Obesity Seminar Flashcards
What comorbidities are associated with Obesity?
Asthma Cancer CVD Dementia Depression T2DM Fertility issues GORD Kidney/Liver issues
What is the economic impact of obesity in scotland?
£0.9-4.6bn
What is tier 1 of adult weight management?
Population-wide health improvement work
What is tier 2 of adult weight management?
Primary care:
NHS healthy weight programs
Drug therapy
What is tier 3 of adult weight management?
Specialist weight management:
MDT (dietetics, psych, physio)
What is tier 4 of adult weight management?
Specialist surgical management
Bariatric surgery
How does Orlistat work?
Inhibit pancreatic/gastric lipase
What dose of Orlistat is prescribed?
60mg dose if BMI>28 (with comorbidities)
BMI >30
120mg, 3/day
What side effects are associated with Orlistat?
GI adverse effects with fat consumption
When should bariatric surgery be considered?
BMI > 35
Presence of 1 or more co-morbidities which are expected to improve with weight reduction
and
evidence of structured weight management not resulting in significant improvement
When is bariatric surgery recommended?
BMI > 35 + symptoms BMI > 40 All non-surgical measures tried Fit for surgery Committed to long-term followup First line with BMI > 50
What capacity of potential demand for bariatric surgery can be met?
1.35%
What are priority group 1 for bariatric surgery?
18-44
BMI 35-40
Recent onset T2D
What are priority group 2 for bariatric surgery?
Priority 1
18-44
BMI 40-50
Onset T2DM < 5 years
