Management of Obesity Flashcards
What are comorbidities of obesity?
- Asthma
- Cancer
- CVS
- Dementia
- Type 2 diabetes
- Fertility problems
- GORD
- Osteoarthritis
- Acute pancreatitis
What is the different tiers in obesity treatment?
Tier 1: Population-wide health improvement work
Tier 2: Primary care
Tier 3: Specialist Weight Management
Tier 4: Specialist surgical service
What it involved in Tier 1: population-wide health improvement work?
Community interventions; walking groups, leisure classes, cooking classes
What it involved in Tier 2: primary care?
NHS healthy weight programmes, lifestyle advisor, community dietetic and drug therapy with local clinical guidance
What it involved in Tier 3: Specialist weight management?
Access to multidisciplinary team, i.e. psychological expertise, physiotherapy
What it involved in Tier 4: Specialist surgical service?
Bariatric surgery, gastric bands
What is used for non-surgical weight management in Tier 2?
Orlistat
What is the effect of orlistat?
Inhibits pancreatic and gastric lipase
What is the usual dose of orlistat given?
120mg 3 times daily
What are the inputs into a holistic, person-centred approach?
- Dietetic input (healthy balanced diet, with moderate energy deficit)
- Evidence based psychological model
- Physical activity
What are the different types of bariatric surgery?
- Gastric band
- Sleeve gastrectomy
- Roux-en-Y gastric bypass
When should bariatric sugery be considered?
Assessment of risk/benefit in patient who fulfil the following criteria:
• BMI > 35kg/m^2
• Presence of > 1 severe comorbidities which are expected to improve significantly with weight reduction
