Nursing Diagnosis – Code 00232 Obesity (2013; LOE 2.2)

Domain 2. Nutrition Class 1. Ingestion

Obesity

Definition A condition in which an individual accumulates abnormal or excessive fat for age and gender that exceeds overweight.

Defining Characteristics

■ ADULT: BMI of >30 kg/m2 ■ CHILD <2 years: Term not used with children at this age
■ CHILD 2–18 years: BMI of >30 kg/m2 or >95th percentile for age and gender

Related Factors

■ Average daily physical activity is less than recommended for gender and age ■ Consumption of sugarsweetened beverages ■ Disordered eating behaviors ■ Disordered eating perceptions ■ Economically disadvantaged ■ Energy expenditure below energy intake based on standard assessment (e.g., WAVE assessment*) ■ Excessive alcohol consumption ■ Fear regarding lack of food supply ■ Formula- or mixed-fed infants ■ Frequent snacking ■ Genetic disorder
■ Heritability of interrelated factors (e.g., adipose tissue distribution, energy expenditure, lipoprotein lipase activity, lipid synthesis, lipolysis) ■ High disinhibition and restraint eating behavior score ■ High frequency of restaurant or fried food ■ Low dietary calcium intake in children ■ Maternal diabetes mellitus ■ Maternal smoking ■ Overweight in infancy ■ Parental obesity ■ Portion sizes larger than recommended ■ Premature pubarche ■ Rapid weight gain during childhood ■ Rapid weight gain during infancy, including the first week, first 4 months, and first year
■ Sedentary behavior occurring for >2 hours/day ■ Shortened sleep time ■ Sleep disorder ■ Solid foods as major food source at <5 months of age