Obesity Lecture Powerpoint

Question 1

Obesity is inversely related to…

Answer 1

….education

Question 2

Overweight BMI

Answer 2

25-29.9

Question 3

Obesity BMI (class I thru III

Answer 3

I - 30-34.9
II - 35-39.9
III - 40+ (severe morbidly obese, will need bariatric surgery)

Question 4

Screening for obesity (2)

Answer 4

• all adults screened with BMI measure

- waist circumference measured at the iliac crest men>40 inch women >35 inch indicative

Question 5

Apple vs pear waist circumference

Answer 5

-apple indicates central adiposity associated with increased risk of morbidity and mortality, greater risk of hypertension, diabetes, etc,

Question 6

Obesity hypoventilation syndrome (OHS) Pickwickian syndrome

Answer 6

A BMI greater than 30 that has limited chest mobility resulting in chronic alveolar hypoventilation worsening CO2 levels and right sided heart failure

Question 7

Obesity etiology (3)

Answer 7

• sedentary lifestyle and increased caloric intake
• genetics
• social networks

Question 8

Grehlin

Answer 8

Hormone released by stomach to promote hunger

Question 9

Leptin

Answer 9

Hormone released from adipose signal to send to the brain to promote satiety

Question 10

Obesity treatment (4)

Answer 10

-diet and exercise
-drugs
-surgery
-manage comorbidities
(based on both BMI and presence of comorbidities to determine)

Question 11

Dietary advice as a provider (5)

Answer 11

• balanced low calorie diets/portion controlled diets (not below 1000-1200 kcal/day)
• low fat diets
• low carb diets
• mediterranean diet
• avoid fad diets

Question 12

Defensive eating techniques (6)

Answer 12

• stop before stuffed
• be selective
• select small portions
• beware of desserts
• slow down
• be aware of why you are eating

Question 13

When to use drugs for obesity (2)

Answer 13

• if BMI greater than 30

- BMI 27-30 if comorbid conditions exist

Question 14

2 Drug options for weight loss (explanation and ADR)

Answer 14

• orlistat (lipase inhibitor prevents absorption of dietary fat, oily stools ADR) 1st line therapy
• Saxenda (excellent choice for those with type 2 diabetes, no ADR)

Question 15

Liposuction

Answer 15

Removal of subQ fat by aspiration, not covered by insurance as purely cosmetic, does not improve insulin resistance or risk factors for CAD

Question 16

Bariatric surgery

Answer 16

Effects weight loss thru reducing stomachs reservoir capacity (restriction), shortening length of intestine (malabsorption), or a combo of both of these (roux en y gastric bipass)

Question 17

Outcomes of bariatric surgery

Answer 17

-majority of patients experience complete resolution or improvement of comorbidities

Question 18

__ of the US population is obese

Answer 18

1/3