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NASM Weight Loss Specialist Exam with Questions and Answers Scope of Practice ANSWERV ¥ The actions that a professional is permitted to undertake in keeping with the terms of their license or certification. Continuum of care ANSWERV ¥ An integrated model of care that provides guidance, aid, and healthcare management to individuals through different stages of life and at various levels of intensity. Weight stigma ANSWERV ¥ Discrimination or bias based on an individual's weight; can be overt, or covert, and may be reflected in behavior, communication, the media, and literature. Coaching ANSWERV V A process that aims to improve an individual's state and/or performance by helping them learn and engage in self-advancement and self-improvement; Guides individuals to self-improvement through learning. Title Protection ANS WERV ¥ State protection of a title, such as Certified or Licensed Nutritionist. Under title protection, a state certification or license is required to use the title of Certified/License Nutritionist. Practice Exclusivity ANSWERY ¥ The requirement for a stale license Lo practice a profession, such as nutrition and dietetics. Some states in the US require a practitioner to have a state license in order to provide medical nutrition therapy (MNT), and, in some cases, any form of nutrition counseling. Energy Balance ANSWERY ¥ The difference in an individuals energy intake (input) and energy expenditure (output). Prediabetes ANSWERV V A consistent elevated measure of either HbA1C, fasting blood glucose, or response to an oral glucose tolerance test, but not high enough to be diagnosed at diabetes. Health Insurance Portability and Accountability Act (HIPAA) ANSWERV V A regulation passed in 1996 that established standards to protect the privacy and security of certain health information of individuals, health information that is shared or transmitted in electronic form. Body Mass Index (BMI) ANSWERV V A measure of body weight relative to height which is used to estimate the risks of obesity. Weight Loss Plateau ANSWERV ¥ A period during a dicting phase which no further weight loss is seen. Typically seen to occur approximately 6 months into a weight loss program. Which of the following statements best describes the role of a WLS in a fitness setting? a. The WLS is an fitness professional who specializes in screening individuals who would benefit from weight loss and assisting them with achieving thcir goals. b. The WLS is a fitness specialist and dictitian to clients seeking weight loss. c. The WLS is a fitness specialist and a coach to clients who are seeking significant weight loss. d. The WLS is certified personal trainer who helps clients at the gym lose weight through exercise. ANSWERV V The WLS is a fitness specialist and a coach to clients who are seeking significant weight loss. Obesity ANSWERV V A complex disease involving an excessive amount of body fat: classified by a body mass index of 30 or greater. Prevalence ANSWERV V A statistical concept referring to the number of cases of a disease that are present in a particular population at a given time. Epidemiology ANSWERV ¥ The branch of medicine which deals with incidence, distribution, and possible control of diseases and other factors relating to health. Quantitative clinical measurements ANS WERY ¥ Clinical measurements that can provide quantifiable data on obesity, such as BMI or body composition testing. Waist-to-Ileight Ratio (WIItR) ANSWERV ¥ Calculated by dividing a client's waist circumference by their height, the WHER is a ratio used to gain insight to obesity-related risk associated with abdominal obesity. Obesity Status ANSWERV V The amount of obeses tissue an individual has. Non-common obesity ANSWERV ¥ Obesity arising from an underlying medical and/or genctic condition that causes obesity. Some examples of this include obesity duc to Prader- Willi syndrome, leptin deficiency, or severe hypothyroidism. Common Obesity ANSWERV V Obesity arising from environmental and lifestyle causes or from non-genetic components or not from other underlying medical conditions. Prader-Willi Syndrome ANSWERV ¥ A genetic disorder that causes obesity, intellectual disability, and shortness in height. Leptin deficiency ANSWERV ¥ A condition that causes obesity in infants where they experience excess hunger which leads to overeating. Hypothyroidism ANSWERV V Low aelivity of the thyroid gland that can disrupt heart rate, body temperature, and metabolism. Monogenic ANSWERY ¥ Involving or controlled by a single gene. Polygenic ANSWERY V Involving many genes or controlled by interactions of many genes. At what BMI is an individual classified as Severely Obese? 35 to 40 40 and above 30 to 35 25 to 30 ANSWERV V 35-40 The rates of youth obesity have increased how much since the 1970s? 4-fold 2-fold 10-fold They have not increased. ANSWERV ¥V 4-fold What disease has a 250% higher risk of occurring among people with obesity? Diabetes Cancer Alzheimer's Heart disease ANSWERV V Diabetes ‘Those who carry the risky FTO allele likely have this much higher BMI than someone without it? 04 0 15 5 ANSWERVV 0.4 How has leisure time physical activity changed among U.S. adults since 2004? Increased 9% Decreased 9% Increased 25% Decreased 25% ANSWERY ¥ Increased 9% Anti-depressants are used among what percent of U.S. individuals aged 12 or older? 0.13 0.05 0.09 0.2 ANSWERV ¥ 0.13 What is the body fat percentage range for female athletes? 14 to 20% 10 to 13% 21 to 24% 32% or higher ANSWERV V 14 to 20% By 2030, what percentage of the global adult population will have obesity? 0.2 0.05 0.15 0.3 ANSWERV ¥ 0.2 The rates of youth obesity have increased how much since the 1970s? 4-fold 2-fold 10-fold They have not increased. ANSWERV V 4-fold BMI may miss what percent of people who are considered medically overfat when their BMI is below 30? About 50% About 20% About 30% About 75% ANSWERY ¥ About 50% Visceral Fat ANSWERYV ¥ Fat that accumulates around internal organs. Bone Marrow ANSWER ¥ Bone marrow is a spongy, fatty substance in the cavities of bones where white blood cells, red blood cells, and platelets are produced. 
