Course Description: | The role of energy intake, macronutrients, and micronutrients in
obesity prevention and management throughout life, including
during the preconceptual period, pregnancy, lactation, infancy,
childhood, adolescence, middle-age, and the older adult years.
Emphasis on evidence-based strategies for the general public and
health practitioners to improve nutrition and prevent and manage
obesity. |
Course Objectives: | Objectives are to:
1) understand the role of energy intake, macronutrients, and
micronutrients in obesity prevention and management throughout
life, including during the preconceptual period, pregnancy,
lactation, childhood, adolescence, middle-age, and the older
adult years; and
2) identify practical and evidence-based ways for the general
public and health practitioners to prevent and manage obesity
safely and effectively in a variety of settings. |
Topical Outline: | Current:
1) Demographics of obesity
a) Assessment of overweight and obesity
b) Time trends for prevalence of overweight and obesity
across the lifespan
c) Time trends for changes in food and energy intake and
obesity prevalence
2) Theories of the regulation of energy intake and expenditure
a) Calorie balance, energy intake, and energy expenditure
b) Macronutrients in body weight regulation
c) Micronutrients in body weight regulation
d) Diet-related satiety factors (macronutrient distribution,
volumetrics, energy density)
e) Factors affecting food choice
3) Risk factors and consequences of obesity during
a) Pre-pregnancy, pregnancy, lactation
b) Infancy, childhood, adolescence
c) Adulthood
d) Older adult years
4) Prevention and management of obesity – policy, environmental,
and community factors that influence food and energy intake
a) Dietary Guidelines for Americans (DHHS, USDA), front-of-
package nutrition rating systems (IOM), food marketing and the
diets of children and youth (IOM), food and nutrition
assistance programs (Women Infant and Children, Food
Stamps/Supplemental Nutrition Assistance Programs, USDA)
b) Food and nutrition labeling, nutrition social marketing
c) Food and beverage environments (food stores, fast food,
restaurants, food deserts, food advertising)
d) School food and nutrition (e.g., school breakfast, school
lunch, school gardens, locally grown initiatives)
e) Day care and pre-schools
f) Work environments
g) Healthcare systems
h) Community-based programs for older adults (e.g., Senior
Centers)
i) Integrating nutrition and physical activity into
community-based prevention programs
5) Management of obesity – individual factors related to food
and energy intake
a) Factors affecting weight loss success (National Weight
Control Registry)
b) Bariatric surgery
c) Pharmacology (diet “pills,” prescription and non-
prescription)
d) Dietary modification (meal patterns and portion control,
use of meal replacements (e.g., Slimfast), macronutrient
distribution)
e) Theories of behavior management
f) Strategies used to promote behavior change (e.g., goal
setting, motivational interviewing)
g) Role of dietitian and other health practitioners in
obesity management and weight loss counseling
6) Obesity prevention and management strategies throughout life
a) Health belief theories
b) Nutrition assessment (food intake, energy intake, body
weight, BMI)
c) Practical and evidence-based ways for individuals,
families, schools, worksites, and communities to control
energy intake and improve energy expenditure
d) Examples of successful programs across the lifespan (pre-
pregnancy, pregnancy, lactation, infancy, childhood and
adolescence, adulthood, older adults) |