Super Obesity

A state of obesity beyond morbid obesity, which is characterised by a body mass index (BMI) of > 50 kg/m2, exceeding the ideal weight by 225%, or ± 90-100 kg
Health risks 5-fold greater mortality than normal population, also arthritis, dyspnoea, cancer, depression, diabetes, gastro-oesophageal reflux, heart disease, hypertension, infertility, loss of bowel/urinary control, menstrual problems, obstructive sleep apnoea, swollen legs, and venous disorders
Management Bariatric surgery
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
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A BMI above 40, 50 and 60 is categorised as morbid obesity, super obesity and super-super obesity, respectively.
On the other hand, morbid and super obesity are potentially associated with a decline in FSTL1 levels due to the continuous loss of adipogenesis and increased number of maturated adipocytes, increased cell senescence, enhanced demand for lowering FSTL1 antiapoptotic activity, and also possibly due to epigenetic gene silencing undertaken by methylation.
This association was statistically significant for super obesity. Patients with BMI>50 had a significantly high shoe size decrease compared to patients with BMI<40 (p=0.008).