10 ESCALA DE GLASGOW COMA ABERTURA DAS PÁLPEBRAS RESPOSTA VERBAL RESPOSTA MOTORA
11 ESTADO NUTRICIONALANOREXIAOBESIDADEINDICADORES DE DESENVOLVIMENTO
12 A obesidade é, habitualmente, medida pelo índice de massa corporal (IMC) IMC = Peso (kg)Altura (m2)World Health Organization, 1998Classificação IMC (kg/m2) Risco de comorbilidadesValor normal 24.9 BaixoExceso de peso 25Pré-obesidade 2529.9 AumentadoObes. classe I 30.034.9 ModeradoObes. classe II 35.039.9 GraveObes. classe III 40.0 Muito graveSlide 3: Obesity is usually measured as body mass index (BMI)The most common measure of obesity is the body mass index (BMI). BMI is the ratio of body weight (kg) divided by height (m2). Both weight and height can be measured very simply in the clinic and the BMI determined by calculation of the formula. Using BMI, it is possible to determine obesity by reference to internationally accepted “Grades”, commencing with “normal” (Grade 0) for individuals with a BMI <25 kg/m2 and rising to “severely obese” at Grade 3 (BMI >40 kg/m2).Xenical Slide Kit August Section 133
13 O perímetro da cintura é um marcador alternativo da gordura visceral Mulher>88 cm = Risco aumentado1Homem>102 cm = Risco aumentado11Lean MEJ, et al. Lancet;1998:351:853–6cmSlide 5: Waistline circumference is a surrogate marker of visceral fatWaistline circumference, perhaps the simplest of all measurements, provides an accurate assessment of visceral fat mass which has been shown to be a key indicator of risk factors for major cardiovascular disease. A waistline circumference >88 cm in women and >102 cm in men reflects a significantly increased risk of developing many of the co-morbidities associated with obesity.Xenical Slide Kit August Section 155
14 Outros parâmetros de medição da obesidade Espessura da prega cutâneaImpedância bioeléctricaDistribuição da gordura por TAC or RMNExemplo de TACSlide 6: Other measures of obesitySkinfold thickness, the determination of fat mass by bio-electric impedance and the use of computerised tomography (CT) or magnetic resonance (MRI) scanning may also be used to evaluate obesity. The last two techniques are, however, limited to use in specialist centres and are particularly expensive.Xenical Slide Kit August Section 166
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