6.1 Consequences of obesity

Question 1

What are the criteria of metabolic syndrome?

Answer 1

3 out of 5

1. Elevated waist circumference
2. Elevated triglycerides
3. Low HDL cholesterol
4. Elevated BP
5. Elevated fasting blood glucose

Question 2

What are the associated clinical syndromes with metabolic syndrome?

Answer 2

Type 2 diabetes and gestation 
Essential hypertension 
CV disease 
PCOS 
NAFLD 
Gout 
Musculo-skeletal 
OSA 
GORD 
Cholelithiasis 
Skin infections 
Cancer

Question 3

What are the features of metabolic syndrome?

Answer 3

Obesity (central and visceral) 
Insulin resistance with compensatory hyperinsulinaemia 
Glucose intolerance 
Dyslipidaemia 
Hypertension 
Hyperuricaemia 
Elevated inflammatory markers 
Coagulation defects 
Microalbuminuria 
Low adiponectin

Question 4

What are some barriers to increased activity in obese people?

Answer 4

Clothes - hard to get and expensive
Attitudes - in gyms pools and on the street
Some movements and activities are harder and unsafe

Question 5

What can help people lose weight?

Answer 5

Structured support
Reasonable goal setting around exercise or choice making
iPhone apps
ACT health chronic disease health coaching line
Exercise physiologists