8-25 Obesity Flashcards
1) Definition of Obesity?
2) How do you find the BMI
1) Obesity= BMI of 30 or more! [GRTR than 95 percentile for age and gender :-((( ]
2) BMI= Weight(kg) / height (m^2)
List the BMI ranges for the 4 Stages of Obesity [4]
*Stage 1 Obesity= 30-34.9
- *Stage 2Obesity = 35-39.9
- **Obese FLAt OuT= BMI is GReater than 40
****SUPER OBESE=BMI GREATER THAN 50!
Statistically, What are the Prevalence percentages for OBESITY in our country :-/ [4]
1) 70% Adults are overweight or obese
2) 35% Adults are OBesE
3) 17% of children are OBesE
4) 6% ADULTS ARE MORBIDLY OBESE!
What are the 6 theories of etiology for Obesity??
1- Energy intake exceeds energy expenditure (eating a lot more than what you’re actually burning up)
2-Dietary intake INC
3-PHysical activity DEC
4-Genetics (FTO gene/mutated MC4R)
5-Environment (epigenetics[physical vs. maternal/womb]
6-Medications(anti-psychotics, beta blockers, steroids)
What’s the newest theory of etiology for Obesity? [3]
New theory of Gut bacteria, social networking and viruses being the cause of Obesity
How many calories are in 1 lb. ?
3500 calories = 1 lb. !
What is the energy expenditure breakdown for normal people [3]
60-70% Resting expenditure/BMR
20-25% Physical activity
5-10% thermogenesis
Children with 1-Obese parent have ___% chance of developing Obesity themselves
Children with 1 Obese parent have 50% chance of developing Obesity themselves!
Children with BOTH PARENTS OBESE have ____% chance of developing it themselves
Children with TWO OBESE PARENTS have 85% chance of developing Obesity themselves!
BMI ranges for underweight vs. Normal Weight :-) vs. Overweight(almost obese)
A: underweight: less than 18.5 BMI
B: Normal Weight :-)) = [18.5 - 24.9] BMI
C: Overweight(almost obese): 25-29.9 BMI[85-95 percentile for age and gender]
List metabolic complications of having more “Fat” than normal..
Fat cells are active endocrine organs that secrete cytokines–>inflammation, dyslipidemia, HTN, Type2DM
1) What are some mechanical complications of “fat”
2) What type of appetite regulatory problems occur in overwt pt? [2]
extra Fat–>sleep apnea and osteoarthritis
2)
+INC Ghrelin=INC Obesity ///
+INC Leptin, CCK, PYY (decreases hunger) Resistance=INC Obesity
True or False: Infertility, Cancer and Thrombosis are actually all related to Obesity?
TRUE! Cancer, Thrombosis, Infertility and Pancreatitis (in addition to many more) are linked to obesity
What are some Psychosocial Consequences of Obesity? [5]
- Depression
- DEC education
- DEC Quality of life
- DEC household income
- INC disability/loss of productivity
Wht are the 3 treatment options for Obesity?
1- Behavior Modification
2-Pharmacotherapy
3-Bariatric Surgery
Obesity is a ____relapsing dz that needs to be _____ NOT ______!
Obesity is a CHRONIC relapsing dz that needs to be MANAGED NOT CURED!
Overweight pt (BMI range:_______) will lose ____years of Life by the age of 40
OverWEIGHT pts (BMI: 25-29.9) will lose 3 years of Life by age of 40
OBESE pt (BMI range:_______) will lose ____years of Life by the age of 40
OBESE pts (BMI: 30 and Up) will lose 6-7 years of Life by the age of 40
OBESE SMOKER pt (BMI range:_______) will lose ____years of Life by the age of 40
OBESE SMOKER pts (BMI still 30 and Up but smoke too) will lose 13-14 years of life by age of 40!!
1 lb. of weight = ___lbs excess force on your knees
1 lb of weight = 4 lbs excess force on Knees!
A-Weight loss in __year is the BEST indicator for how much wt can be loss in ____ years
B-What is the theory behind this Wt lost maintenance?
A-Wt loss in 1 year is the BEST indicator of how much wt can be lost in 4 years!
B-Theory: 10% of body weight lost and kept off for 1 year=SUCCESS –>20% adults have achieved this goal!
What is the US Dietary Recommendation of Physical Activity for people who want to MAINTAIN GOOD WEIGHT? [2]
USD recommends to spend 150 minutes of moderate Physical Activity per week
OR
75 min. of Vigorous activity + 2 strength training days =MAINTAIN WEIGHT
1) What are the recommended doses of Meal Replacement for Obese pt?
2) How effective is Meal Replacements?
1) Recommends using a MR(slim fast/lean cuisine/special K) for 1-2 meals every day
2) Pt lose 10 lb more or 3-5 kg with MR!
40% of Adults sit for __ hours/day
40% of Adults sit for 6 hours per day–>LAZY lol
