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Obesity in adults

Última revisão: 26 May 2025
Última atualização: 04 Jun 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • height
  • weight
Detalhes completos

Outros fatores diagnósticos

  • waist circumference
  • comorbid conditions
Detalhes completos

Fatores de risco

  • hypothyroidism
  • hypercortisolism
  • age ≥40 years
  • peri- and postmenopause
  • prior pregnancy
  • marital status
  • sleep deprivation
  • tobacco
  • education level
  • poor in utero nutrition
  • socioeconomic status
  • sedentary lifestyle
  • television watching or video gaming
  • diet high in sugar, cholesterol, fat, and fast food
  • heavy alcohol intake
  • binge-eating disorder
  • night eating syndrome
  • leptin deficiency
  • corticosteroid therapy
  • antidepressant therapy
  • antipsychotic therapy
  • beta-blocker therapy
  • adjuvant breast cancer therapy
  • psychiatric diagnosis
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • clinical exam
Detalhes completos

Investigações a serem consideradas

  • CBC
  • serum aminotransferases
  • thyroid function tests
  • ECG
  • abdominal ultrasound scan
  • polysomnography (sleep study)
Detalhes completos

Algoritmo de tratamento

CONTÍNUA

BMI ≥30 kg/m²; or else BMI ≥27 kg/m² with an obesity-related comorbidity

BMI ≥35 kg/m² with or without comorbidities

Colaboradores

Autores

Constantine T. Frantzides, MD, PhD, FACS
Constantine T. Frantzides

Director, Chicago Institute of Minimally Invasive Surgery (CIMIS)

Director, Laparoscopic and Bariatric Fellowship Program

Clinical Professor of Surgery, University of Illinois

Chicago

IL

Declarações

CTF declares that he has no competing interests.

Kelsey R. Tieken, MD
Kelsey R. Tieken

General Surgery Resident

University of Nebraska Medical Center

Omaha

NE

Declarações

KRT declares that she has no competing interests.

Nathan D. Bills, PhD, MBA

Associate Professor

Department of Surgery

University of Nebraska Medical Center

Omaha

NE

Declarações

NDB declares that he has no competing interests.

Agradecimentos

Dr Constantine T. Frantzides, Dr Kelsey R. Tieken, and Dr Nathan D. Bills would like to gratefully acknowledge Dr Mark A. Carlson, Dr Minh B. Luu and Dr Scott N. Welle, previous contributors to this topic.

Declarações

MAC, MBL and SNW declare that they have no competing interests.

Revisores

Carel Le Roux, MRCP, PhD, FRCPath

Consultant in Metabolic Medicine

Imperial College London

Charing Cross Hospital

London

UK

Declarações

CLR declares that he has no competing interests.

Arya M. Sharma, MD, PhD, FRCPC

Professor of Medicine

Chair for Obesity Research & Management

University of Alberta

Royal Alexandra Hospital

Edmonton

Canada

Declarações

AMS declares that he has no competing interests.

Edward H. Livingston, MD, FACS

Chair in Surgery

Division of Gastrointestinal and Endocrine Surgery

University of Texas

Southwestern Medical Center

Dallas

TX

Declarações

EHL declares that he has no competing interests.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Jensen MD, Ryan DH, Apovian CM, et al; American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Obesity Society. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014 Jun 24;129(25 suppl 2):S102-38.Texto completo  Resumo

Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020 Dec;54(24):1451-62.Texto completo  Resumo

Garvey WT, Mechanick JI, Brett EM, et al. American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract. 2016 Jul;22 Suppl 3:1-203.Texto completo  Resumo

National Institute for Health and Care Excellence. Obesity: identification, assessment and management. September 2022 [internet publication].Texto completo

American Society for Metabolic and Bariatric Surgery. Metabolic and bariatric surgery fact sheet. July 2021 [internet publication].Texto completo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
  • Diagnósticos diferenciais

    • Hypothyroidism, primary
    • Hypothyroidism, central
    • Cushing syndrome
    Mais Diagnósticos diferenciais
  • Diretrizes

    • 2022 ASMBS and IFSO: indications for metabolic and bariatric surgery
    • AGA clinical practice guideline on pharmacological interventions for adults with obesity
    Mais Diretrizes
  • Folhetos informativos para os pacientes

    Obesity - diet and exercise

    Obesity - drugs and surgery

    Mais Folhetos informativos para os pacientes
  • Calculadoras

    Body Mass Index (Quetelet's index)

    Mais Calculadoras
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