An adolescent with a BMI of 28 asks the school nurse for help in losing weight. Which approach should the nurse recommend for the client to reach a negative energy balance and weight loss?
a. Eating only fruits and vegetables
b. Reducing food portions to one-half of normal and exercising daily
c. Drinking only liquid dietary supplements for one month to change her metabolic rate
d. Decreasing calorie intake and increasing physical activity to promote a slow weight loss
d. Decreasing calorie intake and increasing physical activity to promote a slow weight loss
Creating negative energy expenditure by decreasing the number of calories consumed daily and increasing physical activity has been shown to be the most effective way to achieve long-term success with weight loss. Radial decreases in food intake produces a negative energy expenditure, but at the cost of adequate nutrition. Reducing food portions by one-half may be an extreme cut unless previous portions are massive. The best diet is one balanced to provide all the nutritional requirements of the body.
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