bariatrics

Question 1

anatomic and physiologic changes commonly associated with obesity

Answer 1

• cardiac: cardiomyopathy (heart failure), abdnomal ventric remodeling (hypertrophy), afib
• pulmonary: astha, sleep apnea, hypoventilation syndrome
• kidneys: decreased renal perfusion
• GU: urinary incontinence, infertility
• integ: infection,m hyperkeratosis
• vascular: increased total blodo volume, altered stroke volume and CO, HTN
• MSK: OA
• adipose tissue: increase production of adipokines
• liver: non-alcoholic fatty liver disease, NASH
• pancreas: insulin resistance, T2DM

Question 2

BMI

Answer 2

Question 3

male and female obesity numbers

Answer 3

• waist circumference > 40 for men and > 36 in for women considered indicative of central obesity
• waist to hip ratio > 1.0 in males and > 0.85 in female suggestive of central obesity
• want peripheral fat distribution (pear shape or gluteofemoral obesity) in women - associated with lower relative incidence of obesity related risk factors than apple shape/central fat distribution