Obesity is currently regarded as one of the major health challenges
of the developed world. Excess body weight is an important risk
factor for morbidity and mortality from cardiovascular diseases,
diabetes, cancer, musculoskeletal disorders and even psychiatric
problems and is estimated to cause nearly 3 million deaths per year
worldwide. Obesity is not necessarily associated with
comorbidities: there are indeed metabolically healthy obese
individuals. Thus, we need to consider individuals presenting
simple with obesity separately from those at risk of developing or
who have already developed complex clinical states potentially
leading to disability. Comorbidities can tip the balance of
independence in patients who already have functional limitations
mainly due to the excess of mass itself or who develop conditions
such as diabetes, cardiovascular conditions, non-alcoholic fatty
liver disease, where an abnormal metabolism of adipose tissue
prevails. Morbid obesity with comorbidities leading to disability
represents a real social and economic burden for National Health
Systems worldwide. The presence of multiple and associated
comorbidities often represents an obstacle to being admitted to
hospitals for the treatment of metabolic diseases. On the other
hand, clinical units with optimal standards for the treatment of
pathological conditions in normal-weight patients are often
structurally and technologically inadequate for the care of
patients with extreme obesity. The aim of this book is to focus on
the pathophysiological and rehabilitative aspects of disabling
obesity, highlighting multidisciplinary rehabilitation
interventions as key to counteracting the disabling aspects of
complicated obesity.
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