obesity

Question 1

what are some cause of obesity

Answer 1

• SES
• genetic
• medication
• illness
• parental influence
• Education
• metabolism
• PA
• food industry
• peer influence
• disability
  -mental health

Question 2

about which growth curve are you consider obese and overweight

Answer 2

97th obese
85th to 96th overweight

Question 3

_% children and adolescents classified as having overweight or obesity (Roberts et al. 2012)

Answer 3

31.5

Question 4

_% of adolescents with obesity have obesity in adulthood

Answer 4

80

Question 5

cause of childhood obesity , problematic social trend

Answer 5

↑ use of motorized transport
− ↓ Opportunities for recreational PA
− ↑ Sedentary recreation
− 24/7 TV
− ↑ Quantity and variety of energy-dense foods available
− ↑ use of motorized transport
− ↓ Opportunities for recreational PA
− ↑ Sedentary recreation
− 24/7 TV
− ↑ Quantity and variety of energy-dense foods available
− ↑ Promotion and marketing of energy-dense foods
− ↑ Frequency and opportunities to purchase food
− ↑ Use of restaurants and fast food
− Larger portions, better “value”
− ↑ number of eating occasions
− Water being replaced…

Question 6

cause of childhood obesity from the mother

Answer 6

Sleep debt
● Endocrine disruption (BPA, PFAS, PCB, pesticides, etc.)
Decreased variability of ambient temperature Smoking
Pharmaceuticals
Age and ethnic groups
increase maternal age
intra-uterine and intrauterine effect
genetic
assortative mating

Question 7

explain adipostive rebound

Answer 7

refered to the second increase in BMI -> the earlier is happen = link to be overweight in later life -> baby is Chucky than become leaner and become Chucky again

5.5 y/o or early is associated with increase risk of obesity in adult

Question 8

Developmental stages where physiological alterations ↑ risk of obesity **

Answer 8

prénatal
adiposity rebound
adolescence

Question 9

mother with OW/OB generally birth _ babies

Answer 9

larger

Question 10

Excessive Gestational Weight Gain

Answer 10

↑ Maternal Postpartum weight retention

Question 11

what is Associated with greater risk of childhood obesity and
intergenerational cycle of obesity throughout the lifespan

Answer 11

○ Higher pre-pregnancy weight
○ Excessive gestational weight gain
○ Babies born LGA

Question 12

Obesity Causes

Answer 12

In the family:
● Significant driver of childhood overweight / obese
− Genetic, social factors
● Parental obesity
● Family meals
● Family PA patterns
● Family lifestyle

Question 13

obesity cause at school

Answer 13

• PE
  ● Food environments
  ● School lunch programs
  ● Weight-based teasing

Question 14

What happens during adolescence that could increase the risk of obesity ?

Answer 14

○ Change in diet and behavior
○ Puberty
○ Change is quantity and distribution of fat
○ Decrease in physical activity
○ Decrease fitness

Question 15

Weight-based teasing from peers boys vs girl

Answer 15

63% of girls, 58% of boys with obesity

Question 16

weight teasing start at young as

Answer 16

4

Question 17

what is the most frequent source of weight bias in adult

Answer 17

employment discrimination

Question 18

Excess SSBs (sugar sweetened beverage) associated with:

Answer 18

increase energy intake
High in fructose corn syrup🡪 increased lipogenesis 🡪 inhibit satiety signals🡪 reduce EE
increase risk of weight gain

Question 19

Gut microbiota is involved in

Answer 19

the control of body weight, energy homeostasis and inflammation

Question 20

A vast number of variables influence the gut microbial ecology

Answer 20

host genetics, delivery
method, diet, age, enviro, and the use of pre, pro and antibiotics)

Question 21

long term complications of obesity

Answer 21

● 20% of children with obesity: Type 2 Diabetes Mellitus
● 50% in youth with severe obesity: Metabolic Syndrome
● 12 – 17% of children with obesity: Dyslipidemia
● 3.26X Relative Risk: Hypertension
● 52% of children with obesity: Non-alcoholic Fatty Liver Disease
● Polycystic Ovarian Syndrome, Infertility
● Malignancies: Uterine, colon, breast

Question 22

Health related quality of life scores similar to kids undergoing _

Answer 22

chemotherapy

Question 23

2-5 y/o children living with obesity have greater

Answer 23

systemic inflammation than healthy weight children