J Obes Metab Syndr.  2023 Jun;32(2):121-129. 10.7570/jomes23031.

Diagnosis of Obesity: 2022 Update of Clinical Practice Guidelines for Obesity by the Korean Society for the Study of Obesity

Affiliations
  • 1Department of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
  • 2Department of Family Practice and Community Health, Ajou University School of Medicine, Suwon, Korea.
  • 3Department of Dietetics, Kangbuk Samsung Hospital, Seoul, Korea.
  • 4Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
  • 5Department of Family Medicine, Konyang University College of Medicine, Daejeon, Korea.
  • 6Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
  • 7Department of Family Medicine, Gachon University College of Medicine, Incheon, Korea.
  • 8Department of Endocrinology and Metabolism, College of Medicine, Kyung Hee University, Seoul, Korea.
  • 9Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Seoul, Korea.
  • 10Department of Family Medicine, Korea University College of Medicine, Seoul, Korea.
  • 11Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.

Abstract

The prevalence of obesity has consistently increased worldwide, and many obesity-related diseases are emerging as major health problems. Body mass index (BMI) is used to define obesity and is highly correlated with body fat mass. Moreover, obesity-related morbidities increase linearly with the increase in BMI. The Korean Society for the Study of Obesity defined overweight as a BMI ≥23 kg/m 2 and obesity as a BMI ≥25 kg/m 2 , based on a significant increase in obesity-related diseases. A waist circumference of ≥90 cm in men and ≥85 cm in women are defined as abdominal obesity, which is also correlated with obesity-related diseases. These diagnostic criteria are the same as in the previous version; however, the updated guidelines put greater emphasis on the use of morbidity as the basis for obesity and abdominal obesity diagnoses. These new guidelines will help to identify and manage high-risk groups for obesity-related comorbidities among Korean adults.

Keyword

Diagnosis; Obesity; Abdominal obesity; Body mass index; Waist circumference; Comorbidity
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