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Obesity - Coggle Diagram
Obesity
Comps
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idiopathic intracranial HTN (headaches, blurred optic disc margins)
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increased risk of endometrial, breast + colon carc
psych sequelae - low self esteem, bullying, depression
Management
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healthy eating (cut out sugary juices + fizzy drinks, decrease portion sizes, increase protein + non-carb veg, discourage snacking, encourage family meals)
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Drug tx
must be >12, BMI>40 or >35 with comps
only once diet, exercise + behavioural approaches introduced
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Metformin
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increases insulin sensitivity, decreases gluconeogenesis, decreases GI glucose absorption
Bariatric surgery
not appropriate unless almost achieved maturity, extreme obesity with comps, + all other interventions have failed
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Aetiology
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energy-dense foods widely consumed - fast food, processed food
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