management of obesity Flashcards
what comorbidities are associated with obesity?
Asthma
Cancer
Cardiovascular disease
Dementia
Depression
Type 2 diabetes
Fertility problems
Gastro-oesophageal reflux disease
Kidney disease
Liver disease
Osteoarthritis
Acute pancreatitis
Obstructive sleep apnoea syndrome
what is the biggest cause of cancer after smoking
obesity
what are types of cancer that can be caused by being overweight?
what is the impact of obesity on the nhs?
Direct cost to NHS services in Grampian £36 million per year
Total economic costs of obesity in Scotland: £0.9 billion to £4.6 billion per year
what are the 4 componenets of grampians clinical strategy for management of obesity?
what are the different teirs of the adult weight management pathway?
what does the first teir of the AWMP contain?
what does the second teir of the AWMP contain?
what does the third teir of the AWMP contain?
what does the fourth teir of the AWMP contain?
what is a case example of first teir management?
what methods of medical management are available that are non surgical?
Orlistat
how does Orlistat work?
Inhibits pancreatic and gastric lipases
what dose of orlistat is given?
60 mg dose can be purchased by patients with
BMI >28kg/m2 and over 18 years of age
Usual prescription dose 120mg 3 times daily
what are adverse effects of orlistat?
GI adverse effects with consumption of fat
when should the administration of orlistat be considered?
what used to be a teir 3 specialist wieght management service?
weigh forward
what were the different components of weigh forward?
what were the outcomes of weigh forward?
what different surgeries are offered as part of teir 4 management?
gastric band
gastric sleeve
gastric bypass
what is the sweedish obese study, what were the findings?
2010 obese subjects
Gastric bypass (13%)
Gastric band (19%)
Vertical banded gastroplasty (68%)
Age 37-60 years
BMI >34 kg/m2 in men and >38 kg/m2 in women
Follow-up 10-20 years
2037 matched obese controls
