obesity patient medical report

Which states are the most obese?

The States with the Highest Obesity Rates in the United States

• Mississippi and West Virginia are tied for the most obese population in the US at 39.5%
• Arkansas
• Louisiana
• Kentucky
• Alabama
• Iowa
• North Dakota
• Missouri
• Oklahoma and Texas take tenth place with 34.8%¹

What states have obesity?

The ten states with the lowest obesity rates are:

• Colorado (23.8%)
• District of Columbia (23.8%)
• Hawaii (25.0%)
• Massachusetts (25.2%)
• California (26.3%)
• <a href='/states/vermont-population'>Vermont</a> (26.5%)
• Florida (27.0%)
• <a href='/states/new-york-population'>New York</a> (27.1%)
• <a href='/states/new-jersey-population'>New Jersey</a> (27.3%
• Washington / Montana (28.3%)

What are the current statistics of obesity?

Obesity is a common, serious, and costly disease. The US obesity prevalence was 42.4% in 2017 – 2018.; From 1999 –2000 through 2017 –2018, US obesity prevalence increased from 30.5% to 42.4%. During the same time, the prevalence of severe obesity increased from 4.7% to 9.2%.

What percent of US population is obese?

Obesity, a common and costly health issue that increases risk for heart disease, type 2 diabetes, and cancer, affects more than one-third of adults and 17 percent of youth in the United States. By the numbers, 78 million adults and 12 million children are obese—figures many regard as an epidemic.

How do you document obesity?

A patient with a BMI of >/= to 30 is considered obese, and a patient with a BMI of >/= to 40 is morbidly obese. These diagnoses can only be coded if they are documented by an attending physician.

How would you describe an obese patient?

Obese patients from six diverse primary care practices rated the terms “fatness,” “excess fat,” “large size,” and “heaviness” as undesirable for describing excess weight.

What should an obese patient monitor?

This includes measuring your height; checking vital signs, such as heart rate, blood pressure and temperature; listening to your heart and lungs; and examining your abdomen. Calculating your BMI . Your doctor will check your body mass index (BMI). A BMI of 30 or higher is considered obesity.

What are 3 medical conditions related to obesity?

High blood pressure (hypertension). High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides (dyslipidemia). Type 2 diabetes. Coronary heart disease.

What is obesity summary?

Summary. Obesity means having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for his or her height.

Is obesity a nursing diagnosis?

Obesity Nursing Diagnosis: Impaired Physical Mobility related to restricted movements secondary to obesity as evidenced by excess body fat and verbalization of difficulty in mobilizing.

How is obesity assessment?

Body mass index (BMI) has traditionally been used to identify individuals who are the most likely to be overweight or obese. It is calculated by dividing the weight (in kilograms) by the height (in metres) squared.

How do you manage obese patients?

Healthy eating plan and regular physical activity. Following a healthy eating plan with fewer calories is often the first step in trying to treat overweight and obesity. ... Changing your habits. ... Weight-management programs. ... Weight-loss medicines. ... Weight-loss devices. ... Bariatric surgery. ... Special diets. ... References.

What are the complications of obesity?

ComplicationsHeart disease and strokes. Obesity makes you more likely to have high blood pressure and abnormal cholesterol levels, which are risk factors for heart disease and strokes.Type 2 diabetes. ... Certain cancers. ... Digestive problems. ... Sleep apnea. ... Osteoarthritis. ... Severe COVID-19 symptoms.

What are the levels of obesity?

Body Mass IndexOverweight (not obese), if BMI is 25.0 to 29.9.Class 1 (low-risk) obesity, if BMI is 30.0 to 34.9.Class 2 (moderate-risk) obesity, if BMI is 35.0 to 39.9.Class 3 (high-risk) obesity, if BMI is equal to or greater than 40.0.

What are five causes of obesity?

What causes obesity & overweight?Food and Activity. People gain weight when they eat more calories than they burn through activity. ... Environment. The world around us influences our ability to maintain a healthy weight. ... Genetics. ... Health Conditions and Medications. ... Stress, Emotional Factors, and Poor Sleep.

Who is at risk of obesity?

Nearly 3 in 4 adults age 20 or older in the United States have either overweight or obesity. Nearly 1 in 5 children and teens ages 2 to 19 years have obesity. Overweight and obesity can lead to serious health issues for people of all ages.

What are the health effects of obesity?

The Health Effects of Overweight and Obesity 1 All-causes of death (mortality) 2 High blood pressure (Hypertension) 3 High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides (Dyslipidemia) 4 Type 2 diabetes 5 Coronary heart disease 6 Stroke 7 Gallbladder disease 8 Osteoarthritis (a breakdown of cartilage and bone within a joint) 9 Sleep apnea and breathing problems 10 Many types of cancer#N#external icon 11 Low quality of life 12 Mental illness such as clinical depression, anxiety, and other mental disorders 4,5 13 Body pain and difficulty with physical functioning 6

What is the definition of obesity?

Obesity trends, economic consequences, state-based programs and other resources for the health professional. *Overweight is defined as a body mass index (BMI) of 25 or higher; obesity is defined as a BMI of 30 or higher.

What are the symptoms of osteoarthritis?

Osteoarthritis (a breakdown of cartilage and bone within a joint) Sleep apnea and breathing problems. Many types of cancer. external icon. Low quality of life. Mental illness such as clinical depression, anxiety, and other mental disorders 4,5. Body pain and difficulty with physical functioning 6.

How many people are obese in the US in 2009?

Obesity is common, serious, and costly. In 2009, about 2.4 million more adults were obese than in 2007. This epidemic has affected every part of the United States. In every state, more than 15% of adults are obese, and in nine states, over 30% of adults are obese. The medical care costs of obesity in the United States are staggering.

How much did obesity cost in 2008?

The medical care costs of obesity in the United States are staggering. In 2008 dollars, these costs totaled about $147 billion. More efforts are needed, and new federal initiatives are helping to change our communities into places that strongly support healthy eating and active living.

What does a BMI of 30 mean?

BMI greater than or equal to 30 means you are obese. Non-Hispanic black women and Hispanics have the highest rates of obesity (41.9% and 30.7%). Obesity is a contributing cause of many other health problems, including heart disease, stroke, diabetes, and some types of cancer.

What is the most significant medical problem that health care providers will face over the coming decades?

Obesity may be the most significant medical problem that health care providers will face over the coming decades. Physicians must aggressively address this chronic disease, providing both preventive and therapeutic care. Because this topic traditionally has not been taught in medical schools, physicians need to acquire the knowledge, skills, ...

What is the most important medical problem?

Obesity may be the most significant medical problem that health care providers will face over the coming decades. Physicians must aggressively address this chronic disease, providing both preventive and therapeutic care. Because this topic traditionally has not been taught in medical schools, physicians need to acquire the knowledge, skills, and attitudes necessary to be effective obesity care providers. Performing a detailed initial assessment, including an obesity-focused history, physical examination, and selected laboratory and diagnostic tests, is fundamental to the process of care.

Why is obesity a problem?

Your weight depends on how much energy you take in (the calories in food and drink) and how much energy your body uses (burns) up: If the amount of calories that you eat equals the amount of energy that your body uses up, your weight remains stable.

How do I know if I'm overweight?

As an adult, you can find out whether you are overweight or obese and whether your health may be at risk, by calculating your body mass index (BMI) and measuring your waist circumference. See the separate leaflet called Childhood Obesity.

What is the BMI of a 2nd grader?

A BMI of 35-39.9 kg/m 2 is obese (Grade II). A BMI of ≥40 kg/m 2 is obese (Grade III) or morbidly obese. The more overweight you are, the more the risk to your health. For those who are obese (Grade III), weight is a serious and imminent threat to health. Broadly, the health risks increase the higher the BMI.

What happens if you reduce your BMI by 10%?

If your BMI is between 25 and 35, on average, if you reduce your weight by 10%: You are much less likely to develop the health problems listed above, such as diabetes. If you already have problems such as high blood pressure, high cholesterol, osteoarthritis, or diabetes, these are likely to improve.

What happens if you are overweight?

In this series. If you are obese or overweight, you have an increased risk of developing various health problems, including cancer, diabetes and heart disease. Even a modest amount of weight loss can help to reduce your increased health risks. The best chance of losing weight and keeping the weight off, is to be committed to a change in lifestyle. ...

How to measure waist circumference?

The easiest way to measure your waist circumference is to place the tape measure around your waist at belly button level. As a rule for a man: If you have a waist measurement of 94 cm or above, the risk to your health is increased. If you have a waist measurement of 102 cm or above, the risk is even higher.

Is BMI a measure of height?

People are different heights and builds, so just weighing yourself cannot be used to decide if your weight is healthy. BMI is used by healthcare professionals to assess if someone's weight is putting their health at risk. It is a measure of your weight related to your height.

What is the difference between overweight and obesity?

Overweight is defined as a body mass index (BMI) in the 25 to 29 kg/m2 range , whereas obesity is a BMI in excess of 30 kg/m2. Over-weight and obesity result from an energy surplus over time that is stored in the body as fat. How genetic and environmental factors contribute to overweight and obesity is not well understood.4Between 1988 and 2008, the prevalence of obesity increased in adults of all income and education levels. However, women with lim-ited education and lower incomes tend to be at greater risk of obesity. Similarly, obesity affects some racial and ethnic groups more than oth-ers. Non-Hispanic blacks have the highest age-adjusted rates of obesity (49.5%), compared with Mexican Americans (40.4%), all Hispanics (39.1%), and non-Hispanic whites (34.3%).11 The prevalence of obesity among children and adolescents has also increased, almost tripling since 2000. Approximately 17% of children and adolescents ages 2 to 19 years are obese.12 There is some reason for optimism, however. Among children ages 2 to 4 years in low-income households, the prevalence of obesity and extreme obesity appear to have decreased slightly between 2003 and 2010.12,13As with adults, there are significant racial and ethnic disparities in obesity prevalence among children and adolescents. Hispanic boys are significantly more likely to be obese than non-Hispanic white boys, and non-Hispanic black girls are significantly more likely to be obese than their non-Hispanic white peers.12

What are the risk factors for metabolic syndrome?

Metabolic syndromeis a constellation of risk factors, including abdominal obesity, ath-erogenic dyslipidemia, elevated blood pres-sure, and elevated plasma glucose levels, that increase the risk of cardiovascular disease. Table 3 lists five criteria for metabolic syn-drome, three of which must be present to make the diagnosis.24,25 The predominant underlying risk factors for metabolic syndrome are abdominal obesity and insulin resistance. Although many patients may be genetically susceptible to metabolic syndrome, it rarely develops in the absence of obesity and physical inactivity. Consequently, the key emphasis in management is mitigation of modifiable risk factors, specifically obesity, physical inactivity, atherogenic diet, and smok-ing, through lifestyle changes.26

How does behavioral therapy help with weight loss?

The goal of behavioral therapy is to enable patients to reduce and manage their weight by monitoring and modifying their food intake, increasing their physical activity level, and rec-ognizing and controlling cues that trigger over-eating. Behavioral-based treatment programs have been shown to improve weight-loss results, whether administered individually or in a group setting, at least in the short term. A 2010 USPSTF evidence review found that behavioral interventions result in an average of 6% reduc-tion in body weight, compared with little or no weight loss in a usual-care group after one year. In addition, higher treatment intensity was associated with greater weight loss. Higher-intensity interventions include self-monitoring, goal setting, and planning to address barriers to maintaining lifestyle changes over time.1,30,31The USPSTF developed the stepwise framework known as the 5 A’s (ask, advise, assess, assist, and arrange) for the delivery of preventive counseling in primary care.32 This construct is easily applied to obesity-related counseling as well.18 , 27,32 -3 4 (Table 4)Although the 5 A’s approach is helpful for patients who are ready to change, it may not work as well for patients who are ambivalent or hesitant about making lifestyle changes. With these patients, motivational interviewing may be a better approach.34

When was Orlistat approved?

Orlistat was approved by the Food and Drug Administration (FDA) in 1999 for weight loss and weight maintenance in conjunction with a reduced-calorie diet.64 Orlistat inactivates gas-tric and pancreatic lipases, reducing the absorp-tion of fat by the gastrointestinal tract by approximately 30%.32,58,59,61,62 Orlistat is also available without a prescription in a reduced-strength product called Alli.

Does bariatric surgery help with weight loss?

Multiple studies have demonstrated that bariat-ric surgery produces substantial and sustained weight loss, and results in amelioration of obe-sity-related comorbidities, compared with usual care. Bariatric surgery also appears to improve long-term survival. Perhaps just as important, bariatric surgery has the potential to dramati-cally improve a patient’s quality of life.72-80Bariatric surgery may be considered in adults who have not achieved weight loss with dietary or other treatments and who have a BMI of 40 kg/m2 or greater, or for those who have a BMI of 35 kg/m2 or greater with signifi-cant obesity-related comorbidities (e.g., severe hypertension, type 2 diabetes, obstructive sleep apnea).75 Bariatric surgery may also benefit patients with obesity-related comorbidities who have a BMI of 35 kg/m2 or lower, but it is not routinely recommended for these patients.72,75Numerous bariatric procedures are in use and are generally categorized as either restric-tive or primarily malabsorptive. Restrictive pro-cedures limit the size of the stomach. examples include laparoscopic adjustable gastric banding and vertical sleeve gastrectomy. Malabsorp-tive procedures restrict the size of the stomach to some extent but also involve bypassing a portion of the small intestine. Roux-en-Y gastric bypass is an example of this type of procedure.32,76 A Cochrane review comparing bariatric procedures found all to be more effec-tive in promoting weight loss than nonsurgical methods. Roux-en-Y gastric bypass and vertical

Can anti-obesity medications be used for weight loss?

Prescription anti-obesity drugs can be useful adjuncts to diet and exercise for obese adults who have failed to achieve weight loss with diet and exercise. Prescription weight-loss drugs are approved for patients who meet the following criteria:18,58

Can beta blockers cause weight gain?

Assessment of the obese patient should include a complete medication history. Many agents, including beta blockers, corticosteroids, diabetes drugs, and psychoactive drugs, are known to cause weight gain. Most of these medications cause weight gain by increasing appetite. Prescribing these medications may be unavoidable, but patients should be told that weight gain is a side effect and encouraged to take steps to prevent it (e.g., increase physical activity).

How to diagnose obesity?

To diagnose obesity, your doctor will typically perform a physical exam and recommend some tests. These exams and tests generally include: Taking your health history. Your doctor may review your weight history, weight-loss efforts, physical activity and exercise habits, eating patterns and appetite control, what other conditions you've had, ...

How to treat obesity?

Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.

What is the goal of obesity treatment?

The goal of obesity treatment is to reach and stay at a healthy weight. This improves your overall health and lowers your risk of developing complications related to obesity. You may need to work with a team of health professionals — including a dietitian, behavioral counselor or an obesity specialist — to help you understand and make changes in your eating and activity habits.

What is the best way to talk to your doctor about weight?

Talking to your doctor openly and honestly about your weight concerns is one of the best things you can do for your health. In some cases, you may be referred to an obesity specialist — if one is available in your area. You may also be referred to a behavioral counselor, dietitian or nutrition specialist.

How to get weight loss?

To achieve more-significant weight loss, you may need to exercise 300 minutes or more a week.

What is the BMI of a person who has had weight loss surgery?

Weight-loss surgery for obesity may be considered if you have tried other methods to lose weight that haven't worked and: You have extreme obesity ( BMI of 40 or higher) Your BMI is 35 to 39.9, and you also have a serious weight-related health problem, such as diabetes or high blood pressure.

How much weight can I lose with BMI?

That means that if you weigh 200 pounds (91 kg) and have obesity by BMI standards, you would need to lose only about 10 to 20 pounds (4.5 to 9 kg) for your health to begin to improve.