Obesity Flashcards
What is obesity?
disorder of structure or function in a human anima or plant especially one that produces symptoms or that affects a specific location and is not simply a direct result of physical injury
What is the clinical management of people overweight/with obesity?
- Diet, physical activity and behaviour therapy
- Pharmacotherapy
- . Bariatric surgery
What are the pharmacological availabilities to treat obesity?
sibutramine, rimonabant, orlistat, byetta, liraglutide (diabetes), saxenda (weight loss medication)
Future pharmaceutical medications for Obesity:
- contrave
- qsymia
- lorcaserin
What are dietary treatment options for obesity?
- Regular meals
- Breakfast eaters
- Circadian rhythmm
- 500-600kcal deficit approach
- Low fat diets
- Low glycaemic index diets
- Low carbohydrate diets
- Meal replacements
What is Circadian rhythm
- over 24 hours, anticipate feeding, fasting and sleep
- basically eating within the 8-12 hour window from a 14.75 hours
What types of diets are low in carbs?
Atkins, south beach diet, zone diet
What is the look AHEAD study?
- patients had Type 2 D, overweight/obese
• Adhered to calorie restriction
• Increased physical activity
• Attended appointment
What is intermittent fasting?
- time restricted eating
- reduction was consistent, between 10-40%
Explain the therapeutic void:
<10kg = diet, drugs, community based programmes
10-45kg = very low + low energy liquid diet
> 45kg = bariatric surgery
What is VLED?
very low energy diet
- less than 800kcal/d
- 3-4 products per day
what is LED?
Low energy diet
- 800-1200kcal/day
what is TDR?
total diet replacement
- formula diet providing all day’s food intake
Possible side effects of diet change?
- Dizziness 19-47%
- Gallstones
- Dry Skin
- Sensitive to cold 18-47%
- Bad Breath
- Fatigue
- Flatulence 0-29%
- Constipation 7-42%
- Hair Loss
- Diarrhoea
- Headaches
Define a moderate intensity aerobic exercise?
- 150mins per week
