Obesity Flashcards

1
Q

What percentage of individuals in Canada were overweight and had obesity in 2024?

A

60% were overweight, and 25% had obesity.

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2
Q

What are the four main factors contributing to rising overweight and obesity rates?

A

Unhealthy diet, lack of physical activity, sedentary lifestyle, and insufficient fruit and vegetable intake.

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3
Q

What is the current prevalence of being overweight and having obesity in men, women, and children in Canada?

A

Overweight: 70% of men, 59% of women, and 32% of children.
Obesity: 30% of men, 29% of women, and 12% of children.

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4
Q

What chronic diseases are associated with being overweight?

A

CVD, type 2 diabetes, dementia, and cancer.

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5
Q

What is the BMI range for pre-obesity (overweight) and obesity in adults?

A

Pre-obesity: BMI 25–29.9
Obesity: BMI ≥30

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6
Q

How is BMI-for-age used to classify overweight and obesity in children?

A

Pre-obese: ≥85th percentile but <95th percentile
Obese: ≥95th percentile

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7
Q

What is adiposity rebound, and how is it related to childhood obesity?

A

The point when BMI reaches its lowest (around age 5–6) before increasing again.
Earlier adiposity rebound is linked to a higher risk of obesity in adulthood.

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8
Q

What is the relationship between BMI and overall mortality risk?

A

J-shaped association: Both low (<18) and high BMI are associated with increased mortality risk.

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9
Q

How does BMI affect life expectancy?

A

A lower BMI (<18) is linked to 5 years less life expectancy.
A higher BMI (>30) is linked to up to 7 years less life expectancy.

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10
Q

What are the differences between apple-shaped and pear-shaped fat distribution?

A

Apple: Fat stored around the abdomen (higher health risk).
Pear: Fat stored around the hips and thighs (lower health risk).

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11
Q

What is the difference between subcutaneous and visceral fat?

A

Subcutaneous: Fat stored under the skin.
Visceral: Fat stored around internal organs, linked to increased chronic disease risk.

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12
Q

Why is waist circumference a better predictor of health risks than BMI?

A

It directly measures visceral fat, which is associated with CVD, hypertension, and type 2 diabetes.

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13
Q

What is energy imbalance, and how does it contribute to obesity?

A

When energy intake exceeds energy expenditure, leading to weight gain.

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14
Q

What factors influence energy intake and expenditure?

A

Genetic predisposition, environment, food availability, portion sizes, and physical activity levels.

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15
Q

What are the roles of orexigenic and anorexigenic hormones in appetite regulation?

A

Orexigenic hormones (e.g., ghrelin) stimulate appetite.
Anorexigenic hormones (e.g., leptin, CCK, GLP) suppress appetite.

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16
Q

How does leptin regulate appetite, and what happens in leptin deficiency?

A

Leptin, secreted from fat cells, signals the brain to reduce appetite.
Leptin deficiency leads to excessive hunger and weight gain.

17
Q

How does food composition affect caloric intake?

A

Energy-dense foods lead to higher calorie consumption.
Fiber increases food volume without added energy.

18
Q

Why do sugar-sweetened beverages contribute to weight gain?

A

They do not suppress hunger, leading to excess caloric intake.
Contain high fructose corn syrup, which may be easily converted to fat

19
Q

How does physical activity influence energy balance and obesity risk?

A

Increases total energy expenditure and muscle mass.
Reduces obesity risk and improves metabolic health.

20
Q

What socioeconomic factors are associated with obesity?

A

Income, access to grocery stores, walkability of neighborhoods, and access to fitness facilities.