Obesity

Question 1

What is the only drug available on the NHS for Obesity

Answer 1

Orlistat:
60mg = P
120mg = POM

Question 2

What are the actions of Orlistat?

Answer 2

Inhibits pancreatic & gastric lipase resulting in malabsorption of Fat

Question 3

What are the side effects of Orlistat?

Answer 3

Fatty Diarrhoea

Question 4

What are the BMI bands?

3

Answer 4

>20 = Overweight 
>30 = Obese 
>40 = Morbidly Obese

Question 5

What are the tiers in the weight management program?

4

Answer 5

1 - Population wide health improvement (walking groups)
2 - Primary care (weight programs & drug therapy)
3 - Specialist weight management (MDT, Psychological & Physio)
4 - Specialist surgical management

Question 6

What is a Gastric band and how does it work?

Answer 6

Cuff added around the upper end of the stomach
Aseptic fluid can be added to it by a healthcare professional to increase/decrease the tightness

Actions:
Physically smaller space which when full send signals to the brain turning off the stimulus to eat more

Question 7

What are the drawbacks to a gastric band?

3

Answer 7

They can slip
The can erode
Hard to get the required amount of tension

Question 8

What is a Gastric surgery and how does it work?

Answer 8

Small intestine attached to proximal section of the stomach giving both smaller area for food leading to the feeling of fullness quicker but also bypassing the Duodenum leading to some malabsorption

Question 9

What is a Gastric Sleeve and how does it work?

Answer 9

Fundus of the stomach is section off from the lesser curve, leading to smaller area so feeling full quicker an reducing the secretion of hormones which can make people feel fuller

Question 10

What are the indications for bariatric surgery?

sign

Answer 10

All of:

• Completed the non-surgical weight management
• BMI >35
• Presence of one or more sever co-morbidities expected to improve with weight loss

Question 11

Who is actually prioritised for bariatric surgery?

Answer 11

Group 1

• Age = 18-44
• BMI = 35-40
• Less than 5years of T2D

Group 2

• Age = 18-44
• BMI = 40-50
• Greater than 5 years of T2D

Question 12

What happens to the risk of surgical complications with poor cardiovascular health?

Answer 12

5 Times higher + Longer time in holiday afterwards

Question 13

What are the medical benefits of physical activity?

Answer 13

Improved patient orientated outcomes 
Improves cancer survival 
reduced the side effects of Chemo 
Up to 7 years longer life expectancy 
Prevents the onset of diabetes 
Reduces mental health complications 
Lower surgical mortality

Question 14

How much physical activity is recommended for the following groups?

• Early Years:
• Children & Young People:
• Adults:
• Pregnant women:

Answer 14

• Early Years: 3hours/day
• Children & Young People: 1hour/day
• Adults: 75 high or 150 moderate / week
• Pregnant women: 150 moderate /week