Lecture 3 Flashcards
What is obesity?
Excess of adipose tissue
How do we determine obesity?
BMI
Waist circumference
Visual inspection of patient
How much of US adults are obese?
How much youth ages 2-19?
42%
19.7 of youth
40% audlts in WV and 26% children 10-17age
What are risk factors for obesity?
Female
Black, Native American, Mexican American
Lower income
How do we calculate BMI?
Pt weight(kg)/Pt height(m)^2
What factor can wrongly diagnose a BMI?
Amount of muscle mass
What is considered morbid obesity?
100 lbs over IBW(ideal body weight)
BMI >40
BMI >35 with 1+ obesity-related condition present
How do we classify class I obesity? class II? class III?
Class I: 30-34.9
Class II: 35-39.9
Class III: ≥ 40
What type of fat is more concerning?
Visceral fat is more concerning than subcutaneous fat
Truncoabdominal fat is more concerning than gluteofemoral fat distribution
What is the circumference and waist-hip ratio for obesity?
Men: >102cm(40in) ratio>1.0
Women: >88cm(35in) ratio>0.88
When should BMI be obtained and obesity be screened?
Every visit
Every routine physical(for obesity)
What factors can contribute to obesity?
Genetics (40-70% of obesity case)
Behavioral
Medical
Psychological
Socioeconomics
Lifestyle
Diet
LIfestyle and diet are the most impactful factors.
Dont Let My Grandma Play Bad Songs
What medical conditions are linked to obesity?
Hypothalamic obesity (Damage to hypothalamus → hyperphagia)
Cushing’s Syndrome
Hypothyroidism
Polycystic Ovarian Syndrome
Growth Hormone Deficiency
Altered Gut Flora
Psychiatric Disease
HPGAPHC
What psychiatric medications can contribute to obesity?
Antipsychotics (clozapine, olanzapine, risperidone)
Mood stabilizers (lithium, valproate, carbamazepine)
Antidepressants (TCAs, SSRIs)
What diabetic medications can contribute to obesity?
Insulins (especially intensive insulin therapy)
Oral (sulfonylureas, thiazolidinediones (TZDs))
What other medications can contribute to obesity?
Glucocorticoids
Beta-blockers
Hormonal agents