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Treatment of Obesity (4) - Coggle Diagram
Treatment of Obesity (4)
What are the stages of obesity and their corresponding descriptions?
0; no effects
How would you manage stage 1 symptoms?
lifestyle intervention; counselling; monitering; considering risk factors
1: rrisk factor; mild mental and functional effects
How would you manage stage 1 symptoms?
lifestyle intervention; counselling; monitering; considering risk factors
2: comorbidity; moderate M&F effects
How would you managee stage 2 symptoms?
lifestyle intervention; counseling; considering drug and surgery; medical controlling
3: end-organ damage; severe M&F effects
How would you manage stage 3/4 symptoms?
lifestyle intervention; counseling; aggressive medical control; use of drugs and surgery; palliative measures
4: end stage symptoms
How would you manage stage 4 effects?
lifestyle intervention; counseling; aggressive medical control; use of drugs and surgery; palliative measures
What are different kinds of lifestyle interventions?
First-Line therapy: low risk approaches for promoting weigh loss
Reduced calorie + healthy meal plan; aerobic activitty + weight lifting + self monitering; behavior control activities
Drug Therapy
pharmocotherapy is an adjunct to diet & behavior change- has an
additive
effect
How does medication target weight loss?
Through variable mechanisms to alter energy balance- done through interfering with
nutrient absorption
+
delay gastric emptying
+
alter neurotransmitter actions in appetite circuits
Give one example of an FDA approved medication for weight loss:
Liraglutide: delays gastric emptying to reduce food intake
Bariatric Surgery
What does Bariatric surgery entail?
restricts size of stomach
What are post surgical considerations including?
maladaption; hypoglycemia; ulcers
What are types of Bariatric surgery?
Gastric Sleeve
not really that reversable; restrictive & malabsorptoin; limits food intake; reduces absorption of calories and nutrients
RNY Gastric Bypass
reversable and medical implant; reestrictive, limits food intake; slow digestion; creates fullness
Gastric Banding
not reversable; restricttive; limits food intake; reduces hunger by removing ghrelin
Duodenal Switch
not reversible; malabsorption; limits food intake; food bypasses most of small intestine -> higher malabsorption and greater weight loss