You are considered obese if you are more than 25% above the average weight and have a high percentage of body fat. You are moderately obese if you are 25–50% above the average weight and have marked increase in body fat. A body weight exceeding the ideal weight by 75% is considered severe obesity. Measurement of body mass index (BMI), determined from your weight in kilograms divided by the square of your height in meters, is a useful measure of relative obesity:
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• Normal range for BMI = 18.5 to 24.9 kg/m
• Overweight range = 25.0 to 29.9
• Obesity = >30.0 kg/m
Statistics from the Centers for Disease Control and Prevention indicate that more then 66% of American adults are overweight and have a BMI greater than 25. More than 30% are frankly obese, having a BMI greater than 30; approximately 9% are diabetic, many are predia-betics, and more than 25% have metabolic syndrome.
A. Metabolic syndrome
Individuals with this syndrome possess more than 3 of the following:
• Increased abdominal girth with a waist measurement greater than 46 inches in men, 40 inches in women (visceral obesity) or BMI greater than 30kg/m
• Dyslipidemia indicated by low serum levels of high-density lipoprotein (HDL) cholesterol and elevated triglycerides

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