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Updated: May 10, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Obesity and gastrointestinal diseases
Ai Fujimoto1, Shu Hoteya, Toshiro Iizuka
1Department of Gastroenterology, Toranomon Hospital, 2-2-2, Toranomon, Minato-ku, Tokyo 105-8470, Japan ; Department of Gastroenterology and Hepatology, Toho University, Omori Medical Center, 6-11-1 Omorinishi, Otaku, Tokyo 143-8541, Japan.
Obesity is rising in Japan, linked to Western lifestyles. This study found obesity strongly associated with reflux esophagitis and hiatal hernia, especially in younger males.
Area of Science:
- Gastroenterology
- Public Health
- Epidemiology
Background:
- Rising obesity rates in Japan correlate with Westernized lifestyles.
- Obesity is a growing public health concern with potential links to various gastrointestinal disorders.
- Understanding these links is crucial for preventative strategies in the Japanese population.
Purpose of the Study:
- To investigate the association between obesity and specific gastrointestinal disorders in a Japanese population.
- To identify risk factors for gastrointestinal diseases in the context of increasing obesity.
- To compare findings with international studies on obesity and gastrointestinal health.
Main Methods:
- Cross-sectional study design involving a large Japanese sample population.
- Data collection on body mass index (BMI) and prevalence of gastrointestinal disorders.
- Statistical analysis to determine significant associations between obesity (BMI > 25) and specific conditions.
Main Results:
- Significant associations were found between obesity and reflux esophagitis and hiatal hernia in the Japanese subjects.
- Obesity, particularly in younger males, presented a high risk for these specific gastrointestinal diseases.
- No significant association was observed between obesity and Barrett's esophagus or colorectal adenoma in this study cohort.
Conclusions:
- Obesity is a significant risk factor for reflux esophagitis and hiatal hernia in Japan, with young males being particularly vulnerable.
- Ethnic differences may explain the lack of association between obesity and Barrett's esophagus compared to other populations.
- Further research is needed to elucidate the complex relationship between obesity, lifestyle, and diverse gastrointestinal pathologies.
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