Effective overweight and obesity treatment requires a triad of behavioral, nutritional and physical activity modifications. A basic program is clearly presented that includes information for self-management of weight reduction, plus when needed, the pre-requisites for drug or surgical management. This 185-page manual is written for use by the overweight person as well as healthcare professionals. Extensive references and resources.

Table of Contents

Preface important information to read

Obesity quips and quotes; Quotable Quotes

Introduction and Definitions

Body Mass Index or BMI

Assessment

Epidemiology

Childhood and adolescent obesity

Causes/Etiologies/Risk Factors - Obesity

• Calories
• Resting Metabolic Rate
• Genetic factors
• Energy Intake
• Numbers of fat cells
• Decreased activity or reduced energy expenditure
• Prescription Drugs
• Stress, Head Trauma, Hypothalamic abnormalities
• Viral infections
• Endocrine diseases and abnormalities
• Gastric volume and satiety

Medical intervention (or lack thereof)

Fat distribution characteristics of overweight and obesity

Complications of obesity Health risks

Cancer

Metabolic Syndrome or Insulin Resistance Syndrome

Cardiovascular Disease

Diabetes

Increased intra-abdominal pressure

Obstructive Sleep Apnea

Adiposis dolorosa

Eye disease

Asthma

Erectile dysfunction (ED)

Pregnancy complications

Psychosocial complications of obesity

Surgery

Mortality risk of obesity in the elderly

Weight loss and weight cycling risks

Treatment

Introduction

What is appropriate treatment for overweight and obesity?

Who should be excluded from a restricted calorie weight loss program?

Who should be targeted for weight management?

• Children
• Elderly
• Family/social involvement
• Smoking and weight control

Nutrition and diet

• Time to self manage obesity care needs
• Fat in the healthy diet
• Carbohydrates a culprit?
• Protein content of the healthy diet
• Diet plans or prescriptions
• Fiber
• How many calories?
• Low calorie diet
• Very low calorie diet
• Physiology of undernutrition and starvation
• High complex carbohydrate vis a vis high fat diets
• Prevention of diabetes
• Glycemic Index
• Alcohol and diabetes
• Weight loss using Complementary & Alternative Medicines (CAM) including green tea
• Nutrition Notes

Activity Levels and exercise

• Move it and Lose it
• Aerobic exercise training heart rates by age
• Exercise and diabetes
• Notes

Behavioral aspects of overweight and obesity

• What others have said
• Introduction
• Aerobic exercise training
• Self-management
• Stimulus control
• Cue avoidance
• Cognitive Behavioral Therapy
• Cognitive Rehearsal
• Cognitive Restructuring
• Stress Management
• Problem Solving Therapy
• Group Therapy
• Internet technology for behavioral weight loss programs
• Psychological Evaluation for Bariatric Surgery
• Notes

Drug Therapy

• Weight loss drugs commonly used in the U.S.
• Safety and efficacy note
• Off-label drug
• Drug Therapy Notes

Bariatric Surgery

• Introduction
• Bariatric surgery clinical guideline
• Medicare/BCBS Coverage Statements
• Selection for surgery based on comorbid diabetes and hypertension in addition to BMI
• Liposuction

Addendum

BMI table

Recommended average daily energy allowances for children and adults

Calculating Daily Caloric Requirements/Resting Energy Expenditure

Desired Weight - Matching Calorie Maintenance Chart

Duration of various activities to expend 150 kcalories

Burning Calories or Just Do It!

Anthropometric Measurement Protocols

12-minute Fitness Test, by age and sex

Preventive Physical Activity Regimens

Resistance Training

Recommendations for adult weight loss a summary

Calories do count

Practical dietary therapy recommendations

Calcium requirements

Iron rich foods

Caloric Content of Alcoholic Beverages

Notes for Healthier Eating Habits

Low calorie shopping list

Fat content of vegetable oils

Fast Foods Nutritional Content for National Restaurant Menus

Sandwiches and Entrees

Salads

Breakfast Items

Milk, Milk Shakes, Hot Chocolate

Potato and other vegetable dishes

Desserts

Fiber Content of Foods

Exchange Diets for varying caloric intakes

Soy Protein Content of Soy Products

Vitamins and Micronutrients

Healthy diet linked to good cognitive performance

Nutritional Components of Sea Foods

Addendum Notes

References and resources

• References listed by topic
• Resources
• Web sites Food and Nutrition
• Web sites - Obesity
• Web sites Physical Fitness