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		 EXSC 201  Exercise, Nutrition, & Weight Control

Professor:     Wayne C. Miller, Ph.D.
Office:   Building K, Room 106
Office Hrs:    Monday 10-12 a.m., Tuesday 2-4 p.m., Wednesday 4-6 p.m. 
Phone:    994-2952  e-mail:   

Course Description:

     A variety of contemporary issues related to obesity are studied.  Topics may include obesity
and health risks, factors promoting fat deposition and metabolism, traditional vs non-traditional
weight-loss programs, and adherence to weight-loss programs.  Recommendations for developing
a comprehensive weight management program are proposed.


Topical Outline:

     1.   Body Composition vs. Body Weight
     2.   Methods to determine Body Composition
     3.   Obesity and Health Risks
     4.   Factors Promoting Body Fat Deposition
               a. Nutritional Factors
                    1. Diet Composition
                    2. Excess Energy Intake
                    3. Eating Behaviors
               b. Metabolic Factors
                    1. Metabolic Rate
                    2. Genetics
                    3. Lifestyle
                    4. Energy Balance
     5    Factors Promoting Body Fat Metabolism
                    1. Metabolic Rate
                    2. Exercise
                    3. Diet Composition
                    4. Reduced Energy Intake
     6.   Traditional Weight Loss-Programs
     7.   Non-Traditional Weight-Loss Programs
     8.   Compliance and Adherence to Weight-Management Programs


Course Overview:

     This is a graduate course on obesity and body composition.  The focus of the courses is upon
the factors that regulate fat deposition and metabolism in the body.  We will investigate how exercise,
diet composition, caloric content, and eating behavior, and genetics affect body fat stores.  We will
survey different approaches to weight management and evaluate their effectiveness.  In addition, we
will evaluate the scientific research relative to body composition determination and weight
management.
     There is no required text for the course, although many supplementary texts are available. 
The research literature as well as popular literature will provide the basis for our class discussions.


Evaluation Procedure:

     Each student will be required to do a research paper as well as a research presentation.  The
research paper will be to investigate a problem in the area of obesity and design an experiment to
answer a research question.  This term paper will include a review of the literature surrounding the
question with the appropriate methodology to answer the question.
     The research presentation will be an oral presentation of a research article in the area of
obesity and body composition.  The specific paper will be assigned.  Each student will present one
research article in class as if he/she were the author.  This means he/she presents the research as if it
were his /her own; justifying the need, explaining the methods, presenting the results, and discussing
the findings.  The remainder of the class will critique the work while the "author" defends it. 
Therefore you must be familiar with the research you present along with current related literature.


Grading Breakdown:                           % of total grade

     Research Project ..................     20
     Research Presentation ..........   10
     Midterm ............................... 35
     Final ..................................... 35


Final:    The final will be held on the University scheduled final examination date.  Tentative schedule
          is Wednesday, December 13th, 6:00 p.m. to 8:00 p.m.  


Textbooks and Supplementary Material:

1.   A Balanced Diet?  (1988), Dobbing, J. Springer-Verlag, New York, New York.
2.   Obesity and Weight Control:  The Health Professionals Guide to Understanding and
     Treatment.  (1988), Frankle, R.T. and Yang, M.  Aspen Publishers, Inc., Rockville, Maryland.
3.   The Non-Diet Diet:  A Simple 100-Point Scoring System for Weight Loss Without Counting
     Calories.  (1991), Miller, W.C.  Morton Publishing Company, Englewood, Colorado.
4.   Selected Readings in Obesity and Body Composition.  Miller, W.C.
5.   Healthy Weight Journal.  Healthy Living Institute, Hettinger, North Dakota.
6.   International Journal of Obesity     Library.
7.   American Journal of Clinical Nutrition     Library.  

         EXSC 201 Exercise, Nutrition, & Weight Control


   Date           Article or Topic                                  Presenter     
   8/30   Introduction, Brozek - Hydrostatic Weighing, Body 
wk 1      Composition Techniques, Bray - Pathophysiology of 
          Obesity, Health Risks, Prevalence, Economic Costs Miller

   9/6         Ravussin - 24-h Energy Expenditure and RMR        Miller
wk 2      Prentice - High levels of EE in obese women       Miller
          Ravussin - Reduced rate of EE as a Risk Factor         Miller
          Foster - Resting EE, body composition, & excess wt.    Miller
          Mol‚ - Exercise reverses depressed metabolic rate Miller

   9/13   Oscai - Effect of dietary fat on food intake, growth   Miller
wk 3      Oscai - Effect of dietary sugar and of dietary fat          Miller
          Miller - Diet composition, energy intake, and exercise Miller
          Miller - Dietary fat, sugar, and fiber predict body fat     Miller

   9/20   Blackburn - Weight cycling: the experience of human    Ron
wk 4      Jebb - Effects of weight cycling caused by intermittent     Stacia
          Jeffery - Weight cycling and cardiovascular risk       Amy H.
          Rumpler - Energy-intake restriction and diet-          John
          Fricker - Energy-metabolism adaptation in obese   Amy S.

   9/27   Epstein - Aerobic exercise and weight             Jacci
wk 5      Pavlou - Exercise as an adjunct to weight loss and     Abby
          Andersson - The effects of exercise training on body   Matt
          Tremblay - Effect of intensity of physical activity         Art
          Klesges - A longitudinal analysis of the impact        Candice
          Miller - Predicting max HR and the HR VO2         Donna

   10/4   Donato - Efficiency of utilization of various sources  J.J.
wk 6      Flatt - Effects of Dietary fat on postprandial substrate    Patti
          Kendall - Weight loss on a low-fat diet:               Harriet
          Sheppard - Weight loss in women participating in  Judy
          Prewitt - Changes in body weight, body composition,    Kirsten
          Schlundt - Randomized evaluation of a low fat ad lib   Hilary

   10/11  Catch up and review 
wk 7
   10/18  MIDTERM 
wk 8


   10/25  Miller - Weight loss perceptions, characteristics,     Mike
wk 9      Bj”rvell - Long-term effects of commonly available     Jolie
          Van Dale - Weight maintenance and resting         Laura
          Kayman - Maintenance and relapse after weight          Wynne
          NIH - Methods for voluntary weight loss and       Miller
          Miller - 25 year Meta-analytical review           Miller 

   11/1   Miller - Successful weight loss in a self-taught,           Cassandra
wk 10          Miller - Cardiovascular risk reduction in a self-taught     Miller
          Burros - Diet game, where changes of winning      Miller
          Tufts University Newsletter - Program Evaluations      Miller 
          Miller - Role of diet and exercise in weight mgmt.     Miller 


   11/8   Miller - A thin man in a fat society              Miller
wk 11          Fat Chance - Video                           Zakowich 


  11/15   Extended Class:  6:10 - 10:00 p.m.      (Thanksgiving Make-up)
wk 12          Stunkard - Psychological aspects of severe obesity     Miller
          Miller - Psychology of Weight Control - Slides         Miller 
          Weight Loss Therapy Practicum                     XXXXX

   11/22  No Class!!! Thanksgiving Holiday
wk 13

   11/29  Term Papers Due  
wk 14     Weight Loss Therapy Practicum                     XXXXX
          Oprah's Weight Control Struggle - Video           Oprah

   12/6   The Perfect Fit - Video                      CNN Special 
wk 15          ABC News - Hunger Inside - Video             XXXXX

   6/13   FINAL - 6:00 p.m. to 8:00 p.m. 
wk 16