Bariatrics

Question 1

Lipidemia

Answer 1

Affects size and distribution of adipose tissue in body. Described as bilateral, symmetrical, soft swelling.
Usually appears in LEs of females.
Big legs disproportionate to body that is not affected by weight loss.
Tenderness to palpation, increased edema as day progresses that subsides at night.
Weight management and decongestive therapy is recommended.

Question 2

Waist measurement

Answer 2

Greater than 40 in in males and 36 in in females is considered central obesity.

Question 3

Waist to hip ratio

Answer 3

1.0 in males and 0.85 in females in suggestive of central obesity.

Question 4

Pharmacology

Answer 4

Lipase inhibitors or appetite suppressants.

Question 5

Bariatric surgery

Answer 5

Can be restrictive, malapsorptive, or a combination.
Roux-en-Y is a combination and has highest risk.
Laparoscopic is restrictive and is gastric binding; least risk.

Question 6

Diet modifications

Answer 6

500-1000kcal/day reduction will results in 1-2 pounds loss per week.

Question 7

Ectopic fat

Answer 7

Ectopic fat is common with obesity. With obesity, fat cells become insulin-resistant and lose the ability to store calories. As a result, fat is stored in the skeletal muscles and organs as ectopic fat. This can result in skeletal muscle cell death which decreases lean body mass and is associated with low muscle strength and impaired physical function.