The ABCD of Obesity: An EASO Position Statement on a Diagnostic Term with Clinical and Scientific Implications

Gema Fruhbeck*, Luca Busetto, Dror Dicker, Volkan Yumuk, Gijs H. Goossens, Johannes Hebebrand, Jason G. C. Halford, Nathalie J. Farpour-Lambert, Ellen E. Blaak, Euan Woodward, Hermann Toplak

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

73 Citations (Web of Science)

Abstract

Obesity is a frequent, serious, complex, relapsing, and chronic disease process that represents a major public health problem. The coining of obesity as an adiposity-based chronic disease (ABCD) is of particular relevance being in line with EASO's proposal to improve the International Classification of Diseases ICD-11 diagnostic criteria for obesity based on three dimensions, namely etiology, degree of adiposity, and health risks. The body mass index as a unique measurement of obesity does not reflect the whole complexity of the disease. Obesity complications are mainly determined by 2 pathological processes, i.e., physical forces (fat mass disease) as well as endocrine and immune responses (sick fat disease), which are embedded in a cultural and physical context leading to a specific ABCD stage. (c) 2019 The Author(s) Published by S. Karger AG, Basel

Original languageEnglish
Pages (from-to)131-136
Number of pages6
JournalObesity Facts
Volume12
Issue number2
DOIs
Publication statusPublished - 2019

Keywords

  • Adiposity
  • Dysfunctional adipose tissue
  • Noncommunicable diseases
  • Comorbidities
  • AMERICAN ASSOCIATION
  • PUBLIC-HEALTH
  • BODY-FAT
  • ENDOCRINOLOGISTS
  • MANAGEMENT
  • CHALLENGE
  • ADIPOSITY
  • COLLEGE
  • DISEASE
  • SHIFT

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