Adult Obesity & Metabolic Syndrome Flashcards Preview

DEMS Unit 2 Part 2 > Adult Obesity & Metabolic Syndrome > Flashcards

Flashcards in Adult Obesity & Metabolic Syndrome Deck (12):
1

How many categories is obesity divided into?

3 Categories:
30-34.9 = High
35-39.9 = Very high
40 + = severe

2

When is BMI not the perfect measure?

1. Cannot distinguish between lean and fat mass
2. Elderly, ethnic groups, large muscle mass
3. Central obesity

BMI generally underestimates degree of adiposity

3

Waist Circumference

Health risk of obesity influenced by BMI and the way that body fat is distributed

Abdominal adiposity = DM, HTN, CAD, and dyslipidemia

Men: 40 or more
Women: 35 or more

4

Why is abdominal obesity bad?

- Release of FFA into bloodstream, which goes to liver
- Increased VAT correlates with insulin resistance only if there are increased intrahepatic TGs.

5

Metabolic syndrome

- Almost always have abdominal obesity
- Abnormalities in glucose, blood pressure, lipids, proinflammatory/prothrombotic state.

6

Criteria for metabolic syndrome

- Waist circumference cutoffs (men: 40, women: 35)
- TG >150 mg/dL
- HDL-C (men: 130/85)
- Fasting glucose > 110 (or 100)

Must have 3 of the 5

7

Why are we gaining weight and what are the possible causes of obesity

- Obesity is caused by long-term positive energy balance
- Gene-environment interaction in the pathogenesis of obesity
- Costs more to be healthy

8

Regulation of food intake

Complex appetite regulation. Pharm industry hasn't made a safe option

9

Initial office visit

- Eval of obesity related disease within Hx, PE, labs
- Obtain weight and weight loss history, eating, and activity behaviors
- Search for trigger factors
- Measurements (height, weight, BMI)
- categorize obesity classification and health risk
- Determine readiness
- Tx plan with other people
- Set goals (realistic)

10

Drugs assoc with weight gain

- Steroids
- Antipsychotics
- Antidepressants
- Diabetes drugs (TZD, insulin, sulfonylureas)
- Hormonal agents

11

Secondary causes of obesity

Uncommon

- Low metabolism
- Hypothyroidism
- Cushing's syndrom
- Prader Willi, Down's
- Hypothalamic disorders

12

Assessing weight loss readiness

1. Motivation
2. Stress level
3. Psychiatric issues
4. Time availability