In many cases, doctors recognize pathological obesity too late

In many cases, doctors recognize pathological obesity too late


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Being fat affects more and more people and leads to a variety of health problems and complications such as diabetes, high blood pressure, gout or breathing difficulties. However, many physicians apparently recognize obesity too late, which has serious consequences for health insurers and patients. This is reported by the news agency "dpa", citing an article in the magazine "Handelsblatt". Investigations by the Barmer GEK had shown that only 11 percent of the insured were diagnosed with “overweight” - although almost every second German is affected.

A "body mass index" of over 25 means overweight
More and more people around the world are overweight and obese. Germany is one of the "Top 10" countries with the most affected, because according to the Robert Koch Institute (RKI) 23% of men and 24% of women are considered obese in Germany. The so-called "Body Mass Index" (BMI) is used as the basis for the calculation, which results from the body weight (kg) divided by the square of the body size. If the BMI is over 25, there is overweight; from a value of 30, doctors speak of obesity.

Despite the increasing numbers, a pathological obesity is apparently diagnosed too late by German doctors in many cases. According to the “Handelsblatt”, studies by the Barmer GEK on its 3.5 million insured people have shown this. This would have serious consequences for health insurers and patients, because complications and comorbidities such as back and joint wear, high blood pressure or heart diseases would require all the more intensive therapy. The health insurers would pay "double and triple" the costs saved in the treatment of the "cause of obesity" if the usually chronic complications later had to be treated, the magazine continued.

Surgical interventions may also take place too late
In addition to this, the Barmer's investigations would also have indicated that surgical interventions such as gastric reduction may be done too late - although it may also cure certain complications. According to the Handelsblatt, however, according to the medical director of the Barmer GEK, Ursula Marschall, a check is necessary before expanding the operations to determine whether similar results could not also be achieved with conservative therapy. (No)

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