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Lorentz Formula for Obesity Assessment

The document discusses obesity, defining it as an excess of adipose tissue that poses health risks, with a body mass index (BMI) of 30 or higher indicating obesity. It outlines various assessment parameters for obesity, including BMI, Broca's index, and skin fold thickness, and explores the etiology, pathogenesis, and effects of obesity on health. Key factors contributing to obesity include caloric imbalance, genetic predisposition, and underlying diseases, leading to complications such as type 2 diabetes, hypertension, and cardiovascular issues.

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LUCKY GAMING
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19 views3 pages

Lorentz Formula for Obesity Assessment

The document discusses obesity, defining it as an excess of adipose tissue that poses health risks, with a body mass index (BMI) of 30 or higher indicating obesity. It outlines various assessment parameters for obesity, including BMI, Broca's index, and skin fold thickness, and explores the etiology, pathogenesis, and effects of obesity on health. Key factors contributing to obesity include caloric imbalance, genetic predisposition, and underlying diseases, leading to complications such as type 2 diabetes, hypertension, and cardiovascular issues.

Uploaded by

LUCKY GAMING
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CHAPTER

ENVIRONMENTAL AND
NUTRITIONAL DISORDERS 8
OBESITY
(8.01)
I
Exams
tniversity
questions
hort and pathogenesis of Obesity
Sho
D8scribe etiology of obesity
for assessment
Parameters (BMI)
1.
ite
Body mass index

Overview (00:00:48)
assessment of obesity (00:01:43)
Introduction
erameters for
(00:13:29)
Etiology (00:15:23)
Pathogenesis (00:16:35)
Effects of Obesity

Introduction
risk
Excess of adipose tissue that imparts health
excess over ideal weight for age, sex and heiaht is considered a health risk.
.A body weight of 20%

Parameters for assessment of obesity


1. BMI (Quetlets index)
2. Broca's index
3. Lorentz's formula
4. Corpulence index (HT. independent)
5. Skin fold thickness
1. BMI (Quetlets index)
Internationally accepted method of assessment of obesity
Most widely used method to gauge obesity

BMI
Wt (Kg)
(Quetlets index) =
Ht² (m)
• A cut-off BMI value of 30 is used for obesity in both men and women.
m, DR. PRIYANKA SACHDEV

Classificatlon BMI(GIobal)
Underweight <18.5
Grade I
17.00-18.49
Grade Il 16.00-16.99
Grade Im < 16

Normal range 18.50-24.99

Overweight >25.00
Preobese 25.00-29.99
Obesity- | 30.00-34.99
Obesity 35.00-39.99
Obesity- II (Morbid) >40.00
2. Broca's index = Ht - 100 =
ldeal wt

3. Lorentz's formula = Ht (cm)-150


Ht(cm) -100
2 (women) or 4 (men)
Actual Wt
4. Corpulence index (HT. independent) = < 1.2
Desirable Wt
5. Skin fold thickness
Noninvasive method for body assessment fat
4 sites - biceps / midtriceps / Subscapular & suprailiac region
Measured by - Herpenden skin calliper
Single best measurement - Midtriceps

-
Obesity Cut off
> 18mm (boys)
> 32mm (girls)

Etiology
Obesity results when caloric intake exceeds utilisation.

Imbalance occur in following situations >


1. Inadequate pushing of oneself away from dining table causing overeating.
2. Insufficient pushing of oneself out of chair leading to inactivity and sedentary life style.
3. Genetic predisposition to develop obesity.
4. Diets derived from carbohydrates and fats
5. Secondary obesity underlying diseases hypothyroidism, Cushing's disease, insulinoma and
hypothalamic disorders.

PAGE 160 | ENVIRONMENTAL AND NUTRITIONAL DISORDERS


PATHOLoGY PROF
BUSTER m)

pathogenesis
Specific/Over nutrition
Proinflammatory
cytokines
leptin

Inflammation
Hyperleptinemia
Obesity

Central and Peripheral


Leptin resistances

Impaired Impaired gucose


nutrient Food intake
T
and lipid
absorption metabolism

Effects Of Obesity
Hyperìnsulinaemia
9 Type 2 diabetes mellitus -Stroke
Hypertension
3. Hyperlipoproteinaemia Hypoventilatlon syndrome
4,
5. Atherosclerosis Poronary atery ises
e
Nonalcoholic fatty liver disease (NAFLD)
Cholelithiasis Hypertesion
7.
HVDoventilation Fatty lver
syndrome (Pickwickian syndrome) Type 2 diabetes
9. Osteoarthritis
10. Cancer CholeGthiass

Atherosdeross,
Hypoventilation syndrome byperipidaemia
(Pickwickian syndrome)
Obese individuals
Osteoatitts
Carbon dioxide retention and hypoxia
Polycythaemia and Hypersomnolence
([Link] was a character, the fat boy, in Charles Dickens' Pickwick Papers Term Pickwickian
syndrome was first used by Sir William Osler for sleep apnea syndrome).

ENVIRONMENTAL AND NUTRITIONAL DISORDERS | PAGE 161

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