Obesity Management Interventions Quiz

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Questions and Answers

What is the first objective mentioned in the text?

Define when to initiate pharmacotherapy for weight loss as an adjunct to lifestyle therapy.

Identify the three components of evidence-base lifestyle therapy.

Calculate a patient’s body mass index (BMI).

Define overweight and obesity. (correct)

Which guideline is mentioned as a clinical resource in the text?

ACC/AHA/TOS Overweight and Obesity Guidelines (correct)

Pharmacological Management of Obesity: An Endocrine Society Clinical Practice Guideline

AACE/ACE Clinical Practice Guideline for Medical Care of Patients with Obesity

CDC's Guidelines for Obesity Management

What is the recommended resource for review in the text?

AACE/ACE Clinical Practice Guideline for Medical Care of Patients with Obesity

Pharmacological Management of Obesity: An Endocrine Society Clinical Practice Guideline

MyPlate from US Dept of Agriculture: myplate.gov

Sheehan A, Chen JT, Yanovski JA. Obesity. In: DiPiro JT, Yee GC, Haines ST, Nolin TD, Ellingrod VL, Posey L. eds. DiPiro’s Pharmacotherapy: A Pathophysiologic Approach, 12th Edition (correct)

What is the date of access for the CDC's New Adult Obesity Maps?

October 25, 2021 Signup and view all the answers

What is the overarching goal of the text?

To provide clinical guidelines for obesity management Signup and view all the answers

What is the primary focus of the Objectives mentioned in the text?

Lifestyle therapy for weight management Signup and view all the answers

What is the recommended website for dietary guidance mentioned in the text?

MyPlate from US Dept of Agriculture: myplate.gov Signup and view all the answers

When should pharmacotherapy for weight loss be initiated according to the text?

After lifestyle therapy has been unsuccessful Signup and view all the answers

What is the primary focus of the Clinical Guidelines mentioned in the text?

Pharmacological management of obesity Signup and view all the answers

What is the purpose of calculating a patient’s body mass index (BMI) as mentioned in the text?

To classify weight status and assess health risks Signup and view all the answers

Which factor is NOT mentioned as a contributor to obesity?

Psychological factors Signup and view all the answers

What is the recommended duration for moderate to vigorous activity most days per week for promoting weight loss and cardiometabolic health?

30-60 minutes Signup and view all the answers

Which of the following is a criterion for Metabolic Syndrome associated with obesity?

Elevated blood glucose Signup and view all the answers

What is the main tool used to classify obesity?

Body Mass Index (BMI) Signup and view all the answers

Which of the following is NOT recommended for nutrition in the management of obesity?

Consuming saturated fats Signup and view all the answers

What is the general weight loss goal through diet and exercise in 6-12 months?

5-10% Signup and view all the answers

Which medication is NOT mentioned as a potential cause of drug-induced weight gain?

Antibiotics Signup and view all the answers

What is the overall goal for exercise in promoting weight loss and cardiometabolic health?

30-60 minutes most days per week Signup and view all the answers

What does obesity increase the risk of, along with an increased risk of morbidity from chronic diseases such as diabetes and cardiovascular diseases?

All-cause mortality and cardiovascular mortality Signup and view all the answers

What is the main driving factor contributing to obesity according to the text?

Caloric intake exceeding caloric expenditure Signup and view all the answers

Which medication may lead to increased heart rate, dry mouth, and constipation?

Phentermine/topiramate ER Signup and view all the answers

What adverse effects are commonly associated with GLP-1 receptor agonists?

Nausea/vomiting and increased risk of pancreatitis and gallbladder disease Signup and view all the answers

What are common adverse effects of naltrexone/bupropion?

Nausea/vomiting, headache, and increased heart rate/blood pressure Signup and view all the answers

What is a common adverse effect of orlistat?

Abdominal pain, flatulence, and fecal urgency or incontinence Signup and view all the answers

What is a key focus of behavioral therapy for obesity management?

Behavior modification, goal setting, and self-monitoring Signup and view all the answers

What is the efficacy goal for pharmacotherapy in obesity management at 3 months?

≥5% weight loss Signup and view all the answers

What BMI criteria are considered for bariatric surgery?

≥40 kg/m2 or ≥35 kg/m2 with obesity-related comorbidities Signup and view all the answers

What type of bariatric surgery involves vertical-banded gastroplasty?

Vertical-banded gastroplasty Signup and view all the answers

What are potential complications of bariatric surgery?

Surgical complications, nutrient deficiencies, and changes in drug absorption Signup and view all the answers

What is a requirement for candidates for bariatric surgery?

Motivated to lose weight and have insufficient weight loss with behavioral therapy ± pharmacotherapy Signup and view all the answers

Study Notes

Obesity Management Interventions: Behavioral Therapy, Pharmacotherapy, and Bariatric Surgery

Behavioral therapy involves a comprehensive lifestyle program focusing on behavior modification, goal setting, and self-monitoring
Pharmacotherapy includes the use of medications such as sympathomimetic agents, GLP-1 receptor agonists, phentermine/topiramate ER, naltrexone/bupropion, and orlistat
Sympathomimetic agents like phentermine have common adverse effects including increased blood pressure/heart rate and constipation
GLP-1 receptor agonists like liraglutide and semaglutide can cause nausea/vomiting and increased risk of pancreatitis and gallbladder disease
Phentermine/topiramate ER may lead to increased heart rate/blood pressure, dry mouth, and constipation
Naltrexone/bupropion can cause nausea/vomiting, headache, and increased heart rate/blood pressure
Orlistat may result in common adverse effects like abdominal pain, flatulence, and fecal urgency or incontinence
Monitoring factors for pharmacotherapy include efficacy goal of ≥5% weight loss at 3 months and safety/tolerability assessments
Bariatric surgery is considered for individuals with a BMI ≥40 kg/m2 or ≥35 kg/m2 with obesity-related comorbidities
Bariatric surgery can lead to surgical complications, nutrient deficiencies, and changes in drug absorption
Types of bariatric surgery include vertical-banded gastroplasty, adjustable gastric banding, and Roux-en-Y gastric bypass
Candidates for bariatric surgery should be motivated to lose weight and have insufficient weight loss with behavioral therapy ± pharmacotherapy

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Description

Test your knowledge of obesity management interventions including behavioral therapy, pharmacotherapy, and bariatric surgery. Explore the common adverse effects of sympathomimetic agents, GLP-1 receptor agonists, and other medications, as well as the monitoring factors for pharmacotherapy. Learn about the criteria and types of bariatric surgery, and the potential complications and considerations for candidates.