Wood: Obesity

Question 1

BMI below 18.5

Answer 1

underweight

Question 2

BMI 18.5-24.9

Answer 2

healthy

Question 3

BMI 25-59

Answer 3

overweight

Question 4

BMI 30-39

Answer 4

obese

Question 5

BMI over 40

Answer 5

morbidly obse

Question 6

Child over 2 is severely obese if…

Answer 6

BMI atleast 20% higher than 95th percentile for their age/sex

BMI>35

Question 7

What percent of adult men and women are overweight?

Answer 7

40% men

30% women

Question 8

What percent of youth are severely obese?

Answer 8

4-6%

Question 9

Why is it often hard to lose weight?

Answer 9

Ghrelin levels stay high for a year after weight loss and tell you you’re ungry

Question 10

White fat

Answer 10

STORES energy

adipose tissue that stores calories

Question 11

brown fat

Answer 11

burns calories and generates heat in the process (found in skeletal muscle, new borns and hibernating animals)

Question 12

Visceral fat

Answer 12

seen on CT
more insulin resistant
less healthy

Question 13

subcutaneous fat

Answer 13

feel on thighs and back
less insulin resistant
less metabolically active

Question 14

How does weight loss affect knee stress?

Answer 14

for every lb loss there is a 4% reduction in stress on knee

Question 15

obesity increases risk for what cancer most?

Answer 15

endometrial

than esophageal

Question 16

How does an increase in BMI affect mortality?

Answer 16

for every 5 BMI units your mortality increases (starts at 25)

Question 17

What is an independent RF for obesity/need for weight loss?

Answer 17

waist circumference (sign of visceral fat)

*not just BMI

Question 18

Why is a 3-5% weight loss significant

Answer 18

results in lower:
TG
A1C
decreases risk of DM2

*MORE than that lowers BP and improves LDL

Question 19

What population gets bariatric surgery?

Answer 19

BMI 40

BMI 35 w/ comorbidities

Question 20

What are realistic weight goals?

Answer 20

1-2#/week for first 6 mos

10% from baseline

Question 21

Treat and reduce obesity act 2013

Answer 21

Medicare will now pay for referrals to a dietician

Question 22

Vertical sleeve gastrectomy

Answer 22

cuts out ghrelin producing cells

*these ppl lose a large percent of BMI and ahve to be reminded to eat

Question 23

Roux en Y

Answer 23

Bypass stomach

*may lead to Fe and Ca absorption problems

Question 24

Medication for severely obese children

Answer 24

orlistat