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GI and Nutrition > 2.2.2+3 Obesity Weight Loss Issues > Flashcards

2.2.2+3 Obesity Weight Loss Issues Flashcards

1
Q

What is the suggested intensity (how frequent) should the lifestyle interventions be?

A

At least 1-2 sessions per month (some may require 1/week)

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2
Q

What are some of the medical complications associated with obesity?

A

Nothing is spared

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3
Q

What are the BMI classifications?

A

Underweight: under 18.5

Normal: 18.5-24.9

Overweight: 25-29.9

Obese Class I: 30-34.9

Obese Class II: 35-39.9

Obese Class III: greater than 40

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4
Q

Classes are related to what?

A

Size of treatment effect

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5
Q
A
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6
Q

What are the different levels of evidence in evidence-based medicine?

A
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7
Q

What are the three portions of treatment length?

A

Weight loss (1st 6 months)

Weight loss maintenance (at least one year)

Regular contact with an interventionist (1 or 2 times/month)

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8
Q

How does being physically fit (aerobically) affect CVD risk?

A
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9
Q

What is represented by grade D?

A

Recommendation against: There is at least moderate certainty based on evidence that it has no net benefits or that risk/harms outweigh benefits

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10
Q

Is portion control vital in weight management?

A

DUH! The bigger portion put in front of us, the more people will eat

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11
Q

How did weight change in women/men who did only exercise to help lose weight?

A

Men: significant weight loss

Women: Did not lose significant weight

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12
Q

What is the best dietary aspect to cut in order to drop caloric intake?

A

Fat

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13
Q

B/t smart phone app, website, and diary, which showed the most retention?

A

Smart phone app

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14
Q

How does CV Dz mortality change based on the different weight categories: normal, overweight, obese?

A
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15
Q

What is her number one recommendation for achieving weight loss?

A

Meal replacement

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16
Q

How does the risk of T2DM change with an increase in BMI?

A

Increases

17
Q

What are some of the barriers to talking about/addressing weight loss with patients?

A

Sensitive issue, time, training, resources, staff, reimbursement

18
Q

How much medical costs in the US is associated with obesity?

A

190 billion dollars (20%)

19
Q

What type of diet restriction is beneficial in weight loss?

A

Reduced caloric intake

20
Q

What is the relationship b/t weight gain in adulthood and the incidence of T2DM?

A
21
Q

What are some of the characteristics of the metabolic syndrome that lead to increased risk for CVD and diabetes?

A

abdominal obesity, glucose intolerance/insulin resistance, HTN, atherogenic dyslipidemia, proinflammatory state

22
Q

What effect, if any, did meal replacements have on maintaining weight loss?

A

Meal replacements have been shown to help sustain weight loss b/c it aids in the maintenance of calorie reduction

23
Q

For rural America, would a phone system be comparable to clinic in weight loss results?

A

KU did a study in which phone and clinic had exactly the same results for both 6 months and beyond

24
Q

When would a patient need to lose weight?

A

BMI > 30

OR

BMI > 25 with additional risk factors

25
Q

What is the main difference in weight loss b/t low carb and low fat diets?

A

Low carb diets tend to have higher weight loss over 6 months, but in the long term the weight loss tends to be quite similar

26
Q

What is the guide for selecting obesity treatment options?

A

*Never surgery before comprehensive lifestyle changes

27
Q

What are the two recommended weight loss goals?

A

Initial goal of 5-10% over 6 months

and

3-5% sustained weight loss

28
Q

What are some of the preferred terms when discussing weight?

A

Weight, BMI, weight problem, unhealthy body weight, unhealthy BMI, excess weight

29
Q

What are some of the less desired terms when discussing weight loss?

A

Overweight status, Heaviness, obesity, large size, excess fat, fatness

30
Q

Here are some tiny changes that have big effects

A
31
Q

What are the five A’s approach to obesity?

A
32
Q

What is one of the biggest flaws with internet-based weight loss programs?

A

Lack of engagement and connection

(VR reality seemed to increase engagment)

33
Q

Despite having the same BMI, having a larger waist circumfrence puts the patient at a greater risk for what?

A

Metabolic syndrome (increasing risk of CVD and all cause mortality)

34
Q

What are the 4 steps of identifying weight status?

A
  1. Height and weight, calculate BMI
  2. Indentify risk for CVD and other obesity related conditions
  3. Assess and treat CVD risk factors and obesity-related comorbidities
  4. Assess weight and lifestyle history
35
Q

What are the three factors that influence maintenance of weight loss?

A

Diet, exercise, and behavior modifications

36
Q

What is the strength of evidence for low glycemic index diets?

A

Low

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