Obesity
A medical condition in which body fat increased than the normal
condition and leading to health problems.
Measurement of obesity:
1- Body mass index:
Weight / length x length
Less than 20 = less than normal.
20-25 = normal.
25 – 30 = over normal.
30 – 35 = fatty.
35 - 40 = more fatty.
More than 40 = very fatty.
Exceptions:
Children.
Pregnants.
Muscular persons.
Causes:
The most common cause is excess food intake and black of
physical activity.
A limited number can related to genetic, hormonal or psychiatric
causes.
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Complecations of Obesity:
Obesity have direct relations with:
1 – Atherosclerosis.
2 – Hypertension.
3 – Diabetes mellitus.
4 – Heart diseases.
5 – Arthritis.
6 – Dermal infections.
Treatment:
1 – Diet regime: the best system and depends on eat diet with less
calories than needed by the body.
2 – Drugs prevent use of diet.
A – drugs block action of enzymes digest carbohydrates as Carbo –
lite.
B – Vegetable fibers prevent absorption from the intestine and
the patient does not feel hunger and present as tablets as bran .
C – Drugs prevent absorption of fat as Orlistat.
3 - Drugs decrease appetite as phenyl propanolamine.
4 - Drugs increase the metabolic rate as B3- Agonists.
5 – Surgeries:
A – Lipo – suction.
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B – Stomach intestinal by pass.
C – Stomach ligation.
D – intestine ectomy.
Case no.1:
A patient 25 year complain from arthritis in his both knee.
When the doctor examine, he found his weight 99 kilos and his
length 170 cm and his blood pressure 170/100 and have
tachcardia.
1- What is the diagnosis?
2- What is the complications can face this patient?
3- What is the treatment?
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