Management of Obesity Flashcards

1
Q

How can we define obesity?

A
  • Increased body weight.
  • Increased body fat.
  • Body Mass Index (BMI)
  • Metlife Tables, etc
  • Waist:Height Ratio
  • Body Fat%
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2
Q

Who are waist measurements inaccurate in?

A

Heavier individuals

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3
Q

What BMI range is underweight?

A

<18.5

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4
Q

What BMI range is healthy weight?

A

18.5-24.9

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5
Q

What BMI range is overweight?

A

25-29.9

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6
Q

What BMI range is obese?

A

> 30

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7
Q

What BMI range is severe obesity?

A

> 40

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8
Q

What is the main limitation of the BMI system?

A

A muscular individual can have a higher BMI without excess adipose tissue.

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9
Q

What is the simplest cause of obesity?

A

Energy intake > Energy output

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10
Q

What factors affect increased intake?

A
  • Internal factors, e.g., personal factors

- External factors, e.g., social circumstances

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11
Q

What factors affect decreased output?

A
  • Internal factors, e.g., physical ability

- External factors, e.g., availability

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12
Q

What happens to metabolic rate with age?

A

Decreases

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13
Q

What influences are there on the individual?

A
  • Social psychology
  • Food production
  • Food consumption
  • Individual psychology
  • Individual physical activity
  • Physical activity environment
  • Physiology
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14
Q

What non-modifiable influences are there on the individual?

A
  • Age
  • Sex
  • Hereditary factors
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15
Q

What social influences are there on the individual?

A
  • Agriculture and food production
  • Education
  • Work environment
  • Living and working conditions
  • Unemployment
  • Water and sanitation
  • Health care services
  • Housing
  • Networks
  • Lifestyle factors
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16
Q

What effects does obesity have on the brain?

A

Cerebrovascular disease

17
Q

What effects does obesity have on CVS?

A
  • Coronary artery disease
  • Sudden cardiac death
  • Cardiomyopathy
  • Cor pulmonale
  • Hypertension
  • Varicose veins
  • DVT and PE
18
Q

What effects does obesity have on respiratory system?

A
  • Restrictive lung disease
  • OSAS
  • Obesity hypoventilation syndrome
19
Q

What effects does obesity have on the GIT?

A
  • Hepatosteatosis
  • Gallstones
  • Hiatus hernia
  • Colorectal cancer
  • Diabetes mellitus
20
Q

What effects does obesity have on MSK system?

A

Osteoarthritis of weight-bearing joint

21
Q

What effects does obesity have on the reproductive system?

A
  • Menstrual abnormalities
  • Infertility
  • Endometrial cancer
  • Cervical cancer
22
Q

How can obesity be managed in primary care?

A
  • Prevention
  • Lifestyle interventions
  • Pharmacotherapy
23
Q

How can obesity be managed in secondary care?

A
  • Prevention
  • lifestyle interventions
  • Pharmacotherapy
  • Surgery
24
Q

What can be addressed in lifestyle interventions?

A
  • Diet
  • Physical activity
  • Behavioural issues
25
Q

What are the features of the protein sparing modified fast diet?

A

-Low carbohydrate diet: < 40 g of carbohydrate per day ( usually ~ 250 g )
-Ketosis & mobilisation of fat stores
-Hypothalamic satiating effect of amino acids
Slower digestion and increased thermic effect (“specific dynamic action”)
-Hypocaloric