Obesity and Weight Management Quiz
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Questions and Answers

What does obesity primarily represent in terms of body composition?

  • A deficiency in body fat.
  • A balanced body weight.
  • An excess of muscle mass.
  • An excess of total body fat. (correct)

Which of the following is a non-cardiac benefit of weight loss mentioned?

  • Decreased risk of myocardial infarction.
  • Reduction in blood pressure.
  • Decrease in triglyceride levels.
  • Improvement of quality of life. (correct)

What factor determines a person's weight through the relationship between calorie intake and energy expenditure?

  • Metabolic rate.
  • Dietary fiber intake.
  • Caloric balance. (correct)
  • Caloric spending rate.

Which medication is associated with weight gain?

<p>Corticosteroids such as prednisone. (A)</p> Signup and view all the answers

What genetic factor can contribute to obesity as mentioned?

<p>Leptin deficiency. (C)</p> Signup and view all the answers

Which dietary habit is associated with lower cholesterol and more stable blood sugar levels?

<p>Eating small frequent meals. (B)</p> Signup and view all the answers

Which symptom is commonly associated with obesity in adults?

<p>Excess body fat around the waist. (B)</p> Signup and view all the answers

Which of the following diseases can contribute to obesity?

<p>Cushing's syndrome. (C)</p> Signup and view all the answers

Which of the following medications is a glucagon-like peptide-1 (GLP-1) analogue used for obesity treatment?

<p>Liraglutide (A)</p> Signup and view all the answers

What BMI is considered a criterion for starting anti-obesity medications without comorbidities?

<p>30 kg/m² (D)</p> Signup and view all the answers

Which side effect is associated with the use of Orlistat?

<p>Fatty oily stool (A)</p> Signup and view all the answers

Phentermine/Topiramate primarily aids in weight loss by which mechanism?

<p>Increasing norepinephrine release (D)</p> Signup and view all the answers

What is a common side effect of drugs that suppress appetite?

<p>Dry mouth (C)</p> Signup and view all the answers

Cetilistat is noted for which key characteristic compared to Orlistat?

<p>It has greater weight reduction effects (A)</p> Signup and view all the answers

Which of the following medications is contraindicated in patients with psychiatric conditions?

<p>Sibutramine (D)</p> Signup and view all the answers

What is the main role of anti-obesity medications in weight loss therapy?

<p>To complement lifestyle interventions (A)</p> Signup and view all the answers

What is a key goal of therapy in managing obesity?

<p>Weight reduction (D)</p> Signup and view all the answers

Which BMI range is classified as Class II Obesity?

<p>35–39.9 kg/m² (D)</p> Signup and view all the answers

Which of the following is NOT a non-pharmacological treatment for obesity?

<p>Surgical procedures (A)</p> Signup and view all the answers

What is a characteristic feature of hydrogels considered medical devices in managing obesity?

<p>They create a sensation of satiety. (B)</p> Signup and view all the answers

Which comorbidity qualifies a person with Class II Obesity for bariatric surgery?

<p>Severe sleep apnea (C)</p> Signup and view all the answers

Why is the use of over-the-counter dietary supplements for weight loss advised against?

<p>The efficacy and safety evidence is limited. (A)</p> Signup and view all the answers

Which method is classified under cognitive behavioral interventions for obesity management?

<p>Self-monitoring during eating (D)</p> Signup and view all the answers

What is the recommended diet type for individuals using hydrogels for weight management?

<p>Hypo-caloric diet in conjunction with diet and exercise (D)</p> Signup and view all the answers

What is one of the primary mechanisms by which metformin lowers blood sugar levels?

<p>Increases peripheral insulin sensitivity (D)</p> Signup and view all the answers

Which hormone does metformin increase that contributes to appetite regulation?

<p>Leptin (D)</p> Signup and view all the answers

Which of the following is a serious but rare side effect of metformin?

<p>Lactic acidosis (D)</p> Signup and view all the answers

What effect does metformin have on AMP-activated protein kinase (AMPK)?

<p>Activates AMPK, mimicking an 'energy deficient' state (B)</p> Signup and view all the answers

Which of the following side effects is NOT commonly associated with metformin?

<p>Headaches (C)</p> Signup and view all the answers

Flashcards

Obesity Definition

Excess body fat; assessed by BMI.

Weight Loss Benefits

Improves diabetes, blood pressure, lipid profiles, and quality of life.

Obesity Causes: Calorie Balance

Weight gain occurs when eating more calories than burned; weight loss occurs when eating fewer.

Obesity Causes: Genetics

Family history and genes affect hormones that regulate weight.

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Obesity Causes: Inactivity

Lack of physical activity means fewer calories burned.

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Obesity Causes: Diet (Simple Carbs)

High simple carbs increase blood sugar, leading to insulin release and fat storage.

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Obesity Causes: Meal Frequency

Frequent small meals are better for stable blood sugar and cholesterol than infrequent large meals.

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Medications and Weight

Certain medications, such as antidepressants, can cause weight gain.

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Metformin's Action

Metformin lowers blood sugar by reducing gluconeogenesis (making new sugar) and boosting how well insulin works in the body.

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AMP-activated protein kinase (AMPK)

A protein that Metformin activates, leading to a feeling of low energy, to control sugar production.

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Metformin Side Effects

Some common side effects include digestive issues such as nausea, bloating, or diarrhea, although serious effects like lactic acidosis are rare.

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Gluconeogenesis

The process of producing new glucose in the body.

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Lactic Acidosis

A rare, but serious, side effect of metformin, characterized by excessive lactic acid in the body.

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Obesity Drug Indications

BMI 30+ or 27+ with comorbidities, unsuccessful diet/exercise, drug therapy is supplementary to lifestyle changes

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Diethylpropion

Appetite suppressant, similar to amphetamines, short-term use with diet/exercise

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Liraglutide/Semaglutide

GLP-1 receptor agonists, reduce hunger, slow stomach emptying

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Orlistat

Inhibits fat absorption, improves insulin, lowers cholesterol

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Side effects (general)

Nausea, nervousness, dry mouth, constipation, headache

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Phentermine/Topiramate

Reduces food intake, possibly increases energy expenditure, norepinephrine/sympathetic activation

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Sibutramine

Suppresses appetite by affecting serotonin, norepinephrine, and dopamine

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Cetilistat

Similar to orlistat, but better tolerated and weight loss

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Obesity Risk Factors

Conditions like high blood pressure, type 2 diabetes, and high cholesterol, are linked to obesity.

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Obesity Therapy Goal

The aim of obesity treatment is to reduce weight using lifestyle changes and sometimes medication.

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Obesity Treatment Types

Obesity treatment includes diet modification, exercise, behavior changes, and potential medications or surgery.

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Bariatric Surgery Candidates

People with severe obesity (BMI 40 or higher) or significant weight-related health problems (BMI 35-39.9) may be eligible for this surgery.

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Non-Pharmacological Obesity Treatments

These are lifestyle changes like diet adjustments and exercise, to manage obesity without medication.

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Hydrogels for Weight Management

Hydrogels are oral supplements that expand in the stomach to create a feeling of fullness, aiding in weight loss.

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Dietary Supplements for Weight Loss

Over-the-counter weight loss supplements are often not supported by strong evidence and should be used with caution.

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Obesity Class Levels

Obesity is categorized into classes (I, II, & III) based on BMI, correlating with the level of risk.

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