Obesity Flashcards

1
Q

What is obesity?

A

disorder of structure or function in a human anima or plant especially one that produces symptoms or that affects a specific location and is not simply a direct result of physical injury

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2
Q

What is the clinical management of people overweight/with obesity?

A
  1. Diet, physical activity and behaviour therapy
  2. Pharmacotherapy
  3. . Bariatric surgery
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3
Q

What are the pharmacological availabilities to treat obesity?

A

sibutramine, rimonabant, orlistat, byetta, liraglutide (diabetes), saxenda (weight loss medication)

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4
Q

Future pharmaceutical medications for Obesity:

A
  • contrave
  • qsymia
  • lorcaserin
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5
Q

What are dietary treatment options for obesity?

A
  1. Regular meals
  2. Breakfast eaters
  3. Circadian rhythmm
  4. 500-600kcal deficit approach
  5. Low fat diets
  6. Low glycaemic index diets
  7. Low carbohydrate diets
  8. Meal replacements
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6
Q

What is Circadian rhythm

A
  • over 24 hours, anticipate feeding, fasting and sleep

- basically eating within the 8-12 hour window from a 14.75 hours

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7
Q

What types of diets are low in carbs?

A

Atkins, south beach diet, zone diet

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8
Q

What is the look AHEAD study?

A
  • patients had Type 2 D, overweight/obese
    • Adhered to calorie restriction
    • Increased physical activity
    • Attended appointment
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9
Q

What is intermittent fasting?

A
  • time restricted eating

- reduction was consistent, between 10-40%

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10
Q

Explain the therapeutic void:

A

<10kg = diet, drugs, community based programmes

10-45kg = very low + low energy liquid diet

> 45kg = bariatric surgery

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11
Q

What is VLED?

A

very low energy diet

  • less than 800kcal/d
  • 3-4 products per day
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12
Q

what is LED?

A

Low energy diet

- 800-1200kcal/day

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13
Q

what is TDR?

A

total diet replacement

- formula diet providing all day’s food intake

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14
Q

Possible side effects of diet change?

A
  • Dizziness 19-47%
  • Gallstones
  • Dry Skin
  • Sensitive to cold 18-47%
  • Bad Breath
  • Fatigue
  • Flatulence 0-29%
  • Constipation 7-42%
  • Hair Loss
  • Diarrhoea
  • Headaches
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15
Q

Define a moderate intensity aerobic exercise?

A
  • 150mins per week
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16
Q

Define Light physical activity = easy exercise:

A
  • breathing normally, not sweating, can talk normally/sing
17
Q

Definte Moderate physical activity = somewhat hard exercise:

A
  • breathing quickly, yet not out of breath
  • light sweating after 10mins activity
  • talk normally, cant sing