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Chapter 10: VITALITY, HEALTH, AND WEIGHT MANAGEMENT. “Life is not merely to be alive, but to be well.” Marcus Valerius Martialis. Contents. Vitality Metabolic Health Assessing Vitality Body Composition Current Issues in Weight Management Goal Setting for a Healthy Lifestyle.
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Chapter 10:VITALITY, HEALTH, AND WEIGHT MANAGEMENT “Life is not merely to be alive, but to be well.” Marcus Valerius Martialis
Contents • Vitality • Metabolic Health • Assessing Vitality • Body Composition • Current Issues in Weight Management • Goal Setting for a Healthy Lifestyle
Introduction • In this chapter you will learn about the following: • Shifting from an emphasis on weight control to an emphasis on a healthy lifestyle • Making appropriate revisions to eating habits and activity levels • Using body composition as a guide to goal setting • Recognizing disordered eating patterns • The concept of caloric balance for weight control
Vitality … all about having energy, feeling great, sleeping well, having a good appetite, and feeling confident about one’s appearance and capabilities…
Vitality Concept • Grew out of Health Canada’s strategy • Focus on health enhancing behaviours, rather than focusing on weight alone • Encourages: • A lifetime of healthy, enjoyable eating • To pursue physical activities that are useful, pleasurable, and satisfying • To take charge of one’s live and accept and respect oneself • To be critical of media messages that focus on unrealistic physiques
Metabolic Health Healthy blood levels of fat and glucose and a healthy blood pressure
Blood Sugar Levels • Healthy person • Within normal limits • Stay relatively steady throughout the day • Insulin resistant person • Don’t respond normally to insulin • Abnormal blood amounts • More often in fat people • Genes do play a factor • Major causes are lack of exercise and low fibre, and high refined sugar and fat diet • Associated with a high risk for type 2 diabetes and cardiovascular disease
From Your Doctor’s Files • Low blood sugar (hypoglycemia) • Blood glucose levels drop too low • Symptoms include: • Sweating • Hunger • Dizziness • Confusion • Blurred vision • Increased pulse • High blood sugar (hyperglycemia) • Greater than normal levels of glucose in the blood • Symptoms include: • Thirst • Frequent urination • Hunger • Sudden unexplained weight loss • Fatigue • People with diabetes experience these symptoms when they skip a meal or exercise too long • Remedy is a readily digestible snack such as orange juice
How Are Vitality and Health Linked? • Healthy eating • Active living Vitality Health Lower risk for diabetes, & heart disease • Safe BP level • Normal blood glucose and blood lipids • Improved quality of life • Increased longevity
Living with Diabetes: A Case Study • Diagnosis of diabetes can be life changing • Prick finger four times a day to check blood sugar • Self-injection of insulin • Rigid meal schedules • Cannot consume alcohol • Must carry extra food at all times • Constant worry about consequences of low blood sugar • Possible amputations
Assessing Vitality You can make judgments about a client’s need for lifestyle changes through personal record keeping and questionnaires, focused discussions and your own observations.
Assessing Vitality • Healthy eating • Food group method outlined in Canada’s Food Guide (see Chapter 9) • Activity levels • Compare with the recommendations of Canada’s Physical Activity Guide and public health programs such as ParticipACTION • Body image • Simply by asking plus, • Measurements of body mass, body composition, and body proportions
Assessing Eating Habits • Based on Canada’s Food Guide • Five-day food intake record • Count the number of servings from each food group • Keep in mind the serving sizes • Calculate a daily average number of servings for each food group • Make suggestions regarding areas for improvement • Encourage to: • Eat five or six small meals a day • Consider any food group servings that were missed when selecting an evening snack • Read labels to select low in saturated fats, trans fats, and sodium, and high in fibre foods
Ontario Launches New Toll-Free Service • EatRight Ontario telephone service launched in 2007 • Connects callers with registered dietitians • A similar B.C. service generates 20,000 phone calls a year • The majority of callers are expected to ask about: • Infant nutrition • Ways to maintain a healthy weight • Nutrition strategies for health conditions such as diabetes • Service available Monday to Friday from 9 a.m. to 5 p.m. at 1-877-510-5102 • www.eatrightontario.ca