Patient Education Resources for Underweight Patients

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Patient Education Resources for Underweight Patients Resources for Underweight Patients Being underweight is a medical problem that is just as serious as being overweight. If you are over 18 and you have a BMI (Body Mass Index) that is below 18.5 you are considered underweight. There are many reasons why a person may be under their optimal BMI. Stress, divorce, and bereavement can be causes for weight loss. Weight often returns to normal when your stress level decreases or after you have had the appropriate time to grieve. Counseling and support may be needed to help reach this stage. There are also other reasons for unexpected weight loss, such as depression, overactive thyroid, and cancer. Less common causes include, but are not limited to, infection, lupus, stomach ulcer, drug use, heart disease, and kidney disease. If you have noticed unexpected weight loss, you should contact your primary care physician to rule out underlying causes. Eating disorders such as bulimia and anorexia can cause dangerous weight loss. If you have concerns that you may have an eating disorder, please tell someone you trust or contact your primary care physician for help. There are organizations that specialize in helping those with eating disorders such as the National Eating Disorders Association (NEDA). List of Resources Counseling and support: http://www.nhs.uk/Conditions/unexpected-weight-loss/Pages/Introduction.aspx. National Eating Disorders Association (NEDA): https://www.nationaleatingdisorders.org. Nutritional information and counseling: http://www.health.gov/DietaryGuidelines/ The CORE Institute is dedicated to your outcome. If any questions or concerns arise, please call The CORE Institute at 1.866.974.2673 or visit http://www.thecoreinstitute.com. © 2019 The CORE Institute Date 7.11.2019 .

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Weight Management Guideline: Children and Adolescents
Weight Management in Children and Adolescents Screening and Intervention Guideline Prevention ........................................................................................................................................ 2 Nutrition ........................................................................................................................................ 2 Healthy eating behaviors .............................................................................................................. 2 Physical activity ............................................................................................................................ 3 Screening ......................................................................................................................................... 3 Diagnosis.......................................................................................................................................... 3 Interventions ..................................................................................................................................... 4 Goals ............................................................................................................................................ 4 Strategies to help with weight loss ............................................................................................... 5 Behavior change counseling using the 5A approach ................................................................... 5 Lifestyle modifications .................................................................................................................
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Behavioral Approach to Weight Loss
Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine Body Mass Index (BMI) is a way to define over- The distribution of body fat is important from a weight and obesity. The index is a mathematical formula in chronic disease perspective. Those who have more which a person’s body weight in kilograms is divided by body fat in the abdominal area have an increased risk the square of his or her height in meters [kg/m2]. The BMI for elevated triglycerides, high blood pressure and is more highly correlated with body fat than any other glucose intolerance. Waist circumference correlates mathematical ratio of height and weight; however, athletes well with chronic disease risk. A waist circumference and individuals with a high percentage of muscle may of 40 inches (102 cm) or more in men or a waist have a BMI in the overweight range because of the higher circumference of 35 inches (88cm) or more in women density of muscle compared to fat. puts one at greater risk of insulin resistance and the chronic diseases associated with it. A BMI of 18 to 25 is considered normal weight. Individuals with a BMI of 25 to 29.9 are When someone is a few pounds overweight and considered overweight, and those with a BMI of is motivated to lose weight, there are safe and effec- 30 or more are considered obese. tive methods to lose a few pounds and to maintain a Overweight is defined as increased weight in weight loss. relation to height. Obesity is defined as an excessively high amount of body fat or adipose tissue in relation to lean body mass.
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Using Surgery to Remove Fat Has Long Been a Quest Of
I have these deposits offat where I really hate them, especially on my thighs. Dieting hasn't helped. -Ginny, 34, secretary sing surgery to remove fat has long been a quest of Ucosmetic surgeons, but the journey toward that dream has been slow until recently. About twenty years ago, physicians in Italy scraped out fat through a relatively small incision using a sharp, circular-ended knife called a curette. Because severe complications often resulted, this technique did not gain widespread acceptance. Seizing on that idea, doctors in France began using a blunt-ended canula, a metal tube with openings along the sides that looks a bit like an oversized straw, to remove fat more gently while preserving the important connections between the skin and muscle. This fat-removal method minimized the chances of damage to surrounding tissue. In a variation on the technique, doctors began infusing into the fat small amounts of saline (salt water), which was identical in composition to the water in our body. This helped break up the fat globules, making them easier to remove. © Copyright 2000, David J. Leffell. MD. All rights reserved. 172 Look Your Best After the technique was introduced to the United States in 1982, lipo suction rapidly gained popularity, though the potential for complications, many related mostly to the use of general anesthesia, remained. Three years later, American dermatologist Jeffrey Klein introduced tumescent anesthesia. The tumescent technique involves injecting low-concentration anesthetic solution (lidocaine) into the fat combined with epinephrine (to reduce bleeding and prolong the anesthetic effect) and saline. Large vol umes of this solution are injected into the fat before surgery, thus swelling the area to approximately two to three times its normal size.
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Underweight and Difficulty Gaining Weight
Nutrition Fact sheet Underweight and Difficulty Gaining Weight Maintaining a healthy body weight is important for good health, but every person’s energy needs are different, depending on their activity levels. Ultimately, the “energy in” from food each day must be balanced with the “energy out” expended through exercise and activity. For people with physical Challenges Gaining and disabilities, energy needs are Maintaining Weight often related to ability. For Some children with disabilities example, people who use a have difficulty gaining weight wheelchair tend to have less and may be underweight for energy needs than those who Reasons for not getting their height and age. This walk. People with spasticity the right amount of food can continue into adulthood, type cerebral palsy tend to include: with some people struggling have less energy needs than to gain weight and maintain • Difficulties with eating and those with athetosis. a healthy body weight their drinking Dietitian reviews are entire lives. • Inability to express hunger recommended for any person Low body weight can lead to: or thirst at risk of being either over – • Requiring assistance with or underweight. Reviews will • Growth failure in children eating and drinking assist you to determine the • Decreased muscle strength most suitable foods to meet • Reflux, vomiting or • Reduced ability to cough your needs. aspiration (food and drink • Increased risk of infection going into the lungs) • Constipation • Requiring food textures to • Osteoporosis be changed before eating • Pressure injury or drinking • Irritability • Lack of appetite • Depression • Taking a long time to eat and drink There are two general causes • Constipation of low body weight: a lack of correct nutrition to gain and maintain weight; and more energy being expended than is being taken in.
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Promoting Healthy Weight
Promoting Healthy Weight Maintaining a healthy weight during childhood Definitions and Terminology and adolescence is critically important for chil- dren’s and adolescents’ overall health and well- Body mass index (BMI) is defined as weight (kilo- being, as well as for good health in adulthood. A grams) divided by the square of height (meters): 2 child’s or adolescent’s weight status is the result weight (kg)/[height (m)] . Although BMI does not of multiple factors working together—heredity, directly measure body fat, it is a useful screening metabolism, height, behavior, and environment.1 tool because it correlates with body fat and health 2 HEAL PROMOTING Two of the most important behavioral determi- risks. Additionally, measuring BMI is clinically nants are nutrition and physical activity. How feasible. In children and adolescents, BMI distribu- much and what a child or adolescent eats and tion, like weight and height distributions, changes the types and intensity of physical activity she with age. As a result, while BMI is appropriate to categorize body weight in adults, BMI percentiles participates in can affect weight and therefore T overall health. A balanced, nutritious diet and specific for age and sex from reference populations WE HY define underweight, healthy weight, overweight, regular physical activity are keys to preventing IG overweight and obesity. and obesity in children and adolescents. H T Underweight is an issue for some children and Body mass index is recommended as one of sev- adolescents, including some children and youth eral screening tools for assessing weight status. For with special health care needs and some adolescents individual children and adolescents, health care with eating disorders, but the overriding concern professionals need to review growth patterns, fam- with weight status in the United States today is over- ily histories, and medical conditions to assess risk weight and obesity.
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Facts About Healthy Weight
Other tips for weight loss success: To Learn More ■ Set specific, realistic goals that are Contact NHLBI for information on Why Is a Healthy Weight ■ It may underestimate body fat in forgiving (less than perfect). To weight management and heart health: older persons and others who start, try walking 30 minutes, Important? have lost muscle. 3 days a week. NHLBI Health Information Center Facts Being overweight or obese increases ■ Ask for encouragement from P.O. Box 30105 your risk for many diseases and condi- Waist Circumference your health care provider(s) via Bethesda, MD 20824–0105 tions. The more you weigh, the more Measurement telephone or e-mail; friends and Phone: 301–592–8573 likely you are to suffer from heart dis- About Your waist circumference is also an family can help. You can also TTY: 240–629–3255 ease, high blood pressure, diabetes, important measurement to help you join a support group. Fax: 301–592–8563 gallbladder disease, sleep apnea, and figure out your overall health risks. certain cancers. On the other hand, a ■ Keep a record of your food intake If most of your fat is around your Also, check out these Web sites and healthy weight has many benefits: It and the amount of physical activi- Web pages: Healthy waist, then you are more at risk for helps you to lower your risk for devel- ty that you do. This is an easy way heart disease and diabetes. This risk oping these problems, helps you to feel to track how you are doing. A NHLBI: increases with a waist measurement good about yourself, and gives you record can also inspire you.
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Overview of 53 Weight Loss Actions
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The Evidence Report
Obesity Education Initiative C LINICAL GUIDELINES ON THE IDENTIFICATION, EVALUATION, AND TREATMENT OF OVERWEIGHT AND OBESITY IN ADULTS The Evidence Report NATIONAL INSTITUTES OF HEALTH NATIONAL HEART, LUNG, AND BLOOD INSTITUTE C LINICAL GUIDELINES ON THE IDENTIFICATION, EVALUATION, AND TREATMENT OF OVERWEIGHT AND OBESITY IN ADULTS The Evidence Report NIH PUBLICATION NO. 98-4083 SEPTEMBER 1998 NATIONAL INSTITUTES OF HEALTH National Heart, Lung, and Blood Institute in cooperation with The National Institute of Diabetes and Digestive and Kidney Diseases NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults F. Xavier Pi-Sunyer, M.D., M.P.H. William H. Dietz, M.D., Ph.D. Chair of the Panel Director Chief, Endocrinology, Diabetes, and Nutrition Division of Nutrition and Physical Activity Director, Obesity Research Center National Center for Chronic Disease Prevention St. Luke's/Roosevelt Hospital Center and Health Promotion Professor of Medicine Centers for Disease Control and Prevention Columbia University College of Physicians and Atlanta, GA Surgeons New York, NY John P. Foreyt, Ph.D. Professor of Medicine and Director Diane M. Becker, Sc.D., M.P.H. Nutrition Research Clinic Director Baylor College of Medicine Center for Health Promotion Houston, TX Associate Professor Department of Medicine Robert J. Garrison, Ph.D. The Johns Hopkins University Associate Professor Baltimore, MD Department of Preventive Medicine University of Tennessee, Memphis Claude Bouchard, Ph.D. Memphis, TN Professor of Exercise Physiology Physical Activity Sciences Scott M. Grundy, M.D., Ph.D. Laboratory Director Laval University Center for Human Nutrition Sainte Foy, Quebec University of Texas CANADA Southwestern Medical Center at Dallas Dallas, TX Richard A.
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Maintaining Healthy Body Mass Index (BMI) Through Physical Activity and Diet Pitfalls of Fad Dieting Julia Sosa, MS,RD,LD ADPH … How do you define Healthy? What is Body Mass Index? • Body mass index (BMI) is a measure of body fat based on your weight in relation to your height, and applies to most adult men and women aged 20 and over. • Body mass index (BMI) is a measure of relative size based on the mass and height of an individual • BMI is used as a screening tool to indicate whether a person is underweight, overweight, obese or a healthy weight for their height More about BMI • Factors such as age, sex, ethnicity and muscle mass are not accounted for in BMI. • BMI is a reasonable indicator of body fat for both adults and children. • Because BMI does not measure body fat directly, it should not be used as a diagnostic tool. • BMI should be used as a screening tool to identify potential weight problems in individuals. Where are You? What is Healthy Weight? • depends on several factors including - age -sex -body type -bone density -muscle-fat-ratio -overall general health -height Benefits of Maintaining a Healthy Weight • Fewer joint and muscle pains • Increased energy and ability to join in more activities • Improved regulation of bodily fluids and blood pressure • Reduced burden on the heart and circulatory system • Improved sleep patterns • Reductions in blood triglycerides, blood glucose, and risk of developing type 2 diabetes • Reduced risk for heart disease and certain cancers. Physical Activity for a Healthy Weight • Regular physical activity is important for good health, and it's especially important if you're trying to lose weight or to maintain a healthy weight • When losing weight, more physical activity increases the number of calories your body uses for energy or "burns off." The burning of calories through physical activity, combined with reducing the number of calories you eat, creates a "calorie deficit" that results in weight loss Physical activity also helps to– • Maintain weight.
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Comprehensive Weight Loss & Bariatric Surgery
Who is a Candidate? Our Specialists The minimum qualification for weight loss By providing expert physicians experienced surgery is someone with a Body Mass Index in the latest minimally invasive weight loss (BMI) (determined by the ratio of weight to surgeries and an important weight management height) of 40 or greater, or a BMI of 35 and above program, we offer severely overweight people an with documented, significant obesity-related exciting opportunity to successfully achieve and conditions. For the average height patient, this maintain a healthy lifestyle. equates to about 100 lbs. above ideal body Alan Posner, M.D., F.A.C.S weight for men and 80 lbs. for women. Aaron B. Hoffman, M.D. John Butsch, M.D., F.A.C.S. All qualified patients are carefully screened with Jeanette Keith, M.D. medical, psychological, nutritional and physical Director of Medical Weight Management therapy evaluations. Barbara Lahrs, MSN If the patient meets the selection criteria, Administrative Nurse Practitioner they will be asked to attend an informational Kimberly Pierce, MSN, Clinical Nurse Practitioner seminar, which is by invitation only. Laurie Schmidt, MSN, Clinical Nurse Practitioner Susan Tobias, ANP, Clinical Nurse Practitioner Other criteria include: Jeanne Lew, MS, Registered Dietician • Absence of any uncontrolled disease or Geraldine Stark, Physical Therapist disorder that may cause weight gain (untreated hypothyroidism, Cushing’s To Receive an Application: Syndrome, etc.) Call (716) 859-7640 • Absence of any untreated major psychiatric Main Office
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