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WVSOM - Nutrition-2

Diet Strategies for Your Patients

QuestionAnswer
Treatment and prevention of obesity Diet, physical activity, behavior therapy, pharmacology, surgery, combinations
Behavior change goal Change physical activity patterns, change eating behaviors
Behavior change models Knowledge-attitude-behavior theory; behavior learning theory; health behavior model; theory of planned behavior; transtheoretical model (stages of change)
Knowledge-attitude-behavior theory Attitudes mold behavior
Behavior learning theory Perception of the costs-to-benefits of a behavior
Health behavior model Act on one's perceived threat of disease or condition
Theory of planned behavior Attitudes, perceived social pressure, perceived control
Transtheoretical model (stages of change) Pre-contemplation, contemplation (perception)
Perceptions and attitudes form emotions Emotions drive behavior
Step 1 Change perception
Some benefits of exercise Decreased heart rate, decreased BP, increased insulin sensitivity, increased immunity, decreased body weight, decreased cancer risk, increased bone density, decreased blood fats, increased vigor, increased strength, increased flexibility
Step 2 Assess motivation, commitment, readiness
Step 3 Make behavior change realistic, regardless of recommendations
Some dietary causes of obesity Food availability, preservatives, high fat diet, fast food, high sugar diet, social eating, very-low-calorie diets, McDonald's, emotional eating, food additives, strach, low water intake, carbs, low fiber intake, diet drinks, processed foods, MSG
Diets that work Jenny Craig, Weight Watcher's, TOPS (take pounds off sensibly), MyPlate diet, traffic light diet, non-diet diet
Principles of mindful eating Eat with intention, eat with attention
Some steps for mindful eating Determine hunger before eating, don't wait until famished, eat w/o distractions, eat sitting down, savor aromas and tastes as you eat, choose foods that will satisfy body and mind, set table in pleasant manner, pause for 2 minutes during middle of meal
Non-diet diet 100-point scoring system for monitoring eating & exercise behaviors, multiple scoring, not restrictive or punishing, simple, validated
Support and benefits of non-diet diet Supported by peer-reviewed research; successful when self-administered; decreases in dietary fat & sugar intake; increases in dietary fiber; decreased resting heart rate, BP, cholesterol, TG; increased physical activity; weight loss
Step 4 Understand emotions drive behaviors
Emotional uses for food Comfort, friendship, pleasure, rationalize distored thinking patterns, demonstrate/substitute for love, relieve fear, celebration, manage emotions
Step 5 Replace old habits
Habit Enduring pattern of behavior that is fixed, automatic, repeated, unconscious, involuntary, and resistant to change; will return unless replaced with newly created habit
Step 6 Negotiate behaviors
Created by: JaneO