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The Management Of Obesity
1. The Management of Obesity Celso M. Fidel MD,FPSGS,FPCS Diplomate Philippine Board of Surgery
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18. Nutritional and Metabolic Properties of the Common Macronutrients Properties Fat Protein Carbohydrate Alcohol Kcal/g 9 4 4 7 Energy density High Low Low Hjgh Nutrient-induced thermogenesis (percent of energy content) 2-3% 25-30 % 6-8% 15-20% Storage capacity High None Low None Autoregulation Poor Good Good Poor Ability to suppress hunger Low High High May stimulate hunger
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20. Nutritional and Metabolic Properties of the Common Macronutrients Properties Fat Protein Carbohydrate Alcohol Kcal/g 9 4 4 7 Energy density High Low Low Hjgh Nutrient-induced thermogenesis (percent of energy content) 2-3% 25-30 % 6-8% 15-20% Storage capacity High None Low None Autoregulation Poor Good Good Poor Ability to suppress hunger Low High High May stimulate hunger
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44. Guidelines Treatment of Overweight and Obese Patients BMI/m Kg/m2 Health Risk Risk with comorbidities Treatment <25 Minimal Low Healthy eating,exercise & lifestyle changes 25-26.9 Low Moderate 27-29.9 Moderate High All of the above plus low caloric diet 30-34.9 High Very High All of the above plus pharmacotherapy or very low 35-39.9 Very High Extremely High Caloric diet >40 Extremely High Extremely High All of the above plus Bariatric Surgery