Obesity - Lecture 19 Flashcards
Main causes of obesity?
Genetics, Social Determinants, Environments
Trends in Obesity in the US
In the 80’s not many people had a BMI over 30 but over the decades almost every state has a prevalence of obesity >25%
What do the trends make of obesity?
Obesity as the new normal.
Trends in Obesity in Canada
- Overtime prevalence in obesity increased
- Quebec had lowest prevalence due to smoking
- 1/3 Canadians Obese
In the rise of obesity does everyone gain same weight over time?
Proportional increase for class 2 & 3 obese
Who is most likely to have a high prevalence of obesity related conditions?
Class 2 and 3; those who’s BMI’s are high
Trends of prevalence in overweight and obesity
Prevalence of overweight is minimal while prevalence of obesity is high
What about third world countries?
Along with obesity, dealing with acute and chronic conditions too. (Starvation)
Relationship between Mortality Risk and BMI
Very Low BMI increases risk and Class 3 Obesity is a very high risk.
Who are the people that fall into obesity
Those who work at home. Staying hidden and out of sight from the rest of the world.
Why is it hard for many to recognize what’s considered obesity?
Based on the environment we live in, obesity may be different to us.
BMI for guys vs. girls
High BMI for guys is accepted societally rather than a high BMI for girls.
BMI Growth Curve?
Graph that plots where kids BMI should be as they age?
What age does the curve slightly drop?
Age 4-5 BMI curve drops.
What is obesity defined as according to the growth curve
A percentile
What percentile is overweight
90-95th percentile (Out of 100 kids); 95+ is obesity
What’s the normal range?
Anything between the 5-90 percentile should be fine.
Is there a cutoff for kids?
Not necessarily as it’s a curve depicting how BMI should look not necessarily any cutoffs
How do parents play a role in their child’s weight?
- Mothers underestimated weight of child
- Mothers who themselves are overweight were more common to underestimate weight of child
Why is it challenging from a medical perspective to talk about obesity with a parent?
It has a negative stigma. Very sensitive to it and makes parents at “fault” for not caring for child’s health.
Trends in Overweight and Obesity 1981-1996
Lot more Boys and Girls transitioned to obesity compared to men & women.
Why is it impossible for the entire world to be obese in the future?
Some are genetically blessed, so metabolism is hardly affected from eating junk.
What are the newer trends of obesity in Canada now?
Prevalence of obesity is starting to slowly decline.
Relationship between Childhood BMI and Adult Metabolic Abnormalities
Risk of chronic disease developing at a young age and that leading to losing limbs as an adult.
Disadvantages of Too much Fat?
- Associated health risks
- Physical movement limited due to weight on you
- Extra stress on bones and joints
- Psychological Damage (society’s bias against overweight)
Does healthcare provide aid?
They act along the lines of society where for example they won’t offer you hip replacement because you are overweight. (Putting blame on those who can’t control it)
Subcutaneous Fat
The fat on the outside (skin) that you can pinch
What do Subcutaneous skinfolds assess?
Subcutaneous fat on the outside not the visceral fat