Healthy Weight and Nutrition Flashcards

1
Q

what are the qualifications for an adult to be considered obese?

A

BMI above 30, or about 30 pounds overweight for a 5’ 4” person

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2
Q

when does universal screening for BMI start?

A

age 2 (when it becomes reliable unit of measurment)

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3
Q

what is BMI categorization based on?

A

age and gender

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4
Q

what is the BMI of an adult who is severely overweight?

A

over 40

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5
Q

what is the cutoff for childhood BMI for obesity?

A

30

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6
Q

how many kids, age 2-19 are overweight? how many are obese?

A
overweight = 31.7%
obese = 16.9%
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7
Q

since 1970, how has the number of obese kids 6-11 changed?

A

it has quadrupled

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8
Q

since 1970, how has the number of obese teens 12-19 change?

A

it has tripled

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9
Q

what are the racial groups that have the highest number of obese ppl?

A
black girls (24%)
mexican boys (22%)
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10
Q

what age group of obesity is the most closely linked to more morbidity and mortality as they age?

A

adolescent

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11
Q

what is the cost of obesity?

A

~120 billion $

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12
Q

what are some genetic things that can cause obesity?

A
  • family ties

- prader willi, down syndrome, turner syndrome

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13
Q

what are some hormonal conditions that can lead to obesity?

A
  • hypothyroidism
  • cushing syndrome
  • GH deficiency
  • danage to CNS
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14
Q

rare, autosomal recessive condition that includes inferrtility and T-cell defects and recurrent infections. has early onset morbid obesity and high fat mass

A

Leptin deficiency

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15
Q

what is more severe, Leptin deficiency or Leptin receptor deficiency?

A

receptor

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16
Q

what is the key determinant to childhood obesity

A

energy balance

17
Q

what is the energy balance dependent on?

A
  • parental BMI : SES and parental education
  • built environment : urban sprawl, safety, grocery stores
  • sedentary lifestyle : TV, video games, computer, texting
  • energy dense nutrient poor foods
  • poor distortion
  • daily convieniences : snack food
  • psychological issues : depression,
18
Q

what is it called if you are in the 85 percentile for weight?

A

overweight

19
Q

what is it called if you are in the 95 percetile for weight?

20
Q

what is it called if you are in the 99th percentile for weight?

A

severe/morbidly obese

21
Q

is a sign of insulin resistance that has a velvety texture, has many false positives, and may fade with weight loss

A

acanthosis nigricans

22
Q

is BMI or insulin a better was to screen for obesity?

23
Q

is there a connection between a high glycemic index and dental disease?

A

yes, fermentable carbs, such as refined wheat flour, potatoes, rice, and pasta convert into simple sugars in the mouth. simple sugars are then converted to plaque

24
Q

does the level of oral inflammation correlate directly with BMI?

25
are there any gender differences for the chance of getting dental caries?
no
26
regarding stages of childhood obesity management, what is stage one?
primary care provider office
27
regarding stages of childhood obesity management, what is stage 2?
primary care office with allied health provider (dietician)
28
regarding stages of childhood obesity management, waht is stage 3/
intensive care with multidisciplinary team
29
regarding stages of childhood obesity management, what is stage 4?
bariatric surgery, very low caloric diets, meds
30
what are some recommendations to help an obese child with dental problems?
- encourage regular nutritious meals and avoid snacking - use fluoride toothpaste if over 7 - dental sealants - brushing 2X a day and flossing - regular dental exams
31
what is the goal for selecting food choices?
no just to take it out, but give options for its replacement
32
what is the max a kid should watch TV
2 hours apparently
33
what are the benefits of adolescent bariatric surgery?
- lower operative costs - earlier resolution of comorbidities - lower achieveable weight loss - earlier improvement in depression and quality of life measures
34
what are the weight loss surgery options?
- gastric bypass - gastric sleeve - adjustable gastric band