Obesity Flashcards

1
Q

underweight BMI?

A

< 18.5

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2
Q

optimal weight BMI?

A

18.5 - 24

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3
Q

overweight BMI?

A

25 - 30

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4
Q

obese BMI?

A

> 30

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5
Q

where in the US has the highest geographic prevalence of obesity at 31.2%?

A

south US

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6
Q

where in the US has the 2nd highest geographic prevalence of obesity at 30.7%?

A

midwest

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7
Q

in which patients is obesity most prevalent? (2)

A

non-hispanic blacks
hispanics

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8
Q

do african american women or hispanic women have a higher prevalence of obesity?

A

african american women at 57%

hispanic women at 47%

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9
Q

do african american men or hispanic men have a higher prevalence in obesity?

A

african american men at 37%

hispanic men at 36%

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10
Q

weight management programs like controlled fasting designed to help adults maintain a healthy weight are only effective for:

A

short term; acute weight loss

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11
Q

no weight management programs have demonstrated success in weight management beyond _____ months

A

6-12 months

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12
Q

the rise in prevalence of obesity is associated with increases in obesity related _____ _____ and _____

A

health problems
cost

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13
Q

BMI > _____ is associated with a 3-4 fold increase in the risk of stroke, ischemic heart disease and DM II

A

28

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14
Q

mortality risk from increased BMI declines after age:

A

50

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15
Q

what comorbid conditions is obesity associated with? (5)

A

CVD
hypertension
Type II DM
dyslipidemia
osteoarthritis

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16
Q

what comorbid condition that is associated with obesity is the last to change with weight loss?

A

dyslipidemia

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17
Q

what etiology makes up the most risk for obesity?

18
Q

what are the 4 etiologies of obesity?

A

genetics
environment
metabolic factors
behavioral issues

19
Q

the prevalence of obesity has increased _____% in the last 10 years

20
Q

obesity is an imbalance between energy intake and expenditure that favors:

A

fat accumulation

21
Q

what percentage of type II DM patients are obese?

22
Q

BMI > ___ in women increases the risk of type II DM 40 fold compared to a BMI of ___or less

23
Q

BMI > ___ in men increased the risk of type II DM 40 fold compared to a BMI of ___or less

24
Q

weight gain of as little as _____ pounds increases the risk of type II DM

25
obesity increases the risk of _____ 2-4 fold
hypertension
26
what mechanisms have been proposed to explain the link between obesity and hypertension? (3)
elevated cardiac output reduced venous compliance renal sodium retention
27
what dyslipidemia levels increase with increasing BMI in younger age groups? (2)
LDL total cholesterol
28
central adiposy is associated with _____ _____ and _____
glucose intolerance dyslipidemia
29
modest weight loss improves _____ _____ and ____
glucose intolerance DM II
30
weight loss is a recommendation as a primary therapy for obese patients with _____
hypertension
31
weight loss from diet alone reduces _____ and _____
LDL triglycerides
32
weight loss from diet and exercise reduces ____ and increases _____
total cholesterol HDL
33
what information is important to get from a patient that is obese? (3)
weight BMI waist circumference
34
waist circumference correlates with the risk of: (4)
DM II CVD hypertension dyslipidemia
35
what is the primary treatment of chronic obesity?
dietary intervention
36
in the acute stage, diet is _____
medicine
37
in the chronic stage, diet is is a component in a:
change in lifestyle
38
what is the target goal for weight loss?
5-10% of initial body weight
39
total energy consumption should be no less than _____ kcal/day in the acute weight loss period
800
40
____ _____ can result in less long-term weight regain than behavior modification + medication
behavior modification
41
what tends to happen when medications are withdrawn?
weight tends to rebound