Page 42 - Petelin, Ana, Nejc Šarabon, Boštjan Žvanut, eds. 2017. Zdravje delovno aktivne populacije ▪︎ Health of the Working-Age Population. Proceedings. Koper: Založba Univerze na Primorskem/University of Primorska Press
P. 42
avje delovno aktivne populacije | health of the working-age population 40 In 2010, overweight and obesity were estimated to cause 3.4 million deaths
and 3.9% of year of life lost. Globally, between 1980 and 2013 the propor-
tion of adults with a body mass index (BMI) greater of 25 increased (Ng et
al., 2014). Because of its widely known health risks, obesity has become a major
global health challenge, and has led to widespread calls for regular monitoring
of nutritional support and more effective intervention (Dansinger et al., 2007).
The role of a dietitian is to obtain information from the patient, which
will be essential to offer the appropriate nutritional support (National Insti-
tute of Health et al., 2000). During the nutritional counselling, it is important
to collect anthropometric data, and to identify in a direct or indirect interview
the clinical and psychological status of the patient (Gibson, 2005). The skills of
dietitians are shown in their capacity of obtaining the required information,
but mostly in giving returned information suitable for the patient in the way
that nutritional assessment will be even more successful (Lacey and Pritchett,
2003).
The establishment and implementation of a standardised nutrition care
process and model were identified as a priority in meeting goals, and in having
predictability of nutritional assessment (Lacey and Pritchett, 2003). The aver-
age effect of dietary counselling on weight changes in adults over time suggests
a change of approximatly 2 BMI units over 12 months (Dansinger et al., 2007),
while in combination with physical activity the same results are reached after
6 months (Marion et al., 2007). However, nutritional assessment is not always
succesful, and why some people succeed at adopting and sustaining behaviors
associated with weight control, while others, undergoing similar treatment, do
not, remains unknown. Personal factors probably play a very important role in
determing success rate (Teixeira et al., 2004).
In a descriprive analysis researching the weight loss experience in cor-
relation with health, Jeffery et al. (2004) found out how people so often fail in
mantaining behaviours associated with weight loss (e.g. health nutrition, reg-
ular physical activity), because they do not find them worth trying. Indeed,
some researches have not come to the conclusion of a correlation between mo-
tivation and succesful weight loss. This is highlighted by the fact that even 60%
of people who start nutritional assessment do not even finish the process. This
shows how motivation is not the only factor which contributes to cost benefit
evalutations with respect to weight loss (Jeffery et al., 2004).
The literature shows many different factors which may have influence on
the weight loss process and on the health status of the patient, but it does not
define the strength of the influence of every singolar factor. There are different
combinations of these factors, and this is the reason why it is not known which
one has more relevance on a succesful or unsuccesful outcome of the nutrition-
al assessment.
and 3.9% of year of life lost. Globally, between 1980 and 2013 the propor-
tion of adults with a body mass index (BMI) greater of 25 increased (Ng et
al., 2014). Because of its widely known health risks, obesity has become a major
global health challenge, and has led to widespread calls for regular monitoring
of nutritional support and more effective intervention (Dansinger et al., 2007).
The role of a dietitian is to obtain information from the patient, which
will be essential to offer the appropriate nutritional support (National Insti-
tute of Health et al., 2000). During the nutritional counselling, it is important
to collect anthropometric data, and to identify in a direct or indirect interview
the clinical and psychological status of the patient (Gibson, 2005). The skills of
dietitians are shown in their capacity of obtaining the required information,
but mostly in giving returned information suitable for the patient in the way
that nutritional assessment will be even more successful (Lacey and Pritchett,
2003).
The establishment and implementation of a standardised nutrition care
process and model were identified as a priority in meeting goals, and in having
predictability of nutritional assessment (Lacey and Pritchett, 2003). The aver-
age effect of dietary counselling on weight changes in adults over time suggests
a change of approximatly 2 BMI units over 12 months (Dansinger et al., 2007),
while in combination with physical activity the same results are reached after
6 months (Marion et al., 2007). However, nutritional assessment is not always
succesful, and why some people succeed at adopting and sustaining behaviors
associated with weight control, while others, undergoing similar treatment, do
not, remains unknown. Personal factors probably play a very important role in
determing success rate (Teixeira et al., 2004).
In a descriprive analysis researching the weight loss experience in cor-
relation with health, Jeffery et al. (2004) found out how people so often fail in
mantaining behaviours associated with weight loss (e.g. health nutrition, reg-
ular physical activity), because they do not find them worth trying. Indeed,
some researches have not come to the conclusion of a correlation between mo-
tivation and succesful weight loss. This is highlighted by the fact that even 60%
of people who start nutritional assessment do not even finish the process. This
shows how motivation is not the only factor which contributes to cost benefit
evalutations with respect to weight loss (Jeffery et al., 2004).
The literature shows many different factors which may have influence on
the weight loss process and on the health status of the patient, but it does not
define the strength of the influence of every singolar factor. There are different
combinations of these factors, and this is the reason why it is not known which
one has more relevance on a succesful or unsuccesful outcome of the nutrition-
al assessment.
