Chapter 11 Obesity

For bulimia nervosa to be diagnosed, the binge eat- ing and inappropriate compensatory behaviors need to both occur, on average, at least ____ time(s) a week for 3 months.

2

he RMR falls about ____% per decade of adult life, even after adjusting for fat-free mass.

1-2

Among women, about ____% will have bulimia within their lifetime.

1.1-4.2

The average male engaging in light-to-moderate daily activity should multiply his RMR times ____ to obtain 24-hour energy expenditure.

1.60

According to the NHLBI Obesity Education Initiative, the initial goal of a weight-loss regimen should be to reduce body weight by about ____%.

10

During a diet of 1,200-1,300 Cal per day, ____% of the weight loss is from the fat-free mass.

10

For each kilogram of body weight loss, the RMR drops about ____ Cal per day.

10-20

If an obese person has 40 extra lb of body weight, approximately ____ of these pounds are fat-free mass and ____ of these pounds are fat weight.

10/30

Moderate-intensity aerobic exercise causes the RMR to stay elevated 20-30 minutes, burning ____ extra Cal.

100-200

The Healthy People 2010 goal is to reduce obesity prev- alence to below ____%.

15

When the body mass index rises above the threshold of ____ kg/m2, mortality from heart disease, cancer, and diabetes also increases.

25

What percentage of the variability in human obesity has a genetic basis?

25-40

Drug therapy for treatment of obesity should be used as an adjunct to lifestyle therapy and reserved for selected patients with a body mass index greater than a thresh- old of ____.

30

About ____% of Americans are considered obese using conservative government criteria.

32

The NHLBI Obesity Education Initiative promotes weight-loss surgery as an option for weight reduction in patients with clinically severe obesity, defined as a BMI ____ , or a BMI ____ with comorbid conditions and disease risk factors.

40/35

About ____% of American adults are overweight.

48

The resting metabolic rate typically represents ____% of total energy expenditure in a given day.

67

Which statement listed would indicate to you that the weight-loss program is probably fraudulent?

Attempts to make a client dependent on a special product

Which one of the following is not regarded as a benefit of moderate aerobic exercise for mildly obese subjects?

Decreased risk of heart disease and diabetes

Effective treatment for obesity involves three elements. Which one of the following is not included?

Diet of 400-800Calperday

___ obesity is characterized by high amounts of body fat in the hip and thigh areas and is associated with fewer of the medical complications that excess body fat brings.

Gynoid

Which factor appears to be most important in ex- plaining the high prevalence of obesity in the United States?

High energy and fat content of the diet

Which statement is false?

Moderate exercise causes the metabolic rate to stay elevated for a long time after the bout, burning many extra Calories.

The net energy cost of exercise equals the Calories expended during the exercise bout minus the Calories expended for ____ and other activities that the indi- vidual would have been engaging in.

RMR

Obese people tend to expend more energy than normal- weight people for which category?

Resting metabloc rate

Which of the statements regarding the resting meta- bolic rate (RMR) is true?

The RMR increases as the body weight of an indi- vidual increases.

Which criteria listed is used to determine if a person is anorexic?

Weight loss so severe that weight is more than 15% below normal

Obesity prevalence is greatest among what sub- group?

black females

When on a VLCD about 75% of the weight loss is _____.

bone

About 80% of variation in RMR is due to differences in ____.

fat free mass

There are three major theories of obesity. Which one of the following is not included?

high carbohydrate intake

There are many disadvantages associated with obesity. Which one of the following is not included?

increase mortality rates, resulting in earlier death

Using the best current methodology, it appears that obese people eat ____ normal-weight individuals.

more than

What cohort is more likely to produce obese adults?

obese adolescents

Which of the statements regarding obesity in America is true?

obesity is more prevalent among the poor and minority groups

One of the best markers for long-term success in keep- ing weight off is ____.

regular exercise

Regular physical activity is least effective in ____.

treating obesity