Weight Management

Concepts

1. Health

   1. NHANES data + 5 lifestyle factors

      1. Smoking

      2. Alcohol

      3. Exercise

      4. Diet

      5. BMI

   2. BMI only data

   3. 200 conditions

      1. Mortality (IHD, Cancer)

      2. Morbidity (OA, OSA, Depression, Pain, Incontinence, Dyspnoea)

2. Identity

   1. Evidence for change of identity

3. Food + Diets

   1. Ultra Processed

   2. Calorie availability

   3. Intermittent fasting no evidence weight loss at 12 months

   4. Eating in morning versus evening, no difference if calories controlled but less hungry if front loaded

   5. Stick celery 6 calories raw versus cooked 30 calories

   6. Protein 100 calories package = 70 calories once processed and absorb due to energy required to utilise

   7. Sugar of 100 calories = 100% used, but same calories unprocessed equals less e.g. whole cob of corn versus corn syrup

   8. Industrially produced edible substance

   9. 50% fat and 50% sugar

   10. Addiction + Dopamine reward pathway

4. Exercise

5. Drugs

   1. Phentermine

   2. Contrave

   3. Liraglutide

   4. Semaglutide

   5. Topirimate

   6. Metformin

6. Surgery

7. Dietitian

8. Psychologist

9. Exercise Physiologist

10. Resources

    1. Chris Wan Tulleken / Ultraprocesssed Food / Diary of a CEO