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sedentary patients
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The food industry in the United States produces 3500 calories per capita per day at the same time the daily requirement is 2500 calories. Food is
abundant, inexpensive, and it tastes good. Spending by food manufacturers
on advertising and packaging exceeds $70 billion annually. Much of the fast
foods consumed are nutritionally unbalanced. Combined with a lifestyle that
is growing increasingly sedentary it is no wonder that many Americans are
overfat.
While the specific mechanisms linking obesity to health risks are not fully understood, research focusing on genes that express hormones only in fat tissue has shown promise. While it cannot yet be said that excess fat tissue causes conditions, we know that excess fat mass affects health. Excess fat mass also affects appearance, mobility, and job performance.
Criteria
Body Mass Index (BMI) of 25 to 29.9.
or
Fat Mass greater than 20 percent for males or greater than 25 percent for females.
Hormonal Reduction
Decrease the ratio of fat mass to fat-free mass to reduce incidence of fat related hormones.
| 1. | Prescribe a healthy diet. |
| 2. | Add exercise. |
| 3. | Measure Basal Metabolic Rate (BMR) and fat-free mass. |
| 4. | Estimate caloric expenditure = BMR * 1.2. |
| 5. | Set dietary intake = caloric expenditure - 500 calories per day. |
| 6. | Continue until percentage fat mass reaches optimal level. |
| Patient's Age |
Optimal Fat Levels |
| |
< |
20 |
15 |
19 |
| 20 |
- |
29 |
16 |
20 |
| 30 |
- |
39 |
17 |
21 |
| 40 |
- |
49 |
18 |
22 |
| 50 |
- |
59 |
19 |
23 |
| 60 |
+ |
|
20 |
24 |
Note: Exercise is important here because without it weight loss will be
comprised of 45 percent fat-free mass and 55 percent fat mass per pound.
Exercise can alter this ratio to 25 percent fat-free mass and 75 percent fat
mass.
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