1. Exercise, Diet and Weight Control PowerPoint ® Lecture Slide Presentation Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. 8

2. Learning Objectives Define obesity and discuss its potential causes Explain the relationship between obesity and the risk of disease Discuss the energy balance theory of weight control Explain the roles of resting and exercise metabolic rate in determining daily energy expenditure Explain the concept of optimal body weight

3. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Learning Objectives, continued Outline a simple method to estimate your daily caloric expenditure List and define the four basic components of a weight loss program Discuss several weight loss myths Define the eating disorders anorexia nervosa and bulimia Discuss strategies to gain body weight

4. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. What is Optimal Body Weight? The range of optimal body fat for men is 10-20% for men, and 15-25% for women Optimal body weight can be calculated using percent of body fat and body weight To compute fat-free weight: (amount of total weight of bones, muscles and organs) % total body weight  % fat weight = % fat-free weight To calculate optimal body weight: (based on healthy body fat percentages) Fat-free weight ÷ (1 – optimal % fat) = optimum weight

5. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. What Factors Affect Weight Management? Genetics and Hormones Cannot be commonly controlled Physiological causes of obesity related to release of the hormones leptin and ghrelin New research on genetics and hormones suggest a possible cure for obesity Environmental Factors Remain the primary focus of health care professional Eating habits, diet and exercise Can all be controlled Energy Balance “calories in” vs. “calories out” Resting Metabolic Rate (RMR): amount of energy expended while sedentary Exercise Metabolic Rate (EMR): amount of energy expended during exercise

6. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Energy Balance Figure 8.2

7. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Daily Caloric Expenditure Table 8.1

8. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Designing a Weight Loss Program Set a Realistic Goal Lose 1-2 pounds per week Aim for optimal body fat range Use short-term and long-term goals Assess and Modify Your Diet Keep a food diary Follow sensible dietary guidelines (no extreme or fad diets) Aim for lifelong change

9. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Designing a Weight Loss Program Plan Your Physical Activities Cardiorespiratory exercise assists fat-burning Resistance/strength training reduces muscle loss due to dieting and increases matabolic resting rate Both high- and low-intensity exercise promote weight loss Focus on Behavior Modification Make a personal commitment to losing weight Develop healthy low-calorie eating habits Avoid social settings where you might overeat Exercise every day Reward yourself with non-food rewards Think positively

10. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Exercise and Diet Programs to Gain Weight Increase muscle mass rather than fat mass Rigorous weight training is key to healthy weight gain Combine exercise with proper nutrition Create a positive energy balance (take in more calories than you expend) Weight Training energy and caloric expenditures: ~2500 calories synthesize 1 lb of muscle 0.25 lbs muscle can be gained per week Increase daily calories by ~90 calories

11. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Lifetime Weight Management Weight loss and management are not short-term events Cultivate a positive attitude Get regular exercise Avoid fad diets Make a commitment to maintain your desired body composition Be prepared for occasional setbacks Get support from family and friends

12. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Popular Diet Plans Table 8.2

13. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Calories Expended During Exercise Table 8.3

14. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Extreme Measures for Weight Loss Some extremely obese people may need more than behavioral changes to lose weight, including: Surgery - two main types: Restrictive procedures (gastric band) Malabsorptive procedures (bypass intestine) Surgery is considered a last resort for serious cases Prescription Medications Orlistat/Xenical Meridia Long-term safety and effectiveness have not been established

15. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Weight Loss Myths and Facts Table 8.4

16. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. ABC News: Managing Your Weight Discussion Questions Why do you think obesity is more prevalent among poor Americans? How does lack of transportation for inner city residents affect obesity rates? How does the cost of fresh fruits and vegetables compare to the price of foods high in calories, carbohydrates and fat? Play Video Play Video | Managing Your Weight

17. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. What is Disordered Eating? The social pressure to be thin can lead to unhealthy and dangerous eating behavior for some people Anorexia Nervosa Severely limiting calorie intake to the point of starvation Occurs in men and women; highest rates among adolescent girls Methods include starvation, excessive exercise and laxatives Bulimia Nervosa Cycles of binging and purging Frequent vomiting often leads to esophagus, tooth and stomach damage Sufferers may have a normal weight and look “normal” Binge Eating Disorder Binging without purging Compulsive eating Sufferers often gain weight

18. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Summary Weight management includes genetic, dietary, and lifestyle factors Energy balance is achieved when the calories you take in equal the calories you expend Total daily energy expenditure = resting metabolic rate + exercise metabolic rate A safe rate of weight loss is 1-2 lbs per week The four basic components of weight management are setting realistic goals, assessing and modifying dietary habits, planning physical activity, and modifying behaviors

19. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings. Summary, continued Weight loss goals should include both short- and long- term goals When trying to gain weight, you should gain muscle mass rather than fat Strength training and positive energy balance are needed to gain muscle mass Serious eating disorders that require professional treatment include anorexia nervosa, bulimia nervosa, and binge eating disorder