Obese Patient Assessment

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Evaluation of an obese person should include medical history, physical examination and laboratory examination. Under clinical evaluation, there is history and physical examination.

These are the specific questions they asked for history such as family history of medical disease and obesity, lifestyle factors (current diet, physical activity, smoking and alcohol intake), current and past medical history (any psychological history such as eating disorder or post-traumatic stress disorder or any medical problems such as ), current and past medical therapy (taken any over-the-counter or traditional medications) and the chronological history of weight gain and previous weight loss attempts. Therefore, the purpose of gathering this information is to identify the factors that contribute to the client’s body weight (such as social, psychological, cultural, behavioural and medical factors). To determine the client’s readiness for weight management programme and what are the client’s goals and expectations to make changes. A history questionnaire is given to the clients to find out information from the history.
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Height, weight and waist circumference of the client will need to be measured. The Body Mass Index (BMI) is used as a screening tool to find out the risk of getting cardiovascular disease. However, BMI is not applicable for children, elderly, muscular individuals and pregnant or lactating women. Waist circumference is to determine central obesity of the client. Waist to hip ratio is another measure for abdominal obesity. There are several methods used for the body composition analysis such as skinfold thickness, bioelectrical impedance and etc. Physical signs such as blood pressure (having high blood pressure) and physical examination for evidence of goitre, Cushing’s syndrome and

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