Cardiovascular disease (CVD) from morbid obesity
- Morbid obesity increases the risk of CVD because of its effect on blood lipid levels.
- Weight loss improves blood lipid levels by lowering triglycerides and LDL (bad) cholesterol and raising HDL (good) cholesterol.
- Weight loss of 5% to 10% can reduce total blood cholesterol.
- The effects of morbid obesity on cardiovascular health may begin in childhood, which increases the risk of developing CVD as an adult.
- Morbid obesity increases the risk of disease and death associated with coronary heart disease.
- 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
- Morbid obesity has been established as a risk factor for CTS.
- The odds of an obese patient who had CTS were found in a study as nearly four times greater than that of a non-obese patient.
- Morbid obesity was found in one study as a stronger risk factor for CTS than workplace activity requiring repeated and forced hand use.
- Seventy percent of people in a recent CTS study were overweight or obese
Chronic venous insufficiency (CVI) from morbid obesity
- Patients with CVI, inadequate blood flowing through the veins, tend to be older, male, and obese.
Daytime sleepiness from morbid obesity
- People with morbid obesity often complain of diurnal numbness and fatigue, two likely causes of mass transportation accidents.
- Severe obesity has been associated with increased numbness in the day even in the absence of sleep apnea or other breathing disorders.
Deep vein thrombosis (DVT) from morbid obesity
- Morbid obesity increases the risk of DVT, a condition that disrupts the normal process of blood clotting.
- Patients with obesity have an increased risk of DVT after surgery.
Diabetes (type 2) from morbid obesity
- As many as 90% of individuals with type 2 diabetes are reported as being overweight or obese.
- Morbid obesity has been found as the largest environmental influence on the prevalence of diabetes in a population.
- Morbid obesity complicates the management of type 2 diabetes by increasing insulin resistance and glucose intolerance, which makes the drug treatment for type 2 diabetes less effective
- 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
- Morbid obesity is an established predictor of Gallbladder disease.
- Morbid obesity and rapid weight loss in obese people are known risk factors for gallstones.
- Gallstones are common among fat and obese people. Gallstones appear in people with obesity at a rate of 30% versus 10% in non-obese.
Gout from morbid obesity
- Morbid obesity contributes to the cause of gout – the deposit of uric acid crystals in joints and tissue.
- Morbid obesity is associated with increased production of uric acid and decreased body clearance.
Temperature disorders from morbid obesity
- Morbid obesity has been found as a risk factor for temperature disorders and temperature lesions.
- Poor heat tolerance is often associated with obesity.
Hypertension from morbid obesity
- About 75% of hypertension cases are reported as directly attributed to obesity.
- Weight or BMI in association with age is the strongest indicator of blood pressure in humans.
- The association between obesity and high blood pressure has been observed in virtually all societies, ages, ethnic groups, and in both genders.
- The risk of developing hypertension is five to six times greater in adult obese Americans, age 20 to 45, compared to non-obese individuals of the same age.
Impersonal deterioration from morbid obesity
- Obesity has been found to decrease the body’s resistance to harmful organisms
- A decrease in the activity of scavenger cells, which destroys bacteria and foreign organisms in the body, has been observed in obese patients.
Impaired respiratory function from morbid obesity
- Obesity is associated with weakness in respiratory function.
- It has been found that obesity increases respiratory resistance, which in turn can cause dyspnea.
- Decreases in lung capacity have been reported with increased obesity.
Infections after injury from morbid obesity
- Obesity is associated with the increased incidence of wound infection.
- It is reported that patients with burns and obesity can develop pneumonia and infection in the wound with twice the frequency of non-obese patients.
Infertility from morbid obesity
- Obesity increases the risk in several reproductive disorders, adversely affecting normal menstrual function and fertility.
- About 10% initial weight loss is effective in improving menstrual regularity, ovulation, hormonal profiles and pregnancy rates.
Liver disease from morbid obesity
- Excess weight is reported as an independent risk factor for the development of alcohol-related liver diseases including cirrhosis and acute hepatitis.
- Obesity is the most common factor in non-alcoholic steatohepatitis, a major cause of progressive liver disease.
Low Back Pain From Morbid Obesity
- Obesity can play a part in aggravating a simple problem of low back pain, and contributes to a lasting or recurring condition.
- Women who are overweight or who have a large waist size report being particularly at risk for low back pain.
Obstetric and gynecological complications from morbid obesity
- Women with severe obesity have a menstrual disorder three times higher than women with normal weight.
- The high pre-pregnancy weight is associated with an increased risk during pregnancy of hypertension, gestational diabetes, urinary infection, cesarean section and toxemia.
- Morbid obesity is reportedly associated with the increased incidence of late births, longer and more induced labor.
- Women with maternal obesity have more cesarean deliveries and higher incidence of blood loss during delivery as well as infection and complication following surgery.
- Postpartum complications associated with obesity include an increased risk of infection and endometrial inflammation, urinary tract infection and urinary incontinence.
Pain from morbid obesity
- Body pain is a common problem among people with obesity.
- Greater inability, due to bodily pain, has been reported by people with obesity compared to people with other chronic medical conditions. Morbid obesity is known to be associated with musculoskeletal or joint-related pain.
- Established heel pain, known as Sever’s disease, is commonly associated with obesity.
Pancreatitis of morbid obesity
- Obesity is a predictor of outcome in acute pancreatitis. Obese patients with acute pancreatitis report that they develop considerably more complications, including respiratory failure, than non-obese patients.
- Patients with severe pancreatitis have been found with a higher body-fat percentage and larger waist size than patients with mild pancreatitis.
Sleep apnea from morbid obesity
- Obesity, particularly obesity in the upper body, is the most significant risk factor for obstructive sleep apnea.
- There is a 12 to 30 highest incidence of obstructive sleep apnea among morbidly obese patients compared to the general population.
- Among patients with obstructive sleep apnea, at least 60% to 70% are obese.
Stroke (Paro) from morbid obesity
- Elevated BMI is reported to increase the risk of ischemic stroke from other risk factors including age and systolic blood pressure.
- Abdominal obesity appears to predict the risk of stroke in males.
- Increased obesity and weight are risk factors for ischemic and total stroke in women.
Incontinence and Urinary Stress from Morbid Obesity
- Morbid obesity is a well-documented risk factor for urinary incontinence, involuntary loss of urine, as well as urge incontinence and urgency among women.
- Morbid obesity is reported as a strong risk factor for various urinary symptoms after pregnancy and delivery, continuing 6 to 18 months postpartum.