Obesity Flashcards

1
Q

Obesity

A

Abnormal or excessive fat accumulation that may impair health

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2
Q

What BMI is obese

A

> 30

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3
Q

Obesogenic environment

A

Environment that promotes fat storage

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4
Q

Where are fatty acids normally stored

A

As triaclyglycerol in adipocytes

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5
Q

Why are fatty acids not circulating freely

A

Would cause oxidative stress

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6
Q

Why do fatty acids undergo lipolysis in excess storage

A

Enhanced sympathetic state in obesity

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7
Q

Lipotoxicity

A

Lipids and their metabolites create oxidant stress to endoplasmic reticulum and mitochondria

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8
Q

What causes chronic low level inflammation in obesity

A

Excess nutrients

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9
Q

What is the main mechanism of increased metabolic and vascular complications, and increased cancer and infection risks in obesity

A

Chronic low level inflammation

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10
Q

What can gut microbes influence in the host

A

Inflammation
Fat deposition
Insulin resistance

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11
Q

Obesity comorbidities and complications

A

Depression
Asthma
NAFLD
gallstones
Infertility
Incontinence
Arthritis
Sleep apnea
CVD
HT
Back pain
Thrombosis
Gout
Stroke
Heart failure

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12
Q

Why does obesity increase susceptibility to infection

A

Dysregulated immune system

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13
Q

What is the hepatic manifestation of metabolic syndrome

A

NAFLD

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14
Q

How does obesity affect Covid outcome

A

More severe

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15
Q

What covid related risks are increased in obesity

A

Hospital admission
Intensive care
Death

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16
Q

Why does obesity worsen Covid outcome

A

Metabolic impairment of organ functioning

17
Q

What ethnicities are more prone to central adiposity and have cardio metabolic risks at lower BMI

A

South Asian
Chinese
Other Asian
Middle Eastern
Black African
Afro carribean

18
Q

Healthy waist to height ratio

A

0.4-0.49

19
Q

What waist:height ratios are healthy, increased central adiposity, and high central adiposity

A

Healthy - 0.4-49
Incr - 0.5-59
High - 0.6+