Obesity means excessive fat that impairs health. It is the biggest public health problem of all developed and developing countries. The prevalence of obesity and obesity-related health conditions is increasing worldwide. Obesity is defined as a chronic disease now.
The relationship between height and weight, Body Mass Index (BMI), is used to evaluate obesity.
It is recommended to calculate BMI during routine health checks of adults and to add waist circumference if BMI is 25-35 kg/m2.
Patients with BMI ≥ 25 kg/m2 or abdominal obesity should be evaluated for underlying causes and health risks. A detailed history should be taken, and the followings should be questioned:
the patient’s time of weight gain, weight control experiences, nutrition and exercise habits, medicines used, and medical history information including smoking.
In these patients, non-operative methods (stomach botox, gastric balloon) can be applied if success is not achieved with appropriate nutrition program and exercise therapy.
Bariatric surgery should be planned for patients with BMI ≥ 35 kg/m2, patients with obesity-related health conditions and patients with BMI ≥ 40 kg/m2.
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