Dynamic Energy Balance: An Integrated Framework for Discussing Diet and Physical Activity in Obesity Prevention-Is it More than Eating Less and Exercising More?

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obesity 1012 activity (PA) on body weight, will enable nutrition educators to be more effective in implementing obesity prevention education. Although most educators recognize that diet and PA are important for weight management,
obesity 1674 its synergistic role with diet, and the value of incorporating a dynamic energy balance approach into obesity -prevention programs. Five key points are highlighted: (1) the concept of dynamic vs. static energy balance;
obesity 1961 regulation; (4) the concept of energy flux; and (5) the integration of dynamic energy balance into obesity prevention programs. The rationale for the importance of understanding the physiological relationship
obesity 2105 for the importance of understanding the physiological relationship between PA and diet for effective obesity prevention programming is also reviewed.1. IntroductionBody composition and weight are the sum of numerous
obesity 2658 interrelated, complementary, and synergistic [[1]]. The role of diet and PA for weight management and obesity prevention is not as simple as ‘eating less’ or ‘exercising more’. Weight management is no longer
obesity 3165 research to the contrary [[7]], it is frequently stated that PA does not promote weight loss since obesity has increased while PA has remained constant in the United States [[8]]. Still others debate whether
obesity 3274 has increased while PA has remained constant in the United States [[8]]. Still others debate whether obesity is “due to lack of exercise” or ‘low energy flux’ [[9]] or due to a ‘bad diet’ [[8]]. Malhotra
obesity 3429 energy flux’ [[9]] or due to a ‘bad diet’ [[8]]. Malhotra et al. [[8]] clearly lays the blame for obesity on the ‘junk food industry’s public relations machinery’ and states that one ‘cannot outrun
obesity 3745 the message that only one side of the energy balance equation is important for weight management and obesity prevention. Thus, it is imperative that nutrition educators understand and utilize a dynamic energy
obesity 5830 health, which increases an individual’s ability to maintain an active lifestyle and reduces the risk of obesity and chronic disease [[7],[32]].This paper reviews key concepts nutrition educators need to know about
obesity 6012 educators need to know about how PA or exercise impact dynamic energy balance, weight management and obesity prevention, appetite regulation, energy flux, and overall health. It also provides examples of how nutrition
obesity 6185 It also provides examples of how nutrition educators can practically integrate these concepts into obesity prevention programming or discussions of weight management.2. Dynamic vs. Static Energy BalanceCurrently,
obesity 10217 variety of ways. Below are key ways PA and exercise can help with weight management and prevention of obesity . An understanding of these factors are important when educating clients and the general public about
obesity 27803 ProgramsUnderstanding the integrated roles that both diet and PA play in effective weight management and obesity prevention underpins development of the skills required by nutrition educators to integrate this knowledge
obesity 28100 integrating and applying the importance of dynamic energy balance in educational programing that addresses obesity prevention. Diet and PA are both important for effective obesity prevention. Action: Incorporate both
obesity 28165 educational programing that addresses obesity prevention. Diet and PA are both important for effective obesity prevention. Action: Incorporate both into obesity prevention programs.Energy balance is a dynamic process
obesity 28215 prevention. Diet and PA are both important for effective obesity prevention. Action: Incorporate both into obesity prevention programs.Energy balance is a dynamic process that is constantly changing depending on numerous
obesity 28693 body composition (i.e., lower body fat mass). Action: Incorporate the key points in section 3.0 to obesity prevention programing. Provide examples to help illustrate how PA works to help manage weight and improve
obesity 29875 program that helps an individual attain a higher level of energy flux. An effective way to prevent obesity is to maintain a higher level of PA.Dynamic energy balance tools can help nutrition educators understand
obesity 30802 diet and PA play in weight management is important for the development and implementation of effective obesity prevention programs. If obesity prevention efforts only focus on diet and nutrition, or place a limited
obesity 30834 management is important for the development and implementation of effective obesity prevention programs. If obesity prevention efforts only focus on diet and nutrition, or place a limited emphasis on PA, these efforts
obesity 31778 must be done in combination with healthy dietary approaches to achieve effective weight management and obesity prevention.Figure 1Graphic depiction of the differences between the classic ‘static or linear’ and
obesity 35115 2Table 2Diet and physical activity (PA) resources designed for nutrition educators to use in their obesity prevention programs or to recommend to consumers to improve diet and PA.Program Name/ResourceWeb LinkPresident’s
obesity 35687 Platehttps://www.choosemyplate.gov/tools-supertrackerCenters for Disease Control & Prevention—Strategies to Prevent Obesityhttps://www.cdc.gov/ obesity /strategies/index.htmlSNAP-Education Toolkit. Obesity Prevention Interventions & Evaluation Framework
obesity 36348 Heath Care Guidelines. Obesity in Childrenhttp://canadiantaskforce.ca/guidelines/published-guidelines/ obesity -in-children/Canadian Task Force on Prevention Heath Care Guidelines. Obesity in Adultshttp://canadiantaskforce.ca/guidelines/published-guidelines/obesity-in-adults/World
obesity 36502 Heath Care Guidelines. Obesity in Adultshttp://canadiantaskforce.ca/guidelines/published-guidelines/ obesity -in-adults/World Health Organization. Obesity: Prevention and managing the global epidemicwww.who.int/nutrition/publications/obesity/WHO_TRS_894/en
obesity 36634 Organization. Obesity: Prevention and managing the global epidemicwww.who.int/nutrition/publications/ obesity /WHO_TRS_894/en
osteoporosis 17135 fractures that are particularly important for older adults and people who have been diagnosed with osteoporosis [[59]].3.4. Effect of Physical Activity and Energy Restriction on Metabolic RateRegardless of the lifestyle

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