My treatment strategy to help Nicky reduce weight and improve her health outcomes will look at promoting her physical activity (PA), improve her dietary habits and change her behaviour towards PA and diet. Exercise/ PA: Lack of exercise contributes more to excessive weight gain than poor diet. An American study looking at the National Health and Nutrition Examination Survey (NHANES) data form 1994 to 2010 found that there was a significant increase in the number of women and men who had no time for physical activity. This increase was higher in women. The average Body Mass Index (BMI) had also increased at the same time although there was no significant increase in the average calorie intake (Ladabaum et al 2010). In 2012, the Institute …show more content…
She can try to break up her exercise sessions into two 15-minute or into three 10-minute blocks, if finding a spare 30 minutes for exercise daily is difficult. She can get outside and take a walk through the park with her family. She can try to incorporate physical activity into her daily life by getting off the bus or train one stop earlier and walk the rest of the way and taking the stairs instead of the lift (Drummond 2002). Diet: Katz and Miller (2014) analyzed the literature on different diets like the Low-carbohydrate, Low-fat/vegetarian/vegan, Low-glycaemic, Mediterranean, Mixed/balanced, Palaeolithic diets and found no evidence to suggest one of these diets is the best for health. They suggest reducing the quantity of food taken, with healthier food options, mostly plants and lean meat, with less refined sugars and processed food will be the best choice of weight loss for most of us. Advice on healthy diet can be in the form of one-to-one sessions where advice is offered on diet and lifestyle (Brown et al., 2007) when a flexible approach to reducing calorie intake should be used and individual food preferences should be considered (Clinical Knowledge Summaries, 2010). Practical tips for her include starting the day with breakfast, for example, eating a whole grain cereal, eating an egg for breakfast has been shown to promote weight loss without raising fat and cholesterol levels in the
As per Healthy People 2020 most Americans do not consume healthy diets and are not physically active at levels needed to maintain proper health. As a result of these behaviors the nation has experienced a dramatic increase in obesity in the U.S with 1 in 3 adults (34.0%) and 1 and 6 children and adolescents (16.2%) are obese. In addition to grave health consequences of being overweight and obese. It significantly raises medical cost and causes a great burden on the U.S medical care delivery system ("Healthy People 2020," 2014, p. 1).
Julie Mialaret is my mother and she is 53 years old. My mother exercises very rarely because of her intense work schedule. She says it is hard for her to have the energy everyday to work out after long work hours. She has never smoked in her life because she does not find it appealing. Mrs. Mialaret eats a very low-fat diet and eats very small portions. My mother eats very healthy and is able to maintain her weight without exercise. She faces no barriers when it comes to eating healthy because growing up she ate little portions and couldn't afford fast food. I would like to change my eating habits to better reflect my mom's diet however, I would like to incorporate some sort of exercise into my daily routine. My mom hopes to start exercising
I can also up the minuets as each week goes by, by about five to ten minutes more. As mentioned before the nutritional goal to add more fruits and vegetables in my diet would be to substitute unhealthy foods for healthy foods while eating out. Also I can purchase more of these foods so I will have them to eat at home. Actions that can be taken for using the pedometer would be to lay the pedometer by my bed or next to my shoes. This way it is right where I need it and it will be a constant reminder to put it on before I start each day. For making a list of foods to buy before going to the grocery store would be to set aside some time to sit down and think of the foods that are interesting and healthy to me before i make my list out. I can also go through my pantry and find foods that I do not have so much of. This will make is so much easier when going to the grocery store. I will also have my meals planned ahead of time.
The data collected from a survey performed by the Behavioral Risk Factor Surveillance System regarding time, frequency and proportion of exercise reports that 58.1% of the interviewees were considered physically inactive; 29.8 % concluded with not having time for exercising. Besides, the statistics showed that there was not much difference between genders as it was almost the same percentage of passive lifestyle; however, there were differences when considering race and age (Centers for Disease Control and Prevention [CDC], 2010).
Obesity is a growing concern in the united states. Many people do not realize the health risks that are involved in not eating healthy and excercising. Individuals who are at an unhealthy weight are more likely to develop high blood pressure, dyslipidemia, type 2 diabetes, heart disease, osteoarthritis, and some cancers. I believe by setting up one on one (educational) counseling with my patients who want to change there eating habits and lifestyle will have a greatest effect. While I am sitting down with my patients I will help them control what they are consuming by giving them a list of foods that have a high intake of (saturated and trans fats, cholesterol, added sugars, sodium (salt), and alcohol.) By educating my patients on the foods
Weight management can be assisted through improvement in food and medical stuff, physical activity or behavioral change, with a combination of all three being most effective. Where possible, increased physical activity should be adopted, with 150-300 minutes of moderate activity, or 75-150 minutes of vigorous activity each week, which has been associated with improved health outcomes, irrespective of weight loss. The level of physical activity recommended will be dependent on an individual’s BMI, fitness levels, commodities and age.(Prof.hankey (2006))
With a multitude of environmental factors playing an ever-increasing role in the reasons for obesity, it is hard to focus on one reason as the 'root' cause of obesity. Ever-decreasing levels of physical activity, married with poor dietary habits are two likely causes of the obesity epidemic. Samaras et al. (1999) concluded that physical activity is the strongest environmental influence on total-body fat-mass in healthy middle-aged women. An inverse relationship was clearly apparent between physical activity and total-body and
Treatment often consists of combinations of diet, exercise, behavioral modifications, and some medications (1999). It is important for these obese individuals to receive the treatments available to them. Allison et al state that obesity is a major cause of mortality in the US and it substantially increases morbidity and impairs quality of life.
Obesity is one of the biggest problems many Americans face today. America is one of the richest nations in the world, but also becoming one of the heaviest (some might disagree). The more money we Americans make, the busier we are, the less likely we are to find time to exercise and take care of our bodies. We fail to understand that exercising is as crucial to an individual’s health, as working is to making money. The more we work, the less time we have to stay fit or get in shape. Instead of working out, many Americans sit in front of the computer, go out to eat, or simply play video games for hours on the television. Technology is advancing, causing Americans to come up with more excuses not exercise.
The inactive lifestyle of many Americans is a key reason for the recent increase in obesity. The reason our bodies need calories is so that we have the energy needed it get through the day and all of its normal daily activities. When these daily activities are taken away, such as taking the bus home instead of walking home, it leaves our body with excessive amounts of calories which our body store. If the stored calories are not burned, the calories will turn into fat, which results in added weight and too much weight will eventually cause one to become obese. The National Institutes of Health published an article that supports the claim that those who are more inactive have a higher chance of becoming obese. Being inactive increases the chance of becoming obese, conversely, being active by doing exercise, no matter the amount, decreases the chance of becoming
From Bogalusa Heart Study, came about a research scientific study on physical activity and dietary behaviors, conducted by Dr. Russell Jago, and colleagues. The research focused on energy imbalance and examining relationships between the dietary and physical activity behaviors of young adults. The claim is that obesity is due to an energy imbalance, in other words, more intake in calories is increasing, but, the energy of burning them off isn’t increasing trending along. The reason behind the study is to collect enough information to have successful outcomes of obesity prevention. The study conducted a sample size of just a little over a thousand participants with an age group ranging from 19-37 years, within the range seventy-six percent
The main purpose of this paper is to help gain an understanding of what obesity is. Also to look at obesity as a specific kind of problem with which we can then attack and improve. The problem of obesity across the nation is of epidemic proportions and needs to be put at the forefront of people’s minds in order to get something done about it. The methods used to compile information for this paper were simple and easy. The main way that I found information was through the academic search complete database. I found articles on interventions as well as other articles that were very relevant to the point that was made. The interventions were then looked at in more detail in the results stage and they were discussed. The intervention that I proposed
I would urge her to start keeping an eating diary. I would follow-up with her every fortnight in order to make necessary adjustments that will help her achieve her goal.
It is important to recognise that Anne cannot control all of the factors that may be negatively impacting on her health. She is living in a local authority housing estate in a disadvantaged area of the inner city and given that ‘the highest rates of obesity occur among population groups with the highest poverty rates and the least education’ (Adam Drewnowski and SE Specter 2013) one could claim that relocating would be a possible solution. Clearly this would be an unrealistic plan. So too would the notion of buying gym membership for 3 people. So as her GP, I would encourage her to keep a food diary for a week so I could see the amount of calories the family consumed and see their eating habits, to go for a walk every evening with her children and give her brochures with easy recipes for healthy meals.
Since two-thirds of American adults are currently overweight or obese, doctors find it hard to find the “best” diet for their patients. The list of choices and categories is lengthy, with vocal advocates for the Atkins diet, the Zone diet, South Beach diet, Jenny Craig, Vegan/vegetarian diet, and the cousin to the Atkins diet the Paleo diet, etc. If any of these diets was sufficiently effective and easily adopted by Americans we wouldn’t be faced with such an obesity epidemic. The truth is there is no simple answer because everybody is different; doctors should recommend whatever diet the patient can best adhere to (Louis Kuristzky, MD, 2014). Because being overweight or obese can lead to diabetes and the inability of current recommendations to control this epidemic has failed. They now see the benefits of carbohydrate restriction to treat diabetes and the studies are well documented. A low carbohydrate diet is the first approach to reduce high blood glucose, and lead to the reduction or elimination of medication without side effects (Richard D. Feinman, 2015). There are concerns about the efficacy and safety of a low carbohydrate diet that has always surrounded this method of weight loss, but it’s more conjecture then data driven (Feinman, 2015). Critics believe that diets such as Atkins has potential negative effects on bone health, renal functions and cardiovascular health.