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9.a Popular Diets
BrownMed
22
Chemical Engineering
Graduate
10/12/2010

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Cards

Term
what's the problem with "dissolving the fat"?
Definition
it's cardiotoxic
Term
why do ab rollers not burn fat?
Definition
they only affect one area of the body, not total subcutaneous fat
Term
smart choices
Definition
fruit loops, etc. scam.
Term
medically imposed food restrictions
Definition
difficult to follow, often result in some loss of self-esteem
Term
what's important in couseling a patient to better nutrition?
Definition
explaining disease processes, individualizing care, emphasizing that change takes time, emphasizing small changes (baby steps)
Term
eligibility criteria for bariatric surgery
Definition
BMI>40kg/m^2 or BMI>35 and w 2 comorbid disorders
Term
disorders that increase eligibility for bariatric surgery
Definition
cardiomyopathy, Pickwickian Syndrome, sleep apnea, diabetes
Term
bariatric surgery diet
Definition
1 day water, 1-2 days clear liquids, 3-4 weeks full liquids, 3-4 weeks pureed/soft food, thereafter 30% protein, 20% fat, 50% carbs in 6-8 small meals per day
Term
beyond nutrition - back to basics
Definition
avoid trends, shop at periphery of supermarket, eat lots of plants, move a lot
Term
what % of excess body weight do people lose after bariatric surgery?
Definition
peaks at 18 months post surgery, about 75%
Term
improvements upon bariatric surgery
Definition
BP, type2diabetes, improved lipid profile, less cardiomyopathy, better sleep, better joints, better liver, better QOL
Term
major changes in american diet, past 40 years
Definition
LOTS of vegetable oil, also more animal fat, less dairy, bigger portions
Term
characteristics of a fad diet
Definition
fast weight loss promise, limiting certain nutrients, testimonials, selling something, critical of science community, eating behavior doesn't change
Term
Ornish diet / problems
Definition
high carb, low fat. compliance over time deteriorates and fasting TG, insulin and glucose all high = drives cancer.
Term
why people like Ornish
Definition
HDLc and LDLc decrease
Term
low carb high fat diets
Definition
Zone, Atkins, Sugar Buster, South Beach. use glycemic index, presume insulin is "bad".
Term
low carb diet problems
Definition
long term (12 month) weight loss no different from other diets, hard to replace carb energy (people grumpy), risk of GOUT
Term
why do people like Atkins?
Definition
alleged benefit of ketosis to control appetite (= incomplete fat metabolism)
Term
mediterranean diet
Definition
plant based, moderate fat (2T extra virgin olive oil per day). includes foods that promote health.
Term
why do people like the mediterranean diet
Definition
may be more sustainable, lowers BP, fasting glucose and insulin, lowers TG, increases HDLc
Term
diet take home points
Definition
slow weight loss, initial goals should be rational. increase in energy expenditure is essential, promote foods that have potential health benefits
Term
how much weight loss is adequate to improve BP and glucose tolerance and reduce risk of heart disease
Definition
5%
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