Obesity

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Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse

effect on health.[1] It is defined by body mass index (BMI) and further evaluated in terms of fat distribution via the waisthip ratio and total cardiovascular risk factors.[10][11] BMI is closely related to both percentage body fat and total body fat.[12]

A "super obese" male with a BMI of 47 kg/m2: weight 146 kg (322 lb), height 177 cm (5 ft 10 in)

In children, a healthy weight varies with age and sex. Obesity in children and adolescents is defined not as an absolute number, but in relation to a historical normal group, such that obesity is a BMI greater than the 95th percentile.[13] The reference data on which these percentiles are based are from 1963 to 1994, and thus have not been affected by the recent increases in weight.[14] BMI < 18.5 18.524.9 25.029.9 Classification underweight normal weight overweight

30.034.9 35.039.9 40.0

class I obesity class II obesity class III obesity

BMI is calculated by dividing the subject's mass by the square of his or her height, typically expressed either in metric or US "customary" units: Metric: BMI = kilograms / meters 2 US customary and imperial: BMI = lb * 703 / in where lb is the subject's weight in pounds and in is the subject's height ininches. The most commonly used definitions, established by the World Health Organization (WHO) in 1997 and published in 2000, provide the values listed in the table at right.[3] Some modifications to the WHO definitions have been made by particular bodies. The surgical literature breaks down "class III" obesity into further categories whose exact values are still disputed.[15] Any BMI 35 or 40 is severe obesity  A BMI of 35 or 4044.9 or 49.9 is morbid obesity  A BMI of 45 or 50 is super obesity As Asian populations develop negative health consequences at a lower BMI than Caucasians, some nations have redefined obesity; the Japanese have


defined obesity as any BMI greater than 25[16] while China uses a BMI of greater than 28.[17]

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