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Obesity

Justin M. Chu, M.D., Jordan Patrick Hilgefort, MD and David Neuberger, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • A complex, multifactorial, disease characterized by excess adipose tissue to the extent that health may be impaired, typically quantified in adults by body mass index (BMI) (kg/m2), ...

DIAGNOSIS

HISTORY

  • Diet and exercise habits

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

  • Life stressors, social support, and resources. Screen for eating disorder and eating-di...

TREATMENT

GENERAL MEASURES

  • Assess:

    • Motivation to lose weight and patient-specific goals of therapy, interest in medication and/or surgery

    • Nutritional intake and physical activity habits

  • Goal: achieve and ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Continue to discuss weight, lifestyle modifications, and address both current and new goals. Long-term treatment is needed to maintain weight loss.

  • A new treatment...

REFERENCES

1
Khera R, Murad MH, Chandar AK, et al. Association of pharmacological treatments for obesity with weight loss and adverse events: a systematic review and meta-analysis. JAMA. 2016;315(22):2...

ADDITIONAL READING

  • Hampl S, Hassink S, Skinner A, et al. Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics. 2023;15...

SEE ALSO

Algorithm: Weight Loss, Treatment 

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 and the percentage is increasing.

  • Modification in dietary and physical activity patterns remains the cornerstone of therapy. Consid...

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