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Obesity vs Healthy weight (Obesity (Risks (type 2 diabetes, CHD, stroke,…
Obesity vs Healthy weight
Terminology
BMI
healty weight
18-25
obese
over 30
Overweight
Over 25
Obesity
Childhood Ob
Diet
Highly processed sugary foods
Low value nutrition (junk)
Dietary guidelines
Australian dietary guidelines
Conflicting evidence
whole grains might not reduce risk of CVD
High carb intake associated with higher risk of mortality
consumption of Sat Fat has an inverse association with stroke
History
Low incidental PA
similar rates of Sports participation
Screen time
Weight gain theory
Energy balance theory
CICO
Added/ refined sugars
Hormonal / metabolic disruption
fibre
micronutrients vitamins, minerals
JERF
just eat real food
Drinks
sugar sweetened beverages
metabolic phenomenon
Fat
insulin
hyperinsulinimia
Mechanical
Weight
Increased joint reaction forces
Obstructing sleep apnoea
Risks
type 2 diabetes
CHD
stroke
Fatty liver
arthritis
Alzhemiers
Cancer
Physiotherapy
Practice
motivation
increase motivation to lose weight
Ask assess Advice Assist Arrange
Exercise
Poor diet
single biggest contributor to morbidity
above Smoking and PA
Consistency in weight loss
high relapse rates (60 to 90%)
Balance to a new normal
Safe and up to date guidelines advice
Consistent message
Simple
nonjudgemental
caution with patient with certain conditions
Other HP's expertise
Teamwork
GP coordination
Dietian
Nutritionist
EP
Family
Technology
In patient rehab
manual handling
use of bariatric equipment
physical activity
Multidisciplinary team
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Prevention
Social and cultural determinants of health
Poorest communities
access to safe and healthy foods
increase in proportion of fast food
depression
Low self esteem
medications
Whole system approach
Government
sugar tax
Health star ratings
Junk food ad's regulation
Urban planning
Healthy spaces policy
Universities
research agenda
Education increasing awareness
Workplaces
Hospitals
Vending machines
environmental change
Individual
Behavior change
Healthy choices
use of technoligy