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Symptoms

By Mayo Clinic staff

The primary symptom of obesity is having a body mass index (BMI) of 30 or higher. Your body mass index is calculated by dividing your weight in kilograms (kg) by your height in meters (m) squared.

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

Because BMI doesn't directly measure body fat, some people, such as muscular athletes, may have a BMI in the obese category even though they don't have excess body fat.

When to see a doctor
If you think you may be obese, and especially if you're concerned about weight-related health problems, see your doctor or health care provider. You and your doctor can evaluate your health risks and discuss your weight-loss options. Even modest weight loss can lessen or prevent problems related to obesity. Weight loss is usually possible through dietary changes, increased physical activity and behavior changes. In some cases, prescription medications or weight-loss surgery may be options.

References
  1. Defining overweight and obesity. Centers for Disease Control & Prevention. http://www.cdc.gov/obesity/defining.html. Accessed Feb. 14, 2011.
  2. Still CD, et al. Obesity. In: Rakel & Bope: Conn's Current Therapy. 60th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/117958748-3/0/1621/295.html#4-u1.0-B978-1. Accessed Feb. 15, 2011.
  3. Bray GA. Etiology and natural history of obesity. http://www.uptodate.com/home/index.html. Accessed Feb. 16, 2011.
  4. Kushner RF. Obesity management. Gastroenterology Clinics of North America. 2007;36:191.
  5. Duval K, et al. Health-related quality of life in morbid obesity. Obesity Surgery. 2006;16:574.
  6. Hainer V, et al. Treatment modalities of obesity: What fits whom? Diabetes Care. 2008;31(suppl 2):S269.
  7. Understanding adult obesity. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.win.niddk.nih.gov/publications/understanding.htm. Accessed Feb. 15, 2011.
  8. Bray GA. Overview of therapy for obesity in adults. http://www.uptodate.com/home/index.html. Accessed Feb. 16, 2011.
  9. Svetkey LP, et al. Comparison of strategies for sustaining weight loss: The Weight Loss Maintenance Randomized Controlled Trial. Journal of the American Medical Association. 2008;299:1139.
  10. The practical guide: Identification, evaluation, and treatment of overweight and obesity in adults. U.S. Department of Health and Human Services. http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf. Accessed Feb. 15, 2011.
  11. 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.
  12. 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.
  13. Jones D, et al. Surgical management of severe obesity. http://www.uptodate.com/home/index.html. Accessed Feb. 16, 2011.
  14. Meridia (sibutramine): Market withdrawal due to risk of serious cardiovascular events. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm228830.htm. Accessed Oct. 8, 2010.
  15. Najm W, et al. Herbals used for diabetes, obesity, and metabolic syndrome. Primary Care. 2010;37:237.
  16. Cho SH, et al. Acupuncture for obesity: A systematic review and meta-analysis. International Journal of Obesity. 2009;33:183.
  17. Completed safety review: Xenical/Alli (Orlistat) and severe liver injury. U.S. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm213038.htm. Accessed Feb. 16, 2011.
DS00314 May 6, 2011

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