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WEIGHT MANAGEMENT for FITNESS PROFESSIOALS

WEIGHT MANAGEMENT for FITNESS PROFESSIOALS. PED 147 Joann Pell, M.S., R.D. Obesity. Define 1. Chronic disease characterized by excessive body fat in relation to LBM 2. Usually reported as BMI not actual BF Measurement 1. BMI greater than 30 2.Body fat (BF) greater than 30% for

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WEIGHT MANAGEMENT for FITNESS PROFESSIOALS

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  1. WEIGHT MANAGEMENTforFITNESS PROFESSIOALS PED 147 Joann Pell, M.S., R.D.

  2. Obesity • Define 1. Chronic disease characterized by excessive body fat in relation to LBM 2. Usually reported as BMI not actual BF • 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

  3. Overweight vs. Obesity 1. Overweight- BMI greater than 25 2. Obesity- BMI greater than 30 • Overweight is defined as excessive weight according to a given standard. • A client can be overweight but not obese. Why?

  4. BMI CHART

  5. 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

  6. 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

  7. 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

  8. 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 %

  9. Causes A. Genetics/Physiology of client 1. RMR- thrifty genes 1-10% variances 2. body type 3. # fat cells 4. thyroid disease (less than 1%) 5. set point 6. fat metabolizing enzyme

  10. B. Society/Family/Culture 1. norms 2. celebrations 3. types of food 4. portions/eating patterns 5. media

  11. C. Psychological Make-up 1. self esteem 2. body image 3. stigma 4. abuse

  12. 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

  13. 4.swings in fluids 1st 2 months 5.exercise may influence scale

  14. 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

  15. E. High and low stress/change time F. Survey

  16. C.Establishing a healthy weight for client: 1. calculate IBW based on BF 2. take circumferences 3. evaluate past weight history

  17. 4.evaluate energy level and sickness incidences 5. evaluate body type 6. consider culture norms

  18. Principles of Weight Loss Program Development A. Assess/Interview client 1. health history 2. exercise history 3. weight cycles/previous dietary regimes 4. food journals

  19. 5. medications/supplements 6. goals 7. readiness

  20. B. Develop program based on 3 components Nutrition But….. Exercise Psychology

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