From the Guidelines
Yes, obesity significantly contributes to morbidity and mortality.
Key Findings
- Obesity is associated with an increased risk of hypertension, dyslipidemia, type 2 diabetes, coronary heart disease, stroke, and certain types of cancer 1.
- The risk of all-cause mortality is higher in individuals with a BMI of 30 kg/m2 or higher, compared to those with a normal weight 1.
- Obesity is also linked to a higher risk of morbidity, including gallbladder disease, osteoarthritis, sleep apnea, and respiratory problems 1.
- The economic burden of obesity is substantial, with estimated medical costs totaling $147 billion in 2008 1.
Obesity Classification and Risks
- The World Health Organization defines obesity as a condition in which excess or abnormal body fat accumulation increases health risks 1.
- The American Heart Association recognizes obesity as a major contributor to cardiovascular disease and mortality 1.
- Bariatric and metabolic surgery may be an effective treatment option for individuals with severe obesity, particularly those with a BMI of 40 kg/m2 or higher 1.
Clinical Implications
- Healthcare providers should prioritize weight management and lifestyle interventions for individuals with obesity, including dietary changes and increased physical activity 1.
- Screening for obesity-related comorbidities is essential for early detection and treatment of associated health problems 1.
From the Research
Obesity and Health Risks
- Obesity is associated with an increased risk of many adverse medical, mental, and social consequences, including a strong relation to type 2 diabetes 2.
- The increasing prevalence of obesity makes it a major healthcare challenge across both developed and developing countries, and it is associated with increased morbidity and mortality 3.
- Obesity and its repercussions constitute an important source of morbidity, impaired quality of life, and its complications can have a major bearing on life expectancy 4.
Morbidity and Mortality
- Cardiovascular disease (CVD) and cancer account for the greatest mortality risk associated with obesity 4.
- Obesity is associated with increased disease-specific morbidity for some diseases, but decreased or unchanged for others, and morbidity and mortality are markedly influenced by the patient's age, sex, ethnic origin, and social status 5.
- Obesity, but not overweight, is associated with higher all-cause mortality, and underweight is also associated with higher all-cause mortality 6.
Risk Factors
- The prevalence of overweight and obesity is increasing in many countries, and overweight is associated with increased risks for inpatient care for circulatory diseases and musculoskeletal diseases 6.
- Obese men and women have about 50% higher risks of all-cause mortality than normal-weight people, and avoidance of overweight may have a greater effect on the population level with regard to reduced cardiovascular and locomotor disease 6.
- The King's Criteria and Edmonton Obesity Staging System (EOSS) are useful tools for the detection and monitoring of individual patient mortality risk in obesity care 4.