Bariatrics Flashcards
What are the 6 major risk factors for developing Obesity in adults?
Sedentary Lifestyle
High Glycemic Diet
Environmental and Lifestyle factors (smoking, stress, history of abuse)
Medications that increase appetite or food cravings
Genetic predisposition
Underlying illness (hypothyroidism, Cushing’s, etc.)
What cardiac changes can occur with weight gain and obesity?
cardiomyopathy, abnormal ventricular remodeling, a-fib, dysrhythmias
What pulmonary changes can occur with weight gain and obesity?
asthma, sleep apnea, hypoventilation syndrome
What kidney changes can occur with weight gain and obesity?
decreased renal perfusion
What genitourinary changes can occur with weight gain and obesity?
incontinence and inftertility
What vascular changes can occur with weight gain and obesity?
increased total blood volume, altered stroke volume and cardiac output, HTN, venous insufficiency
What MSK changes can occur with weight gain and obesity?
osteoarthritis and altered mobility patterns
What liver changes can occur with weight gain and obesity?
non-alcoholic fatty liver disease and non-alcoholic steatohepatitis
What pancreatic changes can occur with weight gain and obesity?
insulin resistance, DM type 2
What is considered a “normal” BMI?
18.5-24.9
What BMI level is classified as “Obese”?
Over 30
Which shape is correlated to lower relative incidence of obesity related risk factors, an “apple” shape or “pear” shape?
Pear Shape
What waist circumference in men is considered a sign of central fat distribution? How is this different for women?
40in for men
35in for women
What factors usually make a patient a candidate for bariatric weight loss surgery?
Waist circumference over 40/35 with additional comorbidities and evidence that other weight loss strategies have failed
