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1- obesity Hasty
GO get it
37
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Pre-School
02/20/2013

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Cards

Term
BMI
Definition
wt/ht^2- not alwys the most accurate indicator of obesity, especially when looking at the BMI of athletes
Term
Obese patients die ___ years before non obese individuals
Definition
7
Term
4 interallated disabilities of wt management
Definition
Obesity, HTN, dyslipidemia, and TII diabetes
Term
Health conditions included with diabetes
Definition
CAD, stroke, gallbladder disease, osteoarthiritis, obstructive sleep apnea, GERD, and malignancies
Term
Metabolic syndrome criteria
Definition
waist >40 M, >35 women
triglycerides >150
HDL cholesterol <40 M, <50 W
blood pressure >130/85
fasting glucose >100
Term
Whats better apple or pair shaped
Definition
pear
Term
Definitions of obesity
Definition
BMI >30
Morbid >40
super >50
<18.5 is underweight

-waist to hip ratie is a good indicator as well
Term
how many calories in a pound
Definition
3500
Term
how many calories per body weight to maintain weight
Definition
22 calories per kg
Term
Iatrogenic causes of obesity (3)
Definition
Drugs/hormones
Hypothalamic surgery
tube feeding
Term
Neuroendocrine causes of obesity (5)
Definition
Polycistic ovarian syndrome
growth hormone deficiency
pseudohypoparathyroidism (archibalds)
Cushings
Hypothyroidism
Term
Social causes of Obesity (4)
Definition
Binge eating
night eating
sleep deprivation
socioeconomic status
Term
Lifestyle causes of obesity (3)
Definition
aging
forced inactivity
sedentary lifestyle
Term
Genetic causes of obesity (3)
Definition
genetic leptin deficiency
agouti protein overproduction
prader-willi deficiency
Term
Low birth weight and smoking cessation cause
Definition
weight gain 4-5 lbs
Term
3 recommendations for obesity
Definition
Counsel on diet and exercise (parkinsons/protein/levodopa)
Pharmacology
Consider surgery for >40 BMI
Term
The only drug that seems beneficial for reducing waist circumference
Definition
Liposuction
Term
Dr. Hasty this drug is sucky.
Absorbs and blocks 30% of dietary fat
Definition
Orlistate 2.69-2.89
Term
Side affects of orlistat
Definition
Blocks fat soluble vitamins
Fatulence
BM
Term
anti-depressant (non-FDA) but decreases wt central wt loss
CI in seizures
Definition
Buproprion 2.77
Term
Amphetamine with borderline wt loss
Definition
Diethylpropion 3kg
Term
non-FDA prozac
Definition
Fluoxetine 474-3.15
Term
anticonvulsant and is not FDA approved as a sole weight loss agent. but good for obese and migraine control
Definition
Topiramate
Term
Schedule II narcotic (amphetamine) Monitor a lot due to risk of abuse, watch BP
Definition
Phentermine 3.6
Term
A new combo between two drugs for wt loss
Definition
Phentermine/topiramate
Term
Serotonin 5HT2C receptor associated with serotonin syndrome
Definition
Belviq
Term
What is the NIH indication for Bariatric Surgery
Definition
>40 or >35 with comorbidities
Term
40kg wt loss and .1-1.1% 30 day mortality rate.
improve diabetes/HTN/dyslipidemia
decrease mortality after 15 years
Definition
Bariatric surgery
Term
Rapid wt loss has been associated with
Definition
cholecystitis (use US)
Term
Best choice for mortality bariatric surgery
Definition
Gastric Bypass (Roux-en-Y)
Term
4 types of Bariatric Surgery
Definition
Gastric Bypass
Gastric Banding- not as good
Gastroplasty
Biliopancreatic Diversion or Duodenal Switch
Term
Wt and osteoporosis relationship
Definition
Inverse. Greater you weigh the less your chance of osteoporosis
Term
Patient with HTN should avoid what drug type
Definition
Stimulants
Term
Genetic growth hormone deficiency
Definition
Prader Willi
Term
Side effect of Orlistat not mentioned
Definition
Diarrhea
Term
If you perscribe Orlistat what else do you give the patient
Definition
Multivitamin
Term
What is an example of american diet thinking it was healthy and now its dumb
Definition
grain fed animals have less omega-3's
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