Diagnosis Obesitas

Oleh :

dr.Gloscindy Arma Occifa

Pemeriksaan antropometri merupakan parameter utama dalam diagnosis obesitas. Di Asia, obesitas ditegakkan pada pasien dengan indeks massa tubuh/IMT melebihi 25 kg/m2.[1-3,23]

Anamnesis

Anamnesis lengkap dan menyeluruh sangat dibutuhkan dalam diagnosis obesitas, yaitu mencakup pola makan, tingkat aktivitas, faktor risiko terkait, hingga komorbiditas. Dalam melakukan anamnesis, dokter sebaiknya menggunakan bahasa yang inklusif dan tidak menghakimi serta menjadi pendengar aktif.[5,17]

Referensi

1. WHO. Obesity and overweight. 2021. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
2. Fruh SM. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. Journal of the American Association of Nurse Practitioners. 2017;29:S3-S14. Doi: 10.1002/2327-6924.12510.
3. Lim JU, Lee JH, Kim JS, Hwang YI, Kim TH, Lim SY, et al. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients. International Journal of Chronic Obstructive Pulmonary Disease. 2017;12:2465-2475. Doi: 10.2147/COPD.S141295.
5. American Diabetes Association Professional Practice Committee. Obesity and weight management for the prevention and treatment of Type 2 Diabetes: Standards of medical care in Diabetes-2022. Diabetes Care. 2022;45(Suppl. 1):S113-S124. Doi: 10.2337/dc22-S008.
14. Bluher M. Obesity: global epidemiology and pathogenesis. Nature Reviews Endocrinology. 2019;15(5):288-298. Doi: 10.1038/s41574-019-0176-8.
17. Wharton S, Raiber L, Serodio KJ, Lee J, Christensen RAG. Medications that cause weight gain and alternatives in Canada: A narrative review. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2018;11:427-438. Doi: 10.2147/DMSO.S171365.
23. Aktar N, Qureshi NK, Ferdous HS. Obesity: A review of pathogenesis and management strategies in adult. Delta Medical College Journal. 2017;5(1):35-48. Doi: 10.3329/dmcj.v5i1.31436.
24. Burridge K, Christensen SM, Golden A, Ingersoll AB, Tondt J, Bays HE. Obesity history, physical exam, laboratory, body composition, and energy expenditure: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022. Obesity Pillars. 2022;1:1-16. Doi: 10.1016/j.obpill.2021.100007.
25. Garvey WT. The diagnosis and evaluation of patients with obesity. Current Opinion in Endocrine and Metabolic Research. 2019;4:50-57. Doi: 10.1016/j.coemr.2018.10.001.
26. Fitch AK, Bays HE. Obesity definition, diagnosis, bias, standard operating procedures (SOPs), and telehealth: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022. Obesity Pillars. 2022;1:1-22. Doi: 10.1016/j.obpill.2021.100004.
27. Khattak ZE, Zahra F. Evaluation of Patients With Obesity. [Updated 2022 Feb 28]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK576399/
28. Van der Valk, Van den Akker ELT, Savas M, Kleinendorst L, Visser JA, Haelst MMV, et al. A comprehensive diagnostic approach to detect underlying causes of obesity in adults. Obesity Reviews. 2019;20:795-804. Doi: 10.1111/obr.12836.

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