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Flashcards in Obesity Deck (24)
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1

BMI =

Weight (kg)/Height (m)^2

2

Normal BMI Range

18.5-24.9

3

Overweight BMI Range

25-29.9

4

Obese BMI Range

30 and above

5

BMI Range for Obesity Class I

30-34.9

6

BMI Range for Obesity Class II

35-39.9

7

BMI Range for Obesity Class III

40 and over

8

What are the mainstay of treatment for obesity

Diet
Exercise
Life-style modifications

9

What is the first line drug therapy for treatment of obesity?

Orlistat

*Can be continued for up to 4 years

10

Bariatric Surgery is indicated in patients who.....

have earnestly tried other means of losing weight and have been unsuccessful

11

Best evidence for Bariatric Surgery seen in patients with BMI....

over 40

12

Bariatric Surgery is effectivve in decreasing....

comorbidities of obesity and thus decrease mortality (29%)

13

Bariatric Surgery effectiveness is based on 2 mechanisms

Restriction of intake (small stomach reservoir) and Malabsorption via decreasing small bowel length

14

Compare restrictive and malabsorption techniques in Bariatric surgery in terms of ease and efficacy.

Restrictive technique is easier and have less complication rates, but result in less weight loss than malabsorption techniques

15

What is the most common procedure done in Bariatric Surgery?

Laparoscopic Roux-en-Y Gastric Bypass

16

Drug types associated with weight gain:

Glucocorticoids
some beta blockers
some antipsychotics
antidepressants
anticonvulsants
some antidiabetic drugs (including insulin)

17

Visceral Fat

more metabolically active fat that releases free fatty acids into the portal system, contributing to hyperlipidemia, hyperinsulinemia, atherogenesis

18

Abnormal Waist Circumference measures...

central obesity which is a surrogate estimate for visceral fat

19

Abnormal Waist circumference for Males_____, for females_____

Males: >102cm (40 in)
Females: >88cm (35 in)

20

Metabolic syndrome

coexistence of metabolic risk factors for type II DM and coronary heart disease

21

Recommended exercise guidelines

minimum of 30 minutes of moderate physical activity, 5 or more days per week

22

In all patients with a BMI >25, these labs should be obtained:

Fasting blood glucose,
Hgb A1C
Serum Creatinine
Fasting lipid profile

23

Drug therapies for obesity/weight are usually considered in patients with:........

BMI of 30 or more
BMI of 27 or more with comorbidities

24

Orlistat mechanism of action

blocks lipase, thus inhibiting fat absorption in the intestine