Health risks of obesity
Body Mass Index
Experts often rely on BMI to determine if a person is overweight. The BMI estimates your level of body fat based on your height and weight.
Starting at 25.0, the higher your BMI, the greater is your risk of developing obesity-related health problems. These ranges of BMI are used to describe levels of risk:
- Overweight (not obese), if BMI is 25.0 to 29.9
- Class 1 (low-risk) obesity, if BMI is 30.0 to 34.9
- Class 2 (moderate-risk) obesity, if BMI is 35.0 to 39.9
- Class 3 (high-risk) obesity, if BMI is equal to or greater than 40.0
There are many websites with calculators that give your BMI when you enter your weight and height.
Women with a waist size greater than 35 inches (89 centimeters) and men with a waist size greater than 40 inches (102 centimeters) have an increased risk for heart disease and type 2 diabetes. People with "apple-shaped" bodies (waist is bigger than the hips) also have an increased risk for these conditions.
Having a risk factor doesn't mean that you will get the disease. But it does increase the chance that you will. Some risk factors, like age, race, or family history can't be changed.
The more risk factors you have, the more likely it is that you will develop the disease or health problem.
Your risk of developing health problems such as heart disease, stroke, and kidney problems increases if you're obese and have these risk factors:
- High blood pressure (hypertension)
- High blood cholesterol or triglycerides
- High blood glucose (sugar), a sign of type 2 diabetes
These other risk factors for heart disease and stroke are not caused by obesity:
- Having a family member under the age of 50 with heart disease
- Being physically inactive or having a sedentary lifestyle
- Smoking or using tobacco products of any kind
Summing it up
You can control many of these risk factors by changing your lifestyle. If you have obesity, your health care provider can help you begin a weight-loss program. A starting goal of losing 5% to 10% of your current weight will significantly reduce your risk of developing obesity-related diseases.
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Jensen MD. Obesity. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 220.
Moyer VA; U.S. Preventive Services Task Force. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373-378. PMID: 22733087
Last reviewed on: 5/8/2019
Reviewed by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.