Management of Obesity Flashcards

1
Q

Is the prevalence of obesity increasing or decreasing?

A

Increasing

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2
Q

What are some co-morbidities that obesity increases the risk of?

A
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3
Q

What are the 1st and 2nd top causes of cancer?

A

1) Smoking
2) Obesity

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4
Q

Explain tier 1 to 4 of adult weight management?

A

Tier 1:

  • Healthy Helpings programme really helps with losing weight

Tier 2:

  • Non-surgical weight management can be done by medicine:
    • Orlistat
      • Inhibits pancreatic and gastric lipases
      • 60mg dose can be used by patients with BMI more than or equal to 28 and over 18 years older
      • Usual prescription dose is 120mg 3 times per day
      • GI adverse effects with consumption of fat
      • Only used where diet, physical activity and behavioural changes are supported
      • Therapy should only be continued beyond 12 weeks if patients has lost at least 5% of body weight

Tier 3:

  • Example of programme is Weigh Forward
  • Combination of evidence based psychological model, dietetic input and physical activity for a holistic, person centred care approach

Tier 4:

  • Bariatric surgery
    • Variety of procedures performed on people who are obese to help with weight loss
      • Gastric bypass
      • Gastric band
      • Vertical banded gastroplasty
    • BMI >= 35 and presence of one or more severe comorbidities that would improve with weight reduction
    • Also needs evidence they will comply with structured weight loss management programme involving diet, physical activity, psychological and drug interventions
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5
Q

What is tier 1 of adult weight management?

A

Population widehealth improvement work such as community interventions:

  • Healthy Helpings programme helps with losing weight
  • walking groups
  • leisure club classes
  • cooking classes
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6
Q

What is tier 2 of adult weight management?

A

Non-surgical weight management done by primary care:

  • NHS healthy weight programmes
  • lifestyle advice
  • community dietetic
  • drug therapy if appropriate
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7
Q

What is an example of a drug that can be used for tier 2 management of weight?

A

Orlistat

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8
Q

What is the action of orlistat?

A

Inhibits pancreas and gastric lipases

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9
Q

Who can orlistat be prescribed to?

A

60mg dose to patients with BMI more than or equal to 28 and over 18 years old

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10
Q

What is orlistat only used with?

A

Where diet, physical activity and behavioural changes are supported

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11
Q

How long should orlistat therapy be given for?

A

Should only be given for longer than 12 weeks if patient has lost at least 5% of body weight

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12
Q

What is tier 3 of adult weight management?

A

Specialist weight management:

  • access to MDT
  • psychological expertise
  • physiotherapy
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13
Q

What is an example of a programme for losing weight?

A

Weigh Forward

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14
Q

What is tier 4 of adult weight management?

A

Specialist surgical service:

  • bariatric surgery
  • gastric bands
  • specialist follow up
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15
Q

What are some examples of bariatric surgery procedures?

A

Gastric bypass

Gastric band

Vertical banded gastroplasty

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16
Q

What is the criteria for a patient to qualify for bariatric surgery?

A

BMI >= 35 and presence of one or more severe comorbidities that would improve with weight reduction

Also needs evidence will comply with structured weight loss management programme involving diet, physical activity, psychological and drug interventions

17
Q
A