Understanding BMI, Obesity & Body Composition

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Questions and Answers

An individual with a BMI of 28 kg/m² would be classified as:

  • Overweight (correct)
  • Normal weight
  • Underweight
  • Obese

Which of the following scenarios best illustrates the difference between hunger and appetite?

  • Feeling full after eating a large meal versus experiencing stomach rumbling when skipping a meal.
  • Choosing a salad over a burger because you know it's healthier versus wanting a burger despite not being hungry.
  • Eating a snack due to boredom while watching TV versus eating because your blood sugar is low.
  • Craving a specific type of food when stressed versus experiencing physical weakness when you haven't eaten in a long time. (correct)

If a person consistently consumes 200 calories more than they expend each day, what is the most likely long-term outcome, assuming no changes in their activity level?

  • They will maintain their current weight indefinitely.
  • Their lean body mass will increase.
  • They will gradually lose weight.
  • They will gradually gain weight. (correct)

Why is BMI not always an accurate indicator of health?

<p>It doesn't distinguish between muscle mass and fat mass. (D)</p> Signup and view all the answers

Which of the following individuals would likely have the highest Basal Metabolic Rate (BMR), assuming all other factors are equal?

<p>A 30-year-old pregnant woman. (B)</p> Signup and view all the answers

If someone eats a 500-calorie meal, approximately how many calories will be used for the Thermic Effect of Food (TEF)?

<p>50 calories (B)</p> Signup and view all the answers

Which hormone primarily stimulates appetite before meals, signaling the need for energy intake?

<p>Ghrelin (B)</p> Signup and view all the answers

According to the set-point theory, what physiological response would you expect to see in someone who intentionally restricts their calorie intake to lose a significant amount of weight?

<p>Decreased BMR to conserve energy. (C)</p> Signup and view all the answers

Which of the following is the most sustainable and healthy approach to weight loss?

<p>Making gradual, sustainable changes to eating and exercise habits. (A)</p> Signup and view all the answers

What is the primary risk associated with weight-loss supplements?

<p>They may contain harmful ingredients and have unregulated side effects. (B)</p> Signup and view all the answers

Which eating disorder is characterized by recurrent episodes of binge eating followed by compensatory behaviors to prevent weight gain?

<p>Bulimia nervosa (B)</p> Signup and view all the answers

Which of the following is an example of Non-Exercise Activity Thermogenesis (NEAT)?

<p>Fidgeting while sitting at a desk. (D)</p> Signup and view all the answers

Why is visceral fat considered more dangerous to health than subcutaneous fat?

<p>Visceral fat releases more inflammatory substances and is associated with increased risk of chronic diseases. (A)</p> Signup and view all the answers

What is the main principle behind gastric bypass surgery as a weight-loss intervention?

<p>It decreases the absorption of nutrients in the small intestine and reduces stomach size. (C)</p> Signup and view all the answers

Which of the following is a critical component of the 'ABCs of behavior modification' in the context of weight loss?

<p>Identifying antecedents to eating behaviors (C)</p> Signup and view all the answers

Flashcards

Overweight BMI range

25–29.9 kg/m²

Obesity BMI

30+ kg/m²

Appetite

A psychological desire for food.

Hunger

A physiological need for food.

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Energy balance

When calories consumed equal calories expended.

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Lean body mass

The weight of nonfat body parts.

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Visceral fat

Fat stored around the organs.

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Basal Metabolic Rate (BMR)

The rate of energy use at rest for essential functions.

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Thermic Effect of Food (TEF)

Digesting, absorbing, and metabolizing food (~10% of daily energy expenditure).

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Non-Exercise Activity Thermogenesis (NEAT)

Energy used for everyday activities like walking, fidgeting, and typing.

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Ghrelin

Stimulates appetite before meals.

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Peptide YY (PYY)

Reduces appetite after eating.

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Set-point theory

The body compensates for weight changes to maintain a stable weight.

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Long-term weight loss strategy

Sustained lifestyle changes, not quick fixes.

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ABCs of Behavior Modification

Antecedents, behavior, consequences.

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Study Notes

  • A BMI of 25–29.9 kg/m² is classified as overweight.
  • A BMI of 30+ kg/m² is classified as obese.
  • 70% of adults in the U.S. are overweight or obese.
  • A high-calorie diet and low physical activity is known as an obesogenic environment which is the main reason for increasing obesity rates.
  • Appetite is a psychological desire for food, while hunger is a physiological need for food.
  • Energy balance is when calories consumed equal calories expended.
  • A daily calorie shift of 100 to 200 Calories could prevent further weight gain for 90% of the population.
  • Lean body mass is the weight of nonfat parts; body weight includes fat mass.
  • BMI is used for assessing the healthfulness of body weight. -A limitation of BMI is that it does not account for muscle vs. fat composition.
  • Recommended percent body fat ranges for young adults include:
    • Men: 8–19%
    • Women: 21–32%
  • Methods for measuring body fat percentage include:
    • Skinfold measurements
    • Bioelectric impedance
    • DXA
    • Underwater weighing
    • Air displacement
  • Visceral fat, or fat stored around the organs, is more dangerous to health than subcutaneous fat.
  • Basal Metabolic Rate (BMR) is the rate of energy use at rest for essential functions.
  • 60–75% of total energy is used on basal metabolism.
  • Factors that increase BMR include:
    • Higher muscle mass
    • Younger age
    • Male sex
    • Pregnancy
    • Fever
  • Factors that decrease BMR include:
    • Aging
    • Starvation
    • Low calorie intake
    • Smaller body size
  • The Thermic Effect of Food (TEF) is the energy required to digest, absorb, and metabolize food, and it accounts for ~10% of daily energy expenditure.
  • Non-Exercise Activity Thermogenesis (NEAT) is energy used for everyday activities like walking, fidgeting, and typing.
  • The hormone Ghrelin stimulates appetite before meals.
  • Peptide YY (PYY) reduces appetite after eating.
  • Leptin is secreted by fat cells and regulates body weight.
  • Set-point theory states that the body compensates for weight changes to maintain a stable weight.
  • 3,500 Calories need to be burned or cut to lose 1 pound of fat.
  • A healthy rate of weight loss is 0.5 to 2 pounds per week.
  • The three main eating disorders are anorexia nervosa, bulimia nervosa, and binge-eating disorder.
  • The key characteristic of anorexia nervosa is self-starvation and extreme fear of gaining weight.
  • The key characteristic of bulimia nervosa is binge eating followed by purging (vomiting, laxatives, excessive exercise).
  • The key characteristic of binge-eating disorder is episodes of overeating without purging.
  • Orthorexia is an obsession with eating "healthy" foods to an extreme.
  • Pica is the consumption of non-food items like dirt, chalk, or paint.
  • Muscle dysmorphia is a disorder where individuals obsess over being too small or weak.
  • A fad diet is a diet that promotes rapid weight loss, eliminates food groups, or lacks scientific support.
  • Fad diet characteristics include avoiding entire food groups or promising quick weight loss.
  • Healthy weight-loss plans promote gradual, sustainable weight loss with balanced nutrition.
  • The two main types of weight-loss medications are appetite suppressants and fat absorption blockers.
  • Weight-loss supplements are not always safe because they are not FDA-regulated and may have harmful side effects.
  • Gastric bypass surgery reduces stomach size and alters digestion.
  • Gastric banding is a surgery that places a band around the stomach to limit food intake.
  • Liposuction is a cosmetic procedure that removes fat cells from specific areas.
  • 40–70% of BMI variation is due to genetics.
  • Obesity genes are genes that influence body weight, appetite, and fat storage.
  • Environmental factors that contribute to obesity include:
    • Fast food availability
    • Advertising
    • Portion sizes
    • Sedentary lifestyles
  • Healthy ways to gain weight include:
    • Increasing portion sizes
    • Strength training
    • Eating more nutrient-dense foods
  • Weight gain should be gradual to avoid excess fat gain and promote muscle growth.
  • Key factors in weight maintenance include:
    • Balanced diet
    • Regular physical activity
    • Portion control
  • The ABCs of behavior modification for weight loss are antecedents, behavior, consequences.
  • The best long-term strategy for weight loss is sustainable lifestyle changes, not quick fixes.
  • Yo-yo dieting is harmful because it slows metabolism and increases fat storage over time.
  • The most effective strategy for weight management is a combination of healthy eating, exercise, and behavior changes.

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