science of body weight week 1 Flashcards

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1
Q

what is the equation for BMI

A

weight (kh)/ height2 (m), in children z scores take into account age and growth in height. overweight= 25-30

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2
Q

what is the history of BMI

A
  • health insurance companies
  • 1900s: normal weight tables…
  • relative scarcity of women and racial and ethnic minorities in underlying datasets
  • 1937 : body frame added to table
  • 1972 : quetelet indexed from 1832 and renamed it to BMI
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3
Q

what are the strengths of using BMI

A
  • simple and low cost
  • strong correlation between self-report and measured BMI
  • correlated with direct measures body fat such as underwater weighing and dual energy x-ray absorptiometry.
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4
Q

what are the cons of using BMI

A
  • no account for age in adults, race and gender - higher bone density and muscles mass in black people compared to white.
  • indirect measures of body fat (does not reflect changes in body fat and muscle mass)
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5
Q

what are the trends in body weight

A
  • 2016: 1.9 billions adults overweight
  • 41 million under 5 and 340 million aged 5-19
  • decreasing trend in moderate to sever underweight.
    -strong regional division : overweight in developed countries
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6
Q

why is it important to look at weight

A

child obesity and overweight are associated (risk factors) with type 2 diabetes, metabolic syndrome in youth and obesity in adult
For adults: cardio vascular disease, type 2, some cancers

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7
Q

how can we study genes vs environment in regards to body weight

A

Adoption studies
adopted children bmi compared to parents, and biological parents.
Twin studies : MZ (concordance rate higher, suggest genetic basis) and DZ, concordance rate.

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8
Q

how can we find which genes have an influence on bodyweight

A

Genome wide association studies : section of genome can be different people, different snips for different people. meta-analysis (combine results=more reliable), range of different snips related to BMI, correlation doesn’t mean causation.

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9
Q

genetically, why are some individuals more predisposed to bodyweight then others.

A

evolutionary : natural selection (how organism evolve), means genetic variation (random mutation = might be more advantageous).

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10
Q

thrifty gene hypothesis

A

Neel,1962 : original explanation for type 2, suggesting genes for this were previously advantageous. More fat = more survival at times of famine
when food abundant: prepares humans for famine that never comes.

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11
Q

what are the criticism of the thrift gene hypothesis

A
  • all humans should have an obesity problem
  • famine not a frequent feature of our evolutionary past, much shorter time, thrifty genes haven’t spread so far
  • selection pressure would have to be huge to have spread that far.
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12
Q

drifty gene hypothesis

A

Speakman (2008) : other processes other then thrifty gene. e.g. genetic drift (non-adaptive evolutionary change)
- body weight in animal well regulated between a lower level (starvation risk) and upper (risk of predation) - not applied to humans as predation risk disappeared (social behaviours, weapons/fire) . without selection pressure genes were subject to random mutation and genetic drift

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13
Q

criticism of drift gene hypothesis

A
  • why hasn’t the obesity epidemic been around for the last 20,000 years if we have the same genetic architecture as Cro-Magnon humans?
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14
Q

why hasn’t the obesity epidemic been around for the last 20,000 years if we have the same genetic architecture as Cro-Magnon humans?

A
  • not the abundance of food available at that point, insufficient food for bodyweight to increase up towards the drifted upper level
  • but with an abundant food supply that was not the case.
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15
Q

what is the overall criticism for evolutionary theory

A
  • tend to treat humans as homogenous block : fail to account for interethnic differences in obesity
  • selleyah: unify theory ( differences, culture and social)
  • maladaptive scenario: genes provide cold adaption rather than heat adaption also influence increase in metabolic rate (way of burning off excess food)
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