Obesity

Question 1

Health risk of diabetes

Answer 1

Diabetes
HTN
Hypercholesterolemia
Atheroscleross
MI
Arirthis
Gallbladder
Some cancers
Anesthesia/surgical rsik 
Social discrimination

Question 2

Causes of Obesity

Main

Answer 2

Combination of biology and behavior

Main- toxic– more calories less movement

1. Genetics- 70% of variance is genetic
2. early onset
3. Obesity in one parent doubles the risk
   4 Medications
4. Toxic environment- more food processed and available
5. Increase calories
6. Less activity

Question 3

Appropriate characterustics of diets

Answer 3

Should not exclude major food groups

Must be manageable. palatable, and sustainable long term

Question 4

Beahvioral weigh management

Answer 4

Less than 10% of behavioral keep all their weight off… most keep some off

Question 5

Weight loss drugs

Answer 5

Shouldnt be used without the behavioral changes. Can be used for ppl that are always hungry or can’t get full and feel

effective as long as you take them but tappers

Question 6

Bariatric surgery

Answer 6

Severely obese >40 some as low as 30

involves higher risk than all weight loss. And easier to maintain the weight loss

Question 7

Gastric bypass– explain procedure.

Answer 7

Cut the stomach down reducingcaloric intake

Skip a pass of the SI

Causes dumping– so high carb meal dumbs right into the SI so can cause flu like symptoms

Question 8

Sleeve gastrctomy

Answer 8

Remove a huge portion of the stomach but the intestines are intact. Loose theri taste for sweets. Restrictive

Question 9

Lap band

Answer 9

band around the top part of stomach so makes a smaller uppper stomach and emptying is slower

Lower risk – quick healing

Question 10

Order the surgeries in weight loss

Answer 10

Gastric bypass (remove some of stomach and SI)» Gastric Sleeve (remove part of stomach)»> Lap band (band around top of stomach)

The effectiveness matches the risk

Question 11

Intervention for ppl
Under 25
25-30 Comord- No /Yes

27-30 Comorbid No/Yes

30-40 Cormordid No/Yes

Answer 11

Under 25- self manage prevention

25-30 Comorodid- No- self managment Yes- Lifestyle innvertion

27-30 Co morbid No- Lifestyle changes Yes- Lifestyle and drugs

30-40 Co-morbid No- Lifestyle changes Yes- Lifestyle and drugs

35-40 Yes- bariatric no Lifestyle and drugs
Over 40 Bariatric surgery

Question 12

Difficulties in weight treating

Answer 12

1. Lack of training
2. Ineffectual (yoyo) and time consuming
3. Issue of conceptualizing– don’t consider them lazy or lacking will power– physicians have negative stereotypes like population
4. Misconception that shame is helpful

Question 13

4 step plan!

Answer 13

1. Have a plan! Healthy 3 meals
   2, Portion size
2. Decrease consuption of fat and sugars
3. Walk 30 mins/most days

Question 14

Number of kids oberweight/obese

Answer 14

1/3!

Little lower in than adults whichs are 2/3

Question 15

Obesity for Children

Answer 15

Consider BMI for AGE and this is indivative of adult weight. Healthy weight is 5-85
85-95 overweight
over 95- obese

Question 16

Why obesity is high in children

Answer 16

Genetics
Fmailial- strongest predictor is obese parent
Gestational- maternal diabetes, obesity, smoking

Adiposity rebound (age 3-7)- dip early in life is normal but a deep earlier than normal and increase earlier from that deep is indicative of obestity

Diet- bad food in large portions

Physical Activity- technology reduces activity and encourages snacking

school- reducing requirement of activity

Less walking more walking

Lack of romodels

Question 17

Obesity treatment for children

Answer 17

Weight Goals= generally maintain weight because their growing and height will catch up

Medical Goals- prevent complications like metabolic syndrome

Behavioral- teach lifestyle habits– treat behavioral issues

Diet- encourage healthy foods, planned meals

Physical activity- 60 mins of activity a DAY

1-2 hours or less a day in screen time

medical- less likely