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Obesity and Comorbidities
Assessing obesity in your practice
Two key factors can be used to assess the degree of obesity and the risk of comorbidities related to obesity6:
Obesity often leads to comorbid conditions such as Diabetes Type 2 and hypertension.7
- 80% of individuals with Diabetes Type 2 are obese
- Decreased insulin sensitivity and central obesity are associated with systemic hypertension
Obesity & Comorbidities References:
1. Mathus-Vliegen EM, Tytgat GN. Intragastric balloon for treatment-resistant obesity: safety, tolerance, and efficacy of 1-year balloon treatment followed by a 1-year balloon-free follow-up. Gastrointest Endosc. 2005;61:19-27 9.2. World Health Organisation. Factsheet No 311, Overweight and Obesity, September 2006. Accessable at: http://www.who.int/mediacentre/factsheets/fs311/en/index.html
3. Fried M, Hainer V, Basdevant A et al. Inter-disciplinary European guidelines on surgery of severe obesity. International Journal of Obesity 2007; 31: 569-577
4. Buchwald H. Consensus Conference Statement. Bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers. Surgery for Obesity and Related Diseases 2005; 1: 371-381
5. Lau DCW for the Obesity Canada Clinical Practice Guidelines Steering Committee and Expert Panel. Synopsis of the 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children. Canadian Medical Association Journal 2007; 176; 1103-1106
6. National Heart, Lung, and Blood Institute Web site. The practical guide: identification, evaluation, and treatment of overweight and obesity in adults. Available at: http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf. Accessed March 29, 2007.
7. Dixon JB, O’Brien PE. Health outcomes of severely obese type 2 diabetic subjects 1 year after laparoscopic adjustable gastric banding. Diabetes Care. 2002;25:2:358-363.
8. Obesity in the U.S. American Obesity Assocation. http://www.obesity.org/subs/fastfacts/obesity_US.shtml.
9. Sugerman HJ. The pathophysiology of severe obesity and the effects of surgically induced weight loss. Surgery for Obesity and Related Diseases. 2005;109-119.