Obesity

Question 1

What is BMI?

Answer 1

practical estimate of adiposity. Calculated as weight/height^2.

Question 2

What is overweight BMI?

Answer 2

25 - 29.9

Question 3

What is an obese BMI?

Answer 3

> 30

Question 4

When are adults referred to tier 3 care?

Answer 4

• underlying cause needs to be assessed,
• complex disease states or need that cannot be adequately managed in tier 2,
• conventional treatment not worked,
• drug treatment for BMI >50kg/m2,
• specialist intervention may be needed,
• surgery is being considered

Question 5

Who is considered for bariatric surgery?

Answer 5

• They have a BMI of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant disease (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight.
• All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss.
• The person has been receiving or will receive intensive management in a tier 3 service
• The person is generally fit for anaesthesia and surgery
• The person commits to the need for long-term follow-up.