Effective overweight and obesity treatment requires a triad of behavioral, nutritional and physical activity modifications. A basic program is clearly presented that includes information for self-management of weight reduction, plus when needed, the pre-requisites for drug or surgical management. This 185-page manual is written for use by the overweight person as well as healthcare professionals. Extensive references and resources.
Table of Contents
Preface – important information to read
Obesity quips and quotes; Quotable Quotes
Introduction and Definitions
Body Mass Index or BMI
Assessment
Epidemiology
Childhood and adolescent obesity
Causes/Etiologies/Risk Factors - Obesity
- Calories
- Resting Metabolic Rate
- Genetic factors
- Energy Intake
- Numbers of fat cells
- Decreased activity or reduced energy expenditure
- Prescription Drugs
- Stress, Head Trauma, Hypothalamic abnormalities
- Viral infections
- Endocrine diseases and abnormalities
- Gastric volume and satiety
Medical intervention (or lack thereof)
Fat distribution characteristics of overweight and obesity
Complications of obesity – Health risks
Cancer
Metabolic Syndrome or Insulin Resistance Syndrome
Cardiovascular Disease
Diabetes
Increased intra-abdominal pressure
Obstructive Sleep Apnea
Adiposis dolorosa
Eye disease
Asthma
Erectile dysfunction (ED)
Pregnancy complications
Psychosocial complications of obesity
Surgery
Mortality risk of obesity in the elderly
Weight loss and ‘weight cycling’ risks
Treatment
Introduction
What is appropriate treatment for overweight and obesity?
Who should be excluded from a restricted calorie weight loss program?
Who should be targeted for weight management?
- Children
- Elderly
- Family/social involvement
- Smoking and weight control
Nutrition and diet
- Time to self manage obesity care needs
- Fat in the healthy diet
- Carbohydrates a culprit?
- Protein content of the healthy diet
- Diet plans or prescriptions
- Fiber
- How many calories?
- Low calorie diet
- Very low calorie diet
- Physiology of undernutrition and starvation
- High complex carbohydrate vis a vis high fat diets
- Prevention of diabetes
- Glycemic Index
- Alcohol and diabetes
- Weight loss using Complementary & Alternative Medicines (CAM) including green tea
- Nutrition Notes
Activity Levels and exercise
- Move it and Lose it
- Aerobic exercise training heart rates by age
- Exercise and diabetes
- Notes
Behavioral aspects of overweight and obesity
- What others have said
- Introduction
- Aerobic exercise training
- Self-management
- Stimulus control
- Cue avoidance
- Cognitive Behavioral Therapy
- Cognitive Rehearsal
- Cognitive Restructuring
- Stress Management
- Problem Solving Therapy
- Group Therapy
- Internet technology for behavioral weight loss programs
- Psychological Evaluation for Bariatric Surgery
- Notes
Drug Therapy
- Weight loss drugs commonly used in the U.S.
- Safety and efficacy note
- Off-label drug
- Drug Therapy Notes
Bariatric Surgery
- Introduction
- Bariatric surgery – clinical guideline
- Medicare/BCBS Coverage Statements
- Selection for surgery based on comorbid diabetes and hypertension in addition to BMI
- Liposuction
Addendum
BMI table
Recommended average daily energy allowances for children and adults
Calculating Daily Caloric Requirements/Resting Energy Expenditure
Desired Weight - Matching Calorie Maintenance Chart
Duration of various activities to expend 150 kcalories
Burning Calories or ‘Just Do It!’
Anthropometric Measurement Protocols
12-minute Fitness Test, by age and sex
Preventive Physical Activity Regimens
Resistance Training
Recommendations for adult weight loss – a summary
Calories do count
Practical dietary therapy recommendations
Calcium requirements
Iron –rich foods
Caloric Content of Alcoholic Beverages
Notes for Healthier Eating Habits
Low calorie shopping list
Fat content of vegetable oils
Fast Foods – Nutritional Content for National Restaurant Menus
Sandwiches and Entrees
Salads
Breakfast Items
Milk, Milk Shakes, Hot Chocolate
Potato and other vegetable dishes
Desserts
Fiber Content of Foods
Exchange Diets for varying caloric intakes
Soy Protein Content of Soy Products
Vitamins and Micronutrients
Healthy diet linked to good cognitive performance
Nutritional Components of Sea Foods
Addendum Notes
References and resources
- References – listed by topic
- Resources
- Web sites – Food and Nutrition
- Web sites - Obesity
- Web sites – Physical Fitness
