Ppt on obesity diet supplements

Fad Diets: Do They Work? Medical Considerations Jessica McCourt Masters Project Spring 2008 Gilbert Boissonneault.

weight control, which includes regular aerobic and weight training exercise, behavior modification, and a healthy, nutritious diet with a wide variety of foods. Healthy lifestyle habits will help maintain long-term weight control, which /: Medical Complications Associated with Starvation, Eating Disorders, Dietary Fads, and Supplements. Emergency Medicine Clinics of North America. 23 (3): 797, 2005. Goldberg, Jeanne P. PhD, RD. The obesity crisis: dont blame it on the pyramid. Journal of American Dietetic /


Abstract Is There a Relationship Between Dietary Intake, Food Preferences, and BMI in Obese, Hispanic Toddlers? A. Popejoy, N. DiMarco, E. Andersson, C.

factors. Obesity disproportionately affects minority groups and low-income individuals. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides free nutrition education and supplemental nutrition packages to low-income families. Even though obesity is/ Product Moment Coefficient of Correlation used to test the relationship between participants dietary intake from the diet history and BMI and the strength of the relationship between participants average fat score from food /


Very Low Calorie Diets (VLCDs) in Clinical Practice

Bariatric Physicians; Las Vegas, Nevada; November, 2011 How to Use the VLCD with Supplements - Discover how to safely use the Very Low Calorie Diet when treating obesity and chronic diseases. Learn about the efficacy of meal replacements and different protocols. Recognize lifestyle modification and behavioral change as the cornerstone of obesity management Joan Temmerman, MD, MS, FAAFP, CNS Medical Bariatrician, IU Health Bariatric & Medical/


© 2006 Thomson-Wadsworth Chapter 8 Addressing the Obesity Epidemic: An Issue for Public Health Policy.

Consumed –Physical Activity –Use of Television, Video Games, and Computers © 2006 Thomson-Wadsworth Determinants of Obesity Environmental Risk Factors –Other Technological Innovations in Food Production and Transportation –Other Technological Changes –Portion Sizes/poultry, meat, low-fat dairy, whole grains, fruits, vegetables, some oils, supplements, weight-loss bars and shakes © 2006 Thomson-Wadsworth Diet Confusion: Weighing the Evidence The New Glucose Revolution –Encourages consumption of low- glycemic /


Diet Through the Decades: Nutrition as We Age What should I eat and When? Holly Herrington, RD Center for Lifestyle Medicine.

daily multivitamin *1 in 3 Americans report taking multivitamins and/or minerals regularly MULTIVITAMINS Meant to supplement, or fill in the gaps, of a healthy diet Downside: Not all multis are made the same, quality can vary Are not all regulated/ D-Related Mechanism The Theory of Dairy Calcium Drinking more alcohol increases such dangers as alcoholism, high blood pressure, obesity, stroke, breast cancer, suicide and accidents. The American Heart Association cautions people NOT to start drinking... if they/


The Obesity Epidemic: This is your Life Block 10 April, 2004 Arlo Kahn, M.D. UAMS Dept. of Family and Preventive Medicine Arkansas Center for Health Improvement.

enable body to burn fat. Insulin is “single most significant determinant of weight.” Ketotic diet. Limited food choices. High in fat and saturated fat. Low in fiber, vit D, Ca, K, Mg, Mn. Available supplements include chromium picolinate, carnitine, coenzyme Q10, fatty acids. 14 days = 53% fat//; 1500 cal/d for men counseling from RD James WP, etal. Postgrad Med. June 2001, 19-28. Orlistat Studies 44 obese men & women, diet & 12 wks of orlistat 50 mg tid vs. placebo 4.3 kg vs. 2.1 kg weight loss 188 pts, 10/


Diet and Health Guidelines to Lower Risk of Heart Disease Presented by Janice Hermann, PhD, RD/LD OCES Adult and Older Adult Nutrition Specialist.

heart disease Modifiable risk factors: High LDL cholesterol Low HDL cholesterol High blood pressure Diabetes Obesity (especially abdominal obesity) Physical inactivity Cigarette smoking Diet high in saturated fat, trans fat, and cholesterol and low in fruits, vegetables and /LDL cholesterol in some people Increasing omega-3 fatty acids through foods is preferred to supplements Not all studies with fish oil supplements have reported positive outcomes Omega-3 Fatty Acids Omega-3 fatty acids found in flaxseeds/


Weighty Matters: Public Health Aspects of the Obesity Epidemic Martin T Donohoe.

10% when combined with diet and exercise Sibutramine can increase blood pressure Sibutramine can increase blood pressure Treatments for Obesity Fenfluramine and dexfenfluramine taken off market in 1997 Fenfluramine and dexfenfluramine taken off market in 1997 Numerous reports of cardiac valvulopathy Numerous reports of cardiac valvulopathy Alli, Meridia, Acomplia, others Alli, Meridia, Acomplia, others Treatments for Obesity Non-prescription supplements can be dangerous Non/


Weighty Matters: Public Health Aspects of the Obesity Epidemic Martin T Donohoe.

dollars to the American Diabetes Association (ADA) in exchange for getting to use ADA label on its diet drinks AHA has accepted money from similar companies, and allows its label on certified “heart-healthy” products/ cardiac valvulopathy Alli, Meridia, Acomplia, others Alli, Meridia, Acomplia, others Treatments for Obesity Non-prescription supplements can be dangerous Non-prescription supplements can be dangerous Unregulated with respect to purity, composition, and effectiveness Unregulated with respect /


Weighty Matters: Public Health Aspects of the Obesity Epidemic Martin T Donohoe.

dollars to the American Diabetes Association (ADA) in exchange for getting to use ADA label on its diet drinks AHA has accepted money from similar companies, and allows its label on certified “heart-healthy” products/ cardiac valvulopathy Alli, Meridia, Acomplia, others Alli, Meridia, Acomplia, others Treatments for Obesity Non-prescription supplements can be dangerous Non-prescription supplements can be dangerous Unregulated with respect to purity, composition, and effectiveness Unregulated with respect /


Childhood Nutrition & Obesity Monica Fenty HW499-01 Professor Eaves October 15, 2013 Kaplan University.

Iron – Essential for muscle growth and red blood cell development. Not every child needs a vitamin supplement; children are supposed to get their vitamins from eating a healthy and balanced diet. However, if the child is a picky eater and does not get the recommended amount of/ are common in the treatment in coughs. Exercise  Promoting and encouraging physical activity will go a long way in combating obesity in children. It is a simple idea, but may be a challenge for some to implement. Limit TV and video /


Diet and Cancer: Can Your Diet Really Reduce Cancer Risk?

physical activity. Avoid excessive weight gain throughout the life cycle. Achieve and maintain a healthy weight if currently overweight or obese. Adopt a physically active lifestyle. Adults: engage in at least 30 minutes of moderate to vigorous physical activity, above / et al. Amer JClin Nutr 72, 1047, 2000. Linking diet, religion and cancer Journal of Clinical Oncology, 2007 ASCO Annual Meeting Proceedings Part I. Vol 25, No. 18S (June 20 Supplement), 2007: 21172 This study was done to see cancer incidence/


Weight Management: Popular Approaches. Formula Diets and Meal Replacements Meal formats and nutritional profiles varyMeal formats and nutritional profiles.

for only 24 weeks.Limitations: Effects of the low-carb diet and of the nutritional supplements could not be separated. Participants were healthy and were followed for only 24 weeks. Yancy, W. S. et. al. Ann Intern Med 2004;140:769-777 Effects of Low-Carbohydrate vs Conventional Weight Loss Diets in Severely Obese Adults: One Year Follow Up of a Randomized Trial Objective/


Pregnancy and Morbid Obesity Obesity and Pregnancy Health Summit October 18, 2011 Michael D. Trahan, MD, FACS Martha Jefferson Surgical Associates Martha.

MI. Obstet Gynecol 2004. How can we lose weight? Low carbohydrate diet Low fat diet Low calorie diet Exercise Medications (Phen-fen, Amphetamines, Orlistat, Prozac, Wellbutrin) Behavior /supplement accordingly With gastric bypass the duodenum is bypassed: supplement iron orally, rarely parenterally B 12 supplements available sublingual, nasal, parenteral Calcium deficiency can be manifest by elevated alk phos and parathyroid hormone Summary Morbid obesity results androgen and estrogen excess. Morbid obesity/


TM Pediatric Obesity in Primary Care Sandra G. Hassink, MD, FAAP Director, Nemours Obesity Initiative Alfred I. duPont Hospital for Children Wilmington,

of Child and Adolescent Overweight and Obesity. Pediatrics. 2007;120(Supplement 4):163-288. TM Universal Assessment of Obesity Risk: Steps to Prevention and Treatment American Academy of Pediatrics. Pediatric Obesity Clinical Decision Support Chart. Elk/ – Structured behavioral modification program, including food and activity monitoring and development of short- term diet and physical activity goals TM Comprehensive Multidisciplinary Protocol  Behavior modification – Involvement of primary caregivers//


Nutrition.

in many body functions.    Minerals are not a source of energy and are best obtained through a varied diet rather than supplements. Minerals come from a variety of foods WATER Water helps to control our body temperature, carries nutrients and waste/by a surge of insulin in the blood which triggers fat storage and contributes to insulin resistance and various diseases like obesity and diabetes. Bottom Line: Refined carbohydrates like processed grains are unhealthy. They are lacking in nutrients and lead to /


Women’s Health Initiative (WHI) Clinical Trials (CT) Observational Study (OS) Diet Modification (DM) Hormone Replacement Therapy (HRT) Calcium +Vitamin.

BMI: DM = 29.1 ± 6.0 ; HRT = 29.1 ± 6.1 Percent Overweight or Obese Normal Overweight Obese I Obese II Obese III % Overwt or Obese DM: 74.0 HRT:73.3 WHI CT: Hormone Use & Uterine Status WHI CT: Hormone Use &/) DM:40% Diet Change; 60% Diet Comparison (Control) HRT:50% Active Hormone Pills*; 50% Placebo HRT:50% Active Hormone Pills*; 50% Placebo * *with Uterus: Estrogen+Progestin; Hysterectomy: Estrogen only CaD:50% Active Supplements; 50% Placebo [1st Ann. Visit] CaD:50% Active Supplements; 50% Placebo /


Weighty Matters: Public Health Aspects of the Obesity Epidemic Martin T Donohoe.

reduce weight 10% when combined with diet and exercise Sibutramine can increase blood pressure Sibutramine can increase blood pressure Fenfluramine and dexfenfluramine taken off market in 1997 Fenfluramine and dexfenfluramine taken off market in 1997 Numerous reports of cardiac valvulopathy Numerous reports of cardiac valvulopathy Treatments for Obesity Non-prescription supplements can be dangerous Non-prescription supplements can be dangerous Unregulated with respect to/


Weight Management: Overweight, Obesity, and Underweight Chapter 9.

, p. 285 Problems of Overweight and Obesity – Weight Cycling Problems of Overweight and Obesity – Popular Interventions  Diet books and weight-loss programs  Limited success with weight loss maintenance  Fad diets- cabbage soup, shakes only  Weight-loss products  Meal replacements  Herbal products  No regulations for dietary supplements  Liposuction OTC Drug Treatments for Obesity  Strategies for weight reduction depend on:  Degree of obesity  Risk of disease  Use drugs as/


Breastfeeding 2006. Public health & breastfeeding Maternal diet for lactation.

al. Pediatrics. 2005 –61 studies –Odds ratio = 0.87 (95% CI 0.85-0.89) for reduced risk of later obesity associated with breastfeeding compared to formula Arenz et al. Int J obes relat metab disord. 2004 –9 studies met criteria –Odds Ratio/in US IOM Recommendations Lactating women should be encouraged to obtain their nutrients from a well- balanced varied diet rather than from vitamin-mineral supplements. Specifically: Eat a wide variety of breads and cereal grains, fruits, vegetables, milk products, and /


Module 1 : INNOVATING NEW HEALTHY FOODS FOR THE OBESITY CRISIS.

OF LIFE HIGH BLOOD PRESSURE CORONARY HEART DISEASE OBESITY THE CHALLENGE OF OBESITY IN THE EU Obesity is a major public health problem in Europe,/claims, an aging population, and rising interest in attaining wellness through diet are among the factors fuelling consumer interest in functional foods. FUNCTIONAL FOODS/in foodstuff. WHAT ARE NUTRACEUTICALS? Primarily used in functional foods and dietary supplements, nutraceutical ingredients are natural bioactive, chemical compounds that have health promoting,/


Opening Quiz Studies report that folate supplements for women may lower the incidence of neural tube defects of infants when the vitamin is taken during.

, a division of Thomson Learning Critical Periods Neural tube defects –Anencephaly –Spina bifida Folate supplementation Copyright 2005 Wadsworth Group, a division of Thomson Learning Critical Periods Chronic diseases Fetal programming Epigenetics/Group, a division of Thomson Learning Childhood Obesity Prevention and treatment of obesity Diet Physical activity Copyright 2005 Wadsworth Group, a division of Thomson Learning Childhood Obesity Psychological support Behavioral changes Copyright 2005 Wadsworth /


Weighty Matters: Public Health Aspects of the Obesity Epidemic Martin T Donohoe.

reduce weight 10% when combined with diet and exercise Sibutramine can increase blood pressure Sibutramine can increase blood pressure Fenfluramine and dexfenfluramine taken off market in 1997 Fenfluramine and dexfenfluramine taken off market in 1997 Numerous reports of cardiac valvulopathy Numerous reports of cardiac valvulopathy Treatments for Obesity Non-prescription supplements can be dangerous Non-prescription supplements can be dangerous Unregulated with respect to/


Popular Diets Gil C. Grimes, MD Assistant Professor Family Medicine Texas A&M HSC COM Scott and White Family Medicine Residency April 9 th 2005.

May 22;348(21):2082 Level 2 NEJM 2003 May 22;348(21):2082 Level 1c Low vs. High Carbs 120 obese volunteers with hyperlipidemia low-carbohydrate, ketogenic diet plus nutritional supplement; initially carbohydrate < 20 g/day low-fat, low-cholesterol, reduced-calorie diet; < 30% energy from fat, cholesterol < 300 mg/day, calorie deficit 500-1,000 kcal/day Both groups had exercises and/


Healthy Diet in Adults Jane Chunwen Teng D.O. 10/17/12.

patients should be encouraged to consume foods with calcium and/or vitamin D, such as fortified milk products. Supplements should be offered to patients with inadequate calcium or vitamin D intake. The effect of calcium and vitamin /, avoidance of tobacco and alcohol products). However, observational studies suggest that consumption of a vegetarian diet is associated with lower incidence of obesity, coronary heart disease, hypertension, and type 2 diabetes. In addition, observational evidence suggests that /


Weight Management: Overweight, Obesity, & Underweight

bariatric surgery. But changing and improving eating and exercise habits offer the greatest benefit. Treatment Modalities Pharmacotherapy Diet – proper nutrition Exercise Behavior therapy modification/change Pharmacotherapy Surgery Problems with Obesity Dangerous Interventions Weight-Loss Products Ephedrine-containing products inhibit serotonin and suppress the appetite. Supplements containing Ephedra have been banned by the FDA due to potential health risks. Herbal laxatives do not prevent/


The Aetiology of Obesity

Medicine” Author of seminal textbook “The Principles and Practice of Medicine” 1907 Discussed treatment of obesity These diets featured lean beef, veal, mutton and eggs 1882 monograph “Obesity and Its Treatment” – insisted that fatty foods were crucial because they increased satiety and so/of fat at site of injection Combining insulin and oral agents The American Journal of Medicine Volume 108, Issue 6, Supplement 1, 17 April 2000, Pages 23–32 John Buse et al Change in Weight Change in daily dose of insulin/


Treatments for Overweight and Obese Clients Dr. David L. Gee FCSN/PE 446 Nutrition, Weight Control & Exercise.

30-35%, mainly unsaturated fats Adequate in proteins – > 0.8 gP/kg BW Forms of Balanced Hypocaloric Diets Meal Plans –Dietary exchanges Weight Watchers –Commercial Diet Packages Jenny Craig NutriSystems –Food Supplement/Food Combos Slim Fast Metabolic and Weight Loss Effects of Long-term Dietary Intervention in Obese Patients: Four-year Results Flechtner-Mors M, et al. Obes Res. 2000;8:399-402. Randomized/


Welcome to the seminar on An overview of Fad Diets Meera Kaur, Ph.D., R.D. Department of Family Medicine

22 Herbal Magic (et al)  Premise: Special herbal supplements along with diet and exercise will help with weight loss  Negative health implications: Little evidence regarding the safety or efficacy of supplements (e.g. ephedra). Costly. 23 A Quick Comparison Atkins/ School http://devweb3.vip.ohio-state.edu/patedu.htm National Obesity Initiative http://www.nhlbi.nih.gov/guidelines/obesity/practgde.ht m http://www.nhlbi.nih.gov/guidelines/obesity/practgde.ht m Dietitians of Canada www.dietitians.ca 2006 /


W Promotion of normal growth rate, organ development, and body composition W Prevention of later disease — Obesity — Cardiac — Allergic — Cancer.

— Zinc — Magnesium W Healthy, growing children consuming a varied diet do not need vitamin supplementation W Children at nutritional risk who may benefit from vitamin supplementation — Those from deprived, neglectful or abusive families — Those consuming fad diets — Those with chronic disease, particularly affecting the GI tract — Those on dietary programs for managing obesity — Those on vegetarian diets without adequate dairy products W Protein, energy and protein/


NUTRITION and PAIN Clare Collins PhD, BSC, Dip Nutr&Diet, Dip Clin Epi, AdvAPD, FDAA Professor in Nutrition and Dietetics NHMRC Career Development Award.

to patients with chronic pain, D-phenylalanine alleviated the long-standing pain within 2-3 days  Tryptophan-enriched diets found to increase pain tolerance in chronic pain  Watch this space! Seltzer, Marcus, Stoch. Perspectives in the/ body mass  This reduces resting and total energy expenditure  If inflammation and obesity co-exist there is additional disruption to muscle structure Protein supplementation RCTs  Limited quality RCT interventions to date  Campbell assessed protein requirements during /


Nutrition & Diet Therapy (7 th Edition) Fat-Controlled, Mineral-Modified Diets for Cardiovascular Diseases Chapter 22.

–Systolic ≥140 mmHg –Diastolic ≥90 mmHg Nutrition & Diet Therapy (7 th Edition) Hypertension Contributing factors –Aging –Genetics –Obesity (60% obese) –Salt sensitivity (30-50%) –Alcohol –Diet Treatment –Lifestyle modifications Weight reduction DASH eating plan Sodium restriction/ less Fluid restriction may be necessary Small, frequent meals or enteral supplements may be better tolerated if eating difficulties exist Avoid alcohol Nutrition & Diet Therapy (7 th Edition) V. Stroke (CVA) Third leading /


Controversial Issues in Nutrition The Arguments Against the Standard American Diet.

also be triggered by childhood obesity. Children who consume more dairy and meat products tend to be overweight, so some attribute the/ illness can be prevented, at least until very old age, simply by adopting a plant-based diet.” Meat Some claim that cows release stress hormones (adrenaline and cortisol) as fright and panic occur/you were to each meat from muscles every day. (Fermented Cod Liver Oil is a fantastic supplement, as long as it’s not processed. Green Pastures Cod Liver Oil is the gold standard/


Chapter 2 Guidelines for Designing a Healthy Diet.

of foods high in: Added sugarsAdded sugars SaltSalt Saturated and trans fatsSaturated and trans fats CholesterolCholesterol AlcoholAlcohol Diet-Planning Principles (5) 1. Balance 2. Variety 3. Nutrient density 4. Energy density – /to obesity excessive caloric intake that leads to obesity Increase risk of obesity related diseasesIncrease risk of obesity related diseases heart disease, diabetes…. heart disease, diabetes…. overuse of vitamin supplements that leads to toxicity overuse of vitamin supplements that/


Facts and Fads: Weighing in on Obesity Management Michelle L. Hilaire, PharmD, CDE, BCPS, FCCP Colorado Pharmacists Society 2016 Winter CE and Ski Seminar.

usefulness of chronic prescription weight management products;  Evaluate potential risks and benefits of over-the-counter weight-loss supplements. Introduction  Obesity is a disease and a major public health epidemic  Weight loss has many benefits: – Risk factor /injection. Prescribing Information. Revised January 2015. Common Indication  All approved as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial BMI of: – 30 or greater/


생활습관과 암 동국대학교 일산병원 오상우. Age Smoking Alcohol Diet Obesity Sedentary Lifestyle Cancer-Causing Substances Chronic Inflammation Hormones Immunosuppression.

생활습관과 암 동국대학교 일산병원 오상우 Age Smoking Alcohol Diet Obesity Sedentary Lifestyle Cancer-Causing Substances Chronic Inflammation Hormones Immunosuppression Infectious Agents Radiation Sunlight Others Risk Factors for Cancers Age Risk / cancer treatments. Calcium (1) Meta-analysis of Observational Studies – We observed inverse associations for colorectal cancer risk and calcium supplements (Int J Cancer. 2015;136(10):2388-401) – Both dietary and supplementary calcium intake may continue to decrease colorectal /


Energy Balance and Weight Management. Body Weight & Health In the United States today, 66% adults are either: Over Weight or Obese In 1960 only 13.4%

reduced-calorie foods is self- defeating Read labels and compare calories per serving Meal Spacing Breakfast Physical Activity What Diet Strategies Are Best for Weight Loss? Consider Milk and Milk Products Several studies have found that higher calcium intake/to move, burn, or break up “cellulite” are useless for fat loss Drugs and Surgery to Treat Obesity FDA has sent letters warning supplement distributors to stop claiming that their products: Block starch, fat, sugar absorption Neutralize starch, fat, or /


Research on Nutritional Contributors to Obesity Neal D. Barnard, M.D. Physicians Committee for Responsible Medicine 5100 Wisconsin Avenue NW, Suite 400.

1955 1965 1975 1985 1994 Dietary Patterns and Obesity Asia Grain-Centered Diet Obesity Is Rare U.S., Prior to 1980 Meat-Centered Diet Obesity Is Common U.S. After 1980 Meat-Centered Diet + Extra Calories Obesity Is an Epidemic Differential Roles for Carbohydrate Asia /119:688-93. 3. Westman EC. Am J Med 2002;113:30-6. = Vegan diet, no exercise (14 weeks) 1 = 1200-calorie diet (21 weeks) 2 = Atkins Diet plus exercise, supplements (26 weeks) 3 Weeks Pounds Lost Weight Loss per Week (pounds) 1. Westman EC./


Melita Schuster, DO Mike LaFontaine, PhD Marian University College of Osteopathic Medicine Deconstructing Diets.

factors associated with reduced CVD risk and to evaluate a plan’s potential to improve lipid levels and obesity. It did not predict CVD mortality however because it did not distinguish between the different types of/Cardiovascular Disease with a Mediterranean Diet Studied efficacy of 2 Mediterranean diets:  One supplemented with extra virgin olive oil and the other supplemented with nuts.  Compared with low fat diet Conclusion: the results supported a Mediterranean diet for primary prevention of /


Dietary Interventions for Insulin Resistance and the Metabolic Syndrome Lisa M. Neff, MD Northwestern University Comprehensive Center on Obesity.

–Basal and angiotensin-II stimulated aldosterone levels –Thromboxane A2 levels –Platelet reactivity In diabetics with hypomagnesemia, magnesium supplementation improves insulin sensitivity and reduces platelet reactivity (Rodriguez-Moran, Diabetes Care 2003; Nadler JL, Diabetes Care 1992)/ obesity High triglycerides Low HDL Prehypertension or hypertension Study Overview Run-in Phase on Usual Diet Testing #1 on American Diet Wt Stable on American Diet Wt Stable on DASH Diet Wt Stable on Low GI Diet 2/


High Risk Pregnancy - 2007. High Risk Pregnancies Disordered Eating Obesity Hypertensive Disorders Gestational Diabetes.

exams may be difficult AFP values are lower in obese women due to increased plasma volume Blood pressure monitoring may be difficult Antepartum Outcomes Higher rates of NTD even with folic acid supplementation (RR = 3.0 in one study) Increased /as any degree of glucose intolerance with onset or first recognition during pregnancy. The definition applies whether insulin or only diet modification is used for treatment and whether or not the condition persists after pregnancy. It does not exclude the /


Nutrition & Prostate Cancer: Exploring the role of diet Presented by Greta Macaire, MA, RD, CSO UCSF Helen Diller Family Comprehensive Cancer Center.

growth, progression & angiogenesis Suppress immune function Anti-Inflammatory Compounds: Inhibit tumor growth & angiogenesis Immune enhancing Standard American Diet (SAD) Ratio of Omega-6 to Omega-3 intake: 20:1 Traditional/Ideal ratio: ~2:1 Both types/ EPA/DHA supplement if appropriate Body Weight & Physical Activity Obesity & inactivity = ↑ risk of prostate cancer & prostate cancer progression. –A cohort study reported an ↑ risk of death from prostate cancer: Obese men ↑ risk by 20 %/ Severely obese ↑ risk/


Obesity Continuum of Care: Behavior Modification Through Pharmacotherapy and Surgery Speaker notes included in notes section below.

Reduces absorption of ~30% dietary fat – Fat in diet passes undigested – Facilitates weight loss – GI side effects 3 times daily with meals and a vitamin supplement recommended Sibutramine Key Facts Multiple large clinical trials demonstrating: Dose/40 –OR –BMI ≥ 35 with comorbid conditions Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults—The Evidence Report. Obes Res 1998;6(suppl 2). Update: Bariatric Surgery Currently Popular Procedures LapBand TM/


Precaution Dietary modifications and supplementation often improve high blood pressure, high blood fats, and high blood sugars characteristic of diabetes.

fiber products is with meals to slow carbohydrate absorption. Insulin dosages of diabetics supplemented with fiber have been reduced to one-third of those on a control (ADA) diet. (Pizzorno, 1204-6) Konjac absorbs up to 50 times its volume of/ reduced food intake. No rebound eating. Sergio, W., “A natural food, the Malabar Tamarind, may be effective in the treatment of obesity,” Med Hypotheses 27(1):39- 40, 1988. InWerbach, Melvyn and Murray, Michael, Botanical Influences on Illness, Tarzana, Ca.: Third Line/


Presented by Yaowapruek W. 22 Dec 2006. Question When should you start anti obesity agents? When should you start anti obesity agents? What is the agent.

weight. Nonpharmacological Approaches More severe caloric restriction, with the use of diets that are very low in calories, increases the rapidity of wt/side events( HT, arrhythmia, stroke, seizure, MI and sudden death) Dietary Supplements and Herbal Because of the unpredictable amounts of active ingredients ant the potential for / Vol.47, No. 10, 2006 Introduction New combined approach to treating the obesity and glucose intolerance features of metabolic syndrome, as well as aiding smoking cessation,/


Nutritional Assessment. Over-nutrition (Obesity and over weight)  Associated problems Heart disease Cancer Hypertension Diabetes Joint disease Surgical.

metabolism, or excretion  Supplement use, especially excessive supplementation in the elderly  Inform clients of harmful effects of some supplements in megadoses:  A & D accumulate in the body  B & C may increase risk of kidney stones Diet History  Usual food and/ 18.5 Underweight  18.5 - 24.9 Normal  25.0 – 29.9 Overweight  30 – 39.9 Obesity  > 40 Extreme Obesity Body Composition  Proportion of fat versus muscle mass  Skinfold calipers to measure skinfold thickness  Calipers used most often Body/


Obesity Pre-Diabetes to Type 2 Diabetes Gül Bahtiyar, MD, MPH Woodhull Medical Center Clinical Associate Professor NYU School of Medicine.

Clin Ther 1998; 20: 216–231 > 80% of diabetics are insulin resistant Genetic factors Environmental factors Family history Ethnicity Obesity Age Diet Lack of exercise Insulin Resistance is a Root Cause of Diabetes Narayan et al. JAMA 2003;290:1884-1890. Diabetes/ when the patient is above target) is non-physiologic and does not work to control glucose! May be used to supplement basal and prandial insulin. 2- Physiologic replacement requires both “basal and prandial” insulin 3- Analog short acting insulin (our/


Diet & Lifestyle for Cancer Survivors Nancy Steedman, RD, CD Franciscan Oncology Services.

Dietitian) Whats Your Number? BMI = Body Mass Index Ideal = 19 to 25 Underweight = < 18 * Overweight = 25-30 * Obese = 30+ * A weight loss of as little as 10% of your current weight will improve your health & reduce your risk! /oz wine *resveratrol = grape juice Aim to meet you nutritional needs primarily through diet Unless you are diagnosed with a nutrient deficiency by a trained professional, dietary supplements are NOT currently recommended for cancer prevention or survivors Unless you are diagnosed with/


Obesity Treatment: How to make a difference with your clients Claudette Peck, LCMHC, RD, LD Staff Nutritionist Dartmouth College Health Service.

small initial steps Help identify social supports Provide future follow-up appointments to assist with adherence Diets vs. Non-Diet Approach Dietary Recommendations Kcal restrictions-1200-1500/day to promote weight loss Low carb-more weight loss/www.nwcr.ws/Research/default.htm www.acsm.org www.thelifestylecompany.com/ References Barlow, et al (1995). Int. J. of Obesity & Related Metabolic disorders, 19 (supplement 4), 41. Befort, C.A. et al (2006). J. General Internal Medicine, 21 (1086-1090). Blair, S./


1 Supplements for Weight Loss Lecture 24. 2 Overview of Gastrointestinal System Esophagus Stomach Small intestine Large intestine Absorption Cells Blood.

were “associated” with use of ephedra. Industry claimed association does not prove cause-and-effect. If use of ephedra products reduces obesity (which causes premature death), what if it saves more lives than it causes? This is a reasonable point so the FDA “/Ephedra, 10/9/02 WASHINGTON (AP) -- A senator chided the FDA for not taking some action to block the sales of diet supplements containing ephedra, an herb that has been linked in many reports with heart attacks, high blood pressure and even death. Sen. /


Ads by Google