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with\tminerals\tcontaining\t200%\tof\tthe\tRDA\t(1622\tmg/d)\nRYGB:\tMultivitamin\twith\tminerals\tcontaining\t100%-200%\tof\tthe\tRDA\t(8-22\tmg/d)\nLSG/LAGB:\tMultivitamin\twith\tminerals\tcontaining\t100%\tof\tthe\tRDA\t(8-11\tmg/d)\nTo\tminimize\tthe\trisk\tof\tcopper\tdeficiency\tin\tpost-WLS\tpatients,\tit\tis\trecommended\tthat
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the\tsupplementation\tprotocol\tcontain\ta\tratio\tof\t8-15\tmg\tof\tsupplemental\tzinc\tper\t1\nmg\tof\tcopper.\nCopper\nBPD/DS\tor\tRYGB:\t200%\tof\tthe\tRDA\t(2\tmg/d)\nLSG\tor\tLAGB:\t100%\tof\tthe\tRDA\t(1\tmg/d)\nCopper\tgluconate\tor\tsulfate\tis\tthe\trecommended\tsource\tof\tcopper\tfor\tsupplementation.\nBPD/DS\n,\tBiliopancreatic\tdiversion\twith\tduodenal\tswitch;\t\nLAGB
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BPD/DS\n,\tBiliopancreatic\tdiversion\twith\tduodenal\tswitch;\t\nLAGB\n,\tlaparoscopic\tadjustable\tgastric\tbanding;\t\nLSG\n,\tlaparoscopic\tsleeve\tgastrectomy;\nRDA,\trecommended\tdietary\tallowance;\t\nRYGB\n,\tRoux-en-Y\tgastric\tbypass;\t\nWLS\n;\tweight\n\tloss\tsurgery.\nBariatric\tsurgery\tis\tincreasing\tin\tpopularity\tas\ta\ttreatment\tof\textreme\tobesity\tfor\tthe\tadolescent
|
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] |
population.\tSimilar\tpreoperative\trequirements\texist;\thowever,\tthe\tage\tand\tcognitive\temotional\nmaturity\tof\tthe\tpatient\tneed\tto\tbe\ttaken\tinto\tconsideration\tgiven\tthe\tlifelong\tnutritional,\npsychological,\tand\tphysical\tramifications.\nNon-surgical\tweight\tloss\tprocedures\nSurgical\tmanagement
|
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Non-surgical\tweight\tloss\tprocedures\nSurgical\tmanagement\n\tof\tweight\tcontinues\tto\tevolve.\tSelect\tbariatric\tsurgery\tcenters\tacross\tthe\nUnited\tStates\thave\tstarted\tutilizing\tthe\t\nintragastric\tballoon\t(IGB)\n.\tThe\tIGB,\twhich\tis\tmade\tof\nsilicone,\tis\tendoscopically\tplaced\tin\tthe\tstomach\tfor\t6\tmonths.\tDuring\tthe\t6\tmonths\tin\twhich\tthe
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] |
balloon\tresides\tin\tthe\tstomach,\tpatients\tare\texpected\tto\tlearn\tand\tdevelop\thealthy\teating\thabits\tthat\npersist\tafter\tthe\tballoon\thas\n\tbeen\tremoved.\tComplications\tinclude\tabdominal\tpain,\tnausea,\nesophagitis,\tflatulence,\tand\tgastric\tulcer.\tAn\tIGB\tcan\tincrease\tweight\tloss\tby\t14.25%\t(\nSaber\tet\tal,\n2017
|
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] |
Saber\tet\tal,\n2017\n).\tThere\tis\tcurrently\tinsufficient\tevidence\tregarding\tthe\tIGB’s\tefficacy\tor\tsafety.\tThe\tAspire\nAssist\tis\ta\tgastrostomy\ttube\tplaced\tduring\tgastroscopy.\tPatients\tcan\taspirate\tcontents\tof\ta\tmeal\napproximately\t20\tminutes\tafter\teating,\tthus\n\tdecreasing\tcaloric\tabsorption.\nMaintaining\treduced\tbody\tweight
|
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of\treduced\tweight\tsubjects\tversus\tstable-weight-controls\t(of\tthe\tsame\theight,\tweight,\tand\tgender)\nare\tnot\tdifferent\t(\nClamp\tet\tal,\t2018\n).\n\tA\tfollow-up\tstudy\tof\tparticipants\tin\t\nThe\tBiggest\tLoser\ntelevision\tshow\t(who\tlost\tsignificant\tamounts\tof\tweight)\tfound\tthat\tafter\tweight\tregain,\tRMR\nremained\tsuppressed\t(\nFothergill\tet\tal,\t2016
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remained\tsuppressed\t(\nFothergill\tet\tal,\t2016\n).\tThese\tresults\topen\tquestions\tabout\tpossible\tlong-term\neffects\tof\textreme\tenergy\trestriction—especially\tcoupled\twith\textreme\tlevels\tof\tphysical\tactivity—on\neventual\tRMR.\tPeople\twho\thave\tlost\tweight\twill\n\talways\thave\treduced\tenergy\trequirements\tdue\tto
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always\thave\treduced\tenergy\trequirements\tdue\tto\nreduced\tbody\tmass,\twhich\tnecessitates\tpermanent\tlifestyle\tchanges\tto\tmaintain\tthe\tnet\tenergy\nbalance\tsupporting\ttheir\treduced\tbody\tweight\t(\nHall\tet\tal,\t2011\n).\nThe\tNWCR\tconsists\tof\tmore\tthan\t5000\tindividuals\twho\thave\tbeen\tsuccessful\tin\tlong-term\tweight
|
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loss\tmaintenance.\tThe\tpurpose\tof\testablishing\tthe\tNWCR\tis\tto\tidentify\tthe\tcommon\tcharacteristics\n\tof\nthose\twho\tsucceed\tin\tlong-term\tweight\tloss\tmaintenance.\tThere\tis\tvery\tlittle\tsimilarity\tin\thow\tthese
|
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2.\t\nEating\tbreakfast\talmost\tevery\tday\n3.\t\nWeighing\tthemselves\tregularly,\tusually\tonce\tper\tday\tto\tonce\tper\tweek\n4.\t\nEngaging\tin\thigh\tlevels\t(60\tto\t90\tminutes\tper\tday)\tof\tphysical\tactivity\nA\tnational\tweight\tloss\tregistry\tis\tcontributing\tto\tour\tunderstanding\tof\tthose\ttactics\tthat\tlead\tto
|
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long\tterm\tsuccess.\tDietary\trestriction\tof\tfat,\tfrequent\tself-weighing,\tand\tongoing\tleisure\ttime\nphysical\tactivity\n\twere\tfactors\tassociated\twith\tmaintaining\tweight\tloss\t(\nThomas\tet\tal,\t2014\n).\tSupport\ngroups\tare\tvaluable\tfor\tobese\tpersons\twho\tare\tmaintaining\ta\tnew\tlower\tweight;\tthey\thelp
|
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individuals\tfacing\tsimilar\tproblems.\tTwo\tself-help\tsupport\tgroups\tare\tOvereaters\tAnonymous\t(OA)\nand\tTake\tOff\tPounds\tSensibly\t(TOPS).\tThese\tgroups\tare\tinexpensive,\tcontinuous,\tinclude\ta\t“buddy\nsystem,”\tand\tencourage\tparticipation\n\ton\ta\tregular\tbasis,\tor\tas\toften\tas\tneeded.\tWeight\tWatchers
|
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0.1302112340927124,
0.07640936225652695,
0.04103019833564758,
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] |
on\ta\tregular\tbasis,\tor\tas\toften\tas\tneeded.\tWeight\tWatchers\nprograms\toffer\tfree\tlifelong\tmaintenance\tclasses\tfor\tthose\twho\thave\treached\tand\tare\tmaintaining\ntheir\tgoal\tweights.\nInterestingly,\t“boring”\tand\t“monotonous”\tdiets\tcan\tprovide\ta\tstrategy\tfor\treducing\tfood\tintake.
|
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] |
Diets\tthat\tare\trepetitious\t(without\tchange\tfrom\tmeal\tto\tmeal)\tare\ta\tuseful\tconsideration\tfor\ncontrolling\tintake,\tbecause\tpeople\n\ttend\tto\tovereat\twhen\tthey\thave\tmany\tmealtime\tchoices.\tThis\tcan\nbe\ta\tparticular\tproblem\tin\ta\tsociety\twhere\tone\tin\tthree\tmeals\tis\teaten\taway\tfrom\thome.\tRestaurants
|
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and\tvending\ttrucks\tor\tmachines\tgenerally\toffer\tmany\toptions,\tmost\thigh\tin\tcalories\t(see\t\nFocus\tOn:\nRestaurant\tand\tVending\tMachine\tNutrition\tLabeling\n).\nOverall,\ta\tcommon\tsense\tapproach\tis\tneeded.\tSome\tphrases\tcan\tbe\tshared\twith\tindividuals\n\twho\nare\ttrying\tto\tmaintain\ttheir\tweight\tloss,\tincluding\tthe\tfollowing:\t(1)\tThe\tbest\tdiet\tis\t“make\tit,\tdon’t
|
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buy\tit,”\t(2)\t“Easy\tdoes\tit”—use\tmoderation\tat\tall\tmeals\tand\tsnacks,\tand\t(3)\t“Avoid\tdrinking\tyour\ncalories.”\n\t\nFocus\tOn\nRestaurant\tand\tVending\tMachine\tNutrition\tLabeling\nWhen\tthe\tAffordable\tCare\tAct\twas\tsigned\n\tinto\tlaw\tin\t2010,\trestaurant\tlabeling\tlaws\twere\nincluded\tas\tpart\tof\tthe\tlegislation\tfor\thealth\tcare\treform\t(\nFederal\tRegister,\t2014
|
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Federal\tRegister,\t2014\n).\tBecause\tmany\nAmericans\teat\tone\tthird\tof\ttheir\tcalories\taway\tfrom\thome,\tthe\tintent\tof\tthis\tpublic\thealth\teffort\nwas\tto\tprovide\tconsumers\twith\tthe\tfood\tlabel\tas\tan\teducational\ttool\tto\tmake\thealthier\teating\nchoices\twhen\tdining\tout.\tIt\ttook\t8\tyears\tto\tbring\tthis\tto\tfruition,\n\twith\tmany\tdelays\tand
|
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with\tmany\tdelays\tand\ninterruptions\tdue\tto\tgovernment\tand\tindustry\tcontroversies.\nIn\t2018,\tthe\tFDA\tenacted\tthe\tfollowing\tlegislation:\n1.\t\nIn\trestaurants\tand\tin\tsimilar\tfood\testablishments\twith\tgreater\tthan\t20\tlocations\tserving\tthe\nsame\tmenu,\tall\tmenu\titems\tmust\tlist\tthe\tcalorie\tcontent\tof\tfoods.\n2.
|
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] |
same\tmenu,\tall\tmenu\titems\tmust\tlist\tthe\tcalorie\tcontent\tof\tfoods.\n2.\t\nVending\tmachine\tlabeling\toperators\twho\town\tor\toperate\t20\tor\tmore\tvending\tmachines\nmust\tdisclose\n\ttheir\tvending\tmachine\tcalorie\tinformation,\tsubject\tto\tcertain\texemptions\tas\ndetermined\tby\tthe\tFDA.
|
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] |
determined\tby\tthe\tFDA.\nAlthough\tother\tdata\tlike\tfat,\tsaturated\tfat,\tcholesterol,\tsodium,\ttotal\tcarbohydrates,\tsugar,\tfiber,\nand\ttotal\tprotein\twere\teliminated\tduring\tthe\tmany\tyears\tit\ttook\tto\tget\tthis\tlegislation\tenacted,\twe\ncan\tnow\tfinally\tprovide—through\tthis\tlabeling—an\teducational\ttool\tto\tthe\tpublic\tfor\tmaking\tmore
|
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informed\tfood\tchoices.\tIt\tis\tup\tto\tus,\tas\tnutrition\tprofessionals,\tto\tbe\tpersistent\tand\twork\twith\tour\nlegislators\ton\tthe\tenactment\tof\tfuture\tnutrition\tlabeling\trules\tand\teducation.\tFor\tmore\tdetailed\ninformation\tabout\ttiming\tand\timplementation\tof\tthe\tlabeling\trule,\tyou\tmay\tcontact\t\nwww.fda.gov\n.\nPlateau\teffect
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] |
about\t6\tweeks,\tthen\tgradually\treturn\tto\ttheir\tbaseline\tenergy\tintake.\tThis\tmeans\ta\tstate\tof\nequilibrium\thas\tbeen\treached\tat\twhich\tthe\tenergy\tintake\tis\tequal\tto\tenergy\texpenditure.\n\tTo\tmove\nout\tof\tthis\tphase,\treestablishing\tan\tenergy\tdeficit\tis\trequired.\nThere\tare\tseveral\tfactors\tthat\treduce\tRMR\tand\ttotal\tenergy\texpenditure\t(TEE)\tduring\tenergy
|
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] |
restriction\tand\tweight\tloss,\tincluding:\tenergy\trestriction—RMR\tcan\tdecrease\tat\tthe\tonset\tof\tenergy\nrestriction\tby\tas\tmuch\tas\t15%\twithin\t2\tweeks,\twhich\tvaries\twith\tthe\tmagnitude\tof\tenergy\nrestriction;\tloss\tof\tmetabolically\tactive\tbody\n\ttissue—weight\tloss\tconsists\tof\tboth\tLBM\tand\tfat,\tand
|
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tissue—weight\tloss\tconsists\tof\tboth\tLBM\tand\tfat,\tand\nless\tof\teither\t(but\tespecially\tLBM)\treduces\tRMR;\tthe\tcost\tof\tphysical\tactivity\tis\talso\tless\tbecause\ta\nbody\tthat\tweighs\tless\trequires\tless\tenergy\texpenditure\tto\tmove\taround;\tand\tthe\tthermic\teffect\tof
|
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] |
less\tdisputed.\nWeight\tmanagement\tin\tchildren\tand\tadolescents\nAbout\tone\tthird\tof\tU.S.\tchildren\tages\t2\tto\t19\tare\toverweight\tor\tobese\t(\nState\tof\tObesity,\t2018\n).\nChildhood\tobesity\tincreases\tthe\trisk\tof\tobesity\tin\tadulthood.\tFor\tthe\tchild\twho\tis\tobese\tafter\t6\tyears
|
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0.03791249915957451,
0.06728499382734299,
0.016961200162768364,
0.05498655512928963,
-0.016008103266358376
] |
of\tage,\tthe\tprobability\tof\tobesity\tin\tadulthood\tis\tsignificantly\tgreater\tif\teither\tthe\tmother\tor\tthe\nfather\tis\tobese.\nThe\tBMI\ttables\n\tfor\tdetermining\tchildhood\tobesity\tare\tavailable\tfor\tuse\tby\thealth\tcare\tpractitioners\n(see\t\nAppendix\t8\n).\tHigh\tpreschool\tBMI\tis\tconsistently\tassociated\twith\tadult\tobesity,\tcentral\tobesity,\nand\tearly\tonset\tMetS\t(
|
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] |
and\tearly\tonset\tMetS\t(\nLloyd\tet\tal,\t2012\n).\nChildren\tor\tadolescents\twith\ta\tBMI\tin\tthe\t85th\tpercentile\tor\thigher\twith\tcomplications\tof\tobesity,\nor\twith\ta\tBMI\tin\tthe\t95th\tpercentile\tor\thigher\twith\tor\twithout\tcomplications,\n\tshould\tbe\tcarefully\nassessed\tfor\tgenetic,\tendocrinologic,\tand\tpsychological\tconditions,\tand\tsecondary\tcomplications
|
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] |
such\tas\thypertension,\tdyslipidemias,\ttype\t2\tdiabetes,\tsleep\tapnea,\tand\torthopedic\tproblems.\nAssessment\tinvolves\tinvestigating\tall\tof\tthe\tsocial\tand\tenvironmental\tfactors,\tincluding\tfamily\ndynamics,\tthat\tinfluence\teating\tand\tactivity\thabits\tas\twell\tas\treadiness\tfor\tchange.\tThe\tprimary\n\tgoal
|
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] |
goal\nof\ttreatment\tis\tto\tachieve\thealthy\teating\tand\tactivity,\tnot\tto\tachieve\tan\tideal\tbody\tweight\t(IBW).\tFor\nchildren\taged\t2\tto\t5,\tthe\tgoal\tis\tprolonged\tweight\tmaintenance\tor\tslowing\tof\tthe\trate\tof\tweight\tgain,\nwhich\tallows\tfor\ta\tgradual\tdecline\tin\tBMI\tas\tchildren\tgrow\tin\theight.\tThis\tis\tan\tappropriate\tgoal\tin
|
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] |
between\tthe\t85th\tand\t95th\tpercentile\tand\tif\tthey\thave\tno\tsecondary\tcomplications.\tIf\ta\tsecondary\ncomplication\tis\tpresent,\tor\tif\tthe\tBMI\tis\tat\tthe\t95th\tpercentile\tor\tabove,\tweight\tloss\n\tmay\tbe\tadvised.\nComprehensive,\tintensive\tbehavioral\tinterventions\tshould\tbe\toffered\t(\nKaiser\tPermanente,\t2012\n).
|
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] |
Kaiser\tPermanente,\t2012\n).\nIf\tthe\tweight\tappropriate\tfor\tthe\tchild’s\tor\tteen’s\tanticipated\tadult\theight\thas\talready\tbeen\nreached,\tmaintenance\tat\tthat\tweight\tshould\tbe\tthe\tlifetime\tgoal.\tThe\tchild\twho\talready\texceeds\tan\noptimal\tadult\tweight\tcan\tsafely\texperience\ta\tslow\tweight\tloss\tof\t10\tto\t12\tpounds\tper\tyear\tuntil\n\tthe
|
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the\noptimal\tadult\tweight\tis\treached.\tBalanced\tmicronutrient\tintake\tfor\tchildren\tincludes\t45%\tto\t60%\tof\nkilocalories\tfrom\tcarbohydrates,\t25%\tto\t40%\tfrom\tfat,\tand\t10%\tto\t35%\tfrom\tprotein.\tNew\tdirections\nin\tchildhood\tobesity\tresearch\tsince\tthe\tturn\tof\tthe\t21st\tcentury\thave\tuncovered\t25(OH)D\tdeficiency
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(defined\tas\ta\tlevel\tless\tthan\tor\tequal\tto\t57\tnmol/L\tor\t20\tng/mL).\tThis\thas\tbeen\tmanifested\tby\ta\n\tlack\nof\tsun\texposure\tand\tthe\tincrease\tin\tuse\tof\tsunscreen—blocking\tthe\tskin’s\tabsorption\tof\tultraviolet\nlight.\tLow\tvitamin\tD\tis\tpredominant\tin\tobese\tchildren.\tThe\taccompanying\tproinflammatory
|
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] |
association\twith\tdiabetes\tand\tatherogenic\tpathways\thas\tprompted\trecommendations\tto\ttest\nkindergarten\tand\tfirst\tgrade\tchildren.\tChildren\twith\tlow\tlevels\tof\tvitamin\tD\tcould\thave\tthe\tsystemic\ninflammatory\tmediators\n\tand\treduced\tinsulin\tsensitivity\tpathways\tinhibited\tby\tvitamin\tD\nsupplementation\t(\nReyman\tet\tal,\t2014\n).
|
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supplementation\t(\nReyman\tet\tal,\t2014\n).\nThe\tchild\tor\tadolescent\twho\tneeds\tto\treduce\tweight\trequires\tattention\tfrom\tfamily\tand\thealth\nprofessionals.\tThis\tattention\tshould\tbe\tdirected\tto\tall\tthe\tareas\tmentioned\tpreviously,\twith\tfamily\nmodification\tof\teating\thabits\tand\tincreased\tphysical\tactivity.\tThe\tprogram\tshould\tbe\tlong\tterm,\tover
|
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the\tentire\tgrowth\tperiod\tof\tthe\tchild\tand\tperhaps\tlonger.\nInactivity\toften\tis\tcoupled\twith\tsedentary\thobbies,\texcessive\tTV\twatching,\tor\tprolonged\tsitting\tin\nfront\tof\ta\tcomputer\tor\tgame\tscreen.\tSome\ttheorize\tthat\tphysical\tinactivity\tappears\tto\tbe\tthe\tresult\tof\nfatness\trather\tthan\tits\tcause\t(\nMetcalf\tet\tal,\t2011
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] |
fatness\trather\tthan\tits\tcause\t(\nMetcalf\tet\tal,\t2011\n),\thowever\tothers\thave\tpostulated\tthat\nenvironmental\tfactors,\tsuch\tas\ta\tdecrease\tin\tactive\n\tcommuting,\thigh\tschool\tphysical\teducation,\tand\noutdoor\tplay,\tare\tcontributing\tfactors\tas\twell\t(\nBassett\tet\tal,\t2015\n).\tAdditional\tresearch\tis\trequired,
|
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Bassett\tet\tal,\t2015\n).\tAdditional\tresearch\tis\trequired,\nhowever\tit\tis\tpossible\tthat\tfactors\tother\tthan\tinactivity\tmay\tbe\tmore\timportant\tin\tobesity\ndevelopment\tin\tchildren\t(see\t\nNew\tDirections:\n\tPartnership\tfor\ta\tHealthier\tAmerica\tAddressing\nChildhood\tObesity\n).\nExcessive\tleanness\tor\tunintentional\tweight\n\tloss
|
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] |
Childhood\tObesity\n).\nExcessive\tleanness\tor\tunintentional\tweight\n\tloss\nAlmost\teclipsed\tby\tthe\tattention\tfocused\ton\tobesity\tis\tthe\tneed\tfor\tsome\tpeople\tto\tgain\tweight.\tThe\nterm\t\nunderweight\n\tis\tapplicable\tto\tthose\twho\tare\t15%\tto\t20%\tor\tmore\tbelow\taccepted\tweight
|
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] |
standards.\tBecause\tunderweight\tis\toften\ta\tsymptom\tof\tdisease,\tit\tshould\tbe\tassessed\tmedically.\tA\nlow\tBMI,\tless\tthan\t18.5\tin\tadults,\ta\tBMI\tof\tless\tthan\t5%\tfor\tchildren,\tand\tless\tthan\t23\tin\tolder\nadults,\n\tis\tassociated\twith\tgreater\tmortality\trisk\tthan\tthat\tof\tindividuals\twith\toptimal\tBMI.
|
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0.04477337375283241,
-0.027495725080370903,
0.03693462908267975,
-0.03171621635556221,
0.0706055611371994,
0.06721986085176468,
-0.021010419353842735,
0.0059799798764288425,
-0.06972964853048325,
-0.04715460166335106,
0.07409694790840149,
-0.04195605218410492,
0.04169488325715065,
0.04247976839542389,
0.13186943531036377,
0.012745629996061325,
-0.010796014219522476,
0.006021163426339626,
0.07240823656320572,
0.09599263221025467,
-0.01265029888600111,
-0.07862462848424911,
0.07583606988191605,
-0.038977161049842834,
-0.07219203561544418,
0.003259499091655016,
0.043814823031425476,
0.0017130807973444462,
-0.025317568331956863,
-0.04171954467892647,
0.03570186346769333,
0.052583787590265274,
0.07890938222408295,
-0.03333400934934616,
0.017433371394872665,
0.11293110996484756,
0.05712782219052315,
0.034121010452508926,
0.015319478698074818
] |
Undernutrition\tmay\tlead\tto\tunder\tfunctioning\tof\tthe\tpituitary,\tthyroid,\tgonads,\tand\tadrenals.\tOther\nrisk\tfactors\tinclude\tloss\tof\tenergy\tand\tsusceptibility\tto\tinjury\tand\tinfection,\tas\twell\tas\ta\tdistorted\nbody\timage\tand\tother\tpsychological\tproblems\t(see\t\nChapter\t21\n).\nCause\nUnderweight\tor\tunintentional\tweight\tloss
|
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0.09373880177736282,
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0.000867040129378438,
0.09729864448308945,
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0.0037343462463468313,
0.01948167197406292,
0.08421806246042252,
0.0570976547896862,
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0.030475089326500893,
0.048680078238248825,
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0.09056419134140015,
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0.05169282481074333,
0.08922703564167023,
0.00843028537929058,
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0.07713188976049423,
0.049015890806913376,
0.009757579304277897,
0.003514312207698822
] |
Chapter\t21\n).\nCause\nUnderweight\tor\tunintentional\tweight\tloss\n\tcan\tbe\tcaused\tby\t(1)\tinadequate\toral\tfood\tand\tbeverage\nintake,\twith\tinsufficient\tquantities\tto\tmatch\tactivity;\t(2)\texcessive\tphysical\tactivity,\tas\tin\tthe\tcase\tof\ncompulsive\tathletic\ttraining;\t(3)\tinadequate\tcapacity\tfor\tabsorption\tand\tmetabolism\tof\tfoods
|
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consumed;\t(4)\ta\twasting\tdisease\tthat\tincreases\tthe\tmetabolic\trate\tand\tenergy\tneeds,\tas\tin\tcancer,\nacquired\timmune\tdeficiency\tsyndrome\t(AIDS),\n\tor\thyperthyroidism;\tor\t(5)\texcess\tenergy\texpenditure\nduring\tpsychological\tor\temotional\tstress.\nAssessment
|
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] |
Assessing\tthe\tcause\tand\textent\tof\tunderweight\tbefore\tstarting\ta\ttreatment\tprogram\tis\timportant.\tA\nthorough\thistory\tand\tpertinent\tmedical\ttests\tusually\tdetermine\twhether\tunderlying\tdisorders\tor\tfood\ninsecurity\tare\tcausing\tthe\tunderweight.\tFrom\tanthropometric\tdata\tsuch\tas\tarm\tmuscle\tand\n\tfat
|
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] |
fat\nareas,\tit\tis\tpossible\tto\tdetermine\twhether\thealth-endangering\tunderweight\treally\texists\t(see\nAppendix\t11\n).\tAssessment\tof\tbody\tfatness\tis\tuseful,\tespecially\tin\tdealing\twith\tthe\tpatient\twho\thas\tan\neating\tdisorder.\tBiochemical\tmeasurements\tindicate\twhether\tmalnutrition\taccompanies\tthe\nunderweight\t(see\t\nChapter\t5\n\tand\t\nAppendix\t11\n).\nManagement
|
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0.03195315599441528,
0.10597876459360123,
0.0726812332868576,
0.09048484265804291,
0.011981107294559479
] |
underweight\t(see\t\nChapter\t5\n\tand\t\nAppendix\t11\n).\nManagement\nAny\tunderlying\tcause\tof\tunintentional\tweight\tloss\n\tor\tlow\tBMI\tmust\tbe\tthe\tfirst\tpriority.\tA\twasting\ndisease\tor\tmalabsorption\trequires\ttreatment.\tNutrition\tsupport\tand\tdietary\tchanges\tare\teffective,\nalong\twith\ttreatment\tof\tthe\tunderlying\tdisorder\t(\nTable\t20.11\n).\nTABLE\t20.11
|
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0.06561490148305893,
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0.07674968987703323,
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0.01696738600730896,
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0.041739244014024734,
0.04355823993682861,
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0.011281203478574753
] |
Table\t20.11\n).\nTABLE\t20.11\nNutrition\tManagement\tof\tUnintentional\tWeight\tLoss\nConcern\nTips\nAnxiety,\tstress,\ndepression\nAntidepressants\tcan\thelp;\tmonitor\tchoice\tto\tbe\tsure\tthey\tdo\tnot\tcontribute\n\tto\nweight\tfluctuations.\tEnsure\tadequacy\tof\tphysical\tactivity\tas\twell\tas\tfolate,\tB\n6\n,\tB\n12\nand\tessential\tfatty\tacids.\tSee\t\nChapter\t40\n.\nCancer
|
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] |
6\n,\tB\n12\nand\tessential\tfatty\tacids.\tSee\t\nChapter\t40\n.\nCancer\nGastrointestinal\tcancers\tare\tespecially\tdetrimental.\tSome\ttreatments\tand\nmedications\tcan\tcause\tloss\tof\tappetite,\tas\tcan\tthe\tcancer\titself.\tSee\t\nChapter\t35\n.\nCeliac\tdisease\nEnsure\tthat\tall\tgluten-containing\tfoods\tand\tingredients\tare\teliminated\tfrom\tthe\ndiet.\nChanges\tin\tactivity
|
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0.07670387625694275,
0.004946447443217039,
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0.09958546608686447,
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0.009416408836841583,
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0.02204912342131138,
0.06431039422750473,
0.0641433596611023,
0.08828408271074295,
-0.03515530377626419
] |
diet.\nChanges\tin\tactivity\nlevel\tor\tdietary\npreparation\nmethods\nAvoid\tskipping\tmeals;\tprepare\tfoods\twith\thigh\tenergy\tdensity;\tadd\tsnacks\tbetween\nmeals.\nDiabetes,\tnew\tonset\nSee\ta\tphysician;\tmonitor\tmedications\tand\tensure\tadequate\tintake.\tSee\t\nChapter\t29\n.\nDysphagia\tor\nchewing\ndifficulties
|
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0.0653621181845665,
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0.07410570234060287,
0.009013833478093147,
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0.056297507137060165,
0.06036718934774399,
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0.017792988568544388,
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0.048632681369781494,
0.006743013393133879,
0.0197437833994627
] |
Chapter\t29\n.\nDysphagia\tor\nchewing\ndifficulties\nAlter\tfood\tand\tliquid\ttextures\taccordingly\tto\timprove\tchewing\tand\tswallowing\ncapability.\tSee\t\nChapter\t39\n.\nHyperthyroidism\nToo\tmuch\tthyroxine\tcan\tcause\tweight\tloss.\tSee\t\nChapter\t30\n.\nInflammatory\tbowel\ndisease\nSmall\tfrequent\tprotein\tand\tcalorie\trich\tmeals,\tlow\tresidue,\tmay\tneed\tenteral\tor
|
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] |
parenteral\tnutrition.\tSee\t\nChapter\t27\n.\nIntestinal\tischemia\nNeeds\tmedical\tintervention\tand\tpotentially\tenteral\tor\tparenteral\tfeedings.\tSee\nChapters\t12\n,\t\n26\n,\tand\t\n27\n.\nMedications\nSome\tmedications\tcan\tcause\tweight\tloss;\tcheck\twith\tphysician;\n\tadd\tprotein\tand\ncalorie\trich\tmeals\tand\tsnacks,\tmanage\tGI\tside\teffects\tlike\tnausea,\tconstipation
|
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] |
and\tdiarrhea.\nNausea\tand\tvomiting\nInfections,\tother\tillnesses,\thormonal\tchanges,\tand\tsome\tmedications\tcause\tnausea\nand\tvomiting;\tsmall,\tfrequent\tmeals;\tserve\tliquids\tbetween\tmeals\tinstead\tof\twith\nmeals\tto\treduce\tfullness.\tSee\t\nChapters\t26\n\tand\t\n35\n.\nPancreatitis\tand\ncystic\tfibrosis\nMonitor\tfor\tsufficiency
|
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] |
and\t\n35\n.\nPancreatitis\tand\ncystic\tfibrosis\nMonitor\tfor\tsufficiency\n\tof\tpancreatic\tenzyme\treplacement,\teasy\tto\tdigest,\tsmall\nfrequent\tmeals\tand\tsnacks,\tlower\tfat\tif\tsteatorrhea\tis\tpresent.\tSee\t\nChapters\t28\nand\t\n33\n.\nFood\tinsecurity\nProvide\tresources\tfor\tfood\tassistance\tprograms
|
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] |
33\n.\nFood\tinsecurity\nProvide\tresources\tfor\tfood\tassistance\tprograms\nIf\tthe\tcause\tof\tthe\tunderweight\tis\tinadequate\toral\tfood\tand\tbeverage\tintake,\tactivity\tshould\tbe\nlimited,\tand\tpsychological\tcounseling\tinitiated\tif\tnecessary.\tIf\tthe\tcause\tis\tfood\tinsecurity,\n\tprovide\nlocal\tresources\tfor\tfood\tassistance.\nAppetite\tenhancers
|
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] |
provide\nlocal\tresources\tfor\tfood\tassistance.\nAppetite\tenhancers\nThe\tFDA\thas\tapproved\torexigenic\tagents\tthat\tinclude\tcorticosteroids,\tcyproheptadine,\tloxiglumide\n(cholecystokinin\tantagonist),\tmegestrol\tacetate,\tmirtazapine,\tdronabinol,\toxoglutarate,\tanabolic
|
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] |
agents\t(testosterone\tor\tAnadrol),\tOxandrin\t(oxandrolone\tor\toxandrolona),\tand\tgrowth\thormone.\tUse\nof\torexigenic\tagents\tfor\tweight\tloss\n\tin\tseniors\tis\tsaved\tfor\tthose\twhose\tconditions\tare\trefractory\tto\nusual\ttreatments.\tOne\tthird\tof\tolder\tadults,\tespecially\twomen,\texhibit\tweight\tloss\tin\tcombination
|
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] |
with\tdepression.\tMirtazapine\tis\tan\teffective\tantidepressant\tthat\tis\twell\ttolerated\tand\tincreases\nappetite.\tIt\tis\tparticularly\teffective\tin\telderly\tpatients\twith\tdementia-related\tweight\tloss\t(\nFox\tet\tal,\n2009\n).\tDronabinol\tis\tused\tfor\tchemotherapy-induced\n\tnausea\tand\tvomiting\tin\tcancer\tand\tAIDS
|
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] |
nausea\tand\tvomiting\tin\tcancer\tand\tAIDS\npatients;\tit\thas\tbeen\tshown\tto\tinduce\tweight\tgain\tin\tpatients\twith\tdementia.\tFor\tolder\tadults,\nmoderate\tamounts\tof\talcohol\tcan\talso\thelp\tto\tincrease\tappetite.\nHigh-energy\tdiets\nA\tcareful\thistory\tmay\treveal\tinadequacies\tin\tdietary\thabits\tand\tnutritional\tintakes.\tMeals\tshould\tbe
|
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scheduled\tand\teaten\twhen\trelaxed\tinstead\tof\thastily\tplanned\tor\tquickly\teaten.\n\tThe\tunderweight\nperson\tfrequently\tmust\tbe\tencouraged\tto\teat,\teven\tif\tnot\thungry.\tThe\tsecret\tis\tto\tindividualize\tthe
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] |
program\twith\treadily\tavailable\tfoods\tthat\tthe\tindividual\tenjoys,\twith\ta\tplan\tfor\tregular\teating\ttimes\nthroughout\tthe\tday.\tIn\taddition\tto\tmeals,\tsnacks\tare\tusually\tnecessary\tto\tadequately\tincrease\tthe\nenergy\tintake.\tHigh-calorie\tliquids\ttaken\twith\tmeals\tor\tbetween\tmeals\tare\toften\teffective\n\tin\tthose
|
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] |
in\tthose\nwho\thave\tloss\tof\tappetite\tor\tearly\tsatiety.\tEveryday\tfoods\tcan\tbe\tfortified\tto\tincrease\tthe\tcalories\tand\nprotein\t(see\t\nFocus\tOn:\n\tFood\tFirst!\tin\t\nChapter\t19\n).\nThe\tenergy\tdistribution\tof\tthe\tdiet\tshould\tbe\tapproximately\t30%\tof\tthe\tkilocalories\tfrom\tfat,\twith
|
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the\tmajority\tfrom\tmonounsaturated\tor\tpolyunsaturated\tsources\tand\tat\tleast\t12%\tto\t15%\tof\tthe\nkilocalories\tfrom\tprotein.\tIn\taddition\n\tto\tan\tintake\taccording\tto\testimated\tenergy\trequirements\tfor\nthe\tpresent\tweight,\t500\tto\t1000\textra\tkcals\tper\tday\tshould\tbe\tplanned.\tIf\t2400\tkcal\tmaintains\tthe
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] |
current\tweight,\t2900\tto\t3400\tkcal\twould\tbe\trequired\tfor\tweight\tgain.\nThe\tintake\tshould\tbe\tincreased\tgradually\tto\tavoid\tgastric\tdiscomfort,\tdiscouragement,\telectrolyte\nimbalances,\tand\tcardiac\tdysfunction.\tStep-up\tplans\tare\toutlined\tin\t\nTable\t20.12\n.\tIn\tunderweight
|
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] |
Table\t20.12\n.\tIn\tunderweight\nchildren,\tnonnutritional\tfactors,\tinsufficient\tcaloric\tintake,\texcessive\tnutrient\tlosses,\tand\tabnormal\nenergy\tmetabolism\tmay\tcontribute\tto\tgrowth\tfailure\tand\tmorbidity.\tThus\tadequate\tnutritional\nsupport\tshould\tbe\tan\tintegral\tpart\tof\tthe\tmanagement\tplan.\tLipid-based\tnutrient\tsupplements\tare
|
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] |
fortified\tproducts\tthat\tare\toften\tready-to-use\ttherapeutic\tfoods\tor\thighly\tconcentrated\n\tsupplements\nthat\tcan\tbe\tadministered\tat\t“point\tof\tservice”\tor\temergency\tsettings\t(\nChaparro\tand\tDewey,\t2010\n).
|
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] |
TABLE\t20.12\nSuggestions\tfor\tIncreasing\tEnergy\tIntake\nAdditional\tFoods\nkcal\nProtein\t(g)\nPlus\t500\tkcal\t(Served\tBetween\tMeals)\nA.\n\twhole\tgrain\tfruit\tand\tnut\tcereal\n270\n5\n1\tbanana\n80\n1\tc\twhole\tmilk\n160\n8\nTotal\n510\n13\nB.\n\tMilkshake\tmade\twith\t1/2\tcup\tice\tcream\n145\n3\n1\ttablespoon\tpeanut\tbutter\n90\n4\n1\tmedium\tbanana\n105\n8\n1\tcup\twhole\tmilk\n160\n8\nTotal\n500\n23
|
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90\n4\n1\tmedium\tbanana\n105\n8\n1\tcup\twhole\tmilk\n160\n8\nTotal\n500\n23\nC.\n\t6\tgraham\tcracker\tsquares\n165\n3\n2\tT\tpeanut\tbutter\n172\n8\n1\tc\torange\tjuice\n122\n2\tT\traisins\n52\nTotal\n511\n11\nPlus\t1000\tkcal\t(Served\tBetween\tMeals)\nA.\n\t8\toz\tfruit\ton\tthe\tbottom\tGreek\twhole\tmilk\tyogurt\n260\n18\n1\tslice\twhole\n\tgrain\tbread\n70\n3\n2\toz\tcheese\n226\n14\n1\tmedium\tapple\n87
|
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1\tslice\twhole\n\tgrain\tbread\n70\n3\n2\toz\tcheese\n226\n14\n1\tmedium\tapple\n87\n¼\tof\t14-inch\tcheese\tpizza\n306\n16\n1\tsmall\tbanana\n81\n1\nTotal\n1030\n52\nB.\n\tInstant\tbreakfast\twith\twhole\tmilk\n280\n15\n1\tc\tcottage\tcheese\n239\n31\n½\tc\tpineapple\n95\n1\tc\tapple\tjuice\n117\n6\tgraham\tcracker\tsquares\n165\n3\n1\tpear\n100\n1\nTotal\n996\n50\nPlus\t1500\tkcal\t(Served\tBetween\tMeals)\nA.
|
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] |
3\n1\tpear\n100\n1\nTotal\n996\n50\nPlus\t1500\tkcal\t(Served\tBetween\tMeals)\nA.\n\t2\tslices\twhole\tgrain\tbread\n140\n6\n2\tT\tpeanut\tbutter\n180\n8\n1\tT\tjam\n110\n6\twhole\tgrain\tcrackers\n120\n3\n8\toz\tfruit\ton\tthe\tbottom\tGreek\twhole\tmilk\tyogurt\n260\n18\n3/4\tc\troasted\tpeanuts\n630\n28\n½\tc\tapricot\tnectar\n70\nTotal\n1510\n63\nB.\n\t1\tmedium\tfruit\tmuffin\n350\n6\n2\ttsp.\tbutter\n70
|
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0.03870375081896782,
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-0.019969845190644264,
-0.06472954899072647,
0.07328523695468903,
0.008716694079339504,
-0.014576056972146034,
0.0207963977009058,
-0.005849448498338461,
-0.01135130226612091,
0.023372912779450417,
0.022774551063776016,
0.05340985208749771,
0.014118851162493229,
0.038926444947719574,
0.02910003811120987,
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] |
70\nTotal\n1510\n63\nB.\n\t1\tmedium\tfruit\tmuffin\n350\n6\n2\ttsp.\tbutter\n70\n4\toz\tfruit\ton\tthe\tbottom\tGreek\twhole\tmilk\tyogurt\n130\n10\nwhole\tgrain\tfruit\tand\tnut\tcereal\n272\n5\n1\tbanana\n80\n1\tc\twhole\n\tmilk\n160\n8\n1\tbagel\n260\n10\n2\tT\tcream\tcheese\n100\n2\n2\tT\tjam\n110\nTotal\n1530\n40\nSource:\tUS\tDepartment\tof\tAgriculture\tFood\tData\tCentral.\t\nhttps://fdc.nal.usda.gov
|
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] |
21\nNutrition\tin\teating\tdisorders\nJanet\tE.\tSchebendach,\tPhD,\tRDN,\tJustine\tRoth,\tMS,\tCEDRD\nKEY\tTERMS\nanorexia\tnervosa\t(AN)\navoidant/restrictive\tfood\tintake\tdisorder\t(ARFID)\nbinge\nbinge\teating\tdisorder\t(BED)\nbulimia\tnervosa\t(BN)\ncognitive-behavioral\ttherapy\t(CBT)\nDiagnostic\tand\tStatistical\tManual\tof\tMental\tDisorders,\tfifth\tedition\t(DSM-5)
|
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diet-induced\tthermogenesis\t(DIT)\nfamily-based\n\ttherapy\t(FBT)\nother\tspecified\tfeeding\tor\teating\tdisorder\t(OSFED)\npurging\nrefeeding\tsyndrome\t(RFS)\nRussell’s\tsign\nFeeding\tand\teating\tdisorders\t(EDs)\tare\tcharacterized\tby\ta\tpersistent\tdisturbance\tof\teating\tor\teating-
|
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related\tbehavior\tthat\tresults\tin\tsignificantly\timpaired\tphysical\thealth\tand\tpsychosocial\tfunctioning.\nDiagnostic\tcriteria\t(\nBox\t21.1\n)\tare\tpublished\tin\tthe\t\nDiagnostic\tand\tStatistical\tManual\tof\tMental\nDisorders,\tfifth\tedition\t(DSM-5)\n\t(\nAmerican\tPsychiatric\tAssociation\t[APA],\t2013\n).\tRevised\tDSM-5
|
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] |
(\nAmerican\tPsychiatric\tAssociation\t[APA],\t2013\n).\tRevised\tDSM-5\ncriteria\tare\tavailable\tfor\tanorexia\tnervosa\t(AN),\tbulimia\tnervosa\t(BN),\tand\tbinge\teating\tdisorder\n(BED);\tnew\tcriteria\thave\tbeen\testablished\tfor\tother\tspecified\tfeeding\tor\teating\tdisorder\t(OSFED),\navoidant/restrictive\tfood\tintake\tdisorder\t(ARFID),\tpica,\tand\trumination\tdisorder.
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] |
BOX\t21.1\nAmerican\tPsychiatric\tAssociation\t(DSM-5)\tDiagnostic\n\t\nCriteria\nAnorexia\tnervosa\t(AN)\nA.\t\nRestriction\tof\tenergy\tintake\trelative\tto\trequirements,\tleading\tto\ta\tsignificantly\tlow\tbody\nweight\tin\tthe\tcontext\tof\tage,\tsex,\tdevelopmental\ttrajectory,\tand\tphysical\thealth.\nSignificantly\tlow\tweight
|
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] |
Significantly\tlow\tweight\n\tis\tdefined\tas\ta\tweight\tthat\tis\tless\tthan\tminimally\tnormal,\tor\tfor\nchildren\tand\tadolescents,\tless\tthan\tthat\tminimally\texpected.\nB.\t\nIntense\tfear\tof\tgaining\n\tweight\tor\tof\tbecoming\tfat,\tor\tpersistent\tbehavior\tthat\tinterferes\nwith\tweight\tgain,\teven\tthough\tat\ta\tsignificantly\tlow\tweight.\nC.
|
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] |
with\tweight\tgain,\teven\tthough\tat\ta\tsignificantly\tlow\tweight.\nC.\t\nDisturbance\tin\tthe\tway\tin\twhich\tone’s\tbody\tweight\tor\tshape\tis\texperienced,\tundue\ninfluence\tof\tbody\tweight\tor\tshape\ton\tself-evaluation,\tor\tpersistent\tlack\tof\trecognition\tof\nthe\tseriousness\tof\tthe\tcurrent\tlow\tbody\tweight.\nSpecify\n\twhether:\n1.\n\tRestricting\ttype:\tDuring
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] |
Specify\n\twhether:\n1.\n\tRestricting\ttype:\tDuring\n\tthe\tlast\t3\tmonths,\tthe\tindividual\thas\tnot\tengaged\tin\trecurrent\nepisodes\tof\tbinge\teating\tor\tpurging\tbehavior\t(i.e.,\tself-induced\tvomiting\tor\tthe\tmisuse\tof\nlaxatives,\tdiuretics,\tor\tenemas).\tThis\tsubtype\tdescribes\tpresentations\tin\twhich\tweight\tloss
|
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] |
is\taccomplished\tprimarily\tthrough\tdieting,\tfasting,\tand/or\texcessive\texercise.\n2.\n\tBinge-eating/purging\ttype:\tDuring\tthe\tlast\t3\tmonths,\tthe\tindividual\n\thas\tengaged\tin\nrecurrent\tepisodes\tof\tbinge\teating\tor\tpurging\tbehavior\t(i.e.,\tself-induced\tvomiting\tor\tthe\nmisuse\tof\tlaxatives,\tdiuretics,\tor\tenemas).\nSpecify\n\tcurrent\tseverity:
|
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Specify\n\tcurrent\tseverity:\nThe\tminimum\tlevel\tof\tseverity\tis\tbased,\tfor\tadults,\ton\tcurrent\tbody\tmass\tindex\t(BMI)\t(see\nbelow)\tor,\tfor\tchildren\tand\tadolescents,\ton\tBMI\tpercentile.\tThe\tranges\tbelow\tare\tderived\tfrom\nWorld\tHealth\tOrganization\tcategories\n\tfor\tthinness\tin\tadults;\tfor\tchildren\tand\tadolescents,
|
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] |
for\tthinness\tin\tadults;\tfor\tchildren\tand\tadolescents,\ncorresponding\tBMI\tpercentiles\tshould\tbe\tused.\tThe\tlevel\tof\tseverity\tmay\tbe\tincreased\tto\treflect
|
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] |
clinical\tsymptoms,\tthe\tdegree\tof\tfunctional\tdisability,\tand\tthe\tneed\tfor\tsupervision.\nMild:\n\tBMI\t≥17\tkg/m\n2\nModerate:\n\tBMI\t16-16.99\tkg/m\n2\nSevere:\n\tBMI\t15-15.99\tkg/m\n2\nExtreme:\n\tBMI\t<15\tkg/m\n2\nBulimia\tnervosa\t(BN)\nA.\t\nRecurrent\tepisodes\tof\tbinge\n\teating\tat\tleast\tonce\ta\tweek\tfor\t3\tmonths.\tAn\tepisode\tof\tbinge-
|
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eating\tat\tleast\tonce\ta\tweek\tfor\t3\tmonths.\tAn\tepisode\tof\tbinge-\neating\tis\tcharacterized\tby\tboth\tof\tthe\tfollowing:\n1.\n\tEating,\tin\ta\tdiscrete\tperiod\tof\ttime\t(e.g.,\twithin\tany\t2-hour\tperiod),\tan\tamount\tof\nfood\tthat\tis\tdefinitely\tlarger\tthan\twhat\tmost\tindividuals\twould\teat\tin\ta\tsimilar\tperiod\nof\ttime\tunder\tsimilar\tcircumstances.\n2.
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of\ttime\tunder\tsimilar\tcircumstances.\n2.\n\tA\tsense\tof\tlack\tof\tcontrol\tover\teating\tduring\tthe\tepisode\t(e.g.,\ta\n\tfeeling\tthat\tone\ncannot\tstop\teating\tor\tcontrol\twhat\tor\thow\tmuch\tone\tis\teating).\nB.\t\nRecurrent\tinappropriate\tcompensatory\tbehaviors\tin\torder\tto\tprevent\tweight\tgain,\tsuch\tas
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self-induced\tvomiting;\tmisuse\tof\tlaxatives,\tdiuretics,\tor\tother\tmedications;\tfasting;\tor\nexcessive\texercise.\nC.\t\nThe\tbinge\teating\tand\tinappropriate\tcompensatory\tbehaviors\tboth\toccur,\ton\taverage,\tat\nleast\tonce\ta\tweek\tfor\t3\n\tmonths.\nD.\t\nSelf-evaluation\tis\tunduly\tinfluenced\tby\tbody\tshape\tand\tweight.\nE.
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] |
Self-evaluation\tis\tunduly\tinfluenced\tby\tbody\tshape\tand\tweight.\nE.\t\nThe\tdisturbance\tdoes\tnot\toccur\texclusively\tduring\tepisodes\tof\tAN.\nSpecify\n\tcurrent\tseverity:\nThe\tminimum\tlevel\tof\tseverity\tis\tbased\ton\tthe\tfrequency\tof\tinappropriate\tcompensatory\nbehaviors\t(see\tbelow).\tThe\tlevel\tof\tseverity\tmay\tbe\tincreased\tto\treflect\tother\tsymptoms\tand\tthe
|
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] |
degree\tof\tfunctional\tdisability.\nMild:\n\tAn\taverage\tof\t1-3\tepisodes\tof\tinappropriate\tcompensatory\tbehaviors\tper\tweek.\nModerate:\n\tAn\taverage\tof\t4-7\tepisodes\tof\tinappropriate\tcompensatory\tbehaviors\tper\tweek.\nSevere:\n\tAn\taverage\tof\t8-13\tepisodes\tof\tinappropriate\tcompensatory\tbehaviors\tper\tweek.\nExtreme:
|
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Extreme:\n\tAn\taverage\tof\t14\tor\tmore\tepisodes\tof\tinappropriate\tcompensatory\tbehaviors\tper\nweek.\nBinge\teating\tdisorder\t(BED)\nA.\t\nRecurrent\tepisodes\n\tof\tbinge\teating.\tAn\tepisode\tof\tbinge-eating\tis\tcharacterized\tby\tboth\tof\nthe\tfollowing:\n1.\n\tEating,\tin\ta\tdiscrete\tperiod\tof\ttime\t(e.g.,\twithin\tany\t2-hour\tperiod),\tan\tamount\tof
|
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] |
food\tthat\tis\tdefinitely\tlarger\tthan\twhat\tmost\tindividuals\twould\teat\tin\ta\tsimilar\tperiod\nof\ttime\tunder\tsimilar\tcircumstances.\n2.\n\tA\tsense\tof\tlack\tof\tcontrol\tover\teating\tduring\tthe\tepisode\t(e.g.,\ta\tfeeling\tthat\tone\ncannot\tstop\n\teating\tor\tcontrol\twhat\tor\thow\tmuch\tone\tis\teating).\nB.
|
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cannot\tstop\n\teating\tor\tcontrol\twhat\tor\thow\tmuch\tone\tis\teating).\nB.\t\nThe\tbinge-eating\tepisodes\tare\tassociated\twith\tthree\t(or\tmore)\tof\tthe\tfollowing:\n1.\n\tEating\tmore\trapidly\tthan\tnormal.\n2.\n\tEating\tuntil\tfeeling\tuncomfortably\tfull.\n3.\n\tEating\tlarge\tamount\tof\tfood\twhen\tnot\tphysically\thungry.\n4.
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] |
3.\n\tEating\tlarge\tamount\tof\tfood\twhen\tnot\tphysically\thungry.\n4.\n\tEating\talone\tbecause\tof\tfeeling\tembarrassed\tby\thow\tmuch\tone\tis\teating.\n5.\n\tFeeling\tdisgusted\twith\toneself,\tdepressed,\n\tor\tvery\tguilty\tafterward.\nC.\t\nMarked\tdistress\tregarding\tbinge\teating\tis\tpresent.\nD.\t\nThe\tbinge\teating\toccurs,\ton\taverage,\tat\tleast\tonce\ta\tweek\tfor\t3\tmonths.\nE.
|
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0.019953511655330658,
-0.027050573378801346,
-0.06677619367837906,
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0.06096111983060837,
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0.11142347753047943,
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0.07211192697286606,
0.05191601812839508,
-0.060983795672655106,
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0.05294449254870415,
0.03278044983744621,
-0.0768267959356308,
-0.01988440379500389,
0.06116297096014023,
0.00986431073397398,
-0.046456534415483475,
0.026706203818321228,
0.09797295182943344,
0.036181967705488205,
0.04051715508103371,
-0.065424345433712,
0.03363573178648949,
0.04412597417831421,
0.062469713389873505,
0.044320981949567795,
-0.02630113624036312
] |
E.\t\nThe\tbinge\teating\tis\tnot\tassociated\twith\tthe\trecurrent\tuse\tof\tinappropriate\tcompensatory\nbehavior\tas\tin\tbulimia\tnervosa\tand\tdoes\tnot\toccur\texclusively\tduring\tthe\tcourse\tof\tBN\tor\nAN.\nSpecify\n\tcurrent\tseverity:\nThe\tminimum\tlevel\tof\tseverity\n\tis\tbased\ton\tthe\tfrequency\tof\tepisodes\tof\tbinge\teating\t(see\tbelow).
|
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] |
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