Management of Obesity

Question 1

RECAP-What BMI means obesity?

Answer 1

BMI > 30

Question 2

List some of the co-morbidities of obesity.

Answer 2

Asthma
Cancer
CVD
Dementia
Depression
Type 2 diabetes
Fertility issues
Kidney disease
Liver diseases
Osteoarthritis
Acute pancreatitis

Question 3

What is the biggest cause of cancer in the UK?

Answer 3

Smoking

-> followed by obesity

Question 4

What is the first tier of weigh management using the NHS Obesity Treatment Best Practice Guide?

Answer 4

Population wide health improvement e.g. walking groups, cooking classes etc

Question 5

What is the second tier of weigh management using the NHS Obesity Treatment Best Practice Guide?

Answer 5

Primary care based, involves lifestyle advise and potentially drugs

Question 6

What is the third tier of weigh management using the NHS Obesity Treatment Best Practice Guide?

Answer 6

Specialist weight management using a MDT w a dietetic lead, physio. psychology

Question 7

What NHS programme helps with healthy eating?

Answer 7

Healthy Helpings

Question 8

What is the name of the drug which is available for weight loss in the UK?

Answer 8

Orlistat

Question 9

How does Orlistat work?

Answer 9

Inhibits fat absorption
Inhibits pancreatic and gastric lipases

Question 10

If someone on Orlistat has a fatty meal with the Orlistat tablet, what do you need to warn them about?

Answer 10

They will have significant fatty diarrhoea

Question 11

What is the main goal of different bariatric surgeries?

Answer 11

The patient feels full more quickly so eats less

Question 12

When would bariatric surgery be considered?

Answer 12

BMI >35
One or more serious health problems expected to improve significantly with weight loss

AND
They have already tried other methods of losing weight