Obesity - Lecture 19 Flashcards

1
Q

Main causes of obesity?

A

Genetics, Social Determinants, Environments

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2
Q

Trends in Obesity in the US

A

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%

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3
Q

What do the trends make of obesity?

A

Obesity as the new normal.

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4
Q

Trends in Obesity in Canada

A
  • Overtime prevalence in obesity increased
  • Quebec had lowest prevalence due to smoking
  • 1/3 Canadians Obese
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5
Q

In the rise of obesity does everyone gain same weight over time?

A

Proportional increase for class 2 & 3 obese

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6
Q

Who is most likely to have a high prevalence of obesity related conditions?

A

Class 2 and 3; those who’s BMI’s are high

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7
Q

Trends of prevalence in overweight and obesity

A

Prevalence of overweight is minimal while prevalence of obesity is high

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8
Q

What about third world countries?

A

Along with obesity, dealing with acute and chronic conditions too. (Starvation)

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9
Q

Relationship between Mortality Risk and BMI

A

Very Low BMI increases risk and Class 3 Obesity is a very high risk.

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10
Q

Who are the people that fall into obesity

A

Those who work at home. Staying hidden and out of sight from the rest of the world.

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11
Q

Why is it hard for many to recognize what’s considered obesity?

A

Based on the environment we live in, obesity may be different to us.

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12
Q

BMI for guys vs. girls

A

High BMI for guys is accepted societally rather than a high BMI for girls.

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13
Q

BMI Growth Curve?

A

Graph that plots where kids BMI should be as they age?

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14
Q

What age does the curve slightly drop?

A

Age 4-5 BMI curve drops.

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15
Q

What is obesity defined as according to the growth curve

A

A percentile

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16
Q

What percentile is overweight

A

90-95th percentile (Out of 100 kids); 95+ is obesity

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17
Q

What’s the normal range?

A

Anything between the 5-90 percentile should be fine.

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18
Q

Is there a cutoff for kids?

A

Not necessarily as it’s a curve depicting how BMI should look not necessarily any cutoffs

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19
Q

How do parents play a role in their child’s weight?

A
  • Mothers underestimated weight of child
  • Mothers who themselves are overweight were more common to underestimate weight of child
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20
Q

Why is it challenging from a medical perspective to talk about obesity with a parent?

A

It has a negative stigma. Very sensitive to it and makes parents at “fault” for not caring for child’s health.

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21
Q

Trends in Overweight and Obesity 1981-1996

A

Lot more Boys and Girls transitioned to obesity compared to men & women.

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22
Q

Why is it impossible for the entire world to be obese in the future?

A

Some are genetically blessed, so metabolism is hardly affected from eating junk.

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23
Q

What are the newer trends of obesity in Canada now?

A

Prevalence of obesity is starting to slowly decline.

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24
Q

Relationship between Childhood BMI and Adult Metabolic Abnormalities

A

Risk of chronic disease developing at a young age and that leading to losing limbs as an adult.

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25
Q

Disadvantages of Too much Fat?

A
  • Associated health risks
  • Physical movement limited due to weight on you
  • Extra stress on bones and joints
  • Psychological Damage (society’s bias against overweight)
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26
Q

Does healthcare provide aid?

A

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)

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27
Q

Subcutaneous Fat

A

The fat on the outside (skin) that you can pinch

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28
Q

What do Subcutaneous skinfolds assess?

A

Subcutaneous fat on the outside not the visceral fat

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29
Q

Visceral Fat

A

Fat that surrounds your organs

30
Q

How much percent of fat does Subcutaneous and Visceral Fat make up?

A

Visceral Fat is about 10-15% for males and 5% for females while the rest is subcutaneous fat

31
Q

Which fat has more of a health related issue (Subcutaneous or Visceral?)

A

Visceral fat is more important towards health risk

32
Q

How is visceral fat contributing to obesity

A

Small affect on total obesity but a huge impact on obesity related disease

33
Q

How does Visceral Fat relate to Cardiovascular Risk

A

High visceral fat is related to Low amounts of HDL (good cholesterol)

34
Q

Does Liposuction improve health risk brought upon by Visceral Fat

A

No; study shows that liposuction targeted only subcutaneous fat not visceral fat at all

35
Q

Why can’t liposuction target visceral fat

A

Blood flow in visceral fat so puncture can happen and lots of blood loss.

36
Q

How can we lose our visceral fat then?

A

Weight loss through exercise and diet

37
Q

Relationship between weight loss and visceral fat

A

Weight loss leads to proportional increased loss of visceral fat

38
Q

How can visceral fat be measured

A

Anthrpometric measure; loss in visceral fat means change in waist circumference

39
Q

High BMI + Large Waist Circumference = Increased Health Risk

A

Interaction of BMI and WC in terms of Health

40
Q

What is Weight Control thought of as?

A

A scale where your energy intake and energy expenditure are balanced which leads to no weight change

41
Q

How can weight control lead to weight gain

A

Increase in caloric intake and living a sedentary lifestyle

42
Q

How can weight control lead to weight loss?

A

Diet and Exercise, Vigorous Training, Dieting

43
Q

What’s the energy surplus (calories above the amount you’re recommended to eat) that translates to weight gain

A

15 extra calories per day

44
Q

What percentile has an energy surplus of 50kcal/day

A

90th percentile

45
Q

RMR (Resting Metabolic Rate)

A

The number of calories you need to burn to stay do basic functions that help you stay alive

46
Q

How much of your energy expenditure does RMR count for?

A

60-75% of energy expenditure; calories burned from doing nothing

47
Q

Where does the rest of your energy expenditure go to?

A

Non-exercise activities like talking and standing. Also from feeding yourself

48
Q

Modern conveniences saving energy?

A

No longer doing things manually which saves you energy; but advancements like these in the workplace has lead to progressive weight gain every year.

49
Q

How much calories saved leads to a 20% higher chance of death?

A

Saving 130cal/day

50
Q

Do genes play a role in obesity?

A

Based on the monozygotic twins study; they looked awfully similar so this proves that genetics does play a huge factor in developing obesity

51
Q

How many genetical regions were found to influence obesity traits

A

> 140

52
Q

Exposure to things in environment linked to obesity

A

Plastics, Pesticides, Quitting Smoking

53
Q

How does exposure to these things in the environment cause a higher risk for obesity

A

Metabolism goes down, eating habits go up.

54
Q

Why is eating and exercising as you do now make you gain more weight compared to in the 70’s

A

Everything mentioned before; how we made ways to save energy and built an environment perfect for weight gain

55
Q

What did food intake trends in Canada show for Obesity and food intake

A

Decreased food intake and greater exercise but obesity was higher (are they lying?)

56
Q

Eating the same amount of calories in the 1970’s vs. 2008 shows?

A

There’s an increase in BMI with the exact same amount of calories consumed.

57
Q

Confirmation Bias

A

Seeking evidence that confirms what we believe and ignoring the facts that contradict that belief.

58
Q

What is the biggest cause of obesity that is diverse among different individuals

A

No specific trigger (people being unsure about how it happened); possibly a combination of many things that happened at once.

59
Q

Old Recommendations for Weight during Pregnancy for BMI less than 20

A

12.5-18kg

60
Q

Old Recommended weight for pregnancy of BMI 20-27

A

11.5-16kg

61
Q

Old Recommended weight for pregnant person of BMI >27

A

7.0-11.5

62
Q

What happened when pregnant mother gained weight?

A

Child will have risk for obesity; due to calorie intake during preganancy

63
Q

New Weight gain for Normal weight pregnant people

A

11.5-16kg

64
Q

New recommended weight gain for pregnant Overweight BMI

A

7-11.5kg

65
Q

New recommended weight gain for obese pregnant people

A

5-9kg

66
Q

What’s the main message for gaining weight and calorie intake when pregnant

A

Must watch your weight gain when pregnant by trying not to eat everything you crave

67
Q

Advantage of Fat

A

It’s a good energy store, but too much is unnecessary

68
Q

Liver Glycogen and Muscle Glycogen calories

A

Good proportion of calories that you can survive off of for days because the adipose tissue has the most amount of calories

69
Q

More advantages of fat

A
  • Insulation
  • Sport (Swimming and buoyancy)
  • Appearance
  • Improved survival rates for many chronic diseases
70
Q

Obesity Paradox

A

Those with obesity likely to get obesity related conditions but also more likelier to survive than those without obesity when faced with disease

71
Q

Metabolic reserves and how it explains obesity paradox

A

Higher amounts of energy in reserves to expend and combat disease, so lean person will run out of resources to combat it.