Casus afvallen
37-jarige vrouw 15 kg overgewicht. BMI=29.4 In verleden lukte het een keer om flink af te vallen, zij het met een consequent dieet. Nu wil ze het weer proberen Heeft gelezen dat extra beweging helpt Laatste jaren niet aan sport gedaan
Bewegingsarmoede als energiecrisis 250 kcal minder per dag
6 kg meer per jaar
180 kg in 30 jaar
Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
>20%
Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
>20%
Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
>20%
Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
>20%
Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
20%–24%
>25%
Obesity Trends* Among U.S. Adults BRFSS, 2002 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)
No Data
<10%
10%–14%
15%–19%
20%–24%
Source: Behavioral Risk Factor Surveillance System, CDC
>25%
Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
≥25%
Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
> 25%
Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2008 (*BMI ≥30, or about 30 lbs. overweight for 5’4” person) 1999
1990
2008
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Sporten en afvallen Met alleen sporten vliegen de kilo’s er niet af. Voordeel van sporten is toename van de ruststofwisseling en voorkomen van jojo-en. produkt 1 glas frisdrank 1 glas bier 1 mars 1 frikadel 1 saucijzenbroodje 1 gevulde koek 1 snee brood 1 plak Goudse kaas 48+
aantal kcal duur van de sportactiviteit 55 10 min wandelen (5 km/uur) 80 10 min fietsen (18 km/uur) 240 15 min hardlopen (12 km/uur) 210 20 min zwemmen (50 m/min) 310 30 min zwemmen (50 m/min) 260 30 min fietsen (18 km/uur) 85 5 min hardlopen (12 km/uur) 75 15 min wandelen (5 km/uur)
Meten van overgewicht • Quetelet-Index (=BMI) 18.5-25 gezond 25-30
overgewicht
30-40
obesitas
> 40
ernstige obesitas
• Huidplooimetingen
Bloeddrukdaling door dynamische duurtraining normotensie
borderline
hypertensie
systolisch
3 mmHg
6 mmHg
11 mmHg
diastolisch
3 mmHg
7 mmHg
8 mmHg
Meta-analyse 36 gecontroleerde interventie-studies Fagard, J Cardiovasc Pharmacol 1995.
Sportadvies voor conditieverbetering en afvallen Frequentie
≥ 2 maal per week
Intensiteit
onder omslagpunt (85% Hfmax) = nog kunnen praten grove schatting Hfmax = 220-leeftijd
Tijdsduur
minimaal 30 minuten per keer
Type sport
low impact, dynamisch
fit en geen tijd
hardlopen
fit en veel tijd
fietsen
niet fit en veel tijd
stevig wandelen, fietsen, nordic walking
"Every morning in Africa a gazelle wakes up. It knows it must move faster than the lion or it will not survive. Every morning a lion wakes up and it knows it must move faster than the slowest gazelle or it will starve. It doesn't matter if you are the lion or the gazelle, when the sun comes up, you better be moving." Maurice Greene
