EPI 390 Lecture 23Outline of Last Lecture I. Nutritional ConsequencesII. Porotic hyperostosisIII. Cribra OrbitaliaIV. Connection between Dietary Constituents and Dental Anatomy V. CBC and it’s relation to IDAOutline of Current Lecture I. Obesity ClassificationsII. Obesity Trends in the USIII. Measuring ObesityIV. NHANESV. Stratifications for ObesityCurrent LectureI. Obesity Classificationsa. Obesity classifications are made via Body Mass Index (BMI)i. Obesity I – Slightly over the normal weight limitii. Obesity II – the individual is moderately obeseiii. Obesity III – the individual is morbidly obeseb. These classifications are regarded as controversial due to the fact that they don’t account for all body types.i. They also exclude secondary and confounding factors.II. Obesity Trends in the USa. These trends are gathered from Behavioural Risk Factor Surveillance System (BRFSS) datai. Overall trend - increasing (having to add new BMI variables)1. Michigan - 5th in Nation 2. Mississippi - 1st in Nation (This is often an exam question)III. Measuring Obesitya. Calories vs. energy spent b. Obesity via BMI (body mass index) - weight in relation to height of > 30kg/m2 i. 30 pounds overweight at 5’4”IV. NHANESThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.a. National Health and Nutrition Examination Survey b. NHANES is important because it creates a database that can be studied to find trends and create treatment/prevention strategies.c. Distinguishing definitionsi. Obese: grossly overweight or fat ii. Overweight: the individual is above a weight considered normal or desirable.d. Health Problems related to Obesityi. Coronary heart diseaseii. Type 2 diabetesiii. Cancers (endometrial, breast, and colon)iv. Hypertension (high blood pressure)v. Dyslipidemia (for example, high total cholesterol or high levels of triglycerides)vi. Strokevii. Liver and Gallbladder diseaseviii. Sleep apnea and breathing problemsix. Osteoarthritis (a breakdown of cartilage and bone within a joint)x. Gynecological problems (abnormal periods, infertility)V. Stratifications for Obesitya. Ethnicity - different foods eaten, different habits, different climatesb. Gender - different stigma (muscular male) vs. (slender female)c. Social Class - more money (or less) to purchase healthy
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