Obesity Flashcards

1
Q

obesity, WHO

A

Is a chronic disease characterized by increased body fat, associated with increased health risk.

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2
Q

Risk factors of obesity

A
  • physical inactivity
  • sedentary lifestyle
  • consumption of foods
  • high energy density
  • soft drinks
  • sugar drinks
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3
Q

Protectors towards obesity

A
  • regular physical activity
  • consumption of foods with low energy density
  • especially those high in dietary fiber such as whole grains and low-starch vegetables and breastfeeding
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4
Q

Clasificacion de obseidad segun OMS

A
  • Sobrepeso o pre obeso: 25-29.9
  • obesidad grado 1 o moderada: 30-34.9
  • obesidad grado 2 o severa: 35-39.9
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5
Q

In the metabolic syndrome what are the numbers of the abdominal adiposity?

A

h: >102cm
m: >88cm

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6
Q

Obesity treatment

A

Weight reduction aimed at losing and maintaining weight in the long term and at improving the comorbidities associated with this pathology
recommended weight loss is 1 kg per week

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7
Q

dietary recommendations

A

aim of 10% reduction in body weight in the presence of type I obesity or higher in type II in 6 months. Restricted diet with intake of 500-1000 calories per day achieving 0.5-1kg weight loss per week

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8
Q

Dental norm por the management of patients with hypertension

A

NOM-030-SSA2-1999

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9
Q

Blood pressure components

A
  • systolic blood pressure: force of blood ejected from heart on the walls of the vessels
  • diastolic blood pressure: minimum value of blood pressure, distended state of arterial walls
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10
Q

BP regulation system

A
  • vasopressin (retains fluid) so that it does not decrease (increases pressure)
  • renin-anglotensin-aldosterone system
  • adrenaline/noradrenaline
  • nervous factors
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11
Q

Method to take the PA

A
  1. Calm and seated, place the arm on the flat surface
  2. The humeral pulse should be identified by palpation and with the help of direct ausultation (stethoscope).
  3. place the cuff above the stethoscope and raise it between 160-180 mmHG and slowly and constantly release the pressure
  4. Listen carefully for the beginning and end of the heart sound
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12
Q

Clasificación de la presión arterial en el adulto

A
  • etapa 1 leve: 140-159…..90-99
  • etapa 2 moderada: 160-179…..100-109
  • etapa 3 grave: 180-209….110-119
  • etapa 4 muy grave <210…..<120
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13
Q

Stage 1 140-159/90-99

A

no modifications to the treatment plan. Inform patient, refer physician, or both

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14
Q

Stage 2 160-179/100-109

A

Selective dental treatment: restorations, prophylaxis, nonsurgical periodontal/endodontic therapy. Refer to physician. Dental treatment should be continued until the patient is under control.

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15
Q

Stage 3 180-209/110-119

A

non-stress emergency procedures, pain relief, treatment of infections, masticatory of infections, masticatory dysfunction and consultation. Refer to doctor

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16
Q

Dental management of patient with diabetes

A

DM is heterogeneous group of diseases characterized by chronic hyperglycemia, due to decreased insulin secretion or utilization or both
Without adequate treatment, diabetes is accompanied by macro and microvascular alterations (atherosclerosis and microangiopathy) that favor the development of hypertension, coronary heart disease, cerebrovascular accidents, retinopathy and renal failure, among other complications, as well as a tendency to infections and repair disorders.

17
Q

Clinical characteristics, signs and symptoms of diabetic patient

A
  • polyuria
  • polydipsia
  • polyphagia
  • fatigue
  • weight loss without attempt
18
Q

DM complications

A

acute
- diabetic ketoacidosis
- nonketotic hyperosmolar hyperglycemic coma
- hypoglycemic shock in the patient frequently controlled by skipping a meal or by unforseen physical exertion

19
Q

Diabetes type 1

A

Mediated by Immune and Ac processes (formerly DMID or juvenile and is associated with other autoimmune diseases such as Grave’s, Hashimoto’s, Addison’s, vitiligo and pernicious anemia).

20
Q

Diabetes Type 2

A

Insulin resistance with relative insulin deficiency or secretory defect (Before NIDDM or adult).
Associated with obesity or abdominal distribution of fat.

21
Q

Gestational diabetes mellitus

A

It is defined as some degree of “intolerance” to glucose that manifests itself during pregnancy, which may be transient or may exacerbate hidden DM.

22
Q

control tests diabetes types 2

A

glycosylated hemoglobin (GHb, HbA1c) indicated once or twice a year

23
Q

Diagnostic tests for DM

A

fasting and postprandial glucose

24
Q

Repercussion on management and oral condition: Bleeding

A

mainly post-surgical, of an immediate nature due to the poor quality of the wound

25
Q

Eating disorders

A

anorexia
bulimia
binge eating disorder

26
Q

effects of eating disorders

A

are not limited to a single sphere of the life of the person who suffers from them and not only is she affected, but her family environment also suffers the consequences

27
Q

Who suffers from eating disorders?

A

ages of onset: 12-25 years increasing between 12-17

28
Q

Multifactorial etiology of eating disorders

A
  • cultural
  • personal (psycological)
  • familiar
29
Q

anorexia nervosa

A

characteristics
- refusal to maintain normal minimum body weight
- intense fear of gaining weight
- significantly impaired perception of body shape or size
- appearance of amenorrhea in women

30
Q

types of anorexia nervosa

A

restrictive: decreased amount of food and increased exercise
compulsive/ purgatory: Half of the bulimic anorexias after long periods of starvation binge eating followed by induced vomiting

31
Q

Bulimia

A

Recurrent episodes of voracious eating, at least 2 weekly for 3 months
Compensatory behaviors to not gain weight, with a sustained character: self-induced vomiting, use of laxatives, diuretics, enemas or other drugs, excessive physical exercise.

32
Q

Diagnostic criteria for bulimia nervosa

A

Recurrent periods of voracious ingestion. An episode of voracious ingestion is characterized by two of the following characteristics:
- eating in a discrete period of time a quantity of food definitely greater than what most people would eat in a similar period of time, under the same circumstances,
- feeling of lack of control over eating, for example, the feeling of not being able to stop eating, or not being able to control the amount of food eaten.

33
Q

Oral Statements of eating disorders

A
  • dental erosion
  • saliva
  • diet
  • occupational factors
34
Q

depression

A

is a mood disorder that causes symptoms of distress, affecting how you feel, think, and coordinate daily activities, such as sleeping, eating, or working

35
Q

Types of depressions

A
  • major or severe depression
  • persistent depressive disorder (dysthymia)
  • perinatal depression
  • seasonal affective disorder
  • psychotic depression
36
Q

Major depression

A

When you have symptoms of depression most of the day, nearly every day, for at least two weeks, and they interfere with your ability to work, sleep, study, eat, and enjoy life.

37
Q

Persistent depressive disorder

A

When you have symptoms of depression that last for at least two years. The person who has been diagnosed with this type of depression may have episodes of major depression along with periods of less severe symptoms.

38
Q

Perinatal depression

A

Women with perinatal depression experience major depression during pregnancy or after childbirth (postpartum depression).

39
Q

Seasonal affective disorder

A

A type of depression that comes and goes with the seasons, usually beginning in late fall or early winter and disappearing in the spring and summer.