Lecture 10 - How to Quantify Obesity Flashcards

1
Q

_____ is any excess adipose tissue outside of healthy range

A

Overweight

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2
Q

Body Mass Index is a ratio of what?

A

height and weight

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3
Q

Who developed the BMI

A

Adolphe Quetelet

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4
Q

BMI Formula

A

weight in kg / height in meters squared

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5
Q

Why is it difficult to show BMI in children?

A

Children are constantly growing and changing

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6
Q

What do we use instead of BMI in children? (2)

A
  • Percentiles: how child measures up to what is considered to be healthy
  • zBMI
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7
Q

What are the benefits of BMI

A
  • Inexpensive
  • Easy to calculate
  • Accurate for most of population
  • Makes population-level surveillance possible
  • lot of population already know measures need to calculate
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8
Q

What is body composition?

A

tissues that your body is made of

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9
Q

What are the two main types of tissue?

A
  • Fat/Adipose
  • Fat Free
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10
Q

What are the two body shapes of obesity and which are more common for who?

A
  • Android (Apple); Men
  • Gynoid (pear): Women
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11
Q

Android fat distribution entails ____________ of fat that surrounds the organs

A

abdominal accumulation

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12
Q

Benefits of waist circumference measurement

A

Inexpensive and accessible
little training and equipment
very easy to do

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13
Q

Drawbacks of waist circumference measurement

A

little overall information
limited to one area
hard to figure out where the waist is

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14
Q

What are the two types of fat

A

Brown and white

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15
Q

Which type of fat is more metabolically active?

A

Brown fat

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16
Q

______ fat has a higher mitochondrial density and is active in thermogenesis

17
Q

______ fat primary use is storage and protection

18
Q

The ___________ measurement tells us where we store fat and what type of fat

A

waist-to-hip ratio

19
Q

A Magnetic Resonance Imaging machines measure ______ and _______ to create detailed images

A

magnetic field ; radio waves

20
Q

Benefits of MRI

A

High accuracy
Repeated assessments possible

21
Q

Drawbacks of MRI

A

Expensive and Inaccessible
Specialized training required

22
Q

Benefits of CT

A

High accuracy and definition

23
Q

Drawbacks of CT

A

Expensive and Inaccessible
Specialized training required
too much radiation for repeated use
Patient burden - risks outweigh any results

24
Q

_____________ measures the total body composition, specific regions and bone density

A

Dual Energy X-Ray Absorptiometry

25
Benefits of Dual Energy
High accuracy and reliabiltiy a lot of data available less expensive than MRI or CT1
26
Drawbacks of Dual Energy
low dose X-ray expensive requires training limited to 400lbs
27
___________ measures mass per unit volume of body and body density
Hydrostatic Weighing
28
Benefits of Hydrostatic
high accuracy and reliability
29
Drawbacks of Hydrostatic
uncomfortable hard for participant expensive (tools) requires training
30
Air-Displacement Plethysmography (Bodpod) measures ________
body density
31
Benefits of BodPod
High accuracy and reliability somewhat portable
32
Drawbacks of BodPod
Uncomfortable (little clothing) expensive requires training
33
Benefits of Bioelectric Impedance
Bang for your buck Portable doesn't require special training
34
Drawbacks of Bioelectric Impedance
Lacks reliability and validity Highly reliant on body hydration
35
Skin folds measure ________
subcutaneous fat
36
Drawbacks of Skin folds
little clothing (discomfort) requires trained personnel questionable accuracy and reliability if inexpensive caliber (can bend or break)
37
What are the rough obesity classification with fat % for men and women?
Men - 25% Women - 30%