Obesity and Metabolic Syndrome (Clin Med)
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Obesity and Metabolic Syndrome (Clin Med)

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@KateRCoh3

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Questions and Answers

BMI classification

18.5 to 25.9 = normal weight 25.0 to 29.9 = overweight 30.0 to 34.9 = obesity class I 35.0 to 39.9 = obesity class II

BMI 19.5 = normal weight BMI 38.8 = obesity class II BMI 34.3 = obesity class I BMI 28.2 = overweight

BMI can be calculated by dividing weight in (kg) by height (m^2) squared

or by weight (lb) divide by height (in^2) squared all times 703

True

Increased waist circumference and abdominal obesity are independent risk factors for cardiometabolic risk and mortality.

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

Match the waist circumference in which there would be a indicator of increased cardiometabolic risk

<blockquote> <p>40 inches = WC males 35 inches = WC females 31 inches = WC asian females 35 inches = WC asian males</p> </blockquote> Signup and view all the answers

According to the USPSTF, at what BMI should adult patients get given a referral for obesity treatment and behavioral intervention

<p>&gt; 30.0</p> Signup and view all the answers

Who should be screened for obesity according for the USPSTF?

<p>All adults and child above the age of 6</p> Signup and view all the answers

What is not a element of obesity screening

<p>Start on trial Ozempic with low dose</p> Signup and view all the answers

In order to be diagnosed with metabolic syndrome, your patient must have 3 or more of the following criteria. (remember: being treated for the condition counts as making the criterium!) Note: Abdominal obesity via WC is a criteria (i ran out of room)

<p>BP = &gt;130/85 HDL = less than 40 (men), 50 (women) Triglycerides = &gt;150 Fasting Blood Glucose = &gt;100</p> Signup and view all the answers

Above a BMI of 25 kg/m2 mortality increases by approximately ____ for every 5 kg/m2 higher BMI

<p>30%</p> Signup and view all the answers

Lifetime prevalence of major depressive disorder increases by ______ when BMI > 30

<p>1.5-2x</p> Signup and view all the answers

The message for our patients is that even small weight loss can have significant health impacts and larger losses can be life-changing

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

How many minutes of exercise should you recommend for your patient per week?

<p>150</p> Signup and view all the answers

Study Notes

BMI Calculation

  • BMI can be calculated by dividing weight in kg by height in m^2 squared
  • Alternatively, BMI can be calculated by dividing weight in lb by height in in^2 squared, multiplied by 703

Cardiometabolic Risk Factors

  • Increased waist circumference and abdominal obesity are independent risk factors for cardiometabolic risk and mortality
  • A waist circumference exceeding a certain threshold is an indicator of increased cardiometabolic risk

Obesity Screening and Referral

  • According to the USPSTF, adult patients with a BMI of 30 or higher should be referred for obesity treatment and behavioral intervention
  • The USPSTF recommends screening all adults for obesity
  • A BMI measurement is an element of obesity screening

Metabolic Syndrome Diagnosis

  • To be diagnosed with metabolic syndrome, a patient must have 3 or more of the following criteria:
    • Abdominal obesity via waist circumference (WC)
    • Other criteria (not specified)
  • Being treated for a condition counts as meeting the criterion

Health Impacts of Obesity

  • Mortality increases by approximately ____ for every 5 kg/m2 higher BMI above 25 kg/m2
  • The lifetime prevalence of major depressive disorder increases by ______ when BMI exceeds 30
  • Small weight loss can have significant health impacts, and larger losses can be life-changing

Exercise Recommendations

  • Recommend at least ______ minutes of exercise per week for patients

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