Obesity

Obesity
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What is it?
 Overweight: body weight 10 to 19% above IBW
 IBW:
o Male:106 lbs. for the first 5 feet and 6 lbs. per inch after +/-10%
o Female: 100 lbs. for the first 5 feet and 5 lbs. per inch after +/-10%
 Obesity: 20% or > above IBW range- promote health risks- diabetes, coronary artery
disease, hyperlipidemia, gallbladder/liver diseases, hypertension, osteoarthritis, EPHgentosis in pregnancy, complications in surgery, accidents, sleep disorders, respiratory
problems, some cancers
 Hypertrophic Obesity: increased lipid content of adipocytes
 Juvenile Obesity/Hyperplastic: increase in cell number
 Pickwickian syndrome: obesity hypoventilation
Medications:
 Appetite suppressants/Tenuate: monitor for GI distress, excitability
 Dexedrine: monitor glucose levels, GI disturbances, anorexia, extreme weight loss, dry
mouth, unpleasant taste, drowsiness, dizziness, diarrhea, growth disturbances in
children
 Fenfluramine HCL/Pendimin/Phentermine HCl/Adipex-P/Redux/dexfenfluramine HCl:
weight loss for 1 year-serotonin is released- food intake decreases, monitor for
pulmonary hypertension, do not use if pregnant/lactation, MAO inhibitors, serotonin
reuptake inhibitors, AVOID with Children/Teenagers
 Ionamin/Fastin: monitor for dry mouth, stimulant like amphetamine
 Orlistat: reduces fat uptake
 Prozac: used for bulimia nervosa, monitor for headaches, nausea, diarrhea, dry mouth,
hyperglycemia
Facts:
 1/3 to 1/4 of adults are obese in the United States
 Overweight: more common in black women than in white women
What can I do?
 See your Health Care Provider: monitor blood pressure, lipids,
glucose, uric acid, weight
 See a RD- for help as needed
 See a Food Fitness First® RD- on line for help
 Low Calorie/Fat Diet, Exercise, 3 meals, bedtime snack
 Stress HBV Protein, High Fiber, Decrease
Sugars/Sweets/Fats/Alcohol