Weigh Your Words Wisely
This term refers to negative attitudes toward others because of their weight.
Weight bias
What are the three pillars of obesity management per Obesity Canada guidelines?
Psychological intervention, pharmacological intervention and bariatric surgery.
What minimum percentage of weight loss is needed to produce clinically significant improvements in several obesity associated comorbidities?
5%
The weight a person can achieve and maintain while living their healthiest and happiest life is referred to as?
Best weight
In the 5A approach for obesity management, before discussing weight with a patient, what does the first A require a clinician to do?
Ask for permission to discuss weight.
Lifestyle measures can reduce weight by a mean of ____%?
A) 1-3%
B) 5-10%
C) 10-20%
D) 3-5%
D) 3-5%
**DOUBLE JEOPARDY**
Aim to achieve treatment goals within this timespan of ___ to ___ months on maximum tolerated dose.
3-6 months
Name two ways to help mitigate lean body mass loss while losing weight.
1.↑ protein intake (unclear how much protein)
2. Endurance and resistance type exercise
(Resistance type exercise also ↑ muscle strength)
**DOUBLE JEOPARDY**
Name two things that can be done to create a weight friendly practice.
Any two of the following:
Facilities:
Handicapped accessibility
Wide doors
Large restrooms
Floor-mounted toilets
Waiting room:
Sturdy, armless chairs
Appropriate reading material
Appropriate posters/images that are not stigmatizing
Exam room:
Extra-large sized gowns
Scales over 350 lbs/160 kg
Wide and sturdy exam tables
Extra-large blood pressure cuffs
Longer needles and tourniquets
Long-handled shoehorns
Which two medications have evidence for helping with cravings?
A) Liraglutide
B) Naltrexone/bupropion
C) Semaglutide
D) Orlistat
(B and C) Naltrexone/bupropion and semaglutide
In clinical trials which obesity medication took the longest amount of time to reach a plateau?
tirzepatide
When people stop taking their obesity medication, clinical trials consistently show:
A) Weight is maintained after 1 year
B) Weight continues to decrease slowly after 1 year
C) Majority of people regain the weight back after 1 year
C) Majority of people regain the weight back after 1 year
What scale is a better predictor of all-cause mortality when compared with BMI or waist circumference measurements alone?
Edmonton Obesity Staging System (EOSS)
**DOUBLE JEOPARDY**
To consider pharmacotherapy for a patient with BMI ≥27 kg/m2, they must also have one of these comorbidities associated with excess body fat. Name two of these comorbidities.
Any two including the following:
HTN, T2D, dyslipidemia, OSA
Patients prescribed a GLP1-RA obesity medication who are planning to conceive, should be counselled to discontinue their obesity medication a minimum of __ months before trying to conceive.
Minimum of 2 months.
Based on ‘real world’ data, what percentage of additional weight loss was observed when naltrexone/bupropion was added to a GLP1?
4-5%
The 4Ms for obesity help to identify the root causes of weight gain. Name 2 of the 4Ms.
Any two of the following:
Mental Health
Mechanical
Metabolic
Social Milieu
Which obesity medication is considered safe in pregnancy and breastfeeding?
None, all are contraindicated in pregnancy and breastfeeding.
For patients prescribed an oral contraceptive and tirzepatide (Zepbound), for how many weeks should they be counselled to use a barrier method after a dose increase of tirzepatide?
A) 1 week
B) 2 weeks
C) 4 weeks
D) 8 weeks
C) 4 weeks
**DOUBLE JEOPARDY**
Name two shortcomings of using the BMI measurement.
Any two of the following:
•BMI is not a direct measure of body fat, cardiovascular risk or health
•BMI does not indicate body fat distribution
•BMI does not account for muscle mass
•BMI is less accurate for women, many ethnicities, older adults, people with physical disability, people <18 years of age, people with severe obesity, during pregnancy/lactation and in patients with ascites or severe edema
•BMI is a measure of size, not health
•BMI is not an accurate tool for identifying obesity-related complications