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31 Cards in this Set

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Why diet is important

Contributes to array of diseases


Implicated in some cancers


Changing diet improves health

Pros and cons

Resistance to modifying diet

Problem with maintaining change


Recommendations are restrictive, monotonous, expensive, hard to obtain


Stress affects eating


Changes may alter mood/personality

Maintaining change and negative effects of change

Keto diet

Low carbs (glucose) diet so body uses up fat cells

Carbs

Carbohydrates

Simple carbs bad for health (converted to glucose in blood easily)


Complex carbs better (takes more and longer to convert to glucose)


Raises blood sugar levels (type II diabetes)

Simple and complex carbs

Obesity

Excessive accumulation of body fat


Global epidemic


One of the most serious in Canada

Epidemic

Obesity risks

Risk factor for many disorders


One of chief causes of disability


Early mortality


Psychological distress


Can cause:


-diabetes


-CV disease


-hypertension


-stroke


-cancer

Disorders, disability, psychological distress

Obesity in childhood

31% overweight or obese


Genes contribute to risks


Sedentary lifestyle


Early eating habits contribute

Causes

Obesity in older age

1/4 people older than 50


Counseling to adopt healthy lifestyle


Increase exercise

Lifestyle, exercise

Fat located

Abdominally


Excessive central weight

Gut

Factors associated with obesity

1. Number and size of fat cells


2. Childhood: window of vulnerability


3. Style of eating


4. Family history


5. SES, culture


6. Yo-yo diet (taxing on body)


7. Set point theory of weight

7 factors

Set point theory of weight loss

Body will fight to maintain weight range


Must increase restriction to get past plateau of weight loss

Stop losing weight

Stress and eating

Influences what food consumed


Anxiety and depression contribute

Influence of stress, anxiety, depression

Weight control methods

Dieting


Surgery

2 methods

Cognitive behaviour theory

Multimodal approach


-screening (Ex. BMI)


-self management (stress, encouragement)


-social support


-relapse prevention

Multimodal; similar methods to drug addiction

Anorexia Nervosa

Obsessive disorder amounting to self starvation


Dieting and exercising until grossly underweight

Obsessive disorder

Developing AN

Genes


Environmental risks


Hypothalamic abnormalities


Autoimmune problems


Behavioural manifestations

GEHAB

Treating AN

Bring weight to safe level


Family therapy


Prevention


Stressing health risks of disorder


Self, environmental changes and information

Bulimia

Eating syndrome of alternating cycles of binge and purge


Methods: vomiting, laxatives, extreme dieting, drug or alcohol abuse

Binge and purge

Developing Bulimia

Hyperactive HPA axis (hypothalamus, pituitary gland, and adrenal glands in stress response)


Food is constant thought


Families stress thinness and appearance


Stress


Physiological disorders

Social and physiological factors

Treating Bulimia

Convince that it threatens health


Convince that psychological interventions help


Combine medication and cognitive-behavioural therapy


Behavioural treatments


Relapse prevention

Convince them to get help, therapeutic treatments, prevention

Aerobic exercise

Sustained exercise that stimulates/strengthens heart and lungs


Improves body's utilization of oxygen


High intensity, long duration and requires high endurance (ex. Jogging, swimming, bicycling)

What is enough exercise?

3 hrs per week (3-5 sessions)


Each session including


1. warm up (stretching, strength and endurance)


2. aerobics (rhythmic, raise heart rate)


3. cool down (calisthenics, walking)

3hrs, 3-5 sessions, 3 steps

3 psychosocial benefits of exercise

Feel less stressed and anxious


Better work performance and attitude


More positive self-concept

Performance, stress, attitude

Physiological effects of exercise

Increase endorphins (morphine-like)


Improved agility in children


Snows decrease of ability of older


Slows increase in body fat and blood pressure


Prevents CV problems


Lower levels of forms of cancer

Ability, physiological makeup, diseases

Benefits of exercising

Decrease risk of chronic disease and some cancers


Decreased Type II diabetes


Faster wound healing


Increased CV fitness


Increased longevity

Fitness and disease decrease

Exercise protects against CV disease

Reduces blood pressure (disastolic and systolic)


Reduces arrhythmic heart beats


Decreases LDL increasing HDL

Blood pressure, heart beats, fat types

Hazards of Exercising

Accidents


Injuries


Heat exhaustion and heat stroke


Precipitate heart attack


Steroid use


-raises LDL lowers HDL


-liver and kidney burns, heart attacks, strokes

Injuries, heat, steroids, heart

Determinants of regular exercise

Positive attitude, sense of self efficacy, social support


Boys more than girls


Leaner people than than overweight


Whites more than blacks or Hispanics


Young more than old


Well educated, higher SES


Non-smokers


Exercised in past


Feel susceptible to illness

Attitude, gender, SES, prior lifestyle, current lifestyle

Characteristics of exercise interventions

Cognitive-behavioral strategies promote adherence


Relapse preventions


Individualized exercise programs


Understanding motives and attitude

4 characteristics

Accident prevention

Home and workplace


-most common death and disability among children under 5


declined due to better precautions


-falls among elderly likely


Motorcycle and automobile accidents


-greatest cause of accidental deaths

Home, work, vehicle

Accidents and death

Leading cause of death for indivs under 45


Accounts for 20% of all deaths in 1-14yrs age group

Age group deaths