OBESITY

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  • OBESITY
    • What is it?
      • Somebody who is very overweight with a high degree of body fat
      • Energy intake is more than energy output
        • Needs to be balanced to maintain weight
    • Causes
      • Eating too much and moving too little
      • If you consume high amounts of energy from your diet but don't burn off the energy through exercise and physical activity
        • Surplus energy (what you don't use up) is turned into fat
    • Diagnosis
      • BMI is main measurement for obesity
        • May not be reliable - doenn't take muscles into consideration
        • Mass (kg) divided by height (m) squared
        • Over 30 is classed as obese
      • Best way is to measure waist
    • Morbidly obese
      • Risk to life
    • Symptoms
      • Struggle to move
      • Breathlessness
      • Increased sweating
      • Snoring
      • Difficulty sleeping
      • Inability to cope with sudden physical activity
      • Feeling very tired everyday
      • Back and joint pain
    • Long term problems
      • Hypertension (high blood pressure)
      • High cholesterol klevels (fatty deposits blocking arteries)
      • Coranory heart disease
      • Increased risk of stroke
      • Type 2 diabetes
    • Psychological problems
      • Low self-esteem
      • Low confidence levels
      • Feeling isolated in society
      • Depression
    • Treatment
      • 4 main goals
        • Prevent firther weight gain
        • Gradually lose weight through a combination of a calorie controlled diet and regular exercise
        • Avoid regaining any lost weight
        • Improve your general state of health and reduce risk of obesity-related conditions
      • GP will recommend
        • What type of diet you should be following
        • How much exercise you need to do
        • Whether you mneed further testing or treatments for obesity-related conditions
      • Whether you need treatment for an underlying cause of obesity e.g. polycystic ovary syndrome
      • Diet advice from NHS
        • Plenty of fruit and vegetables
        • Plenty of potatoes, bread, rice, pasta and other starchy foods (ideally choose wholegrain varieties)
        • Some milk and dairy foods
        • Avopid fad diets
        • Some meat, fish, eggs, beans and other non-dairy sources of protein
        • Small amounts of food and drinks that are high in fat and sugar
      • GP will push you towards
        • Fast walking
        • Jogging
        • Swimming
        • Tennis
        • Using a step trainer or something similar at a gym
      • Medication
        • Usually if health risks are present
        • Orlistat - blocks protein that digests fat
          • Side effects - fatty or oily stools & needing toilet urgently
    • Impact on client
      • Not wanting to go out in public
        • Looks of sympathy and disgust
      • Depressed
        • Comments on weight
        • Wanting to be alone
          • Socially withdrawn
      • Fear
        • Know there is a chance of death
        • Failing treatment
      • Temptation to have more fatty foods
        • Stress to fight off triggers during recovery
      • Holding all emotions in

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