W10 - Obesity

Question 1

Define obesity

Answer 1

Obesity is having a body-mass index equal or greater than 30

Question 2

What is a BMI not a good measurement for obesity

Answer 2

BMI on,y measures body mass & weight NOT body fat %
Therefore, muscle mass can increase weight = athletes to have a high BMI or elderly to have low weight due to decreased bone density but a high body fat %

Question 3

What is a better way of measuring obesity

Answer 3

Waist circumference as it measures body fat

Question 4

Causes of obesity

Answer 4

Energy intake = behaviour, food availability, satiety (hyperplasia or hypothalamic obesity), lack of education on portion sizes & lack of sleep

Energy expenditure= physical activity, sedentarismo & genetics

Question 5

What is an obesogenic environment

Answer 5

Environmental factors that influence obesity = electric scooters, uber eats, fast food stores & home deliveries

Question 6

Medical causes of obesity

Answer 6

Cushing syndrome
Hypothyroidism
Radiation induced hypothyroidism (chemotherapy)
Steroids & medications
Polycystic ovary syndrome

Question 7

Name some genetic causes of obesity

Answer 7

Inherited genes from family
Congenital lepyptin deficiency
Prayer willi syndrome
Albreights hereditary dystrophy
Bardet Biedel syndrome
Alstrom syndrome

Question 8

Implications of obesity for physios

Answer 8

Increased numberof patients with obesity related health complications
Manual handling & staffing levels
Bariatric equipment
Reaction to treatment may be different

Question 9

What is the role of a physio when dealing with obese patients

Answer 9

Improve body composition
Improve health & fitness
Individualised treatment to help patients become more active while acknowledging any difficulties they might have

Question 10

What skills does a physio need when dealing with an obese patient

Answer 10

Empathy
Non-judgmental
Clear & concise communication
Motivating
Creative
Compassionate