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Obesity Health Risks
OBESITY
HEALTH RISKS FAR OUTWEIGH RISKS OF SURGERY
Cardiovascular Disease (CVD) from Morbid Obesity
- Morbid obesity increases CVD risk due to its effect
on blood lipid levels.
- Weight loss improves blood lipid levels by lowering
triglycerides and LDL (“bad”) cholesterol and increasing
HDL (“good”) cholesterol.
- Weight loss of 5% to 10% can reduce total blood
cholesterol.
- The effects of morbid obesity on cardiovascular
health can begin in childhood, which increases the risk
of developing CVD as an adult.
- Morbid obesity increases the risk of illness and
death associated with coronary heart disease.
- Morbid obesity is a major risk factor for heart
attack, and is now recognized as such by the American
Heart Association.
Carpal Tunnel Syndrome (CTS) from Morbid Obesity
- Morbid Obesity has been established as a risk
factor for CTS.
- The odds of an obese patient having CTS were
found in one study to be almost four times greater
than that of a non-obese patient.
- Morbid Obesity was found in one study to be a
stronger risk factor for CTS than workplace activity
that requires repetitive and forceful hand use.
- Seventy percent of persons in a recent CTS study
were overweight or obese.
Chronic Venous Insufficiency (CVI) from Morbid
Obesity
- Patients with CVI, an inadequate blood flow
through the veins, tend to be older, male, and
have obesity.
Daytime Sleepiness from Morbid Obesity
- People with morbid obesity frequently
complain of daytime sleepiness and fatigue,
two probable causes of mass transportation
accidents.
- Severe obesity has been associated with
increased daytime sleepiness even in the
absence of sleep apnea or other breathing
disorders.
Deep Vein Thrombosis (DVT) from Morbid
Obesity
- Morbid Obesity increases the risk of
DVT, a condition that disrupts the
normal process of blood clotting.
- Patients with obesity have an
increased risk of DVT after surgery.
Diabetes (Type 2) from Morbid
Obesity
- As many as 90% of individuals
with type 2 diabetes are reported to
be overweight or obese.
- Morbid Obesity has been found to
be the largest environmental
influence on the prevalence of
diabetes in a population.
- Morbid Obesity complicates the
management of type 2 diabetes by
increasing insulin resistance and
glucose intolerance, which makes
drug treatment for type 2 diabetes
less effective.
- A weight loss of as little as 5%
can reduce high blood sugar.
End Stage Renal Disease (ESRD)
from Morbid Obesity
Morbid Obesity may be a direct or
indirect factor in the initiation or
progression of renal disease, as
suggested in preliminary data.
Gallbladder Disease from
Morbid Obesity
- Morbid Obesity is an
established predictor of
gallbladder disease.
- Morbid Obesity and rapid
weight loss in obese persons are
known risk factors for
gallstones.
- Gallstones are common among
overweight and obese persons.
Gallstones appear in persons
with obesity at a rate of 30%
versus 10% in non-obese.
Gout from Morbid Obesity
- Morbid Obesity
contributes to the cause of
gout -- the deposit of uric
acid crystals in joints and
tissue.
- Morbid Obesity is
associated with increased
production of uric acid and
decreased elimination from
the body.
Heat Disorders from
Morbid Obesity
- Morbid Obesity has
been found to be a risk
factor for heat injury
and heat disorders.
- Poor heat tolerance
is often associated with
obesity.
Hypertension from
Morbid Obesity
- Over 75% of
hypertension cases
are reported to be
directly attributed
to obesity.
- Weight or BMI in
association with age
is the strongest
indicator of blood
pressure in humans.
- The association
between obesity and
high blood pressure
has been observed in
virtually all
societies, ages,
ethnic groups, and
in both genders.
- The risk of
developing
hypertension is five
to six times greater
in obese adult
Americans, age 20 to
45, compared to
non-obese
individuals of the
same age.
Impaired
Immune Response from
Morbid Obesity
- Obesity has
been found to
decrease the
body’s
resistance to
harmful
organisms.
- A decrease
in the activity
of scavenger
cells, that
destroy bacteria
and foreign
organisms in the
body, has been
observed in
patients with
obesity.
Impaired
Respiratory
Function from
Morbid Obesity
- Obesity
is
associated
with
impairment
in
respiratory
function.
- Obesity
has been
found to
increase
respiratory
resistance,
which in
turn may
cause
breathlessness.
-
Decreases in
lung volume
with
increasing
obesity have
been
reported.
Infections
Following
Wounds from
Morbid
Obesity
-
Obesity
is
associated
with the
increased
incidence
of wound
infection.
- Burn
patients
with
obesity
are
reported
to
develop
pneumonia
and
wound
infection
with
twice
the
frequency
of
non-obese.
Infertility
from
Morbid
Obesity
-
Obesity
increases
the
risk
for
several
reproductive
disorders,
negatively
affecting
normal
menstrual
function
and
fertility.
-
Weight
loss
of
about
10%
of
initial
weight
is
effective
in
improving
menstrual
regularity,
ovulation,
hormonal
profiles
and
pregnancy
rates.
Liver
Disease
from
Morbid
Obesity
- Excess weight is reported to be an independent risk factor for the development of alcohol related liver diseases including cirrhosis and acute hepatitis.
- Obesity is the most common factor of nonalcoholic steatohepatitis, a major cause of progressive liver disease.
Low Back Pain from Morbid Obesity
- Obesity may play a part in aggravating a simple low back problem, and contribute to a long-lasting or recurring condition.
- Women who are overweight or have a large waist size are reported to be particularly at risk for low back pain.
Obstetric and Gynecologic Complications from Morbid Obesity
- Women with severe obesity have a menstrual disturbance rate three times higher than that of women with normal weight.
- High pre-pregnancy weight is associated with an increased risk during pregnancy of hypertension, gestational diabetes, urinary infection, Cesarean section and toxemia.
- Morbid Obesity is reportedly associated with the increased incidence of overdue births, induced labor and longer labors.
- Women with maternal obesity have more Cesarean deliveries and higher incidence of blood loss during delivery as well as infection and wound complication after surgery.
- Complications after childbirth associated with obesity include an increased risk of endometrial infection and inflammation, urinary tract infection and urinary incontinence.
Pain from Morbid Obesity
- Bodily pain is a prevalent problem among persons with obesity.
- Greater disability, due to bodily pain, has been reported by persons with obesity compared to persons with other chronic medical conditions.
- Morbid Obesity is known to be associated with musculoskeletal or joint-related pain.
- Foot pain located at the heel, known as Sever’s disease, is commonly associated with obesity.
Pancreatitis from Morbid Obesity
- Obesity is a predictive factor of outcome in acute pancreatitis. Obese patients with acute pancreatitis are reported to develop significantly more complications, including respiratory failure, than non-obese.
- Patients with severe pancreatitis have been found to have a higher body-fat percentage and larger waist size than patients with mild pancreatitis.
Sleep Apnea from Morbid Obesity
- Obesity, particularly upper body obesity, is the most significant risk factor for obstructive sleep apnea.
- There is a 12 to 30-fold higher incidence of obstructive sleep apnea among morbidly obese patients compared to the general population.
- Among patients with obstructive sleep apnea, at least 60% to 70% are obese.
Stroke from Morbid Obesity
- Elevated BMI is reported to increase the risk of ischemic stroke independent of other risk factors including age and systolic blood pressure.
- Abdominal obesity appears to predict the risk of stroke in men.
- Obesity and weight gain are risk factors for ischemic and total stroke in women.
Urinary Stress Incontinence from Morbid Obesity
- Morbid Obesity is a well-documented risk factor for urinary stress incontinence, involuntary urine loss, as well as urge incontinence and urgency among women.
- Morbid Obesity is reported to be a strong risk factor for several urinary symptoms after pregnancy and delivery, continuing as much as 6 to 18 months after childbirth.
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