Obesity

Question 1

Obesity

Answer 1

A condition of abnormal or excessive fat accumulation in adipose tissue, to the extent that health is impaired

Question 2

What drives obesity

Answer 2

Ability to play outside
Car use 
Screen time
Education level 
Education achievement
Poverty 
Social depreivation 
Genetics
Food consumption

Question 3

Drugs

Answer 3

Orlistat

Derivative of an endogenous lipstatin produced by Streptomyces toxytricini.
Gastric and pancreatic lipase inhibitor
Reduces dietary fat absorption by around 30%.

Fatty and oily stool, faecal urgency, oily spotting, faecal incontinence in 7%

Question 4

Surgery

Answer 4

Bariatric surgery

BMI of 40 kg/m2 or more
BMI of 35-40 kg/m2 and other co-morbidities
BMI of 30-34.9 kg/m2 for newly diagnosed T2DM.

non-surgical measures have failed to achieve or maintain adequate clinically beneficial weight loss for at least 6 months
receiving or will receive intensive specialist management
generally fit for anaesthesia and surgery
commit to the need for long-term follow-up.

Consider surgery as a first-line option for adults with a BMI >50 kg/m2.

Question 5

Types of surgery

Answer 5

Gastric bypass– the top part of your stomach is joined to the small intestine, so you feel fullersooner and do not absorb as many calories from food

Gastric band– a band is placed around your stomach, so you do not need to eat as much to feel full

Sleeve gastrectomy–some of your stomach is removed,soyou cannot eat as much as you could before and you’ll feelfull sooner.