Endocrinology Book

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Obesity Evaluation

Aka: Obesity Evaluation
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  1. See Also
    1. Obesity
  2. Contraindications: Weight Reduction
    1. Temporary Exclusions
      1. Pregnancy (Lactation allowed if milk established)
      2. Unstable mental or medical illness
    2. Possible Exclusions
      1. Cholelithiasis
      2. Osteoporosis
    3. Permanent Exclusions
      1. Anorexia Nervosa
      2. Terminal illness
  3. Approach
    1. Determine Obesity Measurements
      1. Body Mass Index (BMI)
      2. Waist-to-Hip Ratio
      3. Waist Circumference
    2. Evaluate Comorbid Obesity Risk
    3. Is Patient Ready and Able to lose weight?
      1. Yes: Weight Reduction Protocol
      2. No: Prevention of Weight Gain Protocol
  4. Labs
    1. Fasting Lipid profile
    2. Chemistry panel (including fasting Serum Glucose)
    3. Thyroid Stimulating Hormone (TSH)
      1. Rarely the cause for weight gain
  5. Resources
    1. Frank (1998) J Am Diet Assoc 98:S44-48
    2. Lyznicki (2001) Am Fam Physician 63(11):2185-96
    3. Rippe (1998) J Am Diet Assoc 98:S9-15
    4. Speer (1997) Phys Sportsmed 25:94-107
    5. (1998) AOA Treatment Adult Obesity, 2nd edition
    6. (1998) Obesity Res 6(suppl 2):51S-209S

Obesity (C0028754)

Definition (NCI) Having a high amount of body fat (body mass index [BMI] of 30 or more).
Definition (NCI) A disorder characterized by having a high amount of body fat.
Definition (MEDLINEPLUS)

Obesity means having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for his or her height.

Obesity occurs over time when you eat more calories than you use. The balance between calories-in and calories-out differs for each person. Factors that might tip the balance include your genetic makeup, overeating, eating high-fat foods and not being physically active.

Being obese increases your risk of diabetes, heart disease, stroke, arthritis and some cancers. If you are obese, losing even 5 to 10 percent of your weight can delay or prevent some of these diseases.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases
Definition (NCI) A condition marked by an abnormally high, unhealthy amount of body fat.
Definition (CSP) excessively high accumulation of body fat or adipose tissue in relation to lean body mass; the amount of body fat (or adiposity) includes concern for both the distribution of fat throughout the body and the size of the adipose tissue deposits; individuals are usually at high clinical risk because of excess amount of body fat (BMI greater than 30).
Definition (MSH) A status with BODY WEIGHT that is grossly above the acceptable or desirable weight, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).
Concepts Disease or Syndrome (T047)
MSH D009765
ICD9 278.00
ICD10 E66, E66.9
SnomedCT 5476005, 154776002, 190963004, 414916001, 414915002
English Adiposity, Obesities, Obesity, OBESE, OBESITY, Obesity, NOS, Obesity, unspecified, obesity (diagnosis), obesity, Obesity NOS, Obesity [Disease/Finding], obese, adiposity, Obesity [Ambiguous], Obese, Obese (finding), Obesity (disorder)
French OBESITE, Obésité, non précisée, Obésité
Portuguese OBESIDADE, Obesidade NE, Obesidade
Spanish OBESIDAD, Obesidad no especificada, Obesity [Ambiguous], Obesity, obesidad (trastorno), obesidad, obeso (hallazgo), obeso, Obesidad
Dutch obesitas niet-gespecificeerd, Vetzucht, niet gespecificeerd, zwaarlijvigheid, Adipositas, Vetzucht
German Fettleibigkeit, unspezifisch, ADIPOSITAS, Adipositas, nicht naeher bezeichnet, Adipositas, Fettsucht, Obesitas
Italian Obesità, non specificata, Obesità
Japanese 肥満, 肥満、詳細不明, ﾋﾏﾝ, ﾋﾏﾝｼｮｳｻｲﾌﾒｲ
Swedish Fetma
Czech obezita, Obezita, blíže neurčená, Obezita
Finnish Lihavuus
Russian OZHIRENIE, ОЖИРЕНИЕ
Korean 상세불명의 비만, 비만
Croatian GOJAZNOST
Polish Otyłość
Hungarian Obesitas, nem meghatározott, Obesitas
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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