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Obesity co-morbidities 

Obesity co-morbidities
Obesity co-morbidities

Mark Bellamy

and Michel Struys

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date: 20 October 2017

• Not all obese patients suffer from co-morbidity. • In many cases, the presence of obesity-related co-morbidity is the reason a patient presents for surgery. • The majority of people with type 2 diabetes are overweight. • The waist circumference, rather than BMI, is the best predictor of type 2 diabetes. • Insulin therapy can be problematic in the morbidly obese. • There is a relationship between diet in the days prior to surgery and the degree of liver fatty infiltration at laparotomy. • In morbid obesity, moderate hypertension is present in 50% and severe hypertension in 10%. • There is a 14% additional chance of a cardiac event at 9-year follow-up for each BMI unit. • There is a BMI-related increase in the prevalence and severity of asthma.

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