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Adolescent

Weight
Management
LIVO DIET
MDM Company June 1, 2021

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ready?
Today's Agenda

A parent’s guide to structured


1 Introduction to the Session 3 weight management

2 Stages of Treatment 4 What If Weight Loss Isn’t Working?


But first...

Who is Tabita- Livo Diet ?


STAGES DETERMINE DIAGNOSIS

DIETARY INTERVENTIONS

PHYSICAL ACTIVITY

BEHAVIORAL APPROACHES

OTHER INTERVENTIONS

LIVO DIET CENTER Send


Step 1: Obese Anamnesis/ History
Physical Examination
DIAGNOSE to Eating behaviors, physical activity
execute. behaviors, and sedentary behaviors
Risk for developing many of the
comorbidities

Bonnie A. Spear, Sarah E. Barlow, Chris Ervin, David S. Ludwig, Brian E. Saelens, Karen

1 2 3 4
E. Schetzina and Elsie M. Taveras
Pediatrics December 2007, 120 (Supplement 4) S254-S288; DOI:
https://doi.org/10.1542/peds.2007-2329F

Pemeriksaan Riwayat Pemeriksaan fisis dan Pemeriksaan penunjang Pemeriksaan penunjang


Obese evaluasi antropometris
Problems Todd AS, Street SJ, Ziviani J, Byrne NM, Hills AP. Overweight and
obese adolescent girls: the importance of promoting sensible eating
and activity behaviors from the start of the adolescent period. Int J
Environ Res Public Health. 2015;12(2):2306-2329. Published 2015 Feb
17. doi:10.3390/ijerph120202306

Before we start with the lose weight management


session,

What's your clients most problems ?


Below are suggestions for the questions:
Fruit and/or vegetable intake preference for salty, sweet, or high fat foods
Intake of soft drinks and sweetened fruit drinks availability of inexpensive foods and beverages
Low dietary calcium or other minerals high in calories and low in nutrients
Breakfast Skipping Body Image and Unhealthy Weight Control
Eating Out, Dessert/snacking Behaviors

LIVO DIET CENTER


DIETARY INTERVENTIONS
Nutrition Treatment

SENSIBLE EATING
A balanced diet that has 15%–25% of dietary energy from protein,
CHOOSE PROTEIN & FIBER
0 25%–35% of dietary energy from fat and 45%–65% of dietary
energy from carbohydrate. This macronutrient profile enables a
0 protein at breakfast may help
1 high diet quality score, similar to that observed in a Mediterranean
diet, and the inclusion of sufficient amounts of vegetables, fruit,
2 adolescent girls maintain a healthy
body weight
whole grains, poultry, fish, and reduced fat dairy products to meet
vitamin and mineral requirements

AVOID FAD DIETS


0 SET HEALTHY, 0 & DITCH DIET
0 CUT BACK ON
REALISTIC GOALS PROCESSED FOODS
3 4 FOODS 5
0 3x in per week start 30 minutes.
AEROBIC
1 running, swimming

0 MUSCLE full body workout push etc


start with 10 minutes 3x per
STRENGTHENING
2 weeks

Physical Activity
0 BONE start with 60 minutes in 3 times
Approches STRENGTHENING
3 per week

0 shorter periods of activity and


ADJUSTMENT
4 gradually increase

0 increasing activity in the home


CONCLUSION
5 environment : Youtube or App
BEHAVIORAL APPROACHES
Changes in parental behavior and weight have also been linked to successful weight loss in
adolescents
Sato A.F., Jelalian E., Hart C.N., Lloyd-Richardson E.E., Mehlenbeck R.S., Neill M., Wing R.R. Associations between parent behavior and adolescent weight
control. J. Pediatr. Psychol. 2011;36:451–460. doi: 10.1093/jpepsy/jsq105

1 Food rules & Rewards 3 Reduce Stress 5 Problem Solving

Control Monitoring Television viewing Don’t Compare to


2 4 6
behavior and media usage Others
Family
Approach
Parental modeling of healthful eating and
physical activity), as well as monitoring,
goal-setting, and contingency
management,

Berge JM, Maclehose R, Loth KA, Eisenberg M, Bucchianeri MM, Neumark-


Sztainer D
JAMA Pediatr. 2013 Aug 1; 167(8):746-53.
A parent’s guide
in
Changes
parental
and
behavior
weight
What If Weight Loss
Isn’t Working?

Get the Right Disordered Eating


Warning Signs
Diagnosis
Disordered Eating
Warning Signs
SIGNS OF EATING DISORDERS VARY DEPENDING ON THE TYPE. EXAMPLES OF WARNING SIGNS TO WATCH FOR INCLUDE

Constant or Avoidance of social Evidence of vomiting Excessive exercise Obsession with body
repetitive dieting situations that or laxative abuse shape and/or weight
involve food

Social withdrawal Frequent avoidance Drastic weight loss


and isolation of eating meals or or gain
snacks
Adolescence, a Critical
Period to Modify Obesity Risk
Todd AS, Street SJ, Ziviani J, Byrne NM, Hills AP. Overweight and obese adolescent girls: the importance of promoting sensible eating
and activity behaviors from the start of the adolescent period. Int J Environ Res Public Health. 2015;12(2):2306-2329. Published 2015 Feb
17. doi:10.3390/ijerph120202306
To date, no clinical trials have determined whether specific
dietary modifications alone (ie, without behavioral interventions
and increased physical activity) are effective in reducing
childhood overweight and obesity rates. Comprehensive
interventions that include behavioral therapy along with
changes in nutrition and physical activity are the most closely
studied and seem to be the most successful approaches to
improving long-term weight and health status.

Bonnie A. Spear, Sarah E. Barlow, Chris Ervin, David S. Ludwig, Brian E. Saelens, Karen E.
Schetzina and Elsie M. Taveras
Pediatrics December 2007, 120 (Supplement 4) S254-S288; DOI:
https://doi.org/10.1542/peds.2007-2329F
School-based
intervention
Sharif Ishak SI, Chin YS, Mohd Taib MN, Mohd Shariff Z. School-based intervention to prevent
overweight and disordered eating in secondary school Malaysian adolescents: a study protocol.
BMC Public Health. 2016 Oct 20;16(1):1101. doi: 10.1186/s12889-016-3773-7. PMID: 27765023;
PMCID: PMC5073924.
MDM Company June 1, 2021

Thank you!
Have a
great day
ahead.
Work with me!
LET ME KNOW HOW I CAN HELP.

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@anditbita
@livodietcenter

Website
www.livodiet.co.id

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