LESSON 12 Flashcards

(103 cards)

1
Q

What is obesity?

A

A condition characterized by excessive accumulation of body fat

Obesity is typically defined by a BMI of 30 or higher and is associated with numerous health risks.

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2
Q

Define Body Mass Index (BMI).

A

A measure of body fat based on height and weight

BMI is calculated by dividing a person’s weight in kilograms by the square of their height in meters (kg/m²). While it’s a common screening tool, it doesn’t directly measure body fat.

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3
Q

What is visceral fat?

A

Fat stored within the abdominal cavity around internal organs

Visceral fat is strongly linked to increased risk of cardiovascular disease, type 2 diabetes, and other metabolic problems.

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4
Q

What role does leptin play in the body?

A

A hormone produced by fat cells that signals the brain to reduce appetite

In some individuals with obesity, the brain becomes less responsive to leptin, leading to continued overeating.

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5
Q

Define adiponectin.

A

A hormone produced by fat cells that enhances insulin sensitivity and reduces inflammation

Adiponectin levels are often lower in individuals with obesity, contributing to insulin resistance and increased risk of type 2 diabetes.

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6
Q

What does Non-Exercise Activity Thermogenesis (NEAT) refer to?

A

The energy expended for all physical activity other than planned exercise

This includes activities like walking, fidgeting, and standing. Increasing NEAT can significantly contribute to daily calorie expenditure and weight management.

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7
Q

What is energy balance?

A

The relationship between energy intake (calories consumed) and energy expenditure (calories burned)

Weight gain occurs when energy intake consistently exceeds energy expenditure, while weight loss occurs when energy expenditure exceeds intake.

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8
Q

Define satiety.

A

The feeling of fullness and satisfaction after eating

Promoting satiety through diet and lifestyle choices can help control calorie intake and support weight management.

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9
Q

What is bariatric surgery?

A

Surgical procedures performed on the stomach or intestines to promote weight loss

Bariatric surgery is typically considered for individuals with severe obesity who haven’t achieved significant weight loss through other methods.

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10
Q

What is the Set-Point Theory?

A

The concept that the body has a biologically predetermined weight range that it defends

While the set-point can shift over time, it helps explain why long-term weight loss can be challenging for some individuals.

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11
Q

List the major factors that contribute to obesity.

A

Genetic predisposition, environment, and human behavior.

Obesity is influenced by an individual’s genetic makeup, the environment they live in, and their lifestyle choices and behaviors.

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12
Q

True or False? Some genetic disorders affect metabolism.

A

True

Certain genetic disorders can impact an individual’s metabolism, potentially predisposing them to weight gain or making weight loss more challenging.

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13
Q

In your own words, describe how the hormones leptin and adiponectin function.

A

Leptin communicates with the hypothalamus about energy stored in fat cells, regulating appetite. Adiponectin helps insulin by increasing glucose metabolism and decreasing triglyceride levels.

Leptin decreases when fat cells shrink, signaling the body to eat more, and increases when fat cells grow, signaling to eat less.

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14
Q

The American Dietetic Association’s caloric deficit recommendation is to:

A

B. Reduce fat and/or carbohydrates to obtain a deficit of 500 to 1,000 kcal/day

This recommendation is aimed at promoting weight loss through caloric reduction.

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15
Q

What happens when a person eats an insufficient number of calories?

A

Some proteins may be used for energy, leading to increased protein needs while protein intake usually decreases.

Insufficient caloric intake can compromise the body’s protein reserves.

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16
Q

The current recommended dietary allowance (RDA) for protein intake is _________________________.

A

A. 10-35% of total caloric intake

The RDA translates to approximately 0.8 grams of protein per kilogram of body weight per day.

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17
Q

Discuss some general considerations personal trainers should keep in mind when working with clients who are starting to exercise.

A

Trainers should prioritize:
* Emphasis on total energy expenditure
* Address challenges with heat during exercise
* Consider psychological impacts of exercises
* Address mobility or balance challenges
* Promote lifestyle physical activity (NEAT)

Sensitivity to individual needs is crucial for effective training.

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18
Q

Complete the following chart for the term ‘Low-energy-density food’. Define the term.

A

Definition: Energy density is determined by measuring the amount of energy per gram of food (kilocalories per gram).

This term is significant in understanding dietary choices.

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19
Q

List characteristics of low-energy-density food.

A
  • Can help create feelings of satiety
  • Whole-food, plant-based

These characteristics support weight management.

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20
Q

Provide examples of low-energy-density foods.

A
  • Fruits
  • Vegetables
  • Whole grains
  • Broth-based soups
  • Legumes
  • Water

These foods are beneficial for weight loss due to their low caloric content relative to volume.

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21
Q

Provide non-examples of low-energy-density foods.

A
  • Sweetened beverages
  • Alcohol

These items are high in calories relative to their volume, making them non-examples.

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22
Q

What does ‘NEAT’ stand for?

A

Non-Exercise Activity Thermogenesis

NEAT refers to various physical activities that are not part of structured exercise.

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23
Q

Define NEAT.

A

Activity that is not part of a structured period of exercise.

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24
Q

What are characteristics of NEAT?

A

Physical activity done outside of a structured exercise plan.

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25
Give three examples of NEAT.
* Walking * Fidgeting * Standing
26
What are non-examples of NEAT?
* Structured, planned physical activity * Personal-training sessions
27
Define high nutrient density food.
High in nutrients and low in calories.
28
What are the characteristics of high nutrient density food?
Low-calorie foods that provide most of the body's needed nutrients, vitamins, minerals, and phytochemicals.
29
List three examples of high nutrient density foods.
* Fruits * Vegetables * Beans
30
What are non-examples of high nutrient density foods?
* Candies * Ice cream * Sweetened products
31
True or False: Weight loss is simply a matter of 'calories in versus calories out.'
False
32
What is a contributing factor to obesity beyond calories consumed and expended?
A complex interplay among environmental, behavioral, genetic, and hormonal factors.
33
Outline the evidence-based facts that describe the complexity of weight loss.
Obesity is a multifactorial disease involving various influences on energy balance.
34
What is within a personal trainer's scope of practice regarding diet plans?
Discuss general nutrition guidelines and the importance of a balanced diet.
35
What should a client consider about a new diet plan?
* How does this diet plan cut calories? * What is the nutrient density of the diet? * Does the diet recommend exercise? * Where does this diet's evidence come from? * How much does it cost? * What kind of social support does the diet have? * How easy is it to adhere to the diet in the long term?
36
What is a critical question to ask when examining a diet plan?
What is the nutrient density of the diet?
37
Fill in the blank: A personal trainer cannot provide _______ recommendations.
specific dietary
38
What should a client do when making significant changes to their diet?
Consult a registered dietitian or their doctor for personalized advice.
39
What is the recommended frequency for cardiorespiratory training for a client with obesity?
Be active on most days of the week, at least 5 days a week.
40
What intensity level should a client with obesity aim for during cardiorespiratory training?
Moderate level (noticeable increases in breathing and heart rate).
41
What is the recommended duration for cardiorespiratory training?
30 to 60 minutes per day.
42
What types of exercises are recommended for cardiorespiratory training?
* Low-impact, rhythmic exercises * Walking * Water exercise (both weight-bearing and non-weight-bearing)
43
What is the frequency recommendation for muscular training for a client with obesity?
At least 2 days per week, with a day of rest between sessions.
44
What is the recommended intensity level for muscular training?
Moderate intensity (RPE of 5-6 on a 10-point scale).
45
What is the target repetition range for muscular training?
8 to 15 repetitions.
46
How long should a full-body muscular-training program take to complete?
20 to 30 minutes.
47
What types of exercises should be included in muscular training?
* Free weights * Resistance machines * Body-weight exercises
48
Fill in the blank: A client with obesity should exercise all major muscle groups at least _______ days per week.
2
49
True or False: Lifestyle activity should be encouraged in addition to structured exercise for cardiorespiratory training.
True
50
What is a key consideration for selecting the type of muscular training exercises?
What form of exercise the client enjoys.
51
Fill in the blank: Cardiorespiratory training should be performed for _______ minutes in one continuous session or in multiple shorter bouts.
30 to 60
52
What is the benefit of performing two nonconsecutive sessions of muscular training?
Shown to be beneficial for training all major muscle groups.
53
For cardiorespiratory training, what is an example of a non-weight-bearing exercise?
Deep water exercise.
54
For cardiorespiratory training, what is an example of a weight-bearing exercise?
Shallow water exercise.
55
Which of the following is NOT an environmental factor that contributes to obesity?
A. Pollution ## Footnote While pollution can have negative health impacts, the environmental factors most directly linked to obesity include increased sedentary behavior (more sitting), reliance on labor-saving devices, and inadequate sleep.
56
The hormone leptin is found in _________________________.
B. Fat cells ## Footnote Leptin, the hormone that signals satiety to the brain, is primarily produced and released by adipose tissue (fat cells).
57
Ghrelin plays a chief role in _________________________.
A. Appetite regulation ## Footnote Ghrelin, often referred to as the 'hunger hormone,' plays a primary role in stimulating appetite.
58
Resting energy expenditure contributes _________________________ of the body's total energy expenditure.
C. 60-75% ## Footnote Resting energy expenditure (REE), the energy the body burns at rest to maintain basic functions, accounts for the largest portion, typically 60-75%, of total daily energy expenditure.
59
_________________________ should be used in conjunction with a pharmacotherapy intervention.
A. Lifestyle intervention ## Footnote Pharmacotherapy (medication) for obesity is most effective when used in conjunction with comprehensive lifestyle interventions that include dietary changes, exercise, and behavioral strategies.
60
What should be emphasized if a client with obesity does not see initial weight loss?
Focus on positive changes such as improvements in energy levels, mood, sleep quality, blood pressure, blood sugar, and increased ability to perform daily activities or exercise. ## Footnote These improvements indicate progress and reduced health risks.
61
Why is it important to celebrate non-weight-related health benefits?
Celebrating these 'wins' helps maintain motivation and reinforces positive behavior changes. ## Footnote This fosters a more sustainable and empowering journey toward better health.
62
True or False: Weight loss is the only indicator of progress in a health journey.
False ## Footnote Other health benefits can also indicate progress and improved well-being.
63
Fill in the blank: Weight loss can be a _______ process.
[gradual] ## Footnote It is common for weight loss to take time, and focusing on other health improvements can help maintain motivation.
64
What health aspects should be monitored in clients with obesity besides weight?
* Energy levels * Mood * Sleep quality * Blood pressure * Blood sugar * Ability to perform daily activities or exercise ## Footnote Monitoring these factors can provide a more comprehensive view of health progress.
65
Question: _________________________ may be used for energy if a person eats an insufficient number of calories.
C. Proteins ## Footnote When calorie intake is insufficient, the body will break down its own tissues, including proteins (muscle), to provide energy.
66
Question: Chronic psychological stress influences hunger in which of the following ways?
B. Stimulates hunger ## Footnote Chronic psychological stress often leads to increased hunger and cravings for palatable, high-calorie foods in many individuals.
67
Question: Non-exercise activity thermogenesis (NEAT) represents _________________________.
A. Common daily activities such as walking, standing, and fidgeting ## Footnote NEAT encompasses the energy expended through daily activities that are not structured exercise, such as walking, standing, and fidgeting.
68
Question: _________________________ is the most important factor for sustainable weight-loss success.
A. Lifestyle change ## Footnote Sustainable weight-loss success is primarily driven by comprehensive and long-term lifestyle changes that incorporate healthy eating habits, regular physical activity, and behavioral strategies.
69
Question: A weight loss of _________________________ in people with overweight or obesity has been shown to significantly improve health-related outcomes for obesity-related comorbidities.
B. 5-10% ## Footnote Even a modest weight loss of 5-10% of initial body weight has been shown to produce significant improvements in health-related outcomes for individuals with overweight or obesity and related comorbidities.
70
Which of the following is NOT an environmental factor that contributes to obesity?
A. Pollution ## Footnote While pollution can have negative health impacts, the environmental factors most directly linked to obesity include the availability, quantity, and energy density of foods consumed, as well as the availability of labor-saving devices, more time spent sitting, and less availability of facilities for physical activity in the built environment.
71
The hormone leptin is found in _________________________.
B. Fat cells ## Footnote Leptin resides in all fat cells and communicates directly with the hypothalamus in the brain, providing information about how much energy is currently stored in the body’s fat cells.
72
Ghrelin plays a chief role in _________________________.
A. Appetite regulation ## Footnote Ghrelin, a gut hormone secreted by the stomach, plays a chief role in appetite regulation. It is often referred to as the 'hunger hormone'.
73
Resting energy expenditure contributes _________________________ of the body's total energy expenditure.
C. 60-75% ## Footnote Resting energy expenditure is measured at rest in the morning and accounts for 60 to 75% of the body’s total energy expenditure.
74
_________________________ should be used in conjunction with a pharmacotherapy intervention.
A. Lifestyle intervention ## Footnote Pharmacotherapy and lifestyle intervention should be used together. Lifestyle modification should be the main component of any weight-loss program.
75
_________________________ may be used for energy if a person eats an insufficient number of calories.
C. Proteins ## Footnote When a person eats an insufficient number of calories, some proteins may be used for energy. Thus, protein needs increase, while protein intake usually decreases.
76
Chronic psychological stress influences hunger in which of the following ways?
B. Stimulates hunger ## Footnote Stress causes or contributes to many diseases and disorders, including obesity and other eating-related disorders. With chronic psychological stress, hunger is stimulated.
77
Non-exercise activity thermogenesis (NEAT) represents _________________________.
A. Common daily activities such as walking, standing, and fidgeting ## Footnote NEAT is an important component of daily energy expenditure and can be promoted by being upright, ambulating, and redesigning workplace and leisure-time environments.
78
_________________________ is the most important factor for sustainable weight-loss success.
A. Lifestyle change ## Footnote Long-term adherence to a program is the most important factor for sustainable weight-loss success.
79
A weight loss of _________________________ in people with overweight or obesity has been shown to significantly improve health-related outcomes for obesity-related comorbidities.
B. 5-10% ## Footnote A weight loss of 5 to 10% has been shown to significantly improve health-related outcomes for obesity-related comorbidities.
80
What is the number 1 cause of death in the U.S.?
Cardiovascular disease ## Footnote Cardiovascular disease encompasses various heart and blood vessel disorders.
81
What is the second leading cause of death globally?
Strokes ## Footnote Strokes are a type of cerebrovascular disease.
82
What is an Ischemic Stroke?
Blocked Blood Vessel
83
What is a Hemorrhagic Stroke?
Ruptured blood vessel
84
List risk factors for stroke.
* HYPERTENSION * SMOKING * HEART DISEASE * PREVIOUS STROKE * TRANSIENT ISCHEMIC ATTACKS
85
What does the acronym FAST stand for in stroke warning signs?
* F - Face Drooping * A - Arm Weakness * S - Speech difficulties * T - Time to call 911
86
What are metabolic disorders?
* Dyslipidemia * Diabetes * Metabolic Syndrome
87
Define Dyslipidemia.
An undesirable level of blood lipids
88
What are lipids?
Sources of stored energy, aid in hormone production, and component of cell membranes
89
What are the different types of lipoproteins?
* LDL * VLDL * HDL
90
What is LDL?
Low-Density Lipoprotein, the major carrier of cholesterol in the blood
91
What percentage of the body's total cholesterol does LDL contain?
60 to 70%
92
What is VLDL?
Very Low-Density Lipoprotein, the major carrier of triglycerides
93
What percentage of the body's total cholesterol does VLDL contain?
10 to 15%
94
What is HDL?
High-Density Lipoprotein, which transports lipids to the liver for recycling and removal
95
Why are lipids important?
They are crucial for survival and undesirable levels are associated with Atherosclerosis, CVD, hypertension, and type 2 diabetes
96
List risk factors for Dyslipidemia.
* Smoking * Dietary habits * Physical inactivity * Body fat distribution * Certain medication
97
True or False: Dyslipidemia is a risk factor for type 2 diabetes.
True
98
List risk factors for hypertension.
* Stress * Excess Body fat * Lack of sleep * Physical inactivity * Excessive sodium intake * Increased Alcohol intake
99
How many deaths per year does diabetes cause worldwide?
About 3.2 million
100
What percentage of men and women are affected by metabolic syndrome?
* 30% of men * 46% of women
101
Define metabolic syndrome.
A group of factors that increase the risk of developing heart disease, type 2 diabetes, and stroke
102
List the risk factors for metabolic syndrome.
* Elevated waist circumference * Elevated triglyceride levels * Reduced HDL levels * Increased blood pressure * Elevated Fasting blood glucose
103
What is associated with an increased risk for metabolic syndrome?
Physical inactivity