Obesity Revision Questions

Question 1

Obesity

Answer 1

defined as abnormal or excessive fat accumulation that may impair health

Question 2

What is a bariatric person

Answer 2

an individual of any age who has limitations in health and social care due to physical size, health, mobility and environment access

Question 3

BMI

Answer 3

weight (kg)/H^2

Question 4

What are the limitations of BMI

Answer 4

does not assess body fat distrubtion
measure of excess weight rather than excess body fat
does not count for factors such as age, sex, ethinicity, muscle mass

Question 5

Contributing factors for obesity

Answer 5

lack of energy
difficulty in chewing or swallowing food
underlying health problems
medication that contribute to weigth gain and changes in apeptie
lifestlye factors
physical limitations preventing a person exercing as causes pain

Question 6

Accessibilty in pracitce

Answer 6

toilets
door width
waiting room - suitable high weight bearing armless chair
lifts/stairs
emergency evaluation procedures

Question 7

Treatment problems for obese patients

Answer 7

loss of anatomical landmarks
ID blocks can be difficult
treat semi supine or sitting upright
many need lax tongue retractor
OPT difficult due to size
Intra orals challenging due to increase soft tissues
long procedures lead to acute leg odema, cellulitis, pressure sores
cogulation abnormalities - non alcoholic fatty liver disease
excessive fat in the tissues may affect pharmocologial absorption of drugs

Question 8

Dental implications

Answer 8

higher caries risk
increased tooth wear - GORD
delayed wound healing due to reduce immune function

Question 9

GDP advise for obsese patients

Answer 9

ingestion of a healthy balanced diet
stimulate salivary flow to avoid dry mouth
brush tongue or use tongue scraper to avoid hallitosis
porvide topical fluoride varnish
adequate OH
avoid tooth wear
increase consumption of food rich in fibre
never brush teeth after vominting