screening


dietary, 103b, 105 for eating disorders, 304, 305f in monthly assessments, 306b–307b preoperative, in bariatric surgery, 92, 303 for obesity, 85, 166, 253 health insurance coverage for, 348 for obstructive sleep apnea, 87 for safety in physical activity, 118


sedentary behavior assessment of, 116–139 activity factor in, 99 in behavioral health assessment, 153 on circadian timing, 138 on duration, 138 metabolic equivalents in, 116, 117, 124, 136 sociocultural factors in, 132–136 variables in, 116, 117b in weight loss trials, 136–139 definition of, 198 guidelines on, 195, 196b, 197b, 204 health consequences of, 200, 202, 203 reducing time of, 206, 206b, 209 selective daily mobility bias, 131–132 self-directed dieting, 64, 292–293 popular diets and weight loss products in, 188–190, 189b and risk for eating disorders, 292–293, 308b


self-esteem, internalization of weight stigma affecting, 46, 48 self-management in Chronic Care Model, 279, 280b self-monitoring, 276 in cognitive-behavioral therapy, 221–222, 225 in Diabetes Prevention Program, 169–170 in dietary restraint, 293–294 and eating disorders, 298–299, 308b of physical activity, 206, 308b, 321 technology in, 317, 319, 321, 326 with apps, 322, 325 with smart scales, 321–322


self-perception theory in motivational interviewing, 232 self-regulation in dietary restraint, 293–294 in technology use, 317


self-reports in behavioral health assessment, 146–160 on diet, 102b–103b, 102–105 accuracy of, 9, 104 social desirability bias in, 102b


on physical activity, 99, 119–122, 127f accuracy of, 99, 119, 128, 130 and activity spaces, 129, 130, 132 questionnaires in, 119, 120t, 127f, 135 and sedentary behavior, 137 social desirability bias in, 119, 120t, 130 prevalence of obesity in, 16


semaglutide, 31, 256t, 260 sensory abnormalities, physical examination in, 88 service line models, 342 set point in body weight, 4, 271 severe obesity. See class 3 obesity shared decision-making, 63, 67–76 alignment of preferences and treatment in, 69–70


388 INDEX


case study on, 73b–74b components of, 69 decision aids in, 70, 73b lack of, as barrier to care, 359, 360b steps in, 70–71, 71b


shared medical appointments, 342, 361b Short Form Health Survey, 151, 158t Short Message Service (SMS), 318, 319, 320, 323, 326, 327b SilverSneakers program, 211b single anastomosis duodeno-ileal switch, 261, 263t skin examination, 88 skinfold thickness, 89 sleep


apnea in, obstructive. See obstructive sleep apnea assessment of, 106b, 146 polysomnography in, 89 questionnaires in, 152–153, 154, 159t and eating behaviors, 146, 152 and obesity risk, 85


sleeve gastrectomy, 31, 261, 261f, 262t smartphones. See cell phones/smartphones smart scales, 321–322 smoking and tobacco use assessment of, 92, 106b, 152, 158t in bariatric surgery, 92, 264b, 266, 266b


snacks between meals, 83, 146, 149 SNAP-Ed physical activity programs, 211b social and cultural factors. See sociocultural factors social cognitive theory, 221, 223 social desirability bias, 102b, 119, 120t, 130 social determinants of health, 27–30 assessment of, 34–35, 37, 84–85 built environment in, 27, 30, 34–35 racism in, 27–28


socioeconomic status in, 27, 28–29, 47 weight bias and stigma in, 47


social history, 84–85, 111b social justice, in Health at Every Size approach, 238 social media, 45, 327b social support


in cognitive-behavioral therapy, 223 in Health at Every Size, 241, 242 in interprofessional team approach, 338


sociocultural factors, 12–13, 27–30, 190 in behavioral health assessment, 155, 159 in body ideals, 27, 35, 51, 53, 109 in food choices, 105, 106b, 107, 108–109, 111, 155, 190 in food security, 29–30, 98, 105, 107 in physical activity, 12, 116, 132–136, 139, 155 in prevalence of obesity, 16 and rejection of diet culture, 240–241 sensitivity to, in treatment interventions, 32–33, 245 socioeconomic status, 27, 28–30 and food choices, 155 in nutrition-focused physical examination, 111b and prevalence of obesity, 29, 80–81 social history on, 85


weight bias and stigma affecting, 47


sodium in hyperpalatable foods, 273, 274b standards of practice and professional performance, 336–337 state employee health plans, 346, 348


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