Obesity/Metabolic Syndrome Flashcards

1
Q

What racial group is obesity most prominent in?

A

Non hispanic black
Hispanic
Non hispanic whites

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2
Q

What racial group is least prominent for obesity?

A

Asian

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3
Q

Adipose tissue

A

provides insulation and mechanical support for body

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4
Q

Another name for fat storing cells

A

adipocytes

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5
Q

What is the healthier tissue to store fat?

A

peripheral adipose tissue

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6
Q

What is the worse area to store fat?

A

visceral adipose tissue

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7
Q

Apple shaped

A

Android

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8
Q

Pear shaped

A

Gynoid

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9
Q

What fat storage is more common in women?

A

gynoid

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10
Q

What fat storage is more common in men?

A

android

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11
Q

What does android fat storage have a higher risk of?

A

heart disease
HTN
DM
stroke

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12
Q

What is the waist circumference for CAD risk in men?

A

> 40 in

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13
Q

What is the waist circumference for CAD risk in women?

A

> 35 in

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14
Q

What is the function of adipokines?

A

help regulate appetite, food intake, energy expenditure, lipid storage, etc.

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15
Q

Adiponectin

A

inverse relationship with fat content

protects against atherosclerosis

anti inflammatory effects

*good

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16
Q

Leptin

A

direct relationship with fat

obese patients become leptin resistant

tells body when it’s had enough to eat = satiety

inhibits fat accumulation

*good

17
Q

Obesity BMI

A

BMI >40 kg/m2

18
Q

If obese, you are at risk for :

A

DM II, CVD, cancer, HTN, GERD, arthritis, infection and sleep apnea

19
Q

What are risk factors of obesity?

A

excess intake vs. output
sedentary lifestyle
low socioeconomic status
cultural aspects of eating
age (40+)
genetics
smoking cessation
secondary disorders

20
Q

Ghrelin

A

decreased in obesity

stimulates hunger and controls gastric mobility, acid secretion and stimulates GH

21
Q

GLP-1

A

decreases in obesity

reduces appetite

inhibits gastric emptying

increased satiety

22
Q

Peptide YY

A

decreased in obesity

reduces appetite

inhibits gastric mobility

increased energy expenditure

23
Q

Cholecystokinin (CCK)

A

can decrease in obesity

stimulates gallbladder contraction and release

increased satiety

reduces food intake

slows gastric emptying

24
Q

Metabolic Syndrome

A

waist circumference: >40 men, >35 women

triglycerides: >150

HDL: <40 men, <50 women

BP: >130 or >85

fasting glucose: >110