Obesitas, Reuma en Diabetes Mellitus
Samenvatting AFP Kennisweek 3, OP5/OP7
Inhoud
Obesitas ................................................................................................................................................... 3
Overgewicht, obesitas en morbide obesitas ....................................................................................... 3
BMI .................................................................................................................................................. 3
Prevalentie obesitas ........................................................................................................................ 3
Oorzaken ......................................................................................................................................... 4
Gevolgen.......................................................................................................................................... 5
Behandeling ..................................................................................................................................... 6
Reumatoïde artritis ................................................................................................................................. 8
Symptomen ......................................................................................................................................... 8
Diagnostiek .......................................................................................................................................... 8
Behandeling ......................................................................................................................................... 9
Overeenkomsten en verschillen tussen reumatoïde artritis en artrose ............................................. 9
Diabetes Mellitus................................................................................................................................... 10
Voorkennis......................................................................................................................................... 10
Diabetes Mellitus type 1.................................................................................................................... 11
Oorzaken ....................................................................................................................................... 11
Symptomen ................................................................................................................................... 11
Behandeling ................................................................................................................................... 11
Diabetes Mellitus type 2.................................................................................................................... 12
Oorzaken ....................................................................................................................................... 12
Symptomen ................................................................................................................................... 12
Behandeling ................................................................................................................................... 12
Complicaties Diabetes Mellitus type 1 & type 2 ............................................................................... 13
Klinisch redeneren volgens ProActive Nursing stap 5 & 6 .................................................................... 14
Herhaling eerdere stappen................................................................................................................ 14
Stap 1: Oriëntatie .......................................................................................................................... 14
Stap 2: Klinische probleemstelling ................................................................................................ 15
Stap 3: Aanvullend onderzoek....................................................................................................... 15
Stap 4: klinisch beleid .................................................................................................................... 15
Stap 5: Klinisch verloop ..................................................................................................................... 15
Stap 6: Nabeschouwing ..................................................................................................................... 15
Bijlage I: Schema diabetes mellitus type 1 ............................................................................................ 16
,Bijlage II: Schema diabetes mellitus type 2 ........................................................................................... 19
Bijlage III: Artrose – niet in de toets ...................................................................................................... 22
Oorzaken ....................................................................................................................................... 22
Symptomen ................................................................................................................................... 22
Diagnostiek .................................................................................................................................... 23
Behandeling ................................................................................................................................... 23
Samenvatting Jicht, artrose, spondylartropathie, LE, MCP en PIP .................................................... 23
2
, Obesitas
Overgewicht, obesitas en morbide obesitas
Een teveel aan vetweefsel aanwezig.
BMI
Body Mass Index is een internationaal gebruikte maat die laat zien of je een gezond gewicht hebt in
verhouding tot je lengte.
BMI = kilogram/meter2 → 62 kilogram en lengte van 1,70 meter = BMI van 21,5
BMI Categorie
18,5 – 24,9 kg/m2 Normaal
25 – 29,9 kg/m2 Overgewicht
30 – 39,9 kg/m2 Obesitas
≥ 40 kg/m2 Ernstige/morbide obesitas
Buikomvang Man Buikomvang Vrouw
≤ 94 cm Normaal ≤ 80 cm Normaal
94 – 102 cm Vergroot 80-88 cm Vergroot
≥ 102 cm Ernstig vergroot ≥ 88 cm Ernstig vergroot
Prevalentie obesitas
Obesitas cijfers in NL: https://www.vzinfo.nl/overgewicht/infographic
Feiten uit cijfers
• Hoogopgeleiden hebben minder vaak overgewicht in tegenstelling tot laagopgeleiden.
• Naarmate mensen ouder worden gaat overgewicht toenemen
3
Samenvatting AFP Kennisweek 3, OP5/OP7
Inhoud
Obesitas ................................................................................................................................................... 3
Overgewicht, obesitas en morbide obesitas ....................................................................................... 3
BMI .................................................................................................................................................. 3
Prevalentie obesitas ........................................................................................................................ 3
Oorzaken ......................................................................................................................................... 4
Gevolgen.......................................................................................................................................... 5
Behandeling ..................................................................................................................................... 6
Reumatoïde artritis ................................................................................................................................. 8
Symptomen ......................................................................................................................................... 8
Diagnostiek .......................................................................................................................................... 8
Behandeling ......................................................................................................................................... 9
Overeenkomsten en verschillen tussen reumatoïde artritis en artrose ............................................. 9
Diabetes Mellitus................................................................................................................................... 10
Voorkennis......................................................................................................................................... 10
Diabetes Mellitus type 1.................................................................................................................... 11
Oorzaken ....................................................................................................................................... 11
Symptomen ................................................................................................................................... 11
Behandeling ................................................................................................................................... 11
Diabetes Mellitus type 2.................................................................................................................... 12
Oorzaken ....................................................................................................................................... 12
Symptomen ................................................................................................................................... 12
Behandeling ................................................................................................................................... 12
Complicaties Diabetes Mellitus type 1 & type 2 ............................................................................... 13
Klinisch redeneren volgens ProActive Nursing stap 5 & 6 .................................................................... 14
Herhaling eerdere stappen................................................................................................................ 14
Stap 1: Oriëntatie .......................................................................................................................... 14
Stap 2: Klinische probleemstelling ................................................................................................ 15
Stap 3: Aanvullend onderzoek....................................................................................................... 15
Stap 4: klinisch beleid .................................................................................................................... 15
Stap 5: Klinisch verloop ..................................................................................................................... 15
Stap 6: Nabeschouwing ..................................................................................................................... 15
Bijlage I: Schema diabetes mellitus type 1 ............................................................................................ 16
,Bijlage II: Schema diabetes mellitus type 2 ........................................................................................... 19
Bijlage III: Artrose – niet in de toets ...................................................................................................... 22
Oorzaken ....................................................................................................................................... 22
Symptomen ................................................................................................................................... 22
Diagnostiek .................................................................................................................................... 23
Behandeling ................................................................................................................................... 23
Samenvatting Jicht, artrose, spondylartropathie, LE, MCP en PIP .................................................... 23
2
, Obesitas
Overgewicht, obesitas en morbide obesitas
Een teveel aan vetweefsel aanwezig.
BMI
Body Mass Index is een internationaal gebruikte maat die laat zien of je een gezond gewicht hebt in
verhouding tot je lengte.
BMI = kilogram/meter2 → 62 kilogram en lengte van 1,70 meter = BMI van 21,5
BMI Categorie
18,5 – 24,9 kg/m2 Normaal
25 – 29,9 kg/m2 Overgewicht
30 – 39,9 kg/m2 Obesitas
≥ 40 kg/m2 Ernstige/morbide obesitas
Buikomvang Man Buikomvang Vrouw
≤ 94 cm Normaal ≤ 80 cm Normaal
94 – 102 cm Vergroot 80-88 cm Vergroot
≥ 102 cm Ernstig vergroot ≥ 88 cm Ernstig vergroot
Prevalentie obesitas
Obesitas cijfers in NL: https://www.vzinfo.nl/overgewicht/infographic
Feiten uit cijfers
• Hoogopgeleiden hebben minder vaak overgewicht in tegenstelling tot laagopgeleiden.
• Naarmate mensen ouder worden gaat overgewicht toenemen
3
