Management of Obesity Flashcards
What are the classifications of overweight and obese in terms of BMI?
Overweight: 25 - 29.9 kg/m2
Obese is over 30
Severely ovese is over 40
What is healthy weight and underweight in terms of BMI?
Underweight: Less than 18.5
Healthy weight: 18.5 - 24.9
What are the limitations for BMI? What is the importance of such limitations?
Height = 6 feet 2 inches
= 1.88 metres
Weight = 245 lb
= 111.4 kg
It is important to keep the limitations of BMI in mind, as a muscular individual can have a higher BMI without excess adipose tissue.
What is the cause of obesity?
Energy intake is greater than energy output
Why is there increased intake?
- Increased intake:
- Internal factors, e.g., personal factors
- External factors, e.g., social circumstances
Why might there be decreased output?
- Internal factors, e.g., physical ability
- External factors, e.g., availability
How does basal metaboli rate change with time?
Decreases
What are the factors that might affect energy intake vs output?
What are the effects of obesity on the body?
Increasing BMI has a strong correlation with type 2 diabetes
What is the effect of patients with type 2 diabetes losing weight?
Improves insulin sensitivity and glycaemic control
How do you measure insulin sensitivity?
Fasting plasma insulin concentration
Lower insulin means higher sensitivity
What percent of scotlands population is overweight? Obese?
Overweight: 38%
Obese: 22%
Overview of management
Even when people engage in an exercise programme but do not lose weight, what can be a positive outcome?
Patients may reduce their waist circumference - this reduction in visceral fat will help improve insulin sensitivty
What are the bariatric surgeries used?
Gastric band
Roux - en - Y bypass
