Controlling appetite, perceived hunger, and energy intake are important factors in weight management. This narrative review examines the effect of different forms, intensities and duration of exercise on the appetite-regulating hormones leptin, acylated ghrelin, glucagon like peptide-1 (GLP-1) and peptide tyrosine tyrosine3-36 (PYY3-36), perceptions of hunger, and energy intake in overweight/obese, and normal weight populations. The studies reviewed compared exercise intensities- low, moderate, and high intensity, and modes of exercise- aerobic and resistance training. The studies selected in this narrative review included participants that ranged in age from 13-57 years old, male and female, previously sedentary and physically active, and normal weight and overweight/obese individuals- defined by body mass index standards (BMI). The primary benefits of exercise on appetite regulation are seen with moderate to high-intensity aerobic exercise; with the most notable relative energy deficit resulting from an exercise bout (at any intensity) that expends the most energy. Further research is warranted to determine if there exists a tendency to overcompensate for energy expended during exercise in certain populations.
Aim An increase in the number of obesity cases is a complex challenge for the local health care systems and the specialists who work there. Nurse's tasks understood as preparing a patient for starting his or her treatment and providing support during therapy require developing proper competences which take into account the needs of patients. Material and methods In the national study, we have asked 621 patients with obesity (BMI>30) about their experience and expectations in their relations with the employees of medical institutions. The study was conducted with the use of the CAWI method, based on an original, self-prepared survey questionnaire. Results 70 per cent of the patients who have responded to our survey declared they were ready to begin obesity treatment. Only 19 per cent of them had spoken to a nurse or a midwife about obesity but as many as 51 per cent reported inappropriate behaviour on their part. Conclusions Most of the participants of our study have declared their will to start obesity treatment. However, due to previous failures to reduce body mass, they require a proper support from medical staff. Nurses should initiate dialogue concerning a patient's obesity, focus on providing information concerning various diagnostic or therapeutic methods. The training in communication with a patient who suffers from obesity should include anti-discrimination education.
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