Obesity Flashcards
Prader Willi syndrome
Genetic abnormality causing obesity
Almond eyes, decreased muscle tone, hypogonadism, truncal obesity
Environmental factors
Individuals vary in reagard to dietary restraint
Social context when food is consumed and emotional state state
Physical activity
Whether a person chooses to exercise
Their past experience, time, motivation
Overall health and ability to exercise
Medical
Many drugs can attribute to weight gain
Diseases that cause weight gain
Cushings Insulinoma Hypothyroidism Hypothalamic damage GH deficiency
Increased morbidities associated with Obesity
Type II diabetes
Hypertension
Dyslipidemia
Heart disease
Stroke
Osteoarthritis
Sleep apnea
Cancer
Obesity screening
Measure HT and WT
Determine BMI
Measure waist circumference
Types of diets
Balanced low-calorie/portion controlled
Low fat
Low-carbs
Mediterranean diet
Obesity medications
Lorcarserin
Orlistat
Phentermine
Lorcarserin (Belvag)
Selective agonist of serotonin which decreases appetite
SE: HA, Nausea, dizziness, back pain
Orlistat (xenical, Alli)
Lipase inhibitor, inhibits the absorption of dietary fats
SE: Oiling spotting, flatus w/ discharge, fecal urgency, oily stools, fecal incontinence
Phentermine (Adipex-P)
Anorectic agent, amphetamine-like
Do not take for more than 3 months at a time
SE: palpitations, tachy, hypertension, restless, diarrhea, impotence, insomnia
Lap band surgery
Reversible
An adjustable band is put around the cardia of the stomach, effectively creating a small pocket to act as the stomach.
Sleeve Gastrectomy
Stomach Stapling
Removing the bulk of the stomach creating more of a sleeve to reduce size
SE: malabsorption, and very invasive, sutures leaking gastric fluid into the peritonium
Not reversible
Roux-en-Y gastric bypass
Restrictive and malabsorptive
Can be done laparoscopically
Bypasses most of the stomach and duodenum.
not reversible
