B5.013 Obesity Large Group

Question 1

issues with studying bariatric surgery

Answer 1

lack of complete of long term follow up

few randomized trials

Question 2

VSG vs RYBG

Answer 2

comparable long term complications

no clear decision processes

Question 3

what is the obesity paradox

Answer 3

obesity protective against mortality in person with both CHD and heart failure

• only linked when BMI used
• doesn’t apply to morbidly obese
• not all studies support this

Question 4

the BMI paradox

Answer 4

limitations related to use of BMI as an obesity index

Question 5

rank least to greatest CVD risk

Answer 5

fit obese < normal weight unfit < unfit obese

being fit reduces mortality by 44%

Question 6

beneficial effects of exercise

Answer 6

maintenance of muscle mass and skeletal health
increased resting metabolic rate
better mood and sleeping
less psychological stress
counteract metabolic perils of obesity
lowers risk for metabolic syndrome
lower visceral adiposity and systemic insulin resistance