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Obesity

Justin M. Chu, M.D. and Jennifer Daily, M.D. Reviewed 06/2022
 


BASICS

DESCRIPTION

  • A serious, progressive, and chronic disease characterized by excess adipose tissue, typically quantified in adults by body mass index (BMI) ([kg] / [m2]), ≥30 kg/m2

  • Overweight: BMI 25...

DIAGNOSIS

HISTORY

  • Diet and exercise habits

  • Reported readiness to change lifestyle, and previous attempts at weight loss

  • Life stressors, social support, and resources

PHYSICAL EXAM

  • Physical Activity Vital S...

TREATMENT

GENERAL MEASURES

  • Assess:

    • Motivation to lose weight and patient-specific goals of therapy

    • Nutritional intake and physical activity habits

  • Goal is to achieve and sustain loss of at least ≥5% of bo...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Continue to discuss weight, lifestyle modifications, and address both current and new goals.

  • A new treatment plan should be implemented if no clinical meaningful w...

REFERENCES

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

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

SNOMED

  • ...

CLINICAL PEARLS

  • A majority of American adults are overweight or obese.

  • Modification in dietary and physical activity patterns remains the cornerstone of therapy. Consider bariatric surgery in patients ...

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