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Home  >  Obesity  > Morbid

Morbid Obesity​ Treatment | Causes & Risks

At Pristyn Care, the treatment for morbid obesity includes personalized plans that combine dietary modifications, physical activity, and surgical morbid obesity treatment​ options. Consult our expert now for significant long-term weight loss and to minimize health risks associated with morbid obesity.

At Pristyn Care, the treatment for morbid obesity includes personalized plans that combine ... dietary modifications, physical activity, and surgical morbid obesity treatment​ options. Consult our expert now for significant long-term weight loss and to minimize health risks associated with morbid obesity. Read More

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What is Morbid Obesity?

Earlier referred to as morbid obesity, class III obesity is a chronic genetic illness that affects people with a body mass index (BMI) of 40 or higher. It is characterized by the excessive accumulation of body fat influenced by underlying metabolic defects, rather than solely nutritional factors. BMI helps in determining whether you are at a healthy body weight for your size.

Body mass index doesn’t give you a perfect understanding, but it only gives you a general idea of ideal weight ranges for height. To accurately evaluate obesity, medical professionals may use additional tests and instruments. Heart disease, sleep apnea, and type 2 diabetes are a few major health issues that can be caused by morbid or class III obesity. To achieve a healthy weight, you can collaborate with your doctor to develop a customized strategy.

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Morbid Obesity Symptoms​

Morbid obesity makes it difficult to perform routine activities, such as walking. Sometimes, it may also cause difficulties with breathing and additional serious health issues. A body mass index of 40 or higher is the only symptom of identifying morbid obesity. Additionally, there can be several complications associated with morbid obesity. 

Complications

Class III obesity can contribute to the development of several health conditions, including:

  • Plaque build up inside the arteries
  • Issues with breathing, such as obesity hypoventilation syndrome (OHS)
  • Heart disease
  • Hypertension or high blood pressure
  • Kidney disease
  • Osteoarthritis
  • Metabolic syndrome
  • Type 2 diabetes
  • Liver disease
  • Obstructive sleep apnea
  • Depression
  • Certain cancers, such as pancreatic cancer, liver cancer, and colorectal cancer

Causes of Morbid Obesity

  • Genetics. Obesity can also be caused by certain genetic abnormalities, such as Prader-Willi syndrome, Down syndrome, and Cohen syndrome.
  • Hormonal imbalance. Polycystic ovarian syndrome (PCOS), Cushing syndrome, and hypothyroidism are hormone-related disorders that can cause weight gain.
  • Medications. Corticosteroids, antidepressants, antipsychotics, antiseizure drugs, and other drugs can cause weight gain.
  • Environmental factors. Exposure to substances such as obesogens can alter hormones and cause your body to produce more fat tissue.

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Types of Obesity

Based on BMI, there are three classes of obesity

Category Body Mass Index
Obesity Class I BMI 30 to 35 kg/m2
Obesity Class II BMI 35 to 40 kg/m2
Obesity Class III BMI 40 kg/m2 and above

 

*Obesity Class III is also referred to as morbid or severe obesity. 

Morbid Obesity Treatment Options

  • Diet & Exercise

A healthy diet and a regular exercise routine are the keys to maintaining overall well-being. Avoiding overeating and overstressing has been helpful, too. Consult a doctor to devise a personalized weight loss treatment regimen for long-term weight loss through diet and exercise in a healthy manner. 

  • Weight loss medications 

Although weight loss pills have been beneficial in addressing obesity, most people regain the weight after they stop consuming the medication.  

Bariatric surgery is an effective option to treat obesity and maintain long-term weight loss. Most of the weight loss surgeries are being performed using minimally invasive techniques(laparoscopic surgery). Common bariatric surgery options available are:- 

This method uses an inflatable gastric band, creating an hourglass structure to the stomach. Gastric banding procedure involves placing a silicone band around the upper part of the stomach, which creates a small pouch that limits food intake. The band can be adjusted by adding or removing the saline solution through a port placed under the skin. The gastric banding procedure doesn’t involve cutting or rerouting the stomach or intestines. If necessary, the stomach can be restored to its original size by removing the band. After the surgery, the patient needs to strictly adhere to the diet and lifestyle suggested by the doctor. 

It is one of the most common and widely performed bariatric procedures. The procedure involves creating a small pouch at the top of the stomach and connecting the pouch directly to the small intestine. A portion of the stomach and intestines is being bypassed, consequently reducing the amount of food absorbed by the body. The surgery also alters gut hormones, improving satiety and metabolic function. Patients usually lose 60-80% of their excess weight within the first year using the gastric bypass surgical method. 

Sleeve gastrectomy removes about three-fourths of the stomach, leaving behind a sleeve-shaped pouch, which is roughly the size of a banana. Unlike gastric bypass, it doesn’t divert the intestines but limits the amount of food that a person can consume by reducing the stomach’s capacity. A decreased calorie intake consequently helps in reducing weight. The procedure requires a shorter hospital stay and offers a quick recovery.

  • Biliopancreatic Diversion with Duodenal Switch

It is the most effective weight loss procedure that helps in reducing approximately 70-90% of excess weight. It reduces food absorption through the removal of a portion of the stomach and the rerouting of the small intestine. Duodenal Switch Surgery is a complex process done in two steps. Sleeve gastrectomy is performed at the first step, and then the small intestine is divided and rerouted. It significantly reduces calorie and nutrient consumption and helps in achieving drastic weight loss. 

BMI Range

BMI is calculated based on height and weight and is not dependent on an individual’s muscle mass, bone density, or body composition.  

 

Category BMI Range
Underweight Less than 18 kg/m2
Healthy 18-25 kg/m2
Overweight 25-30 kg/m2
Obese >30 kg/m2
Obese Class 1 30 – <35 kg/m2
Obese Class 2 35 – <40 kg/m2
Obese Class 3 or severe obesity >= 40 kg/m2

Frequently Asked Questions

Is a BMI of 35 considered morbidly obese?

A morbid obesity BMI is considered to be 40 kg/m2 or higher. An individual with a BMI of 40 kg/m2 or higher may have several health complications, such as heart disease, liver issues, type 2 diabetes, etc. Bariatric surgery is the most effective weight loss treatment option for morbid obesity. 

What are five causes of obesity?

Irregular sleep, genetics, unhealthy eating patterns, and lack of physical activity are the major causes of weight gain. Additional factors, such as stress, overusage of certain medications, and other underlying health conditions, may also contribute to weight gain.

Why is morbid obesity in childhood a concern?

Morbid obesity increases the risk of developing several health issues, such as high blood pressure, cardiovascular issues, type 2 diabetes, and psychological problems. Therefore, early diagnosis is crucial to prevent long-term health complications.

How is morbid obesity measured using BMI?

BMI is calculated by calculating the ratio of weight to height and helps in diagnosing morbid obesity. A BMI value of 40kg/m2 or higher is referred to as morbid obesity.

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