Professional Documents
Culture Documents
HEALTH AND
FITNESS
WESLEYAN UNIVERSITY
PHILIPPINES
COLLEGE OF NURSING
NUTRITION IN WEIGHT MANAGEMENT
WEIGHT MANAGEMENT
• The process of adopting long-term lifestyle modification to maintain a healthy
body weight based on a person's age, sex, and height.
• Methods of weight management include eating a healthy diet and increasing
physical activity levels.
• It is preferred to the term "dieting," because it involves more than regulation of
food intake or treatment of overweight people.
• People diagnosed with eating disorders who are not obese or overweight still
need to practice weight management.
• Some health care professionals use the term "nutritional disorders" to cover all
disorders related to weight. WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
Purpose of Weight Management
WESLEYAN UNIVERSITY
PHILIPPINES
COLLEGE OF NURSING
ANOREXIA NERVOSA
• Although the desire for food is present, the patient refuses to eat and
drink. Occasionally the patient has an uncontrollable urge to gorge, which
is followed by self-induced vomiting. Because of this, anorexic patients
may lose 25%–35% of their body weight and become emaciated and
wasted.
• Electrolyte imbalances occur, and female anorexic patients develop hair
over different parts of their body and cease to menstruate. Also, the
present is decreased body metabolism, cold hands, and feet, decreased
blood pressure, and decreased sensitivity to insulin.
• Bone density is compromised, leading to stress fractures, especially in
female athletes. The heart muscle becomes thin and weak, the immune
system is impaired, anemia develops, insomnia is common, and both men
and women lose their sex drives. WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
Clinical Manifestations
Recovery is a long and difficult process that may last from six
months to one year or more.
1. All team members must be consistent and caring in their handling of the feeding
routines.
2. Patients may not manipulate or dictate food intake.
3. Feeding periods must be closely supervised.
4. Bathroom privileges must be denied for at least 30 minutes after a meal to
prevent self-induced vomiting.
5. Major sleep disturbances that occur early in treatment cease as the patient gains
weight.
6. Avoid all conversation related to food or weight gain while the patient is
hospitalized, except as it relates to an agreed-upon contract.
7. Nutrition education for patients and families can begin when the patient is
discharged.
8. Psychological counseling takes precedence over nutritional counseling.
WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
BULIMIA NERVOSA
• Huge amounts of food (up to 5000 kcal in a single sitting, eaten rapidly) are
consumed. This is followed by feelings of guilt and shame at the loss of control.
• In response to these feelings and the need to purge the body of this vast intake of
food, the person practices self-induced vomiting; uses laxatives, diuretics, or diet
pills, and/or engages in strenuous exercise.
• The effect of these behaviors on the body is very damaging.
• The effect on the psyche is also damaging, leading to loss of self-esteem and
depression.
• Persons with bulimia usually keep it a guilt-ridden secret until their symptoms
become apparent. WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
BULIMIA NERVOSA
• This disorder, newly classified by the American Psychiatric Association, is commonly called
“compulsive overeating.” It is a reaction to psychological stressors, such as anxiety and
emotional problems, or a need for comfort.
• A great deal of compulsive overeating follows very restrictive dieting practices in an attempt
to reach an unnatural and unrealistic weight goal.
• When failure occurs, rebound eating follows. This creates the characteristic weight cycling.
Each time a cycle occurs the Basal Metabolic Rate (BMR) drops, and in the next dieting cycle,
the weight comes off more slowly than before.
• Lean body mass is also lost with each cycling, and it is not regained with the refeeding. Body
composition is altered. WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
Management of Bulimia and Compulsive Overeating
• Managing these eating disorders will require a concerted effort by the health team.
• As a rule, these clients are not hospitalized; they are managed on an outpatient basis.
• The approach is individualized to the client, and psychological treatment will be a priority.
• Clients may receive antidepressant drug therapy along with counseling.
• Nutrition education and counseling receive high priority.
• Behavior modification is helpful.
• Support groups and/or one-on-one counseling in combination with other therapies and
follow-up care are needed.
• The strategies for nutrition management should include written material such as diet plans
and behavioral techniques. WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
Management of Bulimia and Compulsive Overeating
• The client should keep a journal or log of the food eaten and the things that he or she believes
triggers the eating frenzies. Diets should be planned to not go below the average 1200–1500 kcal
basal requirements. Foods such as fruits, vegetables, and cereal grains that are high in fiber are
emphasized. Clients are advised to use only those foods that are proportioned and only those that are
• The diet should follow the guidelines for nutrient distribution with 50%–55% complex
carbohydrates, protein according to the RDA/DRI for their age and size, and no more than 30% fat.
• Many clients with eating disorders are already knowledgeable about good weight management
practices but are not able to follow them. This is the challenge that health professionals face.
WESLEYAN UNIVERSITY
PHILIPPINES
COLLEGE OF NURSING
NUTRITION EXERCISE AND SPORTS
• Most people are not educated in physical fitness requirements. The key
elements to physical fitness include:
➢ frequency of activity
➢ duration of the activity
➢ the intensity of activity
➢ type of activity.
• The first step in beginning a quest for physical fitness involves program
selection. To become physically fit, a program must be selected to reach
individual goals. This is important for continued good health.
• Exercise testing can calculate the functional capacity of the cardiovascular
system, a measurement important to exercise program selection. The goal in
such testing is to determine the predicted heart rate without causing chest
pain. WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
An Ideal Program
WESLEYAN UNIVERSITY
PHILIPPINES
COLLEGE OF NURSING
NUTRITION AND BONE HEALTH
• Fats: Getting a balanced mix of fat sources and types is the best
option for controlling inflammation in the body. Controlling
inflammation ultimately promotes bone health.
WESLEYAN UNIVERSITY
PHILIPPINES
COLLEGE OF NURSING
NUTRITION FOR ORAL AND DENTAL HEALTH
• A poor diet can contribute to gum disease and tooth decay. Food high
in sugars and starches increases the production of acids that can erode
and weaken the tooth’s outer layer (enamel). Eventually, these acids can
cause tooth decay. Lack of proper nutrition can lead to other diseases
and conditions in the body such as obesity, hypertension, high
cholesterol, type 2 diabetes, cardiovascular disease, osteoporosis, and
some cancers, including oral cancer.
• Several factors can put individuals at risk for poor oral and overall
health such as an unhealthy diet, age, medication, allergies,
restrictive diets, chronic disease, lack of vitamins (supplements), as
well as socioeconomic conditions.
• For the prevention and home care the following are suggested: Eat sweets at mealtime, not as
a snack, because the increased flow of saliva during a meal helps protect the teeth by washing
away and diluting sugar. If sugar is the first ingredient listed on a product label, then the food
has high sugar content. Look for other sugars on the label: corn syrup, corn sweeteners,
dextrose, fructose, glucose, honey, maple syrup, molasses, and sucrose. Check to see if liquid
medicines (such as cough syrup) contain sugar. Ask a physician or pharmacist for sugar-free
medicines. Drink water between meals. Prepare food in healthy ways, such as steamed,
sautéed, poached, or baked. Avoid fried food and limit salt intake. Maintain proper oral
hygiene. Brush twice a day for two minutes with fluoridated toothpaste and a soft toothbrush;
clean or floss between teeth and gums once a day; clean or scrape the tongue daily. Delay
brushing for at least an hour after consuming acidic food or beverages. Because acid softens
the tooth’s surface, brushing will cause more enamel loss. Instead, rinse the mouth with water,
chew hard cheese, or sugarless gum to stimulate saliva flow, which helps to wash away and
neutralize acids. Visit a dental hygienist for regular professional cleanings.
• Healthy nutritious snacks are good for teeth, gums, and general health.
A variety of snacks and drinks low in sugar and high in nutrition are
best:
1. Plain yogurt, hard cheese, hard-boiled eggs, nuts and seeds
2. Apples, sliced mango, raw vegetables
3. Popcorn sprinkled with Parmesan cheese
4. Vegetable enchilada, sushi
5. Naan bread, tortilla
6. Water to quench thirst between meals
WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
Vitamin/Mineral Impact on Oral Health and Sources
• Calcium: essential for bone health; teeth and jaws are made mostly of
calcium. Sources are milk and dairy products, beans, broccoli, nuts, and
oyster.
• Vitamin B3 (niacin): A lack of vitamin B3 can cause bad breath and canker
sores. Sources are chicken and fish.
• Vitamins B12: Mouth sores can develop with insufficient B12 and B2. Sources for
B12: red meat, chicken liver, pork and fish, dairy products. Sources for B2: pasta,
bagels, spinach, and almonds.
• Vitamin C: Helps produce collagen, the connective tissue that holds bone; a
deficiency may lead to bleeding gums and loose teeth. Sources are sweet
potatoes, raw red peppers, and oranges. WESLEYAN UNIVERSITY – PHILIPPINES
COLLEGE OF NURSING
Vitamin/Mineral Impact on Oral Health and Sources
• Vitamin D: Enables the body to absorb calcium, which helps build strong bones
and teeth. Sources are milk, egg yolks, fish, and limited amounts of sunshine.
• Vitamin K: Helps synthesize proteins in bone needed for strength, also noted
for its role in blood clotting. Sources are broccoli and leafy green vegetables.
• Phosphorus: Needed for healthy bones and teeth, energy metabolism, and
acid-base balance in the body. Sources are milk, grains, and lean meats.
• Zinc: Promotes strong bones and helps develop and maintain collagen. Sources
are seafood, meat, and liver.
• Potassium: Helps promote good mineral density and reduces calcium loss.
Sources are fruits and vegetables.
WESLEYAN UNIVERSITY
•
PHILIPPINES
COLLEGE OF NURSING