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Study sets matching "obesity"

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Study sets matching "obesity"

49 terms
Obesity
What is obesity?
What causes obesity?
What are the effects of increased adip…
What are the population observations f…
a disorder of the body weight regulatory systems; characteriz…
sedentary lifestyle; availability of diverse, tasty, inexpens…
increased risk of developing--arthritis, diabetes, hypertensi…
3 fold risk over 2 decades in child and adolescent obesity; l…
What is obesity?
a disorder of the body weight regulatory systems; characteriz…
What causes obesity?
sedentary lifestyle; availability of diverse, tasty, inexpens…
9 terms
Obesity
causes
genetics
enviornment
complications
eat more than expended... -genetic and enivornmental
hereibity bmi 40%-70%... -likely a person is to gain or lose... -wh…
type of food eating-fast food?... -soft drinks... portion size at r…
increased risk during and after sugery
causes
eat more than expended... -genetic and enivornmental
genetics
hereibity bmi 40%-70%... -likely a person is to gain or lose... -wh…
65 terms
Obesity
Healthy weigh
Obesity
Under weight risks
Over weight risks
BMI 18.5 - 24.9
BMI 30 - 39.9
*Infertility... *death - because they do not have excess energy…
Arthritis ... Sleeping problems... Breathing problems
Healthy weigh
BMI 18.5 - 24.9
Obesity
BMI 30 - 39.9
10 terms
Obesity
where is fat stored?
Adiponectin
Subcutaneous VS Visceral Fat Risks
Obesity is duo to?
1- Subcutaneous (e.g. femoral-gluteal) 80% -> less severe, no…
Released by adipocytes (which are endocrine cells) to dec. bl…
-Visceral FFA gets depleted in the portal vain accumulate in…
1- inc. adipocyte size (hypertrophy) ... 2- inc. proliferation o…
where is fat stored?
1- Subcutaneous (e.g. femoral-gluteal) 80% -> less severe, no…
Adiponectin
Released by adipocytes (which are endocrine cells) to dec. bl…
44 terms
Obesity
quantify obesity
why do we need muscle?
we're going to talk about gut hormones
CCK
Female: >32% body fat... Male: >25% body fat
quantify obesity
Female: >32% body fat... Male: >25% body fat
why do we need muscle?
33 terms
Obesity
Define Obesity.
How do you calculate BMI
What are the BMI boundaries for normal…
Why do we use waist circumference for…
Abnormal or excessive fat accumulation sufficient to adversel…
weight (kg) / height ^2 (m)
normal :18.5 to 24.9... overweight: 25-29.9... obese: 30 or great…
Helps distinguish obese from muscular people
Define Obesity.
Abnormal or excessive fat accumulation sufficient to adversel…
How do you calculate BMI
weight (kg) / height ^2 (m)
32 terms
Obesity
obesity
underweight
Normal weight
Overweight
Complex disorder involving excess body... weight beyond the body…
BMI of < 18.5
BMI of 18.5-24.9
BMI of 25.0 to 29.9
obesity
Complex disorder involving excess body... weight beyond the body…
underweight
BMI of < 18.5
9 terms
Obesity
What is obesity?
What causes obesity?
Explain a metabolic rate
Dietary advice to reduce obesity
- Abnormal or excessive fat accumulation that may impair heal…
- Commonly results from someone consuming more energy that ne…
- The rate at which your body burns off calories from food an…
- Avoid sugary/ fatty foods, replace with fruit and veg... - Eat…
What is obesity?
- Abnormal or excessive fat accumulation that may impair heal…
What causes obesity?
- Commonly results from someone consuming more energy that ne…
25 terms
Obesity
What scale should be used to assess we…
What BMI correlates with underweight?
What BMI correlates with normal weight?
What BMI correlates with overweight?
BMI = weight (kg)/height (m^2)
<18.5
18.5-24.9
25-29.9
What scale should be used to assess we…
BMI = weight (kg)/height (m^2)
What BMI correlates with underweight?
<18.5
47 terms
Obesity
Therapy is recommended for patients wi…
_ surgery is recommended for patients…
What are the four comorbidities associ…
Obesity therapy should _ be _ after _…
27, comorbidity, 30
Bariatric, 35, comorbidity, 40
HTN... T2DM... Dyslipidemia... Sleep apnea
not, discontinued, goal
Therapy is recommended for patients wi…
27, comorbidity, 30
_ surgery is recommended for patients…
Bariatric, 35, comorbidity, 40
42 terms
Obesity
What is Obesity?
What are some associated health condit…
Equation for BMI
Shortcoming of BMI?
A condition of excessive body fat
Hypertension... Coronary artery disease... Diabetes mellitus... Obstru…
BMI= Body weight (kg)/ Height^2 (m)
It cannot determine overweight vs Overfat ... (ex: Shaq is obese…
What is Obesity?
A condition of excessive body fat
What are some associated health condit…
Hypertension... Coronary artery disease... Diabetes mellitus... Obstru…
17 terms
Obesity
Define obesity - how can we determine…
What is the prevalence of obesity in t…
What are the 2 main lifestyle factors…
Explain why diabetes medicines = assoc…
Abnormal/excessive fat accumulation which is sufficient to ad…
In EU, average prevalence of obesity = 14%... In UK 65% of adul…
1. Low income - determines diet... 2. Obesogenic enviroment: ... a…
INSULIN MAKES YOU FAT - promotes lipogenesis, glycogenesis, g…
Define obesity - how can we determine…
Abnormal/excessive fat accumulation which is sufficient to ad…
What is the prevalence of obesity in t…
In EU, average prevalence of obesity = 14%... In UK 65% of adul…
40 terms
Obesity
define obesity
BMI of morbidly obese
how do you calculate BMI?
why might you use waist circumference…
abnormal or excessive fat accumulation sufficient to adversel…
>40
muscle weighs more than fat and so BMI can wrongly indicate o…
define obesity
abnormal or excessive fat accumulation sufficient to adversel…
BMI of morbidly obese
>40
73 terms
Obesity
what is the BMI for obesity
what is the BMI for overweight
what is the BMI for extremely obese (m…
what does excess body fat increase the…
30 to 39.9
25-29.9
40 or more
type 2 diabetes... HTN... dyslipidemia... CHD... some forms of cancer
what is the BMI for obesity
30 to 39.9
what is the BMI for overweight
25-29.9
61 terms
Obesity
OBESITY
25%... 18%
Overweight
OBESITY
a complex disease resulting from a combination of genetic sus…
body fat accounts for approximately____% BW in women and____%…
refers to weight above some reference norm, typically standar…
is now considered the leading cause of preventable death in t…
OBESITY
a complex disease resulting from a combination of genetic sus…
25%... 18%
body fat accounts for approximately____% BW in women and____%…
61 terms
Obesity
BMI =
BMI values are entered in equation as…
NON asian BMI Values... - good... - Over…
asian BMI Values... - good... - Overweig…
weight (lb)... _______________ x 703... in^2
...
- good: 18.5 - 24.9... - overweight: 25 - 29.9... - Obese I
- good: 18.5 - 22.9... - overweight: 23 - 27.5... - Obese:…
BMI =
weight (lb)... _______________ x 703... in^2
BMI values are entered in equation as…
...
8 terms
Obesity
What is obesity?
What is the normal BMI range
What is the range for a pre-obese indi…
What is the range for obesity class I?
Excess adipose tissue.... Measured and defined mainly by BMI... Com…
18.5 -24.9
25.0-29.9
30.0-34.9
What is obesity?
Excess adipose tissue.... Measured and defined mainly by BMI... Com…
What is the normal BMI range
18.5 -24.9
90 terms
Obesity
Complications of obesity - top 4
Other complications of obesity
BMI
Women waist circumference
-mortality... -cardiovascular disease... -type 2 diabetes... -dyslipid…
-musculoskeletal disease... -gallstones... -respiratory problems... -c…
Body mass index = weight in kg/(height in meters)^2
greater than 35 inches (88 cm)
Complications of obesity - top 4
-mortality... -cardiovascular disease... -type 2 diabetes... -dyslipid…
Other complications of obesity
-musculoskeletal disease... -gallstones... -respiratory problems... -c…
15 terms
OBESITY
What is the CRITERIA FOR OBESITY MEDIC…
CASE... - 45 yo F , PMH HTN, obesity (B…
SYMPATHOMIMETIC Drugs... all contain th…
Scenario 2: SD is a 28 yo FEMALE - no…
BMI>30 or BMI>27 with comorbid condition)... - if BMI>40, they a…
DO NOT GIVE sympathomimetics (phentermine, benzphetamine, d…
b-phenylethylamine nuleus
Phentermine + topiramate (Qsymia¥ )* ... - baseline negative p…
What is the CRITERIA FOR OBESITY MEDIC…
BMI>30 or BMI>27 with comorbid condition)... - if BMI>40, they a…
CASE... - 45 yo F , PMH HTN, obesity (B…
DO NOT GIVE sympathomimetics (phentermine, benzphetamine, d…
79 terms
obesity
brains
versus
bulge
to hinge on sth.
Hirn; Verstand
gegen
Fettpolster; Bauch
von etwas abhängig sein
brains
Hirn; Verstand
versus
gegen
12 terms
Obesity
How to calculate BMI
Normal BMI values
Android obesity
Gynoid obesity
weightkg/(height,m)^2
the good years, multiply by 703 if using inches and lbs
Waist/hip >.8 for women > 1 for men. Apple. FFA go to portal,…
waist/hip < .8 for women <1 for men
How to calculate BMI
weightkg/(height,m)^2
Normal BMI values
the good years, multiply by 703 if using inches and lbs
117 terms
Obesity
-the primary modality in defining over…
underweight BMI?... normal BMI?
overweight BMI... obesity class 1... obesity…
children >2 are underweight if what pe…
-BMI... -waist circumference
underweight - <18.5... normal - 18.5-24.9
overweight - 25-29.9... obese class 1 - 30-34.9... obese class 2 -…
underweight - <5th... healthy - 5-84th... overweight - 85-94th... obes…
-the primary modality in defining over…
-BMI... -waist circumference
underweight BMI?... normal BMI?
underweight - <18.5... normal - 18.5-24.9
44 terms
Obesity
What is the 2nd cause of preventable d…
What is BMI?
What is the correlation between body f…
What is considered to be a normal BMI?
Obesity
Body mass index... weight in kilograms / height in meters
There is a high correlation between body fat, morbidity, and…
18.5 -24.9 kg/m2
What is the 2nd cause of preventable d…
Obesity
What is BMI?
Body mass index... weight in kilograms / height in meters
48 terms
Obesity
How do you calculate BMI?
What is the definition of obesity?
What 3 factors interact to lead to obe…
What is the function of adipocytes?
body weight in kg/(height in meters)^2
BMI greater than or equal to 30
1) genetics... 2) environment... 3) metabolism
1) store fats in form of triglycerides... 2) release triglycerid…
How do you calculate BMI?
body weight in kg/(height in meters)^2
What is the definition of obesity?
BMI greater than or equal to 30
13 terms
Obesity
How many Americans are overweight?
Define BMI and obesity?
Health risks of Obesity?
How does obesity affect endocrine syst…
over 2/3 of Americans: 32% are obese
kg/meters 2 ... Normal 18.5-24.9... Overweight 25-29.9... Obese I 30-3…
CVD, HTN, DM, OSA, Carpal Tunal, DJD, Thrombosis, Dementia, P…
Insulin resistance > increased ovarian androgen synthesis > I…
How many Americans are overweight?
over 2/3 of Americans: 32% are obese
Define BMI and obesity?
kg/meters 2 ... Normal 18.5-24.9... Overweight 25-29.9... Obese I 30-3…
21 terms
Obesity
While reviewing the physical assessmen…
The nurse is reviewing the surgical no…
A patient with a body mass index (BMI)…
A patient presents with a body mass in…
Waist circumference is used to assess and classify a patient'…
Roux-en-Y gastric bypass surgery is a combination of restrict…
Weight reducing drugs are reserved for adults with a BMI of 3…
Patients with a BMI between 18.5 and 24.9 are considered to h…
While reviewing the physical assessmen…
Waist circumference is used to assess and classify a patient'…
The nurse is reviewing the surgical no…
Roux-en-Y gastric bypass surgery is a combination of restrict…
19 terms
Obesity
A BMI of what number is considered wit…
Between what two numbers are considere…
A BMI of what number is considered obe…
What would be the point in using propr…
18.5 to 24.9
25-29
30
To help them gain their balance and gait mechanics
A BMI of what number is considered wit…
18.5 to 24.9
Between what two numbers are considere…
25-29
16 terms
Obesity
Money Problems... "Tide might be turning…
Obesity rate for children rise.... "Tide…
Pre schoolers Obesity Rate... "Tide migh…
Obesity is a killer ... "Medicine and He…
"The obesity rate among low-income children between the ages…
"Between 1976 and 1980, the obesity rate among children 2 to…
"About one in eight preschoolers - 12.5 percent - in the Unit…
"A National Institutes of Health panel Feb. 13 termed obesity…
Money Problems... "Tide might be turning…
"The obesity rate among low-income children between the ages…
Obesity rate for children rise.... "Tide…
"Between 1976 and 1980, the obesity rate among children 2 to…
26 terms
Obesity
Orlistat
Phentermine
Diethylpropion
Benzphentamine
Xenical, Alli... Lipase inhibitor... Side effect: Steatorrhea (f…
Adipex-P, Suprenza... Noradrenergic Agent... Appetite suppression…
Tenuate*... Noradrenergic Agents... Appetite suppression (anoretic…
Regimex, Didrex... Similar mechanism with amphetamine, schedul…
Orlistat
Xenical, Alli... Lipase inhibitor... Side effect: Steatorrhea (f…
Phentermine
Adipex-P, Suprenza... Noradrenergic Agent... Appetite suppression…
22 terms
Obesity
obesity
obese
overweight
BMI
disorder of body fat (excess body fatness)
BMI greater than 30
BMI between 27 and 30
body weight/(height^2)
obesity
disorder of body fat (excess body fatness)
obese
BMI greater than 30
46 terms
Obesity
Prevalence adults
Prevalence
obesity
factors affecting net energy stores
66% US are overweight/obese
21-24% US are overweight... 16-18% obese
State of excess adipose tissue mass, resulting from an imbala…
genetic influences... environmental factors... medical conditions... m…
Prevalence adults
66% US are overweight/obese
Prevalence
21-24% US are overweight... 16-18% obese
21 terms
Obesity
acceptable % body fat
hypertrophy
hyperplasia
more fat cells =
women = 25-31%... men = 18-26%
increase in body fat due to increase in fat cell size
increase in body fat due to increase in fat cell number
greater ability to hold and produce fat
acceptable % body fat
women = 25-31%... men = 18-26%
hypertrophy
increase in body fat due to increase in fat cell size
5 terms
Obesity
Obesity
Pathophysiology/Etiology of obesity
Pathophysiology of obesity
Etiology
Excess of adipose tissue... Most prevalent preventable health pr…
Energy is required for all body activities (ADLs, Cell and ti…
Basal metabolic rate (BMR)- 70% of energy goes to maintain BM…
Obesity occurs when excess calories are stored as fat... Complex…
Obesity
Excess of adipose tissue... Most prevalent preventable health pr…
Pathophysiology/Etiology of obesity
Energy is required for all body activities (ADLs, Cell and ti…
48 terms
Obesity
Classification by BMI
Ghrelin
Insulin
Amylin
Healthy Weight: 18.5-<25... Overweight: 25-<30... Obese Class I: 30…
Secreted by the stomach wall... Triggers feelings of hunger... When…
Secreted by pancreas after a meal (rise in blood sugar)... Suppr…
Co-secreted with insulin from the pancreas... Has impact on glyc…
Classification by BMI
Healthy Weight: 18.5-<25... Overweight: 25-<30... Obese Class I: 30…
Ghrelin
Secreted by the stomach wall... Triggers feelings of hunger... When…
25 terms
Obesity
Sibuntramine
Orlistat
Roux-en-Y Pouch
Adiponectin
Serotonin norepinephrine reup take inhibitor... Appetite suppres…
Inhibits pancreatic lipase which causes reduced absorption of…
Initial Pouch: 1-2 Oz... Mature Pouch: 6-9 oz
It's low, insulin resistance happens... Levels increase after RYGN
Sibuntramine
Serotonin norepinephrine reup take inhibitor... Appetite suppres…
Orlistat
Inhibits pancreatic lipase which causes reduced absorption of…
28 terms
Obesity
Obesity
Underweight BMI
Normal BMI
Overweight
Excess of adipose tissue
<18.5
18.5-24.9
25.0-29.9
Obesity
Excess of adipose tissue
Underweight BMI
<18.5
13 terms
Obesity
Orlistat (Xenical; alli)
Orlistat (Xenical; alli)
Orlistat (Xenical; alli)
Orlistat (Xenical; alli)
both Rx/OTC
inhibits GI lipases... -Prevents enzymes from hydrolyzing dieta…
120mg po TID with each main meal containing fat (up to 1 hour…
ADR:... include soft stools, diarrhea, oily spotting, flatulence…
Orlistat (Xenical; alli)
both Rx/OTC
Orlistat (Xenical; alli)
inhibits GI lipases... -Prevents enzymes from hydrolyzing dieta…
14 terms
Obesity
Obesity trends among U.S. adults
Obesity and health
Obesity across society
Socio-economic status
• Most obese in midwest 1985... • Rapid shift in 1989... • Almost w…
• More than 1/3 of U.S. adults are obese... • Obesity related co…
• Non-Hispanic blacks have the highest age-adjusted rates of…
• For non-Hispanic black and Mexican American men, those with…
Obesity trends among U.S. adults
• Most obese in midwest 1985... • Rapid shift in 1989... • Almost w…
Obesity and health
• More than 1/3 of U.S. adults are obese... • Obesity related co…
9 terms
Obesity
Trends in Obesity: Adults
Obesity
% men obese
% Female obese
60% of Canadians are overweight or obese. 24% are obese
A heterogeneous disorder where nrg intake is chronically grea…
>20%
>30%
Trends in Obesity: Adults
60% of Canadians are overweight or obese. 24% are obese
Obesity
A heterogeneous disorder where nrg intake is chronically grea…
12 terms
Obesity
2 types of obesity
Healthy BMI
Overweight BMI... Obese BMI... Morbidly Obes…
Waist to Hip Ratio
primary- excess calorie intake... secondary- due to congenital a…
18.5 and 24.9
> 25... >30... >40
waist/hip= <0.8 is optimal
2 types of obesity
primary- excess calorie intake... secondary- due to congenital a…
Healthy BMI
18.5 and 24.9
23 terms
Obesity
_______ obesity = excess calorie intak…
______ obesity = can result from chrom…
term for shape of individuals with fat…
term for shape of individuals with fat…
primary
secondary
apple-shaped
pear-shaped
_______ obesity = excess calorie intak…
primary
______ obesity = can result from chrom…
secondary
Obesity
Bmi 25-29.9
Bmi 30-34.9
Bmi 35-39
Bmi 40 or greater
Overweight
Obesity class 1
Obesity class 2
Obesity class 3
Bmi 25-29.9
Overweight
Bmi 30-34.9
Obesity class 1
6 terms
Obesity
Angiotensinogen
Plasminogen Activator Inhibitor 1
Leptin
Adiponectin
Links obesity with hypertension... positive correlation of BP wi…
Pro-thrombotic and contributes to CV complications of obesity
Levels correspond to adipocyte mass... leptin resistance -- brai…
decreases TAG synthesis and increases insulin sensitivity... lev…
Angiotensinogen
Links obesity with hypertension... positive correlation of BP wi…
Plasminogen Activator Inhibitor 1
Pro-thrombotic and contributes to CV complications of obesity
49 terms
Obesity
WHEN DO WE INITIATE... TREATMENT WITH WEI…
Overweight/obese patients without... weig…
Overweight/Obese patients with ≥ 1 mil…
Overweight/Obese patients with ≥ 1 mil…
1. BMI ≥ 30 Kg/m2... (with or without weightrelated... complication…
Initiate lifestyle therapy (LT): If patient has progressive w…
Initiate lifestyle therapy (LT): If patient has progressive w…
1. Initiate LT alone... If patient fails to lose weight, add... ph…
WHEN DO WE INITIATE... TREATMENT WITH WEI…
1. BMI ≥ 30 Kg/m2... (with or without weightrelated... complication…
Overweight/obese patients without... weig…
Initiate lifestyle therapy (LT): If patient has progressive w…
45 terms
Obesity
Overweight and obese persons are at in…
assessment of overweight and obesity
underweight BMI (kg/m^2)
normal BMI
hypertension, type 2 diabetes, coronary heart disease, gallbl…
waist circumference... high risk:... -men >102 cm (40 in)... -women >…
<18.5
18.5-24.9 or 18.5-23 (Asians)
Overweight and obese persons are at in…
hypertension, type 2 diabetes, coronary heart disease, gallbl…
assessment of overweight and obesity
waist circumference... high risk:... -men >102 cm (40 in)... -women >…
24 terms
Obesity
reading directly from a scale
relative weight to species
persons height does predict how soon o…
relating weight to height ratio
how to determine absolute weight?
how to determine weight is normal with species norms?
metropolitan life insurance co tables
nomogram
reading directly from a scale
how to determine absolute weight?
relative weight to species
how to determine weight is normal with species norms?
7 terms
Obesity
Fast food, serving size, visual cues,…
Social circle and geographic location
Emotional eating ( 90% )
-Physical activity vs. exercise... -physi…
Societal influences that cause obesity
Sociocultural factors to obesity
Physiological factors to obesity
Sedentary lifestyles
Fast food, serving size, visual cues,…
Societal influences that cause obesity
Social circle and geographic location
Sociocultural factors to obesity
17 terms
Obesity
Obesity
Cause
BMI < 18.5
BMI 18.5 - 25
The excessive gain of body fat to the point at which it impai…
When a person's input is significantly greater than their utput
Underweight
Ideal
Obesity
The excessive gain of body fat to the point at which it impai…
Cause
When a person's input is significantly greater than their utput
14 terms
Obesity
according to estimates
trebled
are valid as...
assume
Nach Schätzungen / Schätzungen zufolge
verdreifacht
gelten als...
annehmen
according to estimates
Nach Schätzungen / Schätzungen zufolge
trebled
verdreifacht
9 terms
obesity
BMI for obese people and % body fat
number of obese people world wide
causes of obesity
consequences of obesity
30+, 32%+
400 million
energy dense food high in saturated fats sugars and low in vi…
17 million deaths a year caused by cardiovascular diseases ,…
BMI for obese people and % body fat
30+, 32%+
number of obese people world wide
400 million
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