tcvr'.r.:tt*^tChapter: 10 - Energy Balance, Weight Control and Eating DisordersEnergy €Bt 4t t- -:., .o. Energy intake equals energy expenditurePositive energy balanceObesityTrendsEnergy ln vs. Energy OutEnergy lntakeEstimated via nutrient databasesCalories based on h\r\b CA-lo(trn€{errat I kca.Q-/qffim-Carbohydrates s 4Lc/d /a{(&M0tcnwlEnergy Expenditure--' k'.:i[ \wtqho\tc tct(. Minimum amount of energy in a fasting statePhysical activity,o'ra'l'Xo,\5 l' of, .. Energy used tocalor{cr'll'} foodnutrientsProteinAlcoholT kcafgm5r*. Measuring Energy ExpeqditureFat is less &,$v than lean tissueFat floatsPod"tY4\$ ,*,,o($(*'< 19,5"- Lndq u,toi? [Af\$,G- 2{.1 - nctrtn^c.pf,5 r. Al,9 - owr hlei3h+Tv34,1- 6&^L. Energy intake greater than energyintake less than energy expendituref6r\ -. Varies among individualsfrbt{b . ""d k\0l4blf?A3tr ratg%.obqJX@'. Determines the UoOv f[i\tfnn3cvgtrccraaLow-energy current thdt measures the resistance of electrical flowAdiposeapprcximatelyesCDU{a{sa. Control of behavior problems , - ^. wv.uaoc \A{ihcn{q" JRdnnlt{.loa. What it Takes to Lose a Pound@@fr% 40 -&+ts Stlbcr.*e'-r'ec':5. Fat is resistant to electricalflow; more the resistance, [V\}R boffiatQD(ft (dualx-ray photon absorptometry) -*"- .. X-ray body scan allows for the determination of body fat. $gXL/,"-aJZ- bUt eXpenSiVe ^ Be ,c r!^r ^reSkinfold MeasurementsAssessing Body Fat Dig^ Upperbody(-;Role ofaaRole of egyi?rsente HungeraAppetiteac andO-\.\\h00[\f\Iu^kdrive for food- Se'Ftrlseur-*&J fr^"1aaCompositionsgpeatineffi"ttffi. Fulfilling either drive- -Hypothalamus. Regulates food intake' . 3!.{A}r& -l sQAn. Hunger vs. AppetiteTreatment of Overweight and Obesity3 Key Components to Sour(diffeight Loss,**r#fnnld \dlt-c.\L, g^b.VJdLa{$\u-R,"il[,.qs,o\q[rcnQ. drive for food,{"\bxffi*!aBody fat contains 1b0 kcal perSo to lose a pound in l week (7 days), reduce (Cn-[ ifr*q.ile and increasephysical activity as to create a deficit of about 5@ kcal per dayFor example:- 5AA kcal/day x 7 days/weeft = - 3500 kcal\JtP -tnrrrrmuM. Sue would like to lose 15 pounds in preparation for an upcoming cruiseshe willso on in 10 weeks. i5ub5q)= (?, @+p-lag. What would her flaily-caloric deficit need to be to actrievA her goal? . {Answer: -15C) U.lcA05- . Can/should she accomplish this through diet alone?f,\r\ 0i",,Determine calorie deficientExample:Does not encourage Vn-\ncr.rrfuf changeWeight loss is usuallyEncourage rapid weight loss. Loz^,.rr{\>a,r[. DruE treatmentaa\and \\\\Xk loss occur\o\o UdoY. Ex. Sihur,t rerr^,tct (.r \'+n+oukrreatment ;r "?:ffiffind'o*"Eating Disorders-- gr-ttn$Di:c(J2,ft are notthe same "r dt:ordr,nud eating.. er,.*\n-e\ diictrda^ : psychiatric condition involving extreme body_-dissatisfaction and longterm eating patterns harming the body.. Requires MD diagnosis, DSM-IV criteria. Eating DisordersMultiple factors contribute to the development of an eating disorder:. Family environment: family member with ED. Unrealistic media images: computer-enhanced images of "perfect"bodies fillthe mediaIaf,OcLOotr{twtsq \lCt$ r , o\ : U.S. values thinnessn-s ",oar.o.ffq, Trcr,fb : individuals with ED mayexhibit specificpers6nality traits '+:n!!Sr- "n6 to\d$ ca.,[= factors: may be a geneticcomponentVery low calorie diets' Media lmages "na 3c'ci'oc-t^-q-{qra1 \Jilh'\!"$U..J04k atrrr fr,.prhrrnc values slenderness as beautiful and as a sign ofself-discipline, health, and wealth.These culturalvalues influence a personcontribute to eh. EatinE Disorders Otherwise not S$ecified (EDOS)Partial symptomjof &fwfL*\Q or bl.f v,nfuW I nhrnzA sense of lack of control during binging's body thl/tfl. and canCWrc*i C ep&t9^4f (eating too fast, too much, in private)Negative self-esteem, pdor body image. Often associated with &a,ne.oaicr-. , anxiety disordersHealth Risks: '{. lncreased risk of overweight or obesity. Binge is often high in fat and sugar. Stress leads to psychological effectsChronic DietingSymptoms:. {y<r>cr"-W*fAwith food, weight, calories.ffi. Excessive exerciseLoss of Ccfr&zrhC0*fCf\; mood swingslncreased criticism of body shapeRisks:Poor nutrie.nt and energy intakesLowand lt'\{in^o/\n.(intakeDecreased energy expenditure due to a vyJu ,co& _PJY\F-Decreased ability to exerciselncreased risk of eating disorderlho I a+la/a{< hUL.'serious medicalsyndrome frequently seen infe#ab athletes; consists ofaa. C>$Gor0lrcSK "Seen especially in sports that emphasize lean bodies or use subjective scoringaooaloaHealthaaata. Treatment for Eating Disorders1q. [\ftt-ri{4a^"1 counselors' -.ns,uzhlq$rlgcounselors. PreventirqB e"tinE'ffi*Prevention of eating disorders requiresaaaaParticipation inModeling a healthy diet bY Parentscriticism of children and young adultsunrealistic body images in the