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16 Cards in this Set

  • Front
  • Back

What are the BMIs for:
Underweight
Normal Weight


Overweight


Obesity


Extreme (Morbid) obesity

<18.5


18.5-24.9


25-29.9


30-39.9


>40

What are the three highest burdens of disease?

1. smoking


2. high blood pressure


3. obesity

3 in 5 adults are obese

1 in 4 children are obese

The more overweight an individual is, the higher the incidence of:

Diabetes & HTN

What are the medical complications of obesity?

Nonalcoholic fatty liver disease


Pulmonary disease


Gynecologic abnormalities


OA


Cancer


Coronary Heart disease-DM, HTN,Dyslipidemia

What are the main etiologies of Obesity

Metabolic facors


Diet


Physical activity

How does intra-abdominal obesity increase cardio-metabolic disease risks?



Directly- altered secretion of adipokines


Indirectly- Directs fact delivery to the liver promoting insulin secretion, diabetes and metabolic syndrome risk factors.



Metabolic Syndrome includes what conditions?




MS leads to athlerosclerosis- greatly increasing risk of CVD & diabetes

Glucose intolerance


Hypertriglycerides


Low HDL-cholesterol


Central obesity


Hypertension

What are the differences between Impaired glucose tolerance and T2DM?

Impaired= incr insulin production & resistance and slight increase in FBG


T2DM- insulin resistant, decrease in insulin production and increase in FBG

What are the benefits of diet modification?

Decrease in:


HbA1c, T2DM, Cholesterol, FFA, BP, Inflammation & medication


Increase in:


Insulin sensitivity & HDL

How does Pharmacotherapy encourage weight loss?



1. Modification of appetite


2. Increased thermogenesis- incr energy expenditure


3. Inhibition of nutrient absorption from GI tract

What are the effects of taking weight loss drugs?

Decrease in weight, TG, LDL


Increase in glucose control

Name 3 surgical interventions?

Liposuction


Gastric Banding


Gastic Bypass

What are the goals of exercising obese patients?

Preventing weight gain/regain


Stimulating weight loss

How much walking is required for a 100kg person to lose 1kg of fat?

19 hours

What are the current obesity and exercise guidelines?

Large muscle groups, non weight bearing, walking


Daily (at least 5d.p.w)


Duration 200-300mins 60-90mins daily for significant weight loss


Intensity- 40-60% VO2peak or 60-75 ++benefits