Obesity Flashcards

1
Q

Most widely used measure of overweight or obesity?

A

Body Mass index (BMI) kg/m2

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2
Q

What is taken to account when measuring BMI in people aged 2-18?

A

Age, gender, height and weight

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3
Q

In 2015/16 how many admissions in NHS hospitals were obesity related?

A

525 thousands

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4
Q

What organs can be affected by obesity?

A

Heart, lungs, brain, skin and GI tract

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5
Q

What complications can obesity cause the heart?

A

Heart Disease or Hypertension

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6
Q

What complications can obesity cause the brain

A

Decrease cognitive function, stroke, depression and anxiety

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7
Q

What complications can obesity cause the skin?

A

Stasis dermatitis or ulcers

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8
Q

What is type 2 diabetes and obesity associated with?

A

Insulin resistance

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9
Q

What determines insulin sensitivity?

A

Body fat distribution

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10
Q

What does HbA1c refer to?

A

Gylcated haemoglobin

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11
Q

What can HbA1c also be known as?

A

Haemoglobin A1c or A1c

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12
Q

What makes up total energy expenditure (TEE)?

A

Resting energy expenditure (REE), Thermic effect of food (TEF) and activity energy expenditure (AEE)

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13
Q

Name environmental factors that can increase obesity risk?

A

Increase in convenience foods, increase in advertising, increased stress, Increase in sugar sweetened beverages, socioeconomic status and sedentary lifestyle

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14
Q

What is the role of leptin?

A

Regulate appetite

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15
Q

What is the only current successful hormonal treatment for a monogenic form of human obesity?

A

leptin replacement therapy

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16
Q

What are the characteristics of prader-willi syndrome?

A

Cognitive impairment, low stature, genital hypoplasia, infertility and severe hunger

17
Q

What causes prader-willi syndrome?

A

Absence of chromosome 15

18
Q

What is a deoxyribose?

A

A sugar derived from ribose by replacement of a hydroxl group by hydrogen

19
Q

What does SNP stand for?

A

Single nucleotide polymorphism

20
Q

What is a Missense mutation?

A

A change in one DNA base pair that results in the substitution of one amino acid for another in the protein made by a gene

21
Q

What is a nonsense mutation?

A

A change in one DNA base pair, that signals the cell to stop building a protein. Resulting in a shortened protein that may function improperly or not at all

22
Q

What is an insertion?

A

An insertion changes the number of DNA bases in a gene by adding a piece of DNA, resulting in the protein made to not function properly

23
Q

What is duplication?

A

A duplication is when a piece of DNA is abnormally copied one or more times, altering the function of the resulting protein

24
Q

What is a frameshift mutation?

A

Happens when the addition or loss of DNA bases change a genes reading frame, resulting in a none functioning protein

25
What is a repeat expansion?
Nucloetide repeats are short DNA sequences that are repeated a number of times in a row.
26
Why do SNPS matter?
Least understood and can in part be counteracted by environmental changes such as medication, diet and exercise
27
What is the FTO gene?
The Fat Mass and Obesity gene
28
Where is the FT0 gene located?
Chromosome 16
29
What are the two bands for the sugar tax?
1) For total sugar content above 5g per 100 milliliters | 2) Higher band for sugary drinks with more than 8g per 100 milliliters
30
How many g of sugar is recommended per day for people aged 11+?
30g
31
How much more will a sugary drink from band 1 and 2 cost?
Band 1= 18p per litre | Band 2 = 24p per litre
32
What is Tier 1 for obesity focus on?
Primary action, population wide intervention
33
What is Tier 2 for obesity focus on?
Community health services, Gp, school nurse and health visitors. Aim t increase education and exercise
34
What is Tier 3 for obesity focus on?
Intervention time, can be referred to specialist obesity services
35
What does tier 4 for obesity focus on?
Bariatric surgery, gastric band, gastric bypass, sleeve gastectomy, very low calorie diets and residential camps