Childhood obesity Flashcards
What race has the most obesity?
Latinos
Cost of healthcare
120 billion
860 billion by 2030
Leptin vs ghrelin
Leptin decreases appetite
Ghrelin increases appetite
Genetic syndromes associated with obesity
Prader willi
Downs
Turner
Leptin deficiency
What is the key determinant of weight?
Energy balance
When can you start using BMI
Over 2 years
What is normal percentile?
5-85 percent
Acanthosis nigricans
Velvet texture on back of neck
Sign of insulin resistance
Proinflammatories from obesity?
IL8
TNF alpha
Stages of childhood obesity managment
1: PCP
2: Dietician
3: Intesive care, team
4: surgery, medication, low calories
Gastric bypass
Gastric sleeve
Adjustable gastric band
Gastric bypass: restrictive, malabsorptive
Gastric sleeve: restrictive
Adjustable gastric band: restrictive