Obesity P3 - Management of Obesity Flashcards
What are the 5As of obesity management in adults?
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According to experiments, a modest increase in __ and reduction in __ favoured maintenance of body weight
protein content ; GI index
What are the most common pharmacological treatments for weight loss?
- lipase inhibitors
- appetite suppressants
At what time of the day should Orlistat be taken?
Right before a meal
Which supplements should be taken with Orlistat?
Vitamins ADEK
Which patient would you recommend Orlistat to?
- People not ready to change their diet yet
- Most use = patient with obesity that have comorbidity (not just to deal about extra wt but also improving health)
What does weight loss improve for diabetes control?
Improves:
- glucose tolerance and insulin sensitivity
- need for glucose lowering medication is reduced
What are cardiovascular improvement of weight loss?
- normalized TG levels
- raises HDL chol
- lowers LDL chol
- improves CHD risk profile
- reduces need for antihyperlipidemic medication
What does lean mass loss depend on? (2)
- degree of weight loss
- initial body fat
If a patient has a very high BMI how would you estimate weight loss duration?
- aim for 5% weight loss
- proceed in stages: - loss - maintenance- loss - maintenance
What are the priorities of setting a balanced diet?
- create an energy deficit
- avoid nutritional deficiencies
- preserve lean mass
- promote long term adherence
In %, what is a high protein diet?
> 30%
a standard protein diet is <20%
a modest increase in _ content and modest reduction in _ index favoured maintenance of body weight
protein ; GI
What is the “Balanced Diet”
- Weight reduction diet for 6-12 months with high protein and moderate fat
- within AMDR
AMDRs (Acceptable Macronutrient Distribution Ranges) for BALANCED DIET
10-35% PROT
45-65% CARB
<30% FAT
