Obesity

Question 1

What is the definition of obesity?

Answer 1

A condition of abnormal or excessive fat accumulation in adipose tissue, to the extent that health is impaired

Question 2

What is the healthy BMI range?

Answer 2

18.5-24.9 (below 25)

Question 3

What is the overweight BMI range?

Answer 3

25-29.9 (below 30)

Question 4

What is the obesity I BMI range?

Answer 4

less than 35 (30-34.9)

Question 5

What is the obesity II BMI range?

Answer 5

less than 40 (35-39.9)

Question 6

What is the obesity III BMI range?

Answer 6

over 40

Question 7

What is the underweight BMI range?

Answer 7

less than 18.5

Question 8

Why may BMI not be accurate?

Answer 8

It doesn’t account for muscle mass

Question 9

What are the 2 main factors that affect obesity?

Answer 9

Genetics

Environment

Question 10

What is the main factor that affects obesity?

Answer 10

Genetics

Question 11

What body part is important for regulation of appetite?

Answer 11

Hypothalamus

Question 12

What are some factors that have driven an increase in obesity?

Answer 12

Access to cheap fast food 
Access to outdoor parks/playground
Screen time 
Car usage
Education level
Poverty

Question 13

What comorbidities are associated with obesity?

Answer 13

Depression
Stroke
MI
Diabetes
Sleep apnoea
Cancer
Osteoarthritis
Gout

Question 14

How is BMI associated with mortality?

Answer 14

As BMI increases there is a higher chance of you dying that year

Question 15

How is obesity treated?

Answer 15

Determine degree of obesity
Assess their lifestyle and co-morbidities
Suggest lifestyle changes
Refer to specialist if required
Bariatric surgery

Question 16

What drugs can be offered for obesity? How does it work

Answer 16

Orlistat
Gastric and pancreatic lipase inhibitor
Reduces dietary fat absorption by around 30%.

Question 17

When can bariatric surgery be considered? When is it first line?

Answer 17

Consider if BMI is over 40

First line if BMI is over 50

Question 18

What are the 3 types of bariatric surgery? Describe how they work

Answer 18

Gastric bypass– the top part of your stomach is joined to the small intestine, so you feel fullersooner and do not absorb as many calories from food

Gastric band– a band is placed around your stomach, so you do not need to eat as much to feel full

Sleeve gastrectomy–some of your stomach is removed,soyou cannot eat as much as you could before and you’ll feelfull sooner.