PHRD5975 Self-Care - Overweight & Obesity

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daynuhmay
ID:
272361
Filename:
PHRD5975 Self-Care - Overweight & Obesity
Updated:
2014-04-29 06:54:16
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Overweight Obesity
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Overweight & Obesity
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  1. overweight BMI
    25-29.9 kg/m2
  2. obese BMI
    >30 kg/m2
  3. normal weight BMI
    >18.5-24.9 kg/m2
  4. characteristics of metabolic syndrome (5)
    • 1) waist circum: men >40in; women >35in
    • 2) serum trig: 150 mg/dL
    • 3) HDL: men < 40 mg/dL; women >50 mg/dL
    • 4) BP 130/85 mmHg
    • 5) fasting serum glu: 100 mg/dL
  5. 1lb adipose = ____ cal
    3500
  6. 3 environmental factors contributing to overweight/obesity
    • 1) dec in physical activity
    • 2) inc in food avail
    • 3) inc in working hours
  7. high BMI assoc'd w/ _____ sleep duration
    shorter
  8. meds contributing to overweight/obesity
    • OC's
    • systemic CCS
    • sulfonylureas
    • thiazolidinediones
    • insulin
  9. body type more at risk for CVD
    "apple" (fat accumulated @ midsection)
  10. EXCLUSIONS for self-tx of obesity
    • 1) severe obesity (BMI 40)
    • 2) CVD, dyslipidemia, DM, HTN
    • 3) eating disorder
    • 4) elderly hasn't seen dr in a long time
  11. non-pharm tx for overweight/obesity
    • 1) ***dietary mod/restriction
    • 2) physical activity
    • 3) behavior tx
  12. low-calorie diet
    800-1500 cal/day
  13. very-low calorie diet
    800 cal/day
  14. rec'd percentage of total cals from fat
    no more than 30%
  15. rec'd percentage of total cals from carbs
    55%
  16. zone diet
    moderate carb diet (35-50% of total cals)
  17. how long are diets safe for?
    6-12mos
  18. rec'd daily physical activity for children/adolescents
    60+ min moderate-vigorous aerobic activity, including vigorous activity 3+ days/week
  19. rec'd daily physical activity for adults
    150 min moderate aerobic activity or 75 min vigorous activity/week (performed in 10+ min episodes)
  20. purpose of exercise in weight loss
    exercise builds muscle, which has a higher metabolic rate than the corresponding amount of fat
  21. behavioral techniques for weight loss (4)
    • 1) don't have high-cal foods avail
    • 2) set reasonable, specific, proximate goals
    • 3) stay positive
    • 4) rely on social support
  22. FDA approved BMI for LT tx w/ weight-loss meds
    30, or 27 w/ concomitant disease/risk factors
  23. MOA of orlistat
    • inhibits gastric & pancreatic lipases
    • specifically reduces absorption of fat by inhibiting hydrolysis of triglycerides
  24. BMI indicated in non-rx orlistat
    overweight (BMI 25)
  25. ave weight loss w/ orlistat in first 6mos
    5-10lbs
  26. common orlistat SE's
    • flatulence w/ oily spotting
    • loose, frequent stooles
    • fatty stools
    • fecal urgency & incontinence
  27. orlistat contraindications
    • 1) cyclosporine
    • 2) warfarin
    • 3) malabsorption disorder
    • 4) hx of thyroid disease 
    • 5) diabetics
  28. MOA of benzocaine in weight loss
    local anesthetic effects on the oral cavity and GI mucosa alter the taste of food
  29. MOA of bitter orange (& other stimulants)
    • adrenergic effects have potential for appetite suppression & lipolysis
    • inc basal metabolism, energy
    • counteract fatigue
  30. MOA of fat & carb modulators (chromium, linoleic acid, garcinia, green tea, licorice, pyruvate)
    alter fat/carb metabolism, resulting in dec body fat mass & inc lean muscle mass
  31. MOA of psyllium
    • suppresses appetite, promotes satiety
    • ALSO (from class) binds fat & glucose
  32. MOA of chitosan
    fat absorption blocker
  33. MOA of ginseng
    carb absorption blocker
  34. MOA of cascara sagrada or dandelion in weight loss
    laxative & diuretic

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