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Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
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Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion01:20

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Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

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Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...

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Related Experiment Video

Updated: Jul 18, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

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Published on: May 30, 2025

Nonalcoholic fatty liver disease decrease in obese adolescents after multidisciplinary therapy.

Lian Tock1, Wagner L Prado, Danielle A Caranti

  • 1Federal University of São Paulo, Paulista Medicine School, UNIFESP, EPM, São Paulo, Brazil.

European Journal of Gastroenterology & Hepatology
|November 14, 2006
PubMed
Summary

A 12-week multidisciplinary therapy significantly reduced visceral adiposity and nonalcoholic fatty liver disease (NAFLD) in obese adolescents. This intervention shows promise for managing obesity-related comorbidities in young individuals.

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Area of Science:

  • Pediatrics
  • Hepatology
  • Obesity Medicine

Background:

  • Nonalcoholic fatty liver disease (NAFLD) is increasingly prevalent, yet its development and importance are not fully understood, with no definitive treatment available.
  • Obesity-related comorbidities pose significant health challenges in pediatric populations.

Purpose of the Study:

  • To evaluate the short-term (12-week) effects of a multidisciplinary therapy on visceral adiposity and NAFLD control in obese adolescents.
  • To assess the impact of non-pharmacological interventions on metabolic health in a young population.

Main Methods:

  • Seventy-three obese adolescents (aged 17.01±1.6 years, BMI 36.54±2.86 kg/m²) underwent a 12-week multidisciplinary, non-pharmacological treatment.
  • Visceral adiposity and NAFLD were assessed using ultrasonography at baseline and after the intervention period.
  • Statistical analyses included descriptive statistics, one-way ANOVA, and paired t-tests.

Main Results:

  • The intervention led to a significant reduction in visceral adiposity (from 4.05±1.55 to 3.37±1.44).
  • NAFLD prevalence decreased significantly, from 52% to 29% on the right liver lobe and 48% to 29% on the left.
  • These findings are crucial as NAFLD can progress to cirrhosis, even in children and adolescents.

Conclusions:

  • Short-term multidisciplinary therapy demonstrates a substantial positive impact on controlling obesity-related comorbidities in adolescents.
  • This approach offers a promising strategy for managing NAFLD and associated conditions in young individuals.