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WVSOM - Nutrition-2
Diet Strategies for Your Patients
Question | Answer |
---|---|
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 |