Obesity

Kimberly Bombaci, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Excess adipose tissue, typically quantified in adults by body mass index (BMI) ([kg] / [m2]), ≥30 kg/m2

  • Obesity categorized into 3 classes:

    • Class 1 obesity is BMI 30 to 34.9 kg/m2.

    • Cl...

DIAGNOSIS

HISTORY

  • Diet and exercise habits

  • Prior attempts at weight loss

  • Reported readiness to change lifestyle

  • Social support and resources

  • Comorbidities: diabetes mellitus type 2, hypertension (HTN), hyp...

TREATMENT

GENERAL MEASURES

  • Assess:

    • Motivation to lose weight

    • Patient-specific goals of therapy

    • Need for intensive counseling to enhance adherence with diet, exercise, and behavior modification recommend...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Physical activity is an integral part of any weight loss program, yet physical activity alone rarely results in significant weight loss.

  • Combination of weight trai...

REFERENCES

1 Ogden CL, Carroll MD, Flegal KM. Prevalence of obesity in the United States. JAMA.  2014;312(2):189–190.  [View Abstract]
2 Ogden CL, Carroll MD, Fryar CD, et al. Prevalence of obe...

CODES

ICD10

  • E66.9 Obesity, unspecified

  • E66.3 Overweight

  • R63.5 Abnormal weight gain

  • E66.8 Other obesity

  • E66.09 Other obesity due to excess calories

  • E66.01 Morbid (severe) obesity due to excess calories

ICD9

  • 27...

CLINICAL PEARLS

  • A majority of American adults are overweight or obese.

  • Modification in dietary and physical activity patterns remain the cornerstone of therapy for obesity. Consider bariatric surgery i...

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