Obesity
Classified by Body Mass Index of >+30kg/m2
- Large population based studies show that for every additional 5 BMI points (from between 20-25kg/m2), there is a 39% increase in risk of death due to weight contributors
- Premature risk of death rates are higher in younger people and men with obesity
- Death from stroke, respiratory disease, and heart disease increases in people with BMI over 25kg/m2
Do you know your Body Mass Index? Calculate it here
- second most preventable cause of death (smoking is first)
- metabolic syndrome starts in utero before a child is born
- consumption of sugar by parent/mom due to:
- ready access to inexpensive and portable foods
- poverty and resultant lack of access to healthy food.
- children who experience food insecurity are more likely to develop obesity (Kaur, Lamb, & Ogden, 2015)
- education in healthy eating, calorie consumption, and its resultant effects can have a significant influence in obesity rates in children and parents
Disease risk factor increases related to obesity
(Lustig, Brindis, & Schmidt, 2012)
- – Type II diabetes
- – hypertension
- – coronary artery disease
- – cerebral vascular accident
- – osteoarthritis
- – asthma
- – obstructive sleep apnea
- - Erectile dysfunction (males)
People with obesity are more likely to have malignancies in the GI tract as associated with the cause of death (Saab & Salvatore, 2015)
Psychosocial Obesity Affects
• decline in function due to restricted activity
• musculoskeletal pain (bone and joint)
• negative health perception
• anxiety and depression - including in children and adolescents
• increased personal health care costs
• increased incidence of disability
• increased discrimination and abuse
• increased risk for negative or biased health care decisions from health care providers (Casazza, et al., 2013).
• decreased access to treatment spaces and medical equipment during encounters with providers (e.g., BP cuffs, gowns, exam tables, scales)
Weight Loss Effects
• 5-10% reduction can produce measurable health benefits
• Decreased absenteeism from work reported from surgical and non-surgical weight loss programs
• Patients who are morbidly obese (BMI > 40 kg/m2, or 100 pounds over ideal weight) may qualify for bariatric surgery (gastric bypass) for weight control