Cardiovascular Disease (CVD) from Morbid Obesity
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Morbid obesity
increases CVD risk due to its effect on blood lipid levels.
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Weight loss improves
blood lipid levels by lowering triglycerides and LDL (“bad”)
cholesterol and increasing HDL (“good”) cholesterol.
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Weight loss of 5% to
10% can reduce total blood cholesterol.
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The effects of morbid
obesity on cardiovascular health can begin in childhood,
which increases the risk of developing CVD as an adult.
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Morbid obesity
increases the risk of illness and death associated with
coronary heart disease.
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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
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Morbid Obesity has
been established as a risk factor for CTS.
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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.
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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.
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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
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People with morbid
obesity frequently complain of daytime sleepiness and
fatigue, two probable causes of mass transportation
accidents.
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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
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Morbid Obesity
increases the risk of DVT, a condition that disrupts the
normal process of blood clotting.
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Patients with obesity
have an increased risk of DVT after surgery.
Diabetes (Type 2) from Morbid Obesity
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As many as 90% of
individuals with type 2 diabetes are reported to be
overweight or obese.
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Morbid Obesity has
been found to be the largest environmental influence on the
prevalence of diabetes in a population.
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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.
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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
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Morbid Obesity is an
established predictor of gallbladder disease.
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Morbid Obesity and
rapid weight loss in obese persons are known risk factors
for gallstones.
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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
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Morbid Obesity
contributes to the cause of gout -- the deposit of uric acid
crystals in joints and tissue.
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Morbid Obesity is
associated with increased production of uric acid and
decreased elimination from the body.
Heat Disorders from Morbid Obesity
Hypertension from Morbid Obesity
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Over 75% of
hypertension cases are reported to be directly attributed to
obesity.
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Weight or BMI in
association with age is the strongest indicator of blood
pressure in humans.
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The association
between obesity and high blood pressure has been observed in
virtually all societies, ages, ethnic groups, and in both
genders.
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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
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Obesity has been found
to decrease the body’s resistance to harmful organisms.
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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
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Obesity is associated
with impairment in respiratory function.
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Obesity has been found
to increase respiratory resistance, which in turn may cause
breathlessness.
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Decreases in lung
volume with increasing obesity have been reported.
Infections Following Wounds from Morbid Obesity
Infertility from Morbid Obesity
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Obesity increases the
risk for several reproductive disorders, negatively
affecting normal menstrual function and fertility.
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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
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Excess weight is
reported to be an independent risk factor for the
development of alcohol related liver diseases including
cirrhosis and acute hepatitis.
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Obesity is the most
common factor of nonalcoholic steatohepatitis, a major cause
of progressive liver disease.
Low Back Pain from Morbid Obesity
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Obesity may play a
part in aggravating a simple low back problem, and
contribute to a long-lasting or recurring condition.
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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
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Women with severe
obesity have a menstrual disturbance rate three times higher
than that of women with normal weight.
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High pre-pregnancy
weight is associated with an increased risk during pregnancy
of hypertension, gestational diabetes, urinary infection,
Cesarean section and toxemia.
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Morbid Obesity is
reportedly associated with the increased incidence of
overdue births, induced labor and longer labors.
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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.
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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
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Bodily pain is a
prevalent problem among persons with obesity.
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Greater disability,
due to bodily pain, has been reported by persons with
obesity compared to persons with other chronic medical
conditions.
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Morbid Obesity is
known to be associated with musculoskeletal or joint-related
pain.
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Foot pain located at
the heel, known as Sever’s disease, is commonly associated
with obesity.
Pancreatitis from Morbid Obesity
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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.
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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
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Obesity, particularly
upper body obesity, is the most significant risk factor for
obstructive sleep apnea.
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There is a 12 to
30-fold higher incidence of obstructive sleep apnea among
morbidly obese patients compared to the general population.
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Among patients with
obstructive sleep apnea, at least 60% to 70% are obese.
Stroke from Morbid Obesity
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Elevated BMI is
reported to increase the risk of ischemic stroke independent
of other risk factors including age and systolic blood
pressure.
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Abdominal obesity
appears to predict the risk of stroke in men.
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Obesity and weight
gain are risk factors for ischemic and total stroke in
women.
Urinary Stress Incontinence from Morbid Obesity
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Morbid Obesity is a
well-documented risk factor for urinary stress incontinence,
involuntary urine loss, as well as urge incontinence and
urgency among women.
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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.