Adult Obesity & Metabolic Syn

Question 1

BMI

Answer 1

Body weight [kg]
/
Height [m^2]

Question 2

Nl waist circ

Answer 2

18.5-24.9

Question 3

Overweight waist circ

Answer 3

25-29.9

Question 4

Obese waist circ

Answer 4

I: 30.0-34.9
II: 35.0-39.9
III: >40

Question 5

BMI less accurate in which groups

- what does it underestimate?

Answer 5

elderly
certain ethnic groups
large muscle mass

BMI underestimates degree of adiposity

*used in conjunction with abdominal adiposity distribution

Question 6

Abdominal adiposity is an independent predictor of?

- # that should cause worry in women and men

Answer 6

DM
HTN
CAD
Dyslipidemia

*Used along with BMI to identify related complications

> 35 in women
40 in men

Question 7

Proposed med of why abdominal obesity is bad

Answer 7

Release of FFA into the blood stream –> into liver, causing insulin resistance
- FFA from intra peritoneal fat

Question 8

AA seem to have a protective effect against adiposity, how?

Answer 8

Less likely to have low HDL and high TG

Waist circumference cutoffs correlated with presence of CV risk factors were 5-6 cm greater in AA men then white men

Question 9

waist circ. Cutoff

Answer 9

> 102cm in men
88cm in women

*asians have lower cutoff b4 risk of diabetes comes into play
~80

Question 10

WHo has highest rates of obesity in US?

Answer 10

AA

- risk of diabetes, HTN

Question 11

Risk of DM begins to increase at which BMI?

Answer 11

> 21-23

- 90% of indiv who develop DM2 have BMI of 23 or higher

Question 12

Why is obesity a risk factor for post-menopausal breast cancer?

Answer 12

Adipose resevoir for Estrogen

• More E that women is exposed to in lifetime can increase her chance

Question 13

Metabolic syndrome associated

Answer 13

1. abdominal obesity
2. Glucose intolerance/insulin R
3. HTN
4. Atherogenic Dyslipidemia
5. Proinflammatory/Prothrombotic state

Must have 3 of the 5 cut offs

• abdominal obesity/waist circum.
• TG
• HDL
• BP
• Fasting Glucose

Question 14

Waist CIrc. cut off

Answer 14

Waist circumference:
Men: >102 (>40 in)
Women: >88 (>35)

Question 15

TG level cut off

Answer 15

TG: >150 mg/dL (meets criteria for dyslipidemia)

Question 16

BP and fasting glucose cut off

Answer 16

Blood pressure: >130/85

Fasting Glucose: >100
>100 is prediabetes

Question 17

When is a pt ready for weight loss therapy?

Answer 17

1. motivation
2. stress level
3. psychiatric issues
4. time availability

Question 18

Cut offs (waist circ)

• Men
• Women

Answer 18

men: >102 cm (>40 in)
women: >88 cm (>35in)