{"id":34,"date":"2017-03-22T11:01:43","date_gmt":"2017-03-22T11:01:43","guid":{"rendered":"http:\/\/papergp.com\/index.php\/health-promotion\/obesity\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"obesity","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/health-promotion\/obesity\/","title":{"rendered":"Obesity"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; SOB, chest pain, mood<\/li>\n<li>Others<\/li>\n<li>Ex &#8211; BMI, BP, CV<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; fasting cholesterol\/glucose, U+Es, LFTs, TFTs, LH\/FSH<\/li>\n<\/ul>\n<\/li>\n<li>Explanation\n<ul>\n<li>obesity BMI &gt;30, energy intake exceeds use, inc risk of DM, BP, heart disease, cancers<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Lifestyle\n<ul>\n<li>Diet &#8211; fruit\/veg\/fish\/lean meat\/less sugar\/reduction in portions and calories<\/li>\n<li>Exercise &#8211; 30mins OD for 5 days, practical things like stairs<\/li>\n<li>Alcohol &#8211; reduce<\/li>\n<li>Smoking cessation<\/li>\n<\/ul>\n<\/li>\n<li>Medications &#8211; orlistat &#8211; BMI&gt;30, must lose 5% of weight in first 3 months to continue, SE: fatty stools, flatulence (or &gt;28 with co-morbidites)<\/li>\n<li>Surgery &#8211; BMI &gt;35 + other co-morbidities when above treatments failed or BMI &gt; 40<\/li>\n<li>Refer &#8211; Dietician, exercise program<\/li>\n<\/ul>\n<\/li>\n<li>Follow Up &#8211; see again in 2\/52<\/li>\n<\/ul>\n<p>NB: realistic targets e.g. 1kg\/week\n<\/p><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; SOB, chest pain, mood Others Ex &#8211; BMI, BP, CV &nbsp; Clinical management Investigations Bloods &#8211; fasting cholesterol\/glucose, U+Es, LFTs, TFTs, LH\/FSH Explanation obesity BMI &gt;30, energy intake exceeds use, inc risk of DM, BP, heart disease, cancers Treatment Lifestyle Diet &#8211; fruit\/veg\/fish\/lean meat\/less sugar\/reduction in portions and calories Exercise &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/health-promotion\/obesity\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Obesity<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13,"menu_order":186,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-34","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/34","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=34"}],"version-history":[{"count":6,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/34\/revisions"}],"predecessor-version":[{"id":1539,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/34\/revisions\/1539"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/13"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=34"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}