Chapter

Obesity co-morbidities

Mark Bellamy and Michel Struys

in Anaesthesia for the Overweight and Obese Patient

Published on behalf of Oxford University Press

ISBN: 9780199233953
Published online May 2011 | e-ISBN: 9780199607051 | DOI: http://dx.doi.org/10.1093/med/9780199233953.003.0004

Series: Oxford Anaesthesia Library

Obesity co-morbidities

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• Not all obese patients suffer from co-morbidity. • In many cases, the presence of obesity-related co-morbidity is the reason a patient presents for surgery. • The majority of people with type 2 diabetes are overweight. • The waist circumference, rather than BMI, is the best predictor of type 2 diabetes. • Insulin therapy can be problematic in the morbidly obese. • There is a relationship between diet in the days prior to surgery and the degree of liver fatty infiltration at laparotomy. • In morbid obesity, moderate hypertension is present in 50% and severe hypertension in 10%. • There is a 14% additional chance of a cardiac event at 9-year follow-up for each BMI unit. • There is a BMI-related increase in the prevalence and severity of asthma.

Chapter.  2929 words. 

Subjects: Anaesthetics

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