What Is Obesity?
Obesity results from the excessive accumulation of fat that exceeds the body’s skeletal and physical standards. According to the National Institutes of Health (NIH), an increase in 20 percent or more above your ideal body weight is the point at which excess weight becomes a health risk. Today 97 million Americans, more than one-third of the adult population, are overweight or obese. An estimated 5 to 10 million
of those are considered morbidly obese.
What Is Morbid Obesity?
Obesity becomes “morbid” when it reaches the point of significantly increasing the risk of one or more obesity-related health conditions or serious diseases (also known as co-morbidities) that result either in significant physical disability or even death. As you read about morbid obesity you may also see the term “clinically severe obesity” used. Both are descriptions of the same condition and can be used interchangeably. Morbid obesity is typically defined as being 100 lbs. or more over ideal body weight or having a Body Mass Index of 40 or higher. According to the National Institutes of Health Consensus Report, morbid obesity is a serious disease and must be treated as such. It is a chronic disease, meaning that its symptoms build slowly over an extended period of time.
Definitions of Obesity
Being ‘overweight’ and being ‘obese’ are both labels for ranges of weight that are greater than what is generally considered healthy for a given height. These terms also identify ranges of weight that have been shown to increase the likelihood of certain diseases and other health problems.
For adults, obesity ranges are determined by using one’s weight and height to calculate a number called the “body mass index” (BMI). BMI is used because, for most people, it correlates with their amount of body fat.
- An adult who has a BMI between 25 and 29.9 is considered overweight.
- An adult who has a BMI of 30 or higher is considered obese.
- An adult with a BMI of 35 or higher is severely obese.
- An adult with a BMI of 40 or more is considered morbidly obese.
It is important to remember that although BMI correlates with the amount of body fat, BMI does not directly measure body fat. As a result, some people, such as athletes, may have a BMI that identifies them as overweight even though they do not have excess body fat.
There are specific methods for estimating body fat and body fat distribution include measurements of skinfold thickness and waist circumference, calculation of waist-to-hip circumference ratios, and techniques such as ultrasound, computed tomography, and magnetic resonance imaging (MRI). There are advanced scales that can also precisely measure ones percent body fat and body fat distribution, one of which we use regularly in our office.