Obesity Flashcards
1
Q
BMI- Obesity
A
- Calculation of mass based on weight and height
- > 30 = obese
2
Q
Metabolic syndrome- Eti
A
- Constellation of metabolic abnormality increasing risk of CVD & DM
- Highest prevalence in Native Americans
- 28-30% population
- Insulin resistance
3
Q
Metabolic syndrome- Sx
A
- Central obesity
- Hypertriglyceridemia
- Low HDL
- Hyperglycemia
- HTN
4
Q
Metabolic syndrome- Risk factors
A
- Obese
- Sedentary
- Age > 50
- DM
- CHD
- Lipodystrophy
5
Q
Metabolic syndrome- Sx
A
- No associated symptoms- look at signs such as waist circumference, HTN,
6
Q
Metabolic syndrome- Dx
A
NCEP/ ATP III criteria- 3+
- Central obesity
- Hypertriglyceride
- Low HDL or meds
- HTN >130/85 or meds
- CBG >100 or meds
7
Q
Metabolic syndrome- Tx
A
- Lifestyle & diet
- Manage DM, dyslipidemia, weight
8
Q
Obesity- Eti
A
- 33.8% americans
- Excess adipose tissue- upper body of more consequence
- Increased morbidity/ mortality
9
Q
Obesity- Class I
A
BMI = 30-34.9
10
Q
Obesity- Class II
A
BMI = 35-39.9
11
Q
Obesity- Class III
A
- Extreme obesity
- BMI > 40
12
Q
Obesity- Dx
A
- Calculate BMI
- Measure waist circumference
- Rule out cushing, TSH and other endocrine abn.
- Screen for metabolic syndrome
13
Q
Obesity- Tx
A
- Surgery
- Catecholaminergc meds
- Lifestyle modifications
14
Q
5 As intervention
A
- Ask permission to discuss wt
- Assess BMI, waist
- Advise health risks
- Agree realistic expectations
- Assist ID & address barriers
15
Q
Roux-En-Y gastric bypass
A
- Gold standard bariatric procedure
- Weight loss by reducing length of stomach, and small intestine
- Malabsorption
- Neuroendocrine alterations
