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As mentioned earlier in this section, comorbidity
is any condition that usually worsens as the degree of obesity
increases - and conversely improves as the obesity is successfully
treated.
The following is a list of comorbid conditions
aggravated by severe obesity:
- Cardiovascular System:
- coronary artery disease
- hypertension
- congestive heart failure
- pulmonary hypertension
- deep vein thrombosis
- pulmonary embolism
- Respiratory System:
- obstructive sleep apnea
- asthma
- obesity hypoventilation syndrome
- Endocrine System:
- type II diabetes mellitus
- glucose intolerance
- decreased insuline sensitivity
- dyslipidemia (hypercholesterolemia, hypertriglyceridemia)
- amenorrhea, dysmenorrhea
- polycystic overy syndrome
- infertility
- hirsutism
- gynecomastia
- breast cancer
- Gastrointestinal and Abdominal Wall System:
- gastroesophageal reflux
- NASH, fatty liver
- cholelithiasis
- colon cancer
- hernias (umbilical, epigastric, incisional, inguinal)
- Musculoskeletal System:
- degenerative joint disease, osteoarthritis
- chronic low back pain
- Genitourinary System:
- urinary stress incontinence
- hypogonadism
- uterine cancer
- prostate cancer
- Integument:
- venous stasis disease
- superficial thrombophlebitis
- cellulitis, panniculitis, candidiasis
- increased postoperative wound infection
- Psychoneurologic System:
- clinical depression
- migraine headache
- idiopathetic intracranial hypertension
- cerebrovascular accident (stroke)
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A
morbidly obese individual is two to 12 times more like to die.
Other medical conditions are
more likely because of obesity.
For example, you are:
1) Six times more likely to have
gallbladder disease.
2) 5.6 times more likely to have
high blood pressure.
3) 3.8 times more like to have
Type 2 diabetes.
4) Two times more likely to have
osteoarthritis
Other obesity health-related
conditions besides those on the co-morbid list include:
1) Lower extremity venous stasis:
This affects the proper function of the veins in the legs that
would normally carry blood back to the heart, causing swelling
in the lower legs and ankles. Caused by heart or kidney disease
brought on by excessive weight.
2) Pancreatitis: A disease in
which the pancreas becomes inflamed. Damage to this gland occurs
when digestive enzymes are activated and begin attacking the pancreas.
3) Skin breakdown: Skin hygiene
can be a significant problem in obese individuals as the layers
of skin rub against each other causing skin breakdown and infection.
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