obesity

Question 1

What BMI is classified as Obese?

Answer 1

>30

>40 = morbidly obese

Question 2

What is the incidence of obesity in the US?

Answer 2

Super high!!!

greater than 35% in some states–> projected 44% of Am’s will be obese by 2030

Question 3

Pathophys of obesity?

which is more insulin resistant, visceral adipose or subQ?

Answer 3

visc insulin resistance > subQ

Question 4

medical complications of obesity?

Answer 4

obesity ^^ risk off endoM cancer the most [39%]

Question 5

Tx strategies?

Answer 5

¡Nutrition Assessment and Treatment
¡Dietary Interventions
¡Selected Dietary Approaches
¡Physical Activity Interventions
¡Behavioral Interventions
¡FDA-Approved Medications for Weight Loss
¡Bariatric Surgery

Question 6

What are realistic weight loss goals?

What are realistic calorie deficits for dieting?

What are realistic physical activity goals?

Answer 6

1-2 lbs per week for 1st 6 mo

500-1000 cal deficit/day

30 mins of exercise/day 7x/wk

Question 7

how much physical activity does the avg obese woman get per year?

Answer 7

1 hour

men= 3.6 hrs/yr

Question 8

what are some medications currently used for obesity Tx?

When is bariatric Surgery a good idea?

Answer 8

orlistat –> improves cardio-metabolic risk factors but dont reduce CV morbid/mortality

Saxenda: NEW!!

• injxn 1x/day of imitation GLP-1 –> tells brain, the stomach is full

contrave & other antidepressant like drugs –>may ^^ POMC activty

VBLOC: blocks vagal N–> promotes satiety–> programmable rechargeable & removable

bariatric surgery: BMI >40 OR >35 w/ comorbidities

• many complications: dumping syn, hernia, decreased absorption of nutrients
• DOES reduce mortality