Obesity Flashcards
BMI classifications
<18.5 = underweight
18.5 - 24.9 = normal
25 - 29.9 = Overweight
30 - 34.9 = Obese class I
35 - 39.9 = Obese class II
>40 = Obese class III (morbidly)
Waist to hip ratio
Waist circumference divided by Hip circumference (cm)
< 0.80 optimal for women
< 0.95 optimal for men
Android obesity
Apple shape
More common in men
Based on genetics
Associated with:
•Higher triglycerides
•Higher lipids
•Higher risk for metabolic syndrome
•Higher risk other pathologies
•Easier to lose than gluteofemoral fat (gynoid obesity)
Primary obesity
Majority of people
Due to: modifiable risk factors (Lifestyle: nutrition, exercise, stress, sleep), environment, psychosocial factors, non-modifiable factors (age, genetics, pharmaceuticals)
Secondary obesity
Chromosomal anomalies
Metabolic problems (hypothyroidism)
CNS lesions/disorders
Obesity in older adults
Obesity more common in older women than older men
Exacerbates age related problems
Increases risk for chronic illness and exacerbates chronic illness
Metabolic Syndrome
Not a chronic illness on its own
Collection of risk factors that increase individuals chance of developing chronic illness
Cannot be treated, only managed
Main underlying risk factors:
•Visceral fat
•Insulin resistance
No symptoms other than being overweight/obese
Requirements for Metabolic Syndrome (must have 3 or more)
- Abdominal obesity
- Increased triglycerides
- Decreased HDL
- Hypertension
- Elevated fasting glucose (over 6.1)
Collaborative Management of Metabolic Syndrome
Lifestyle therapy is first line
Cholesterol management
Smoking cessation
Blood pressure management
Glucose management
weight loss
Goal is to prevent:
Respiratory issues
Diabetes mellitus
Musculoskeletal issues
GI /liver issues
cancer
psychosocial issues
5 A’s of obesity management
- ASK for permission to discuss
- ASSESS risk and causes
- ADVISE on risks, benefits, options
- AGREE in weight loss goals/plan
- ASSIST with education, resources
