Obesity and Healthy Lifestyle Flashcards

1
Q

What is obesity

A

Increased body weight and fat

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2
Q

How is it classified

A

BMI
Weight / height ratio
Body fat %

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3
Q

What is normal BMI

A

18.5-24.9

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4
Q

How is BMI calculated

A

Weight kg / height m

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5
Q

What is obese

A

> 30

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6
Q

If DM and going to exercise

A

Reduce insulin dose before and after to reduce hypo

Eat more CHO

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7
Q

If DM and going to drink alcohol

A

Alcohol causes reduced glycogenolysis so increased risk of hypo
Also increases BG as calories
Always eat before drinking and note extra activity
Decreased awareness of hypo

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8
Q

If DM and smoke

A

Increased macrovascular complications

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9
Q

If DM and recreational drugs

A
Risk of DKA
Seizures
Cardiotoxic
Increased appetite
Hyper and hypotension
May cause dehydration
May forget insulin
May not monitor BG
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10
Q

What is healthy eating advise

A
Avoid missing meals 
Include starchy CHO at each meal for slow release
5 servings fruit and veg
Include more beans and lentils
2 portions oily fish
Limit sugar
Reduce salt <6g
3 portions dairy
Low saturated fats
Avoid diabetic foods
Want low glycemic food
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11
Q

Recommendations for exercise

A
2.5-3 hour moderate activity 
OR
75 minutes vigorous
2+ strength training
Child = 60 minutes per day
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12
Q

What affects nutrient requirement

A
Age
Sex
Body size
Physiological state
Digestion / absorption
Nutrient losses e.g. menstruation 
Lifestyle 
Drug - nutrient interactions
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13
Q

BMI overweight

A

25-30

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14
Q

Obese type 1

A

30-35

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15
Q

Obese type 2

A

35-40

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16
Q

Obese type 3

A

> 40

17
Q

What are indications for bariatric surgery

A

BMI >40
BMI >35 + significant co-morbid
Failure non surgical management to achieve weight loss in 6 months
Fit for surgery

18
Q

What are options

A

Gastric band - band to create a smaller stomach which you can change size
Sleeve gastrectomy
Roux en Y gastric bypass

19
Q

What are complications

A
Nutrient deficiency 
Dumping syndrome
Wound infection
Hernia
Malabsoption 
Diarrhoea
20
Q

What do you get post -op

A

Vitamins supplements

Life long follow up and bloods