General MedicineTier 1Disease (DEADMAN)

Obesity

Description

  • Excess adiposity causing impaired health
  • BMI is a screening tool, not a diagnosis - misclassifies muscular and older patients, and underestimates risk in South and East Asian populations
BMI (kg/m2)ClassAsian cut-offs
25-29.9Overweight23-27.4
30-34.9Class I>=27.5
35-39.9Class II
>=40Class III
  • Waist circumference adds independent risk information at any BMI
    • Increased risk: M >=94 cm, F >=80 cm; substantially increased M >=102 cm, F >=88 cm
  • Edmonton Obesity Staging System (0-4) stages by actual disease burden, not weight - a better predictor of mortality than BMI and the better basis for intervention

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