Shanna Miller

Computer Application

Definition Of Obesity Having an excessive amount of body fat

Having a BMI of 30 or higher

BMI Weight Status

Below 18.5 Underweight

18.5 – 24.9 Normal

25.0 – 29.9 Overweight

30.0 and higher Obese

Body Mass Index (BMI) Chart

Symptoms Of Obesity Difficulty sleeping

Snoring

Sleep apnea

Pain in your back or joints

Excessive sweating

Always feeling hot

Rashes or infection in folds of your skin

Shortness of breath

Daytime sleepiness or fatigue

Depression

Causes Inactivity

Unhealthy diet and eating habits

Pregnancy

Lack of sleep

Certain medications

IE: antidepressants, anti-seizure, diabetes, and antipsychotic medications

Steroids and beta blockers

Causes Continued… Medical problems

IE: Prader-Willi syndrome, Cushing’s syndrome, polycystic ovary syndrome , and other diseases and conditions

Risk FactorsFactors that may increase your risk of obesity include:

Genetics

Family history

Age

Quitting smoking

Social and economic issues

If you have any of these risk factors, it does not mean you will become obese.

Complications Of ObesityPotentially serious health problems may develop, including:

Blood (fat) lipid abnormalities

Cancers, including uterine, cervical, ovarian, breast, colon, rectal, and prostate

Depression

Gallbladder disease

Gynecological problems

Infertility and irregular periods

Heart disease

High blood pressure

Complications Continued… Metabolic syndrome

Nonalcoholic fatty liver disease

Osteoarthritis

Skin problems

Intertrigo and impaired wound healing

Sleep apnea

Stroke

Type 2 diabetes

Quality Of LifeIssues that affect your quality of life include:

Depression

Disability

Physical discomfort

Sexual problems

Shame

Social isolation

When To See The Doctor If you have any symptoms associated with obesity

like the examples in the slideshow, see your doctor or health care provider.

Questions you may want to ask your doctor:

What can I do to help myself?

Is weight-loss surgery an option for me?

What other health problems might I have?

Do you recommend dieting? What diets work the best?

What You Might Expect From Your Doctor Your doctor may ask you questions about your

eating, activity, mood and thoughts, and any symptoms you may have. Such as:

What do you eat in a typical day? How big are your portions?

What is your typical day like? Are you active?

How is your mood affected by your weight?

What have you tried so far to lose weight?

What are your weight-loss goals?

Are you ready to make changes in your lifestyle?

Tests And Diagnosis Your doctor will probably suggest having some

tests done which may include: Taking your health history

Assessing other health problems

Calculating your BMI

Measuring your waist circumference

A general physical exam

Laboratory tests Complete blood count (CBC), cholesterol, liver function,

fasting glucose, thyroid, and others depending on your health situation

Treatments And Drugs You may need the help of health professionals to

help you along the way such as:

Nutritionist, dietitian, therapist, or an obesity specialist

Treatment methods include:

Dietary changes

Exercise and activity

Behavior change

Prescription weight-loss medications

Weight-loss surgery

Treatment And Drugs Continued… Dietary Changes

Reducing your calorie intake

Typical amount is 1,000 to 1,600 calories

Feeling full on less

Adopting a healthy eating plan

Following a very low calorie liquid diet if medically recommended

Meal replacements

Don’t buy into the quick fixes

Treatments And Drugs Continued… Increased Activity

Exercise

Increase your daily activity

Park further away from store entrances, rev up your household chores, garden, get up and move periodically, and/or wear a pedometer

Behavior changes

Counseling

Support groups

Treatments And Drugs Continued… Prescription weight-loss medication

These are designed to work with diet, exercise, and behavior changes, not instead of them.

Your doctor may recommend a weight-loss medication if:

Other methods of weight-loss haven’t worked for you

If your BMI is greater then 27 and you also have complications of obesity such as diabetes, high blood pressure, or sleep apnea.

Olistat (xenical) is a type weight-loss medication used

Weight-loss Surgery Options

Treatments And Drugs Continued… Weight-loss surgery

Gastric bypass surgery

Laparoscopic adjustable gastric banding (LAGB)

Biliopancreatic diversion with duodenal switch

Gastric Bypass Surgery

Laparoscopic Adjustable Gastric Banding (LAGB)

Biliopancreatic Diversion With Duodenal Switch

Complications Of Weight-loss Surgery Serious health problems that are related to the surgery

and reduced food intake are: Pneumonia Blood clots Infection Gallstones Hernia Nausea Vomiting Diarrhea Nutritional deficiencies

Coping And Support Journal

Connect- Don’t become isolated

Join- Join support groups with others facing similar challenges

Focus- Stay focused on your goals

Relax- Don’t get stressed

Prevention Exercise regularly

Eat healthy meals and snacks

Know and avoid the food traps that cause you to eat

Monitor your weight regularly

Be consistent

Support Groups Online Support

www.obesityhelp.com

www.dailystrength.org

America On The Move

Address: 150 Harrison Avenue

Boston, MA 02111

Fax: 617-636-2714

www.americaonthemove.org

Support Groups Continued… KidShape (for children and families)Address: 8733 Beverly Blvd,Suite 400,Los Angeles, CA 90048Phone: (888) 600-6444www.kidshape.com Overeaters Anonymous (OA)Address: P.O. Box 44020,Rio Rancho, NM 87174-4020Phone: (505) 891-2664 Fax: (505) 891-4320www.oa.org

References Mayo Clinic Staff. (© 1998-2011). Obesity. Retrieved March

30, 2011, from Mayo Clinic: http://www.mayoclinic.com/health/obesity/DS00314

Mayo Clinic obesity article sited these sources:

Defining overweight and obesity. Centers for Disease Control & Prevention. http://www.cdc.gov/nccdphp/dnpa/obesity/defining.htm. Accessed Jan. 26, 2009.

Ogden CL, et al. Obesity among adults in the United States -No statistically significant change since 2003-2004. NCHS data brief no 1. Hyattsville, MD: National Center for Health Statistics. 2007.

References Continued… Still CD, et al. Obesity. In: Rakel & Bope: Conn's Current

Therapy. 60th ed. Philadelphia: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/117958748-3/0/1621/295.html#4-u1.0-B978-1. Accessed Feb. 20, 2009.

Bray GA. Etiology and natural history of obesity. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2009.

Kushner RF. Obesity management. Gastroenterology Clinics of North America. 2007;36:191.

Duval K, et al. Health-related quality of life in morbid obesity. Obesity Surgery. 2006;16:574.

Hainer V, et al. Treatment modalities of obesity: What fits whom? Diabetes Care. 2008;31(suppl 2):S269.

References Continued… Understanding adult obesity. National Institute of Diabetes

and Digestive and Kidney Diseases. http://www.win.niddk.nih.gov/publications/understanding.htm. Accessed Jan. 26, 2009.

Bessesen DH. Update on obesity. Journal of Clinical Endocrinology and Metabolism. 2008;93:2027.

Bray GA. Overview of therapy for obesity in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2009.

Svetkey LP, et al. Comparison of strategies for sustaining weight loss: The Weight Loss Maintenance Randomized Controlled Trial. JAMA. 2008;299:1139.

References Continued… The practical guide: Identification, evaluation, and

treatment of overweight and obesity in adults. National Institutes of Health, U.S. Department of Health and Human Services. http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf. Accessed Feb. 25, 2009.

Donnelly JE, et al. American College of Sports Medicine position stand: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise. 2009;41:459.

References Continued… Sacks F, et al. Comparison of weight-loss diets with different

compositions of fat, protein, and carbohydrates. New England Journal of Medicine. 2009;360:859.

Mun EC, et al. Surgical management of obesity. http://www.uptodate.com/home/index.html. Accessed Feb. 26, 2009.

Hensrud DD (expert opinion). Mayo Clinic, Rochester, Minn. April 2, 2009.

Anderson CA (expert opinion). Mayo Clinic, Rochester, Minn. March 3, 2009.

Meridia (sibutramine): Market withdrawal due to risk of serious cardiovascular events. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm228830.htm. Accessed Oct. 8, 2010.