Obesity Management & Assessment

Understanding Obesity (ABCD)

• Today, obesity is understood as Adiposity-Based Chronic Disease (ABCD).
• This means your body may be storing or handling fat in a way that affects your health — just like any other chronic condition.
• Weight changes happen because of hormones, metabolism, stress, sleep, and genetics, not because of lack of willpower.

Obesity can influence several areas of health:

Metabolic (Diabetes, Liver)

Mechanical (Joints, Apnea)

Mental (Stress, Stigma)

Understanding these effects early helps us support you with a plan that is safe, personalized, and stigma-free.

Before We Proceed

Obesity is a very complex condition that IS MORE than just calories.
Obesity is not a character flaw — it's a chronic disease.
It is a neurohormonal metabolic disease associated with dysregulated secretion of satiety factors.

Which among the following do you feel you fit into?

I want to start the journey of healthy weight loss I lost weight, but am not able to maintain despite changing my eating habits I lost weight previously but regained it after returning to previous eating pattern I am just not able to loose weight irrespective of dieting + exercise I lost previously but finding it difficult to follow the same diet

Benefits of Weight Loss

Even a 5% weight loss can yield clinical benefits.

0 – 5%

HypertensionHyperglycemia

5 – 10%

PCOSPrevention T2DMFatty Liver (NAFLD)

10 – 15%

Cardiovascular DiseaseSleep Apnea (OSAS)Osteoarthritis

> 15%

T2D RemissionMortality ReductionHepatic Steatosis

The 5A Model: ASK-ASSESS-ADVISE-AGREE-ASSIST

We would like to understand the concerns about your weight and overall health so that we can agree on realistic and healthy weight loss goals.

1Ask

2Assess

3Advise

4Agree

5Assist

Medical History / Safety Check

Please check if you have any of the following conditions:

Retinopathy (Eye issues) Pancreas, Gallstones or Stomach issues Any scheduled surgery Pregnancy or planning Pregnancy Breastfeeding Family history of Medullary Thyroid Carcinoma (MTC) Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

Patient Information

Date of Visit

Patient Name

Age

Gender

Male Female Other

Contact Number

Occupation

Address

Anthropometry & Measurements

Weight (kg)

Height (cm)

BMI

Waist (cm)

Waist / Height Ratio

Body Composition (BCA/DXA)

Fat Mass %

Visceral Fat %

Skeletal Muscle Mass

Lean Mass %

⚠️ Note: Body fat percentage above 25.5% in men and above 38% in women is used to define obesity

Weight History

1. Pattern of Weight Gain

Gradual Rapid Weight cycling

2. Age of Onset

Childhood Adolescence Adulthood Post-Pregnancy

3. Triggers for weight change

Pregnancy Stress Medication-related Reduced activity No clear trigger

Methods Tried:

Dieting Exercise Medical therapy Bariatric eval None

Previous Loss Efforts:

Lost and regained Minimal / no loss Unable to maintain

Life Trajectory of Weight

Highest Weight (kg):

Lowest Weight (kg):

Medical Conditions

Condition	Present	Absent
Hypertension
Type 2 Diabetes
Prediabetes
Dyslipidemia
Obstructive Sleep Apnea
Cardiovascular Disease
NAFLD / Fatty Liver
Osteoarthritis
PCOS (IF FEMALE)
Hypothyroid
Others

Medications

Medication Class	Present	Not Present
Antipsychotics
Antidepressants
Anti-epileptics
Steroids
Insulin
Sulfonylureas
Progestin OCPs

Surgeries

Family History

Family history of obesity? Yes No

Condition	Mother	Father	Sibling(s)	Grandparents
Obesity
Type 2 Diabetes
Hypertension
Thyroid Problems

Habits

Total Calories:

Sleep Duration:

Clinical Monitoring Sheet

Measurement	Baseline	Visit 1	Visit 2	Visit 3
Weight (kg)
BMI
Waist (cm)
HbA1c

YOU ARE NOT ALONE