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Monday, July 8, 2013
  Clinical Accuracy Spoken Here  

Obesity Management: Use of BMI

The Body Mass Index (BMI) tool is used to assess for obesity and monitor changes in body weight. A BMI of 30 or higher indicates excess body fat. A bodybuilder with a large muscle mass and low percentage of body fat may have the same BMI as a person who has more body fat.

The 5 Major Categories of BMI:

  1. Underweight BMI < 18.5
  2. Normal weight BMI 18.5 to 24.9
  3. Overweight BMI 25 to 29.9
  4. Obese BMI 30 to 39.9
  5. Morbidly Obese BMI > 40

[Reference: Obesity Management, Module B, Assessments and Complications]
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  Excellence in Case Mgmt  

Aspects of Culture in Weight Management

Cultural foods prepared with excess fat and salt hamper weight-loss efforts.

Family gatherings offering large amounts of food make portion control difficult.

Research shows that individuals from other countries have difficulty adjusting to calorie-rich foods offered in the U.S. They may not be able to prepare food with ingredients they use in their native countries.

Differences exist in cultural norms regarding body weight. What one culture regards as obese, another may regard as healthy and attractive.

Racial and ethnic health disparities are often linked to:

  • Poorer health outcomes
  • Lower quality care

[Reference: Obesity Management, Module D, CM Role]
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  Improving Patient Care...  

Obesity Risks

Review of mortality data show associated medical complications in patients with a BMI of 25. This risk rises dramatically in those with a BMI > 30.

Approximately 85 percent of patients with type 2 diabetes are overweight. Losing just 7 percent of body weight and doing moderate exercise for 30 minutes a day may prevent the onset of type 2 diabetes.

Excess abdominal fat may produce substances that cause inflammation in blood vessels and thus raise heart disease risk. Losing 10 percent of body weight can lower the chances for developing coronary heart disease or having a CVA.

[Reference: Obesity Management, Module B, Assessments and Complications]
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