gain: 150-250 min/week◦ Weight loss: 150->250 min/week◦ Weight maintenance after weight loss: >250 min/week
Donnelly JE, et al. Appropriate physical activity intervention strategies for weight loss and prevention
of weight regain for adults. Medicine & Science in Sports & Exercise 2009; 41:459-471.