Adult Obesity and Metabolic Syndrome (review w/ handout)

Question 1

Obesity BMI

Answer 1

30+ kg/m2

(body wt in kg/height (m2))

underweight 40)

Question 2

Causes of obesity

Answer 2

-long term positive energy balance (fat stores)

Question 3

Health problems associated w/ obesity

Answer 3

pulm disease
NAFLD
GAll bladder disease
gynecologic abnormaltities
cancer
phelbitis
skin changes
gout
Coronary heart disease
\++more

Question 4

Metabolic syndrome

Answer 4

-almost always have abdominal obesity

When have >3 (waist, tri, HDL, BP, fasting glucose)
Metabolic abnorm:
glucose
BP
lipids
low grade inflammatory state

Waist (abdominal obesity):
Men: >102 cm
Women:>88 cm

TG:>150 (dyslipidemia)
HDLC:
Men: 130/>85 (either or)
Fasting glucose: >100 pre-diabetes

Question 5

Waist Circumference

Answer 5

Abdominal adiposity: independent predictor of risk for DM, HTN, CAD, and dyslipidemia
>35 inches F high risk
>40 inches M are high risk

BMI and waist circumference both predict development of weight related issues

Question 6

Abdominal obesity

Answer 6

-release FFA into blood stream–> liver, and causing insulin resistance

Question 7

Metabolically healthy obese

Answer 7

-BMI over 30 and no metabolic abnormalities (1/3), but over time, likely develop metabolic abnormalities/complications