MCCN SDAP X - Pathophysiology Obesity Quiz
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Metabolic syndrome - ANSWER Any 3 of the 5 criteria:
High BP
High fasting glucose
High triglycerides
Low HDL
Waist measurement above the standard points to visceral fat and inflammation
Describes the relationship between adipose tissue and hypertension - ANSWER Adipose
tissue (specifically, visceral obesity) acts as a major source of angiotensin II in the
development of obesity HTN
Being overweight increases venous pressure in pelvis and legs, risk for clots
Describe the relationship between obesity and malignancy - ANSWER - Risk for GERD =
increased risk for esophagus cancer
- Associated with "estrogen-fed", and prostate cancers
Explain the relationship between obesity and hypercoagulation - ANSWER obstruction in
venous flow-> sluggish blood-> venous clots
Discuss the concept "obese but metabolically healthy" - ANSWER Myth. Obesity is not a
harmless condition.
Outline strategies designed to reduce the risk of obesity - ANSWER -restore balance
, -diet
-exercise
Discusses bariatric surgery in adolescent population - ANSWER Improves
obesity-related diseases. Better to solve the problem earlier rather than later when
obesity has affected other organs and caused long-term health problems. Should be
used as a last resort but can be very effective.
Describe the pathophysiology of obesity - ANSWER Having an abnormally high
proportion of body fat. A nutritional disorder, chronic disease.
Describe the trends in obesity in various populations - ANSWER Increased everywhere
in the USA, especially south east.
Lists diagnostic criteria for obesity - ANSWER -BMI 30
-waist size > 35" in women, >40" in men
Differentiates obesity from excess body weight - ANSWER Excess weight may come
from muscle, bone, fat and/or water.
Obesity refers specifically to having an abnormally high proportion of body fat
Identifies pros and cons of the BMI - ANSWER It is a good screen, but does not account
for body fat; someone could be very muscular and be considered overweight. But the
reality is that most persons who are considered obese by BMI are carrying excessive
adipose tissue.
Discuss the relationship between exercise and food intake - ANSWER "calories in"
greater than "calories out" = risk for overweight and obesity
Leptin - ANSWER Suppresses appetite
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Metabolic syndrome - ANSWER Any 3 of the 5 criteria:
High BP
High fasting glucose
High triglycerides
Low HDL
Waist measurement above the standard points to visceral fat and inflammation
Describes the relationship between adipose tissue and hypertension - ANSWER Adipose
tissue (specifically, visceral obesity) acts as a major source of angiotensin II in the
development of obesity HTN
Being overweight increases venous pressure in pelvis and legs, risk for clots
Describe the relationship between obesity and malignancy - ANSWER - Risk for GERD =
increased risk for esophagus cancer
- Associated with "estrogen-fed", and prostate cancers
Explain the relationship between obesity and hypercoagulation - ANSWER obstruction in
venous flow-> sluggish blood-> venous clots
Discuss the concept "obese but metabolically healthy" - ANSWER Myth. Obesity is not a
harmless condition.
Outline strategies designed to reduce the risk of obesity - ANSWER -restore balance
, -diet
-exercise
Discusses bariatric surgery in adolescent population - ANSWER Improves
obesity-related diseases. Better to solve the problem earlier rather than later when
obesity has affected other organs and caused long-term health problems. Should be
used as a last resort but can be very effective.
Describe the pathophysiology of obesity - ANSWER Having an abnormally high
proportion of body fat. A nutritional disorder, chronic disease.
Describe the trends in obesity in various populations - ANSWER Increased everywhere
in the USA, especially south east.
Lists diagnostic criteria for obesity - ANSWER -BMI 30
-waist size > 35" in women, >40" in men
Differentiates obesity from excess body weight - ANSWER Excess weight may come
from muscle, bone, fat and/or water.
Obesity refers specifically to having an abnormally high proportion of body fat
Identifies pros and cons of the BMI - ANSWER It is a good screen, but does not account
for body fat; someone could be very muscular and be considered overweight. But the
reality is that most persons who are considered obese by BMI are carrying excessive
adipose tissue.
Discuss the relationship between exercise and food intake - ANSWER "calories in"
greater than "calories out" = risk for overweight and obesity
Leptin - ANSWER Suppresses appetite