Obesity and metabolic disease.
Obesity independently increases the risk of developing diabetes 10-fold compared with that for patients who are normal weight. Overweight patients with impaired glucose tolerance (IGT) or impaired fasting glucose (IFG) should be given counseling on weight loss of 5% to 10% of body weight as well as on increasing physical activity to at least 150 min/wk to prevent progression to diabetes. American Diabetes Association (ADA) recommends screening patients older than 45 years with a body mass index (BMI) greater than or equal to 25 for diabetes with fasting glucose every 3 years. Testing should be considered at a younger age or performed more frequently for those who are overweight and have 1 or more risk factors for diabetes.
Koopman
Richelle J
RJ
Curtis W. and Ann H. Long Department of Family and Community Medicine, University of Missouri, Columbia, MO 65212, USA. koopmanr@health.missouri.edu
Swofford
Sarah J
SJ
Beard
Mark N
MN
Meadows
Susan E
SE
D015992:Body Mass Index; D001837:Body Weights and Measures; D002318:Cardiovascular Diseases / Q000209:etiology / Q000503:physiopathology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000517:prevention & control; D006801:Humans; D007249:Inflammation / Q000503:physiopathology; D024821:Metabolic Syndrome / Q000150:complications* / Q000517:prevention & control; D009765:Obesity / Q000150:complications*; D011236:Prediabetic State; D015995:Prevalence; D012307:Risk Factors