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?

<p>October 25, 2021 (B)</p> Signup and view all the answers

What is the overarching goal of the text?

<p>To provide clinical guidelines for obesity management (B)</p> Signup and view all the answers

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

<p>Lifestyle therapy for weight management (D)</p> Signup and view all the answers

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

<p>MyPlate from US Dept of Agriculture: myplate.gov (D)</p> Signup and view all the answers

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

<p>After lifestyle therapy has been unsuccessful (C)</p> Signup and view all the answers

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

<p>Pharmacological management of obesity (D)</p> Signup and view all the answers

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

<p>To classify weight status and assess health risks (C)</p> Signup and view all the answers

Which factor is NOT mentioned as a contributor to obesity?

<p>Psychological factors (D)</p> 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?

<p>30-60 minutes (C)</p> Signup and view all the answers

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

<p>Elevated blood glucose (B)</p> Signup and view all the answers

What is the main tool used to classify obesity?

<p>Body Mass Index (BMI) (C)</p> Signup and view all the answers

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

<p>Consuming saturated fats (C)</p> Signup and view all the answers

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

<p>5-10% (C)</p> Signup and view all the answers

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

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

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

<p>30-60 minutes most days per week (C)</p> 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?

<p>All-cause mortality and cardiovascular mortality (A)</p> Signup and view all the answers

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

<p>Caloric intake exceeding caloric expenditure (D)</p> Signup and view all the answers

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

<p>Phentermine/topiramate ER (A)</p> Signup and view all the answers

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

<p>Nausea/vomiting and increased risk of pancreatitis and gallbladder disease (D)</p> Signup and view all the answers

What are common adverse effects of naltrexone/bupropion?

<p>Nausea/vomiting, headache, and increased heart rate/blood pressure (B)</p> Signup and view all the answers

What is a common adverse effect of orlistat?

<p>Abdominal pain, flatulence, and fecal urgency or incontinence (B)</p> Signup and view all the answers

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

<p>Behavior modification, goal setting, and self-monitoring (D)</p> Signup and view all the answers

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

<p>≥5% weight loss (A)</p> Signup and view all the answers

What BMI criteria are considered for bariatric surgery?

<p>≥40 kg/m2 or ≥35 kg/m2 with obesity-related comorbidities (C)</p> Signup and view all the answers

What type of bariatric surgery involves vertical-banded gastroplasty?

<p>Vertical-banded gastroplasty (C)</p> Signup and view all the answers

What are potential complications of bariatric surgery?

<p>Surgical complications, nutrient deficiencies, and changes in drug absorption (C)</p> Signup and view all the answers

What is a requirement for candidates for bariatric surgery?

<p>Motivated to lose weight and have insufficient weight loss with behavioral therapy ± pharmacotherapy (B)</p> Signup and view all the answers

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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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