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🩺 Obesity

Obesity: Classes, Types and Modern Treatment

Obesity is a chronic disease, not just a cosmetic concern. We break down the classes, types, causes, health risks and evidence-based treatment — from lifestyle to modern GLP-1 medications.

Evidence-based medicine WHO classification Modern GLP-1 approach Physician supervision
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⏱️Read 9 min

What is obesity?

Obesity is a chronic, relapsing disease characterised by excess body fat that harms health. According to the World Health Organization (WHO), it is diagnosed at a body mass index of 30 kg/m² or higher. Obesity is not a matter of willpower or appearance: it is a disorder of appetite regulation, metabolism and hormones that raises the risk of type 2 diabetes, cardiovascular disease and certain cancers, and shortens life expectancy. Modern medicine treats obesity as a disease that requires systematic management — a combination of nutrition, physical activity and, when needed, medical therapy under a physician's supervision. Early intervention lowers the risk of complications and helps achieve lasting results.

E66

Obesity code in ICD-10 and ICD-11

In the International Classification of Diseases, obesity is coded E66 (ICD-10): E66.0 — due to excess calories, E66.8 — other forms, E66.9 — unspecified. In the new ICD-11 obesity is coded as 5B81.

Obesity classes and health risks

The WHO classification by body mass index. Each class represents a different level of health risk, not just a number on the scale.

Before obesity there is an overweight stage (pre-obesity) — BMI 25–29.9. Obesity itself is diagnosed starting from a BMI of 30.
Class 1 obesity (BMI 30–34.9) — moderate health risk, DOZA infographic
BMI 30–34.9

Class 1 obesity

Moderately increased risk of type 2 diabetes and hypertension. At this stage, lifestyle change and modern medications deliver the best results.

Class 2 obesity (BMI 35–39.9) — high health risk, DOZA infographic
BMI 35–39.9

Class 2 obesity

High risk of metabolic and cardiovascular complications. Medical support is usually needed alongside dietary change.

Class 3 (morbid) obesity (BMI ≥40) — very high health risk, DOZA infographic
BMI ≥ 40

Class 3 obesity (morbid)

Very high risk to life and health. Morbid obesity often requires intensive treatment — GLP-1 medications or bariatric surgery.

Want to know your class? Calculate your body mass index from your height and weight.

📊 BMI calculator

Types of obesity

It matters not only how much fat there is, but where it accumulates — this determines the health risk.

Abdominal (apple-shape) obesity — fat around the belly, DOZA infographic

🍎 Abdominal obesity

Fat builds up around the belly and waist (the "apple" shape). It is the most dangerous type — closely linked to diabetes and heart disease. Risk threshold: waist over 94 cm in men and over 80 cm in women.

Visceral obesity — fat around internal organs, DOZA infographic

🫀 Visceral obesity

Fat surrounds the internal organs in the abdominal cavity. It is metabolically active: it releases inflammatory substances that disrupt glucose metabolism and raise the risk of metabolic syndrome.

Gynoid (pear-shape) obesity — fat on hips and thighs, DOZA infographic

🍐 Gynoid obesity

Fat is stored on the hips and buttocks (the "pear" shape). It is metabolically less dangerous and more common in women.

There is also a mixed type of obesity — fat distributed evenly across the body, seen in people of both sexes.

Symptoms of obesity

Obesity shows up not only externally — there are characteristic signs that affect daily wellbeing.

Shortness of breath during activity and ordinary walking
Increased sweating
Swelling of the legs and body
Pain in joints, knees and back
Daytime sleepiness, snoring and sleep apnea
Quick fatigue and reduced performance

Causes of obesity

In most cases obesity results from a combination of several factors, which is why treatment must be comprehensive.

1Energy imbalance — more calories consumed than burned
2Genetic predisposition and metabolic features
3Hormonal disorders (insulin resistance, hypothyroidism)
4Chronic stress and lack of sleep
5Sedentary lifestyle
6Certain medications and comorbidities
7Insulin resistance and hyperinsulinemia
8Eating disorders and emotional overeating

How obesity is diagnosed

A doctor makes the diagnosis based on simple measurements and, if needed, laboratory tests.

  • Body mass index — obesity from a BMI of 30 kg/m²
  • Waist circumference: over 94 cm in men and over 80 cm in women
  • Waist-to-hip ratio — assessing visceral fat
  • Basic tests: glucose, lipid profile, thyroid hormones

The first step is to find out your body mass index.

📊 BMI calculator

Health consequences of obesity

Obesity raises the risk of more than 200 conditions. The most important are:

  • ⚠️Type 2 diabetes
  • ⚠️Hypertension and heart attack
  • ⚠️Fatty liver disease (steatosis)
  • ⚠️Sleep apnoea and shortness of breath
  • ⚠️Osteoarthritis and joint pain
  • ⚠️Certain cancers

The good news: even a 5–10% weight loss significantly reduces these risks.

The combination of abdominal obesity with high blood pressure, glucose and cholesterol is called metabolic syndrome — it especially raises the risk of type 2 diabetes and heart attack.

Features of obesity

Obesity presents differently depending on sex and age — so the approach should be individual.

Obesity in women

More often the gynoid type (hips, buttocks), linked to estrogens. A common cause is hormonal change: pregnancy, menopause, PCOS. After menopause the share of abdominal fat increases.

Obesity in men

Predominantly the abdominal type (belly). It raises the risk of diabetes and cardiovascular disease and lowers testosterone.

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Obesity in children and teens

Linked to diet, activity and heredity. BMI is assessed using age percentiles rather than the adult scale — a doctor's consultation is needed.

Not sure what your degree and health risk are? A DOZA specialist will assess your situation for free and tailor an approach just for you.

Free consultation

Obesity treatment: doctor supervision, not just a drug

Lifestyle and modern GLP-1 medications work when a doctor selects and manages the dose. We guide you to the result — and help you keep the weight off.

Modern obesity treatment: lifestyle, GLP-1 therapy and supervised programme — DOZA
Lifestyle in obesity treatment — nutrition, activity and sleep, DOZA infographic

Lifestyle

A balanced calorie-deficit diet, physical activity, quality sleep and stress management are the foundation of treatment at any class.

GLP-1 medical therapy for obesity — injection pen, DOZA infographic

GLP-1 medical therapy

Modern medications (Mounjaro, Ozempic, Retatrutide) act on appetite centres and help reduce 15–25% of body weight. Prescribed by a physician at BMI ≥ 30 (or ≥ 27 with complications).

Weight loss injections
Supervised weight-loss program — plan and monitoring, DOZA infographic

Supervised programme

Combining medication, a nutrition plan and physician support delivers lasting results and lowers the risk of weight regain.

Weight-loss programme

Why you should not treat obesity on your own

Obesity is a chronic disease. A drug on its own, without supervision, brings less result and more risk. The value is in the doctor's guidance, not in the injection itself.

⚠️On your own, from the internet

  • Dose chosen at random — weak effect or strong side effects
  • Unmanaged side effects (nausea, GI) → giving up early
  • Risk of fakes and a broken cold chain from the grey market
  • After stopping, the weight often comes back

🩺Under DOZA supervision

  • A doctor selects and gradually titrates the dose to your condition
  • Gentle start and side-effect management — no drop-outs
  • Original medication + cold chain 2–8 °C
  • Guidance to the result and keeping the weight off after the course

You are paying not for a drug, but for a result under specialist control.

Results under specialist supervision

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FAQ

Frequently asked questions about obesity

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Anastasia Shapoval

Metabolic Programs and Weight Control Specialist

Olena Kovalchuk

Medical Reviewer, Endocrinologist

Updated

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