obesity Flashcards
what is the idea BMI
18.5-24.9
mortality due to obesity for people w/ a BMI as 30-34.9 is ___ % higher than those w/ a normal BMI
20%
mortality due to obesity for people w/ a BMI as 35-39.9 is ___ % higher than those w/ a normal BMI
80%
________________ accounts for most of the increase in total mortality related to obesity
Coronary heart disease (CHD)
what medical illness should you look for with weight game?
Hypothyroidism
Cushing’s syndrome
who needs to be talked about with weight loss?
BMI >30
BMI 25-30 w/ HTN, DMT2, hyperlipidemia, psychosocial disorders
patients should aim for ____ cal/day energy deficit to lose 1 pound per week?
500 cal/day
what is a big ADR w/ sibutramine
increased risk of heart attack and stroke in patients with a history of cardiovascular disease
A lipase inhibitor
Inhibits absorption of dietary fat
Approved for use in ages 12 and up
Doesn’t interact with other medications
orlistat (xenical)
who is bariatric surgery reserved for
BMI >40 or BMI >35 w/ comorbid condition
laparoscopic bariatric surgery that can result in dumping symptom
gastric bypass (Roux-en-Y)
95% of outer stomach is cut away
Weight loss at 1 year similar to gastric bypass
Newer procedure
Sleeve gastrectomy