Morbid obesity BMI is a medical condition where excess body fat has accumulated to such an extent it has a negative effect on the patient’s health. The degree of risk associated with morbid obesity depends on many factors including overall health and life expectancy, and other diseases the person may have. Although there is no standard definition for “morbidly obese BMI”, it is generally recognized as having an excessive ratio of weight-to-height, i.e., a BMI equal or greater than 40 or equal or greater than 35 with accompanying comorbidity.
The term was first used in 1959 by Drs. Niceforo Maria Tuberose and Emilio Rebora from the University of Rome La Sapienza. In 1964, surgeon Wilder Penfield popularised the term in his bestseller, “The Conduct of Life”.
Medical and Morbid Obesity BMI
In medical terms, morbid obesity BMI is defined as a condition of having a BMI equal to or greater than 40. Morbid obesity increases the risk for many health conditions such as diabetes, high blood pressure, sleep apnea, and others which may reduce life expectancy by 10 years or more. Most patients with a BMI at this level have a large amount of excess weight around their abdomen. A proper diagnosis of morbid obesity depends on an assessment by a doctor that includes taking into account other factors such as age, gender and ethnicity. It’s important to note that having excess fat does not necessarily cause poor health if one is otherwise healthy. The resulting complications are often the result of the other conditions associated with obesity. An obese person should not be labelled as sick because he or she has a high BMI, and should not be expected to live a shorter life span than someone who is thin and otherwise healthy. Most doctors would agree that mortality risk increases in persons with comorbidities such as diabetes, hypertension, hyperlipidemia and cardiovascular disease which lead to earlier mortality. The issue is complicated by the fact that being overweight often accompanies these diseases so it is hard to tell which came first, the bad health or the excess weight.
Two main factors are believed to contribute to morbid obesity BMI: genetics and environmental conditions.
A morbidly obese BMI person may have co-morbid psychiatric problems, most often depression, low self-esteem, or some other form of an eating disorder.
Morbid Obesity BMI treatment
The main treatment for morbid obesity BMI is weight loss surgery; however, many people are waiting for it because it’s not covered by insurance in most countries. It can be performed both on an outpatient or an inpatient basis depending on the condition of the patient and his or her local hospital facilities. Medication may also be used to control side effects such as cholesterol levels and sleep apnea. There are several different surgical procedures that have been developed over time to help increase a person’s life expectancy. The benefit of these surgeries varies greatly between patients so doctors often recommend them only after considering all other options first.