Obesity

Obesity

1. Nursing Management

   • *Nutritional Therapy *Physical Activity *Support Groups

2. Consequences

   • *Hypertension , *Type II Diabestes Mellitus, * Coronary Heart Disease, *Stroke, * Osteoarthritis

3. Risk Factors

   • *Physical activity *Stress level *Genetics *Environmental *Eating habits

4. Medical Management

   • *Bariatric Surgery *Lipectomy *Drug Therapy
     • Relaxation therapies to control stress---• Art therapy • Counseling • Distraction and diversion activities • Education • Massage • Meditation • Music therapy • Physical activity • Praying • Relaxation techniques • Social support

5. Interrelated concepts

   • • Insulin resistance • Metabolic syndrome • Atherogenic dyslipidemia • Hypertension

6. Assessment

   • *History taking by using Coping measurement tools. *Examination- Abnormal heart and respiratory rate, excessive sweating
     • Observe for poor coping skills like anxiousness, anger etc. Also, look for use of alcohol, smoke or other drugs.

7. Context and Variation

   • CONTEXT: • Hypertriglyceridemia; • Increased free fatty acid availability • Adipose tissue release of proinflammatory cytokines • Liver insulin resistance and inflammation • Increased liver VLDL synthesis and secretion • Reduced clearance of triglyceride-rich lipoproteins • Presence of small, dense LDL particles • Reduced HDL cholesterol levels VARIATION: • Age • Gender • Genetics • Ethnicity

8. Scope

   • Obesity is defined as a BMI of higher than 30 kg/m(2) in adults. Overweight is defined as a BMI of 25 kg/m(2) to 29 kg/m(2) in people.

9. Stress leads to

   • Maladaptive Coping
     • Binge eating/ Stress eating
       • Weight Gain
   • High level of Cortisol
     • Decrease Sleep
       • Increase Appetite
         • Increase in Weight
           • Obesity