April 20, 2022

Is Obesity a Disease?

What we often get wrong and how it can be managed

Overweight woman working in an office

Mention the word “obesity,” and the opinions — and misconceptions — start flying. But obesity isn’t the result of a lack of willpower or not caring about appearance. Obesity is a condition that affects about 42% of the U.S. population.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

What is obesity?

Obesity is a disease where an abnormal or excess accumulation of fat causes harm to one’s health. So, what causes it and how can it be managed? Psychologist and weight management specialist Leslie Heinberg, PhD, MA, offers some helpful insight for navigating this complex disease.

What we often get wrong about obesity

“The most common misconception about obesity is that it is simply a ‘lifestyle’ disorder — that people have obesity simply because of their diet or physical activity. Obesity is very complex and is caused by a lot of factors,” explains Dr. Heinberg.

Is obesity an illness or a disease?

The American Medical Association (AMA) officially recognized obesity as a chronic disease back in 2013. The AMA also states that it’s a disease state with multiple functional changes that require a range of treatment and prevention options.

Symptoms of obesity

While obesity is considered a disease, there aren’t any true symptoms for it.

“Just like high blood pressure, obesity is ‘silent.’ It doesn’t have specific symptoms,” says Dr. Heinberg. “Obesity is defined by body mass index (BMI), which is a ratio of height and weight, but that’s a pretty blunt instrument. What’s more important is the percentage of fat mass to lean muscle mass and where people hold their weight (for example, abdominal obesity).”

Causes of obesity

The following factors can contribute to obesity.

An imbalance between food and activity

If you’re eating a lot of calories but not burning more through physical activity, that can cause you to gain weight. Try to watch your portion sizes and start moving if you don’t already exercise regularly.

Your environment

When you don’t have access to fresh food, it can be harder to make healthy choices. It’s also tough if you live in an area that doesn’t have nice parks, sidewalks or affordable fitness options. And believe it or not, ads for junk food could even be influencing how you eat.

Advertisement

Your genes

Yes, they can affect how you gain weight. They can also increase your risk for obesity. Scientists have discovered that genes can cause obesity that occurs with conditions like Prader-Willi syndrome, which is a common genetic disorder that causes life-threatening obesity in kids. Variations in some genes may also contribute to obesity by causing you to feel hungrier so you eat more.

Other medical conditions

Hormonal conditions such as an underactive thyroid, Cushing’s syndrome and polycystic ovary syndrome (PCOS) can lead to obesity. Some medications can trigger it as well. They include corticosteroids (steroids), antidepressants and seizure medicines.

“More than 100 possible causes or risk factors for obesity have been identified. Some relate to our environment (for example, agricultural policies or how our neighborhoods are built) and there has been recent interest in the impact of our gut microbial community and how gut hormones play a role in driving our metabolism,” notes Dr. Heinberg.

Treatment options for obesity

Dr. Heinberg says there are a variety of treatment options for obesity. Lifestyle interventions that focus on changing a person’s diet and level of physical activity, while empowering them with behavioral tools and skills, can help increase success. Medical interventions are also beneficial.

“Several prescription medications are now available to help with weight loss and medically supervised diets can be helpful. Endoscopic and bariatric surgical procedures are associated with the greatest amount of weight loss but are reserved for more severe obesity or for those who are living with significant health problems,” says Dr. Heinberg.

Obesity is a risk factor for these health conditions

As obesity is a multifactorial disease, if you’re living with it, your healthcare provider will also check for other medical conditions. Dr. Heinberg says that more than 220 conditions have been linked to obesity, including:

Type 2 diabetes

Living with obesity can make you more likely to develop Type 2 diabetes. Obesity also causes diabetes to progress much faster.

Cardiovascular disease

When your body fat increases, it can increase your risk for heart failure, coronary artery disease, atrial fibrillation or even sudden cardiac death.

Advertisement

Liver disease

Nonalcoholic fatty liver disease and nonalcoholic steatohepatitis have been linked to obesity. Obesity, combined with high blood sugar, insulin resistance and high levels of triglycerides and other fats in your blood, can cause fat to build up in your liver. This buildup can lead to inflammation or scar tissue in your liver as well.

Obstructive sleep apnea

While weight isn’t the only reason why people develop sleep apnea, extra weight can make it hard to breathe while sleeping. Fat deposits in your neck can block your upper airway. And excess fat around your midsection can make it harder for your lungs to work properly, or your lungs are more likely to collapse. And the risk for obstructive sleep apnea increases as your BMI goes up.

Certain types of cancer

According to the National Cancer Institute, there’s evidence that higher levels of body fat can increase risks for certain cancers. These cancers include endometrial, liver, kidney, breast, ovarian and thyroid.

Why it’s important to remember that obesity is a chronic disease

“People assume that once they’ve lost weight, they’re ‘done’ or that the obesity is ‘cured,’” notes Dr. Heinberg. “Unfortunately, after weight loss comes the much more difficult challenge of weight loss maintenance. Like many chronic diseases, obesity tends to recur and can worsen over time. Long-term treatment options are best for chronic diseases like this one.”

How we can be better advocates for ourselves or our loved ones who are living with obesity

Dr. Heinberg says one of the best things that we can do is seek out healthcare providers who understand that obesity is a disease. “Find providers who understand that it isn’t an issue of willpower and take this condition seriously. No one should feel stigmatized in healthcare due to their weight.”

Learn more about our editorial process.

Related Articles

Two bariatric surgery options: grastric bypass and gastric sleeve
February 14, 2024
How To Know Which Type of Bariatric Surgery Is Right for You

Gastric bypass and sleeve gastrectomy are different procedures that offer similar benefits, including significant weight loss

Showing self injection of mounjaro into thigh.
October 24, 2023
How Mounjaro Is Helping People With Obesity Lose Weight

This diabetes drug is quickly gaining attention for weight loss potential

Closeup up of a pile of sugar with sugar cubes on top.
August 24, 2023
Sweet Spot: How Much Sugar Is OK To Eat Per Day?

Updated food label guidelines make it easier to track added sugars in your diet

Person handing a pharmacist a prescription.
March 29, 2023
Is Ozempic the Answer for Your Weight Loss?

This diabetes med can treat obesity, but it’s not for people who just want to drop a few pounds

Person checking their BMI.
January 5, 2023
Overweight and Obesity: What They Mean and Why They Matter

They’re legit health conditions, and not entirely in your control

Person lifting weights at gym.
January 3, 2023
Set Point Theory May Explain Why You’re Not Losing Weight

Your weight-loss plateau isn’t a question of willpower, it’s your body fighting back

Managing diabetes and obesity during covid
February 7, 2022
Why It’s Important To Manage Obesity and Diabetes During the Pandemic

Get things under control with the help of two experts

Dibesity diabetes and weight
November 7, 2021
Diabesity: How Obesity Is Related to Diabetes

And the one thing you can do to turn diabetes around

Trending Topics

Person in yellow tshirt and blue jeans relaxing on green couch in living room reading texts on their phone.
Here’s How Many Calories You Naturally Burn in a Day

Your metabolism may torch 1,300 to 2,000 calories daily with no activity

person getting a sinus massage between brows
5 Sinus Massage Techniques To Relieve Pressure and Promote Drainage

A gentle touch in all the right places may help drain your sinuses

woman snacking on raisins and nuts
52 Foods High In Iron

Pump up your iron intake with foods like tuna, tofu and turkey

Ad