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medical problems associated with obesity
hypertension, dyslipidemia, gout, diabetes, early cardiovascular disease, and certain forms of cancer, cholelithiasis, osteoarthritis, & sleep apnea
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hypertension
due to increase of salt intake, increase of stress brought on by being overweight and inactivity
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dyslipidemia
high HDL or bad cholesterol, which builds up and clogs vessels
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gout
increase of salty food intake
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diabetes
increase of sugar intake due to poor nutrition, and increase of food intake
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early cardiovascular disease
high HDL, refer to dyslipidemia
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cholelithiasis
(gall stones) due to poor nutrition
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osteoarthritis
due to stress brought on by excess weight brought on by obesity
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sleep apnea
due to extra weight on the person's chest, which constricts proper breathing
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body mass index
(BMI) a tool used to determine ones ideal weight
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causes of obesity
sedentary lifestyle (lack of activity), increase of food portions, increase in consumption of sugar based beverage, poor eating habits
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things one can do to change eating habits
set a structured eating habit (timed schedule), increased chewing of foods, self regulation of food intake & increase the intake of water, hydration may improve insulin resistance and promotes the body's use of insulin
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physiologic influence on obesity
thrifty genes, predisposition, gender, emotional, activity, altered metabolism and hormonal
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prevention of obesity
begin in infancy with appropriate weight gain, develop pos. food habits in childhood, encourage high-fiber foods & slow paced eating, avoid rewarding & comforting w/ food, drink water, include regular physical activity on most days
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treatment strategies for obesity
count calories (use the labels), promote intake of fibers, chew more, more unsaturated fat, use the food Pyramid, eat more legumes to replace grains, set a realistic goal, eat less fat & carbs, & increase physical activity
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obesity meds
orlistat, meridia, buproprion, topamax, controversial supplement
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orlistat
potent inhibitor of intestinal lipases; side effects include diarrhea and potential nutritional deficiencies, especially of fat soluble vitamins, decrease absorption of many prescriptions
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meridia
appetite suppressant; can be prescribed short term only
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buproprion (Wellbutrin)
an antidepressant
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topamax
not FDA approved for weight loss
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controversial supplement
conjugated linoleic acid (CLA)
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surgical interventions
Gastric banding, stomach stapling, bariatric surgery, gastric bypass
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Bariatric surgery
reduces stomach size to volume of about 1/4 cup and bypasses a portion of the small intestine for decreased absorptive area
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possible nutritional complications of bariatric surgery
iron-deficiency anemia, folate deficiency, vitamin B12 def., osteoporosis from decreased cal. absorption, thiamin def. caused by vomiting, hair loss
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