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37 Cards in this Set

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¨Obesity-related conditions include:

CVD


Stroke


Type2 diabetes


Certaintypes of cancer

¨When energy intake exceeds energyexpenditure , fat cells will

build up w/ triglycerides & expand

¨Fat cells ↑ most rapidly during

the growing years

¨Cells may decreaseinsize BUT

NOT in #’s



**Thisis the MAINreason ppl gain back weight they lost


Lipoproteins Lipase (LPL) is an enzyme that

hydrolyzes TG: promotes the storage of fat in: Adipose & muscle cells

More fat cells we have, more

LPL activity in fat cells

Obese ppl have MORE LPL activity in fat cells than

lean ppl

LPL activity regulated by

Hormones:


Testosterone + Estrogen

High amount of LPL activity will

cause fat to accumulate

People easily gain wt after losing it b/c

they are battling the enzyme that want to store fat (LPL)

Set Point Theory=

Where body feels most comfy.


-internal thermostat

Cuase of Obesity: GENETICS


-If both parents are obese=




¤If neither parent is obese =

¨Genetics and Obesity Links


Ifboth parents are obese=80% chance child obese


¤Ifneither parent is obese = 10% chance

LEPTIN =

Is aprotein produced by fat cells under the direction of the obesity gene

ØResearchershave identified an ObesityGene (OB) that is released into the fat cells &has ____

the protein Leptin on its surface.

¨Adipose cells secrete the protein

Adiponectin

Adiponectin=

¨it correlates inversely with body fat.

Who has higher amounts of Adiponectin?

Lean ppl

Benefits of Adiponectin

¤Inhibitsinflammation


¤Protectsagainst insulin resistance, type 2 DM and CVD




^^ALL related to Obisity

GHRELIN=

¨A protein made by stomach cells that^^appetite & decreases energy expenditure




-triggers desire to eat

Ghrelin- blood levels typically ↑ before a meal

& ↓after a meal in relation to what was consumed

Adiponectin: (protein)


Where concentrated?


Secreted from?


Action?

-Lower in obesity




-Adipose tissue




-^^ insulin sensitivity

Ghrelin: (pro)


Where concentrated?


Secreted from?


Action?

-Increase with fasting, decrease after meal




-from Stomach




-Starts appetite

Ghrelin: (pro)


Where concentrated?


Secreted from?


Action?

-Higher in obesity




-form Adipose tissue




-stops appetite, increases energy expenditure

What also contributes to obesity?

TV

COME BACK

Come back


Let's see

¨Healthcare professionals use three indicatorsto determine health risks associated with obesity

BMI




Waistcircumference




Diseaserisk profile

BMI




Waist circumference




Disease risk profile

Picture




slide 3

Weight Cycle

slide 31

FadDiets donot work BUT

Provide lifestyle changes




May mention of PA




Wellbalanced complete meals

¨Whenthe health benefits are obvious


(when to encourage a healthy lifestyle)

¤DM




¤HD




¤Osteoarthritis

Ephedrine containing supplements

¨Problem:


¤Heartattacks


¤Seizures


¤Linkedto ~100 deaths

HerbalProducts:


¨Current laws:



=Donot require manufactures of “dietary supplements” to test for Safety& Effectiveness




Must check for interactions!

Herbal Laxative “Dieters' Tea”

Nutrientsare absorbed in the small intestines




-Laxativeswork on the large intestines


-Laxativesdo not ↓calorie consumption or ↓nutrient absorption

Herbal Laxative “Dieters' Tea” May cause?

Nausea/Vomiting/Diarrhea




Cramping




Fainting




Linkedw/ several deaths

What drug is Sibutramine?



suppressesone’s appetite by ↓ theuptake of serotonin

What is Seratonin?

¤Aneurotransmitter which helps regulate: sleep/appetite/sensoryperception




Suppressesappetite & creates a feeling of fullness




Worksbest with a reduced calorie diet & and ↑in PA

Orlistat (another med.)


Function -

picture




slide 45