Obesity in Primary Care: The Comorbidities

June 12, 2017

Often efforts are made in treating the consequences more than the primary cause.

Obesity is directly responsible for more than 100 medical problems and worsens the prognosis of cardiac, pulmonary, and oncological diseases. In many circumstances, efforts are made in treating the consequences of obesity more than treating the primary cause.

Comorbidity Categories[[{"type":"media","view_mode":"media_crop","fid":"60393","attributes":{"alt":"","class":"media-image media-image-right","id":"media_crop_5017863089016","media_crop_h":"0","media_crop_image_style":"-1","media_crop_instance":"7640","media_crop_rotate":"0","media_crop_scale_h":"0","media_crop_scale_w":"0","media_crop_w":"0","media_crop_x":"0","media_crop_y":"0","style":"height: 188px; width: 220px; border-width: 0px; border-style: solid; margin: 5px; float: right;","title":" ","typeof":"foaf:Image"}}]]

Categories of comorbidities include cardiovascular, endocrine and reproductive, GI, musculoskeletal, neurological, pulmonary, psychosocial, and renal and genitourinary. In addition, various types of cancer are associated with obesity.

Physicians might use a checklist to help them remember the most prevalent diseases secondary to obesity.

They might include the following:

Cardiovascular

Hypertension

Coronary arteries disease

Congestive heart failure           

Varicose veins

Thromboembolic events

Endocrine and reproductive

Prediabetes/ type 2 diabetes

Dyslipidemia

Polycystic ovarian syndrome/hyperandrogenemia

Male hypogonadism

Infertility

Next: GI, Integument, Musculoskeletal, and Other Comorbidities

Gastrointestinal Comorbidities of Obesity

Nonalcoholic fatty liver disease/steatohepatitis

Gastroesophageal reflux disease

Hernias

Cholelithiasis

Integument

Venous stasis ulcers

Cellulitis

Intertrigo

Acanthosis nigricans

Musculoskeletal

Osteoarthritis

Gout

Immobility

Neurological

Stroke

Pseudotumor cerebri

Nerve entrapment

Pulmonary

Obstructive sleep apnea

Asthma

Pickwickian syndrome

Next: Psychosocial, Renal and Genitourinary, and Cancer

Psychosocial Comorbidities of Obesity

Depression

Anxiety

Low self-esteem

Increased work absenteeism

Negative self-external perception

Isolation

Renal and genitourinary

Nephrolithiasis

Glomerulopathy

Renal insufficiency

Urinary stress incontinence

Pelvic prolapse

Erectile dysfunction

Cancer

Also, various types of cancer are associated with obesity: postmenopausal breast cancer; colon, esophageal, stomach, pancreatic, kidney, gallbladder, and brain cancer; leukemia; non-Hodgkin lymphoma; multiple myeloma; and liver, cervical, ovarian, prostate, bladder and thyroid cancer.

 

Next in this Special Report: Lifestyle factors, weight loss strategies, and medications

For previous sections, please see below:

Obesity in Primary Care: 12 Big Questions

 

Obesity in Primary Care: Making the Diagnosis

 

 

Obesity in Primary Care: 12 Big Questions

Obesity in Primary Care: Making the Diagnosis

- See more at: http://www.patientcareonline.com/special-report/obesity-primary-care-referrals-and-surgery/page/0/2#sthash.Xv236hfi.dpuf