Management of Obesity Flashcards
what co-morbities often present with obesity?
- Asthma
- Cancer
- Cardiovascular disease
- Dementia
- Depression
- Type 2 diabetes
- Fertility problems
- Gastro-oesophageal reflux disease
- Kidney disease
- Liver disease
- Osteoarthritis
- Acute pancreatitis
- Obstructive sleep apnoea syndrome
obesity is pretty much as big of a risk factor as smoking for _______
cancer
does obesity cause the NHS a lot of money?
yes
- Direct cost to NHS services in Grampian £36 million per year
- Total economic costs of obesity in Scotland: £0.9 billion to £4.6 billion per year
what are the 4 tiers involved with weight management?
what non-surgical weight management is there?
only one tablet now but previosuly there was a few
Orlistat
how does Orlistat cause weight reduction?
Inhibits pancreatic and gastric lipases
60 mg dose can be purchased by patients with BMI >28kg/m2 and over 18 years of age
Usual prescription dose 120mg 3 times daily
GI adverse effects with consumption of fat
If you eat fat = fatty diarrhoea
Puts you off eating fat
you can only continue beyond 12 weeks if you loose over 5% of your body fat
Often big ___________ aspects needing dealing with
psychological
what are the different types of bariatric surgery?
Gastric bypass most common in Grampian
Bypass followed by sleeve is what we do most
is bariatric surgery effective?
yes - does cause weight loss
also decreases mortality, remission of diabetes if done soon after it is developed, significant reduction in CV events and lower cancer incidence in women but men not quite clear
is bariatric surgery cost effective?
yes in the long run
who gets bariatric surgery?
plus top paragraph in priority group 1
bariatric surgery also helps reduce what?
HbA1c
causes the use of diabetic medication to decrease
