What should you know about exogenous obesity?

Exogenous obesity describes excess body fat that develops when external influences contribute to sustained energy imbalance. These may include food environment, activity, sleep, stress, medicines and access to support; biology also shapes each person's response.

A clinician considers medical history, waist measurement, medicines, sleep and eating patterns rather than appearance alone. Excess body fat can contribute to hypertension, prediabetes, type 2 diabetes, acid reflux, gallstones, gout and obstructive sleep apnoea, although risk differs between people.

Arrange a health review to discuss a realistic goal and barriers such as pain, shift work or limited food choice. Care may combine nutrition advice, gradual activity suited to your joints, sleep support, medication review and treatment of related conditions. Avoid crash diets and unregulated products.

Seek prompt help for chest pain, fainting, severe breathlessness, sudden weakness or confusion. Arrange routine assessment for loud snoring with breathing pauses, persistent reflux, swollen painful joints, marked thirst or frequent urination.

Ask which health checks are appropriate, whether a medicine may contribute, how sleep and mobility affect your plan, and which options fit your medical history.