Lecture 27 Management of Obesity Flashcards
1
Q
List co-morbidities related to obesity
A
- Asthma
- Cancer- big risk factor
- Cardiovascular disease
- Dementia
- Depression
- Type 2 diabetes
- Fertility problems- cannot access fertility services due to cut off BMI
- Gastro-oesophageal reflux disease
- Kidney disease
- Liver disease
- Osteoarthritis- cannot operate because of patient’s weight
- Acute pancreatitis
- Obstructive sleep apnoea syndrome
2
Q
What types of cancers are linked to obesity
A
Thyroid Oesophageal Myeloma Breast Upper stomach Liver Gallbladder Pancreas Kidneys Bowel Ovarian Womb
3
Q
Describe the adult weight management pathway
A
Tier 1- population wide health improvement
Tier 2- Primary care
Tier 3- Specialist weight management
Tier 4- Specialist surgical services
4
Q
Name a drug used to manage obesity
A
Orlistat
5
Q
How does Orlistat work
A
Inhibits pancreatic and gastric lipases which leads to fatty diarrhoea
6
Q
When should Orlistat be used
A
Where diet, physical exercise and behavioural changes are supported
Patients with BMI >28kg/m
Should only be continued beyond 12 weeks if patient has lost 5% of initial body weight
