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Flashcards in Obesity Deck (6)
1

OBESITY: the scope of the problem

-obesity is a chronic disease
-GLOBAL EPIDEMIC

2

Etiologies of Obesity

Genetic factors
Environmental
Physical Activity
Secondary Causes:
-Cushings, Insulinoma, hypothyroidism, hypothalamic, damage resulting in hyperphagia, growth hormone deficiency

3

What are the comorbidities associated w/ being overweight & obese

-T2DM
-HTN
-Dyslipidemia
-Heart Disease: CHD, Heart failure,Atrial fibrillation
-Stroke
-Osteoarthritis
-Sleep apnea
-Cancer

4

Treatment of Obesity

-diet: decrease food intake, increase energy expenditure, behavior modification (food diary)

Exercise

Medication: BMI >30
-Lorcarserin (Belvaq): selective antagonist of seritonin, decrease appetite, may be habit forming, use no > 60mo

-Orlistat (Alli,Xenical): lipase inhibitor, inhibits absorption of dietary fats, may use this long term

-Phentermine (Adipex-P): anorectic agent, amphetamine like, use no longer than 3mo.

Surgery:
-Lap-band: restrictive process, limits amount of food

-Sleeve Gastrectomy: reduces stomach capacity

-Roux-en-Y Gastric Bypass: restrictive AND malabsorptive
-duodenum is bypassed: you dont absorb vitamins, calories, etc. Reattach duodenum to jejunum for pancreatic and gallbladder enzymes


* all three surgeries done laproscopically

5

Types of diets to treat obesity

Balanced-low calorie/portion controlled

low fat

low carb

Mediterranean diet

6

Indications for surgery

-motivated
-BMI>40 or BMI