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Flashcards in Obesity II Deck (32)
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1

What is the key thing to change in treating obesity?

Lifestyle

2

What is considered "successful" weight loss?

10% maintained over one year

3

When is a very low calorie diet indicated?

BMI 30+ with obesity comorbidities

4

How many calories is a very low weight loss diet?

800 calories or less

5

How long do very low calorie diets last?

12-16 weeks

6

What specific nutrient are VLCDs high in? Why?

Protein
Maintain lean muscle mass

7

Is it okay to resume a 2000 calorie diet once the VLCD is finished?

No--need to slowly build back up

8

What is the SMART mnemonic for goal setting?

Specific
Measurable
Attainable
Realistic
Time bound

9

The central concept of motivational interviewing is to do what?

Identify
Evaluate
Resolve
Ambivalence

10

How is motivational interviewing evocative?

Client does most of the talking

11

Drug treatment for obesity is indicated for whom?

BMI 30+ or 27+ with comorbidities

12

Drug treatment for obesity should always be accompanied by what?

Weight loss program

13

What is the MOA of Orlistat?

Lipase inhibitor that blocks fat absorption from the gastric/duodenal mucosa

14

What are the side effects of Orlistat?

Fecal discharge
Flatulence

15

What is the MOA of phentermine/Topiramate ER?

Phentermine = decreases appetite

Topiramate = anticonvulsant that prolongs satiety

16

How long is the phentermine/topiramate regime?

12 weeks

17

What is gastric banding?

Band around upper part of the stomach, limiting amount of food

18

What is the most likely side effect of gastric banding?

Emesis

19

What is sleeve gastrectomy?

Removal of the body of the stomach

20

What is a Roux-en-Y?

Tube connecting upper part of stomach with the distal small intestine

21

What are the problems with Roux-en-Y?

Nutritional deficiencies
Need lifelong supplements

22

What is dumping syndrome?

ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. Pulls blood volume out into intestines

23

What are the complications of bariatric surgery?

Anastomosis leaks (peritonitis/sepsis)

Stomal ulceration

24

What is the stomal ulceration associated with bariatric surgery?

Overabundant acid in pouch leads to excessive acid passing through stoma

25

Dumping syndrome can be set off how?

High sugar inntake

26

What causes the constipation following bariatric surgery?

Dehydration
Ca and Fe supplementation

27

What causes the Fe deficiency seen in ROux-en-Y surgeries?

Low gastric acid level prevent Fe cleavage from food

Little nutrient exposure to intestines

28

What is the cause of B12 deficiency in bariatric surgery pts?

Affects secretion of intrinsic factor

29

How do you prevent B12 deficiency with roux-en-y pts?

Oral supplementation

30

What is the cause of folate deficiency in bariatric surgery pts?

No B12 absorption = no folate absorption

Decreased consumption