Surgery for Obesity - TAddona

Surgery for Obesity - TAddona - Obesity An excess of body...

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Obesity An excess of body fat; body mass index (BMI) >30 kg/m 2 Affects ~30% adults in U.S.; $70Billion annual health cost Co-morbidities (CAD, HTN, DM II) affect increasing mortality risk in proportion to BMI
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Body Mass Index - kg/m 2 [Wt (lb) x 703/Ht (inches) 2 ] Underweight <18.5 Normal 18.5-24.9 Overweight 25-29.9 Obese >30 Severe (morbidly) obese >40
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Obesity rates, 1991 vs 2000 Obesity defined as BMI>30. Data were obtained by calculating BMI from phone questionnaire on height and weight on 185000 participants >age 18. CDC study ,JAMA 2001;286,1195-1200
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A typical fast food meal Big Mac: 570 kcal Large Fries: 540 kcal 32 0z (large) soda: 400 kcal TOTAL 1510 kcal A 70 kg moderately active man requires 2100 kcal/day (3 meals).
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Obesity co-morbidities Metabolic syndrome: DM II (15% of all obese), HTN (40% of obese), & hyperlipidemia related to visceral adiposity and insulin resisitance Sleep apnea Cardiopulmonary failure Osteoarthritis Gallstones GERD NASH Breast cancer
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Surgery for Obesity - TAddona - Obesity An excess of body...

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