Review Article

Defining and Diagnosing Obesity in India: A Call for Advocacy and Action

Table 1

Definition of obesity as per various societies and organizations across the world.

SocietyDefinition

The Scottish Intercollegiate Guideline [9]Obesity is defined as a disease process characterized by excessive body fat accumulation with multiple organ-specific consequences
The World Obesity Federation [4]Obesity is a chronic relapsing disease process, defined by excessive adiposity that may impair health
American Medical Association [10]Obesity is a disease state with multiple pathophysiological aspects requiring a range of interventions to advance obesity treatment and prevention
American Association of Clinical Endocrinologists and the American College of Endocrinology [11]Obesity is a complex, adiposity-based chronic disease (ABCD), where management targets both weight-related complications and adiposity to improve overall health and quality of life
Obesity Canada [12]Obesity is a chronic and progressive disease similar to diabetes or high blood pressure
American Society for Metabolic and Bariatric Surgery [13]Obesity is a chronic progressive disease resulting from multiple environmental and genetic factors
American Heart Association [14]Obesity is a multifactorial disease with a complex pathogenesis related to biological, psychosocial, socioeconomic, and environmental factors and heterogeneity in the pathways and mechanisms by which it leads to adverse health outcomes
European Association for the Study of Obesity [15]Obesity is an adiposity-based chronic disease (ABCD). ABCD incorporates the characteristics of adiposity, including the total amount, distribution, and function of adipose tissue.
Royal College of Physicians [16]Obesity is not a lifestyle choice caused by individual greed but a disease caused by health inequalities, genetic influences, and social factors
The Singapore Ministry of Health [17]Obesity is a condition of excessive body fat with adverse effects on health and is an increasing global problem that contributes to chronic disease burden and healthcare costs
Malaysian Association for the Study of Obesity and Malaysian Diabetes Association [18]Obesity is a complex, multifactorial condition characterized by excess body fat. It must be viewed as a chronic disorder that essentially requires perpetual care, support, and follow-up.
Endocrine Society of India [19]Obesity is a chronic, relapsing progressive disease defined by excessive adiposity that may impair health. The management of obesity should follow the approach that is followed for any chronic disease, i.e., initiate interventions and keep titrating these with time in order to achieve our treatment goals.