Clinical Gastroenterology Vol.28 No.12(1)

Theme Obesity Related Digestive Diseases
Title Obesity and Obesity Disease (Himan-sho)
Publish Date 2013/11
Author Shigeru Miyazaki Lifestyle Related Disease Center, Shin-yamanote Hospital, Japan Anti-Tuberculosis Association
[ Summary ] Obesity is determined by body mass index (BMI) and defined as a BMI over 25. Obesity diseases are clinically defined based on the presence of complications related to obesity, or high risk obesity with an excess of visceral fat accumulation. In another words, individuals in this situation must reduce their weight for medical reasons.
Visceral fat accumulation causes many complications. Even with slight weight reductions, visceral fat may be rapidly reduced, as compared to subcutaneous fat. Improvement in related complications can be expected with this loss. The goal of weight reduction is to lower body weight by 3 to 5 % in 3-6 months. By employing weight loss to this degree, it has been demonstrated by the National Health Guidance and Checkups that diseases caused by obesity are improved. Morbid obesity with BMI of 35 or greater or cases complicated by heart failure associated with obesity related alveolar hypoventilation are also discussed.
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