Obesity

Question 1

BMI classifications?

Answer 1

Obesity > or = to 30

class 1 - 30-34.9
class 2 - 35 - 39.9
class 3 - 40+

Question 2

waist circumference?

Answer 2

male > 40 in or 102 cm
female > 35 in or 88cm

Question 3

waist to hip ratio

Answer 3

male > 1.0
female > 0.85

assess body fat distribution

Question 5

what is the gold standard for body fat assessment used to establish accuracy of BMI?

Answer 5

Dual energy x-ray absorptiometry

Question 6

secondary weight gain?

Answer 6

accumulation of adipose tissue that results from genetic syndromes
medical conditions
medications

can co-exist with primary

Question 7

gestational diabetes BMI?

Answer 7

BMI > 25

Question 8

how to diagnosis gestational diabetes

Answer 8

oral glucose challenge

Question 9

prognosis for gestational diabetes?

Answer 9

increased risk of stillbirth, pre-eclampsia, shoulder dystocia, c-section, large for gestational age infants

35-60% risk of T2DM in 10-20 years

Question 10

what is pre-eclampsia?

Answer 10

hypertension > 140 / 90 after 20 weeks of gestation with proteinuria and/or end organ dysfunction.

BMI > 30

Question 11

diagnosis criteria for pre-eclampsia?

Answer 11

BP > or = to 140/90 + proteinuria OR 1 of the following
- thrombocytopenia (low plateletes)
- elevated AST
- elevated creatinine

Question 12

recommended weight gain during pregnancy for a BMI over 30?

Answer 12

5-9 kg

Question 13

estimated prevalence of obstructive sleep apnea in obese adults?

Answer 13

45%

Question 14

prevalence of NAFLD in obese adults?

Answer 14

80 to 90%

Question 15

what is the edmonton obesity staging system?

Answer 15

ranks mortality risk in overweight individuals based on co morbidities and functional status

most people in stage 2 (established disease)