Obesity Flashcards
adult obesity according to BMI
class I is 30.0-34.9
Classes of obesity and division of each
Class I - 30.0-34.9
Class II - greater than or equal to 35 BMI
Class III - greater than 40 BMI
classes of obesity and division of each in CHILDREN
what do they also consider?
look at their growth percentile as well
obesity starts at greater or equal to the 95th percentile
then goes to severe obesity
BMI - how to measure (units)
weight (kg)/ height (m squared)
overweight BMI
25.0-29.0
normal adult BMI
18.5-24.9
underweight childhood
less than the 5th percentile
normal weight child
5th percentile to the 85th percentile
severe obesity child
greater or equal to 120% of the 95th percentile or a BMI of greater than or equal to 35
also greater or equal to 140% of the 95th percentile or BMI of greater than or equal to 40
overweight child
greater than or equal to 85th to the 95th percentile (less than the 95th tho) - as obesity starts at greater than or equal to being in the 95th percentile
what is the statistic for children who are overweight by the age of 5?
4 TIMES more likely to become obese
what has happened to the US childhood obesity rates since 1970?
they have tripled
does obesity cause disease? is it a disease?
YES to both
multifactorial
result of increase in fat stores?
MULTIFACTORIAL COMPLICATOINS
- major increase in free fatty acids will lead to major insulin resistance problem
result of increase in fat stores?
MULTIFACTORIAL COMPLICATOINS
- major increase in free fatty acids will lead to major insulin resistance problem
based on current data, can direct causation be established with obesity and oral disease?
NO direct causation BUT yes you can see the association
adipokines implication?
adipokines –> inflammation –> changes associated with periodontal inflammation
association in increase in BMI results in?
increase in periodontal disease (1-3)
maybe association
association in increase in BMI results in?
increase in periodontal disease (1-3)
maybe association
how can we improve dental appointments for the obesity?
improvements in the physical environment
- do you have narrow doorways?
- blood pressure cuffs to fit..
- chair safety
- alteration of pharmokinetics of the drugs
recommended rate of weight loss
1-2 pounds per week
based on a deficit of 500-1000 k/cal ay
also significant level for improvements in other diseases they have – llike sleep apnea (as an example)
weight loss will help how? - general
improvements in cardiometabolic complications
modest percent of weight loss change?
5-10% (1-2 pounds per week)
modest percent of weight loss change?
5-10% (1-2 pounds per week)
