obesity Flashcards

1
Q

statistics

A

BMI>30, 39% 20+adults, 71%overweight

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2
Q

multifactorial

A

some genetics, some society, gene: congenital leptin

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3
Q

weight loss

A

eat less move more» more complex than that!!

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4
Q

fat storage

A

set point, - body defends agains fat change

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5
Q

metabolic adaptation

A

restrict calorie, decrease energy expenditure, increase hunger. obesity increases insulin/leptin/glucagon/glip, decrease gherkin, glucagon, pept

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6
Q

diet and fat storage

A

calories aren’t equal, low fat diet> didn’t maintain loss, sugar^ insulin, protein decrease grueling

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7
Q

weight losss treatment goals

A

5-10% weight loss improves cardio metabolic health, decrease calories, maintain protein

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8
Q

parts of intervention

A

diet/physical activity, pharm, surgery

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9
Q

diet/physical activity

A

low carb: quick effect maintain, low fat= rebound (sugar carb sub?), replacement food depends

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10
Q

pharm

A

meds underused. BMI >30 or >27 with comorbitities. reassess at 3 month (5% weight loss)

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11
Q

surgery

A

effective but some requain

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12
Q

weight loss surgeries

A

gastric band, sleeve (best) roux en y bypass, bioopanc (greatest risk, largest impact)

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13
Q

medication names

A

orlistat, phentermine, liraglutide (DM)

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14
Q

ketosis

A

may accelerate weight loss and helming insulin. cholesterol, headache, fatigue… not safe in DM

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