Obesity Clinical talk Flashcards
1
Q
why do people want to loose weight
A
- if they are sufficiently motivated
- motivation is ill health
2
Q
what is the challenge of weight loss
A
- loosing weight is slightly more difficult to do but it is more difficult to maintain weight loss
3
Q
short term obesity therapy does not….
A
Short-term Obesity Therapy Does Not Result in Long-term Weight Loss
4
Q
why can’t obese patients loss weight
A
Genes & drugs Thermodynamics Hormonal Mobility Inter-personal issues Psychology
5
Q
genetic reasons why some people cannot loose weight
A
- Some have MCR-4 polymorphisms, etc. - only accounts for 1-2% of weight problems
- Some have PCOS, psychotic illness
- Some are on pioglitazone, insulin, rispiridone, steroids, etc
6
Q
how does theromodynamics cause weight loss
A
- Recommended a diet that aims for a daily of negative energy balance of around 500kCal a day – significance
- Casues about a pound a week weight loss
- more over as you diet you get smaller and therefore as a smaller person you energy intake is reduced, therefore in order to get smaller you have to reduced your energy intake even further
7
Q
how does hormone and SNS inhibit you from loosing weight
A
- ‘acute weight-defence mechanisms’ reduce energy expenditure, thyroid (T3) leptin & SNS
- reduced mobility, lethargy, depression
- achieved weight loss 0.2-0.3 kg week-1
8
Q
why does mobility prevent patients from loosing weight
A
agoraphobia, depression
physical, e.g. joints, cardiovascular, sleep apnoea, lymphoedema
social
9
Q
how does interpersonal skills prevent you from loosing weight
A
Inter-personal and personal issues
- inter-relationship dynamics
- previous sexual abuse
- lifestyle, booze, business lunches
10
Q
how does psychology prevent you from loosing weight
A
- eating disorders
- failure cycle
- “constant cravers” vs “feasters” vs “emotional eaters”
- comfort eating
- stress management strategies
