Obesity Statistics and Disorder Overview

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Questions and Answers

What is the BMI threshold for obesity?

  • BMI > 30 (correct)
  • BMI > 27
  • BMI > 35
  • BMI > 25

Obesity is more prevalent in higher socio-economic groups in developed countries.

False (B)

What are two serious disorders highly related to obesity?

Cardiovascular disease and diabetes mellitus

A BMI greater than _____ is classified as overweight.

<p>27</p> Signup and view all the answers

Match the following groups with their demographic trends in obesity prevalence:

<p>Lower socio-economic groups = Higher incidence of obesity Minority groups in the US = Over 70% prevalence Young people = Tremendous increase in prevalence Less developed countries = Accelerating increase in obesity rates</p> Signup and view all the answers

Which of the following conditions is not commonly related to obesity?

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

The primary function of the GI tract is nutrient absorption through the lumen.

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

Name one vitamin that was supplemented to prevent rickets.

<p>Vitamin D</p> Signup and view all the answers

The fortification of bread with __________ ended the pellagra epidemic.

<p>Niacin</p> Signup and view all the answers

What role do salivary glands play in the digestive process?

<p>They aid in lubricating and initiating starch breakdown. (B)</p> Signup and view all the answers

Match the nutrient deficiency with the disease it causes:

<p>Niacin = Pellagra Thiamine = Beriberi Vitamin C = Scurvy Folate = Anemia</p> Signup and view all the answers

Identify one accessory organ involved in digestion.

<p>Liver</p> Signup and view all the answers

The vagus nerve is involved in controlling organs such as the stomach and colon.

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

Which factor is considered a primary determinant of Resting Energy Expenditure (REE)?

<p>Lean body mass (C)</p> Signup and view all the answers

Skinny fit individuals have a lower cardiovascular disease mortality risk compared to obese fit individuals.

<p>False (B)</p> Signup and view all the answers

What is one secondary effect of cardiorespiratory fitness on health?

<p>Alteration of risk factors for disease</p> Signup and view all the answers

Obesity is associated with an increased risk of _____ disease and stroke.

<p>cardiovascular</p> Signup and view all the answers

What is considered a combination of multiple risk factors for cardiovascular disease?

<p>Metabolic syndrome (B)</p> Signup and view all the answers

Match the diseases associated with overweight/obesity to their categories:

<p>Diabetes mellitus = Metabolic disorder High BP = Cardiovascular condition Osteoarthritis = Musculoskeletal disorder Depression = Mental health disorder</p> Signup and view all the answers

Lean tissue does not help in increasing metabolic rate after exercise.

<p>False (B)</p> Signup and view all the answers

Name a common disease associated with obesity.

<p>Diabetes mellitus</p> Signup and view all the answers

What is the primary effect of extendin-4 reported in animals?

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

Extendin-4 is easily broken down by enzymes in the body.

<p>False (B)</p> Signup and view all the answers

What animal is known for having a unique GLP-1 in its saliva that was developed into a diabetes drug?

<p>Gila monster</p> Signup and view all the answers

GLP-1 treatments have been associated with significant weight loss due to their role in signaling ______.

<p>satiety</p> Signup and view all the answers

Match the following effects with their outcomes related to GLP-1:

<p>Reduces CV deaths = 15-20% reduction Improves kidney events = Major kidney disease events Increases insulin secretion = Lowers blood glucose Promotes weight loss = Reduces food intake</p> Signup and view all the answers

Which macronutrient alteration is indicated to affect triglyceride levels significantly?

<p>Change in carbohydrate composition (A)</p> Signup and view all the answers

Sensitive individuals to certain dietary factors may include those who are obese.

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

What dietary factor is particularly noted as worsening triglyceride levels?

<p>Fructose</p> Signup and view all the answers

What percentage of energy from protein is considered acceptable for adults according to the Acceptable Macronutrient Distribution Range (AMDR)?

<p>10 to 35% (B)</p> Signup and view all the answers

Kwashiorkor is characterized by energy deficiency, while Marasmus is the result of protein deficiency.

<p>False (B)</p> Signup and view all the answers

What is the minimum daily protein requirement recommended for adults in grams per kilogram of body weight?

<p>0.8</p> Signup and view all the answers

____ proteins help muscles move.

<p>Contractile</p> Signup and view all the answers

Match the following types of protein deficiencies to their descriptions:

<p>Kwashiorkor = Pure protein deficiency Marasmus = Energy and protein deficiency Protein energy malnutrition = Range of protein deficiency conditions</p> Signup and view all the answers

Which of the following foods is a good source of protein in a vegan diet?

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

Regular aerobic exercise has no impact on protein requirements for athletes.

<p>False (B)</p> Signup and view all the answers

What is the percentage increase in protein synthesis when consuming 15 grams of essential amino acids?

<p>80</p> Signup and view all the answers

Which hormone is not considered an incretin?

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

Alcohol absorbs very easily in the stomach.

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

What is the basic unit of carbohydrate?

<p>Monosaccharide</p> Signup and view all the answers

Sweet tastes often indicate __________ food.

<p>energy rich</p> Signup and view all the answers

Match the following types of dietary fibers with their characteristics:

<p>Soluble Fiber = Dissolves in water Insoluble Fiber = Adds bulk to stool Functional Fiber = Derived from plant or synthetic sources Dietary Fiber = Found in whole plants</p> Signup and view all the answers

Which of the following enzymes is activated by enteropeptidase?

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

Fiber can be broken down and absorbed by human digestive enzymes.

<p>False (B)</p> Signup and view all the answers

What is the primary fuel source for the central nervous system?

<p>Glucose</p> Signup and view all the answers

__________ are formed when starch is digested in the digestive tract.

<p>Maltose</p> Signup and view all the answers

Match carbohydrates with their types:

<p>Glucose = Monosaccharide Sucrose = Disaccharide Starch = Polysaccharide Fiber = Complex carbohydrate</p> Signup and view all the answers

Which type of carbohydrate provides the most calories per gram?

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

Lactose intolerance is caused by an excess of lactase enzyme.

<p>False (B)</p> Signup and view all the answers

What are the two types of macronutrients that provide energy?

<p>Carbohydrates and fat</p> Signup and view all the answers

___ refers to how quickly blood glucose levels rise after consuming carbohydrates.

<p>Glycemic response</p> Signup and view all the answers

High fructose corn syrup (HFCS) is associated with which health issue?

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

Flashcards

What is obesity?

Excess body fat relative to lean tissue, a disorder defined by body fat stores, not muscle or other types of weight.

What is BMI?

A measure of body weight relative to height, calculated as weight (kg) divided by height squared (m^2).

What are the BMI ranges for overweight and obesity?

A BMI greater than 30 is considered obese, while a BMI between 27 and 30 is categorized as overweight.

How does socioeconomic status impact obesity?

Historically, obesity was associated with wealth and privilege. However, in modern western societies, lower socioeconomic groups have a higher prevalence of obesity.

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What is the global trend of obesity?

Obesity is becoming increasingly common in the United States and the world, with rates rising rapidly in children and adolescents.

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Obesity

A condition where a person has a very high body mass index (BMI), increasing the risk of serious health problems.

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Diabetes mellitus (type 2)

A condition where the body's ability to regulate blood sugar is impaired, often leading to high blood sugar levels.

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High blood pressure

A condition where blood pressure is higher than normal, putting extra strain on blood vessels and increasing the risk of heart disease.

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Dyslipidemia

A disorder characterized by abnormal levels of cholesterol and other fats in the blood, increasing the risk of heart disease.

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Non-alcoholic fatty liver disease (NAFLD)

A condition where the liver becomes inflamed and damaged due to excessive fat accumulation, often associated with obesity.

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Gastrointestinal tract (GI tract)

The pathway from the mouth to the rectum, where food is digested and nutrients are absorbed.

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Accessory organs of digestion

Accessory organs work in conjunction with the GI tract to aid in digestion and nutrient absorption.

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Lumen of the GI tract

The space inside the GI tract, where food is broken down and processed.

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Cardiorespiratory Fitness

The ability of the body to perform aerobic work, effectively measured by exercise capacity on a treadmill.

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Physiological Basis of Cardiorespiratory Fitness

The ability of the body to deliver oxygen to tissues, including factors like blood oxygenation and red blood cell count, and the capacity of tissues to effectively utilize oxygen.

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Skinny Fat

A condition where individuals have increased risk of cardiovascular disease despite appearing lean due to low cardiorespiratory fitness.

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Secondary Effects of Fitness

Improvements in cardiorespiratory fitness can reduce risk factors for diseases by positively influencing factors like blood pressure, cholesterol levels, and glucose regulation.

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Direct Benefits of Fitness on Disease Risk

Fitness directly benefits the body by improving mitochondrial function, blood flow, and better overall organ health.

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Lean Tissue and Resting Energy Expenditure

The primary factor determining the energy burned at rest is lean body mass, with muscle making up a significant portion of it. Exercise increases muscle mass, leading to higher resting calorie expenditure.

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Metabolic Syndrome

A cluster of at least 3 risk factors for cardiovascular disease, including high blood pressure, high cholesterol, high triglycerides, low HDL cholesterol, and insulin resistance.

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Diseases Associated With Overweight/Obesity

Conditions like diabetes, high blood pressure, and cardiovascular disease are more common in individuals with overweight or obesity.

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What is GLP-1?

A hormone that regulates blood sugar levels, secreted by the intestines in response to food intake.

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What is Extendin-4?

Extendin-4 is a newly discovered protein that mimics the effects of GLP-1, promoting insulin release and lowering blood sugar.

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What is the 'Intestinal Brake'?

The 'intestinal brake' refers to the mechanism by which nutrients entering the small intestine trigger the release of GLP-1, slowing down food intake and promoting insulin release.

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Why is weight loss a notable effect of GLP-1?

The amount of weight loss observed from GLP-1 treatment is significant because it targets both appetite control and insulin sensitivity.

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What are some clinically relevant benefits of GLP-1?

GLP-1 improves clinical outcomes in patients with type 2 diabetes, reducing cardiovascular events, all-cause mortality, and kidney failure.

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Who are more sensitive to the effects of carbohydrates?

Individuals with obesity, insulin resistance, increased fasting triglycerides, or who are post-menopausal are more sensitive to the effects of carbohydrate intake.

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Why is fructose intake particularly concerning?

High fructose intake is particularly detrimental to health, exacerbating the negative effects of carbohydrates.

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What dietary choices help manage carbohydrate impacts?

Fiber and whole foods help moderate the negative effects of carbohydrates, promoting metabolic health.

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What do enzymes do?

Enzymes are biological catalysts that speed up metabolic reactions within cells. They work by lowering the activation energy required for a reaction to occur, which allows it to proceed at a faster rate.

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What's the role of transport proteins?

Transport proteins act as carriers, facilitating the movement of substances across cell membranes. Each protein has a specific binding site for a particular molecule, allowing selective transport.

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What are antibodies?

Antibodies are specialized proteins that defend the body against foreign invaders like bacteria, viruses, and toxins. They bind to antigens, the markers on foreign substances, and trigger their destruction.

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What do contractile proteins do?

Contractile proteins are essential components of muscle tissue. They slide past each other, generating force and enabling muscle contraction for movement.

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What are hormones?

Hormones are chemical messengers produced by endocrine glands. They are released into the bloodstream and travel to target cells with specific receptors, triggering a response to regulate various bodily functions.

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What is the role of proteins in fluid and acid-base balance?

Proteins play a crucial role in maintaining fluid and acid-base balance within the body. They help regulate the distribution of water in different compartments and buffer against pH changes.

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What is protein energy malnutrition (PEM)?

Protein energy malnutrition (PEM) is a range of conditions caused by a deficiency in protein, energy, or a combination of both. This can lead to various symptoms, including stunted growth, muscle wasting, and immune deficiencies.

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What is the recommended daily protein intake for adults?

The Recommended Dietary Allowance (RDA) for protein is 0.8 g/kg per day for adults. However, individual needs may vary depending on factors like age, activity level, and health status.

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Pepsinogen activation

The process of converting pepsinogen into the active digestive enzyme pepsin. This occurs when pepsinogen mixes with hydrochloric acid (HCl) in the stomach.

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Digestion

The breaking down of food substances into smaller components that can be absorbed by the body.

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Gastrointestinal Motility

The movement of food through the digestive tract, propelled by muscular contractions.

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Peristalsis

Waves of muscular contractions that propel food along the digestive tract.

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Mixing

Circular muscle contractions that chop and mix food in the digestive tract.

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Pancreatic Digestive Enzymes

Enzymes produced in the pancreas that are stored in inactive granules. These enzymes are activated in the small intestine to break down dietary fats, proteins, and carbohydrates.

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Trypsinogen activation

The activation of trypsinogen into the active enzyme trypsin by enteropeptidase in the small intestine.

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Polysaccharide

A type of carbohydrate that contains multiple sugar units linked together in long chains. Examples include glycogen, starch, and fiber.

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Glycogen

The storage form of glucose in animals, primarily found in the liver and muscles. Increases after a meal and is depleted during fasting.

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Hydrolysis reaction

The process of breaking down sugar molecules into smaller units, typically by adding water. This is how the body digests carbohydrates.

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Dehydration reaction

The process of linking two sugar molecules together by removing a water molecule. This is how the body builds complex carbohydrates.

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Dietary Fiber

A type of carbohydrate that cannot be digested by human enzymes but plays a crucial role in digestive health. Examples include cellulose, hemicellulose, and lignin.

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Soluble Fiber

A type of fiber that dissolves in water and forms a gel-like substance in the digestive tract. Good sources include legumes, oats, and apples.

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Insoluble Fiber

A type of fiber that does not dissolve in water and adds bulk to stool. Good sources include wheat bran, vegetables, and nuts.

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Salivary Amylase

The enzyme present in saliva that breaks down starch into shorter polysaccharides. It is inactivated in the stomach by acidic conditions

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Study Notes

Obesity Statistics

  • Obesity is increasing in the US and globally, rising from 15% (1976-80) to 33% of US adults now.
  • Obesity is linked to a range of serious health issues, including cardiovascular disease, diabetes, liver disease, and several other disorders.
  • It's a major cause of death worldwide and is correlated with an increased risk of death.

Obesity as a Disorder

  • Obesity is a disorder of body fat, characterized by excess body fat relative to lean tissue.
  • It is commonly diagnosed using BMI (body mass index).
  • BMI measures body weight relative to height (kg/m2).
  • Values above 30 indicate obesity, while values above 27 indicate overweight.
  • BMI is not a perfect measure as it doesn't account for muscle mass or other body compostion factors; it is a convenient tool

Demographics of Obesity

  • Obesity prevalence is higher in lower socio-economic groups in Western, developed countries compared to poorer populations in the same areas.
  • Historically and iconically, obesity has been associated with wealthier populations, but this pattern has increasingly reversed.
  • Minority groups in the US exhibit high rates of obesity.
  • Prevalence is significantly increasing in young people in developing countries (including parts of Asia, South America, urban Africa, and Central Europe).
  • Obesity is strongly linked with a variety of serious health issues, including several types of cancer, high blood pressure, and sleep/breathing disorders.
  • Other disorders, such as diabetes mellitus (type 2), gallbladder disease, dyslipidemia, cardiovascular disease (including stroke and liver disease), reproductive dysfunction, PCOS, and depression, are associated with obesity.
  • Certain cognitive disorders, such as Alzheimer's disease, can also be linked to obesity.

Historical Nutritional Interventions

  • Pellagra: Fortified niacin in bread effectively ended the epidemic.
  • Rickets: Vitamin D supplementation significantly reduced the prevalence.
  • Iodine deficiency: Iodine in salt, and supplementation eradicated cretinism;
  • Beriberi: Thiamine deficiency (from polished rice) was addressed by food fortification and supplementation.
  • Scurvy: Vitamin C supplementation prevented severe scurvy,
  • Anemia: Iron and folic acid administration reduced high prevalence in healthy women of child-bearing age.
  • Pernicious anemia: Monthly vitamin B12 shots effectively treated this condition.

Other Digestive Functions

  • The gastrointestinal tract (GI tract) functions as a gatekeeper for nutrients absorbed by the body.
  • It also acts as a barrier for immune defence, handling fluid and electrolytes.
  • Bioactive peptides, including hormones and neurotransmitters, are synthesized and secreted or produced.
  • Nutrient sensing plays a critical role in the process.

Digestive Phases

  • Cephalic phase: preparing for food intake through smell, sight, taste, or thought.
  • Gastric phase: food entering the stomach.
  • Intestinal phase: stomach contents entering the small intestine.

Food Energy

  • Food contains macronutrients, including carbohydrates, proteins, fats, minerals, and vitamins.
  • Carbohydrates and protein provide approximate 4kcal per gram.
  • Fats provide approximately 9kcals per gram.
  • The macronutrient composition varies by food type.

###Whole Grains vs Refined Grains

  • Whole grains contain all the nutrients from the grain while refined grains lack essential nutritive components removed during processing.
  • Refinement leads to removal of vitamins, minerals, etc.

Macronutrients (General)

  • Carbohydrates are the primary source of energy for the nervous system.
  • High fructose corn syrup is associated with increased obesity rates despite not storing fat.

Types of Carbohydrates

  • Simple carbohydrates: include single sugar units (monosaccharides, ex. glucose, fructose, and galactose) and double sugar units (disaccharides, ex. sucrose, lactose, and maltose).
  • Complex carbohydrates: include polysaccharides (ex. glycogen, starch, and fiber).

Glucose and Glycogen

  • Glucose is the primary circulating sugar serving as a constant fuel source.
  • Glycogen is a storage form of glucose primarily located in the liver and muscles that can be broken down later as needed.
  • There are two chemical reactions that can build or break down sugar molecules - hydrolysis and dehydration.

Dietary Fiber

  • Fiber is a type of carbohydrate that cannot be digested by the human body
  • Soluble fiber : Legumes, prunes, apricots, raisins, oranges, bananas, oats, apples, eggplant, flaxseed
  • Insoluble fiber: wheat bran, whole-wheat bread, broccoli, corn, eggplant, apple skins, nuts and seeds
  • Fiber functions as a bulk element and can support digestive processes or help with absorption.

Protein

  • Proteins are essential building blocks for many bodily functions as well as serving as an energy source to the body.
  • Consists of amino acids.
  • Essential amino acids must be ingested through the daily diet.
  • Non-essential amino acids can be synthesized by the body and therefore don't need to be consumed.
  • Proteins have different shapes, and shape determines function.
  • Proteins help form tissue and have functions such as transporting substances throughout the body and assisting in hormone regulation.

Insulin Resistance

  • Type 1 diabetes: a condition where the body does not produce insulin.
  • Type 2 diabetes: an insulin resistant condition whereby the body does not properly utilize insulin.
  • Gestational diabetes: a condition occurring during pregnancy that typically resolves after birth.

Cardiovascular Disease (General)

  • Dietary cholesterol has a modest effect on blood cholesterol levels compared to other risk factors.
  • Fat must be packaged in lipoproteins for use within the body.
  • The different lipoproteins have different functions such as delivering fat to different parts of the body.
  • Different lipoprotein quantities are associated with different degrees of risk.

Glycosylation

  • High blood glucose can correlate with the process of glycosylation, meaning glucose is attached to proteins,
  • This glycosylation can impair proper protein function and can result in complications.

Other topics covered

  • Obesity and induced obesity.
  • High carbohydrate diets.
  • Weight loss effects of interventions.
  • Body composition: Fat and fat distribution.
  • General overview on the digestive and cardio-vascular systems.

###Other relevant concepts

  • Implications of dynamic energy balance.
  • Health considerations in regards to fitness and obesity.
  • Practical aspects for treatment (e.g. medications, incretin effect and weight loss.)
  • Diseases associated with excess weight.

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