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Definition

By Mayo Clinic staff

Obesity is defined as having an excessive amount of body fat. Obesity is more than just a cosmetic concern, though. It increases your risk of diseases and health problems such as diabetes and high blood pressure.

Doctors often use a formula based on your height and weight — called the body mass index (BMI) — to determine if you are obese. Adults with a BMI of 30 or higher are considered obese. Extreme obesity, also called severe obesity or morbid obesity, occurs when you have a BMI of 40 or more. With morbid obesity, you are especially likely to have serious health problems.

BMIWeight status
Below 18.5 Underweight
18.5 — 24.9 Normal
25.0 — 29.9 Overweight
30.0 and higher Obese

Today, about one in three American adults is considered to be obese, but obesity is also becoming an increasing health problem globally. The good news is that even modest weight loss can improve or prevent the health problems associated with obesity.

References
  1. Defining overweight and obesity. Centers for Disease Control & Prevention. http://www.cdc.gov/nccdphp/dnpa/obesity/defining.htm. Accessed Jan. 26, 2009.
  2. Ogden CL, et al. Obesity among adults in the United States - No statistically significant change since 2003-2004. NCHS data brief no 1. Hyattsville, MD: National Center for Health Statistics. 2007.
  3. Still CD, et al. Obesity. In: Rakel & Bope: Conn's Current Therapy. 60th ed. Philadelphia: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/117958748-3/0/1621/295.html#4-u1.0-B978-1. Accessed Feb. 20, 2009.
  4. Bray GA. Etiology and natural history of obesity. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2009.
  5. Kushner RF. Obesity management. Gastroenterology Clinics of North America. 2007;36:191.
  6. Duval K, et al. Health-related quality of life in morbid obesity. Obesity Surgery. 2006;16:574.
  7. Hainer V, et al. Treatment modalities of obesity: What fits whom? Diabetes Care. 2008;31(suppl 2):S269.
  8. Understanding adult obesity. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.win.niddk.nih.gov/publications/understanding.htm. Accessed Jan. 26, 2009.
  9. Bessesen DH. Update on obesity. Journal of Clinical Endocrinology and Metabolism. 2008;93:2027.
  10. Bray GA. Overview of therapy for obesity in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2009.
  11. Svetkey LP, et al. Comparison of strategies for sustaining weight loss: The Weight Loss Maintenance Randomized Controlled Trial. JAMA. 2008;299:1139.
  12. The practical guide: Identification, evaluation, and treatment of overweight and obesity in adults. National Institutes of Health, U.S. Department of Health and Human Services. http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf. Accessed Feb. 25, 2009.
  13. Donnelly JE, et al. American College of Sports Medicine position stand: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise. 2009;41:459.
  14. Sacks F, et al. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. New England Journal of Medicine. 2009;360:859.
  15. Mun EC, et al. Surgical management of obesity. http://www.uptodate.com/home/index.html. Accessed Feb. 26, 2009.
  16. Hensrud DD (expert opinion). Mayo Clinic, Rochester, Minn. April 2, 2009.
  17. Anderson CA (expert opinion). Mayo Clinic, Rochester, Minn. March 3, 2009.

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May 9, 2009

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