TAILIEUCHUNG - Chapter 075. Evaluation and Management of Obesity (Part 4)

Lifestyle Management Obesity care involves attention to three essential elements of lifestyle: dietary habits, physical activity, and behavior modification. Because obesity is fundamentally a disease of energy imbalance, all patients must learn how and when energy is consumed (diet), how and when energy is expended (physical activity), and how to incorporate this information into their daily life (behavior therapy). Lifestyle management has been shown to result in a modest (typically 3– 5 kg) weight loss compared to no treatment or usual care. Diet Therapy The primary focus of diet therapy is to reduce overall calorie consumption. The NHLBI guidelines recommend initiating. | Chapter 075. Evaluation and Management of Obesity Part 4 Lifestyle Management Obesity care involves attention to three essential elements of lifestyle dietary habits physical activity and behavior modification. Because obesity is fundamentally a disease of energy imbalance all patients must learn how and when energy is consumed diet how and when energy is expended physical activity and how to incorporate this information into their daily life behavior therapy . Lifestyle management has been shown to result in a modest typically 35 kg weight loss compared to no treatment or usual care. Diet Therapy The primary focus of diet therapy is to reduce overall calorie consumption. The NHLBI guidelines recommend initiating treatment with a calorie deficit of 500-1000 kcal d compared to the patient s habitual diet. This reduction is consistent with a goal of losing approximately 1-2 lb per week. This calorie deficit can be accomplished by suggesting substitutions or alternatives to the diet. Examples include choosing smaller portion sizes eating more fruits and vegetables consuming more whole-grain cereals selecting leaner cuts of meat and skimmed dairy products reducing fried foods and other added fats and oils and drinking water instead of caloric beverages. It is important that the dietary counseling remains patient-centered and that the goals are practical realistic and achievable. The macronutrient composition of the diet will vary depending on the patient s preference and medical condition. The 2005 . Department of Agriculture Dietary Guidelines for Americans Chap. 70 which focus on health promotion and risk reduction can be applied to treatment of the overweight or obese patient. The recommendations include maintaining a diet rich in whole grains fruits vegetables and dietary fiber consuming two servings 8 oz of fish high in omega 3 fatty acids per week decreasing sodium to 2300 mg d consuming 3 cups of milk or equivalent low-fat or fat-free dairy products per day .

• Y học thường thức
• Evaluation and Management of Obesity
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu y khoa
• harrison interal medicine
• BMC Anesthesiology
• Morbid obesity
• Preoperative evaluation
• Metabolic syndrome
• Obstructive sleep apnea
• Body mass index
• Insulin resistance
• medical books
• pharmacology
• epidemiologic
• Obstetrics
• anatomy
• Preventing Morbidity
• Multidisciplinary Care
• Therapeutic Potential
• Principles and Application
• Thyroid Cancer Research
• Evaluation and Management
• Pediatric Thyroid Nodules
• Papillary Thyroid