what is BMI
weight in kg/height in meters squared
what is the preferred measurement for obesity
BMI
what BMI is considered to be obese
>=30
what does BMI correlate with
adipose tissue
in asian populations what is obese considered to be
23-24.9 = overweight
>= 25 obese
how is children obesity measured
by the percentile
what is a normal waist circumference for women
<32 in
what is normal waist circumference for men
<37 in
what does BMI not account for
differences in body composition (muscle)
age
sex
puberty/childhood growth spurts
lifestyle
BMI doesn't tell you how healthy someone is without
anthrometrics (hip to waist ratio, waist circumference)
body fat estimations (underwater weighing, skin fold caliper)
what is the gold standard for obesity measurement
BMI
who is more at risk of getting CVD, DM
, middle aged adults 40-59
what race has the highest rate in obesity
Hispanics 47%
non-hispanic black 46.8
non-hispanic white 37.9%
non-hispanic asians 12.7%
what are food deserts
urban area without access to a supermarket within 1 mile
rural area without access to a supermarket within 10 miles
food desert shows a clear correlation between
access to supermarkets and lower rates of obesity
physical activity requirements
150 minutes per week of moderate intensity exercise
2 days of muscle strengthening
what is inactivity considered
did not engage in any physical activity during the previous 30 days other than doing their regular jobs
what is the goal of obesity TX
weight loss of 5-10% body weight
Obesity guidelines
BMI is a screen tool yearly
even 3-5% weight loss is good
no ideal diet
metabolic surgery w/ BMI >=40 or >=35 w/ comorbidities
Overweight patients TX
diet, exercise, behavioral therapy
BMI>= 30 (>=27 w/ comorbidity) TX
pharmacotherapy
BMI >= 40 (>=35 w/ comorbidity) TX