Overweight

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Dr. Felix Lucian Happich

Written by

Dr. Felix Lucian Happich

MD, MHBA ·

In short

Overweight is a body mass index (BMI) of 25 to 29.9, or 23 to 24.9 in people of Asian origin. Overweight alone carries a low risk, but overweight with a large waist or a weight-related condition carries a moderate risk and qualifies for treatment.

Condition Overview


What is overweight?

Overweight is a BMI of 25 to 29.9 in White, Black and Hispanic adults and 23 to 24.9 in adults of Asian origin. BMI overestimates fat in very muscular people and underestimates it in older adults who have lost muscle. The next stage is obesity.

How risky is overweight?

The risk of overweight depends on the waist and on weight-related conditions, according to clinical guidance.

Risk levels in overweight
Situation Risk
BMI 25 to 29.9, normal waist, no related condition Low: preventing further gain
BMI 25 to 29.9 with a large waist or a related condition Moderate: weight loss treatment

Weight-related conditions include high blood pressure, prediabetes, abnormal blood fats, fatty liver and sleep apnoea.

Why is waist size measured in overweight?

Waist size is measured because BMI between 25 and 29.9 misses abdominal fat, which carries most of the risk. A waist of 102 cm or more in men and 88 cm or more in women counts as raised, and 90 cm and 80 cm in people of Asian origin: belly fat in men.

Does a small weight gain matter?

Yes, a small weight gain matters: 5 kg or more gained after age 18 in women and 20 in men raises the risk of heart disease and type 2 diabetes at every BMI. Stopping further gain is therefore a goal in itself.

Overweight in Dubai and the UAE

How common is excess weight in young adults in the UAE?

Among 33,327 Emirati men aged 18 to 29, 24.4 percent were overweight and 28.0 percent had obesity, and 41.3 percent had raised fasting blood sugar (Endocrinology, Diabetes and Metabolism, 2019).

In the UAE Healthy Future Study of 5,167 adults aged 18 to 40, abnormal blood fats affected 62.7 percent and obesity 26.5 percent, about 6 and 3 in 10 young adults (BMC Cardiovascular Disorders, 2023).

Dr Felix treats within the scope of his Dubai Health Authority licence. When a case needs a specialist view, for example suspected Cushing’s syndrome, a severe eating disorder or weight loss surgery, the decision is made together with an endocrinologist, psychiatrist or bariatric surgeon.

When lifestyle is not enough: GLP-1 weight loss treatment or metabolic weight loss. Keeping weight off: weight maintenance.

Your first consultation

Sit down with Dr. Felix, say what you want to know and leave with a clear plan. One physician, from the first question to the follow-up.

When to See a Doctor


  • Your BMI is 25 to 29.9 and your waist is above the limit.
  • You have high blood pressure, prediabetes or fatty liver with overweight.
  • You gained 5 kg or more in the last few years.
  • You want a plan before weight becomes obesity.
  • Unexplained rapid weight gain with swelling of the legs: assessment of heart, kidneys and thyroid.
  • Weight gain after a new medicine: review with the prescribing doctor.
  • Binge eating with loss of control: assessment for an eating disorder.
Stethoscope, notebook and blood pressure cuff, private medical consultation with Dr Felix Happich in Dubai

How Dr. Felix Assesses This


  • 1

    Weight history

    Onset, weight changes, earlier attempts, eating pattern, sleep and medicines.

  • 2

    Examination

    BMI, waist, blood pressure, and signs of thyroid, hormonal or other causes.

  • 3

    Blood tests

    HbA1c, lipids, liver enzymes and thyroid function (TSH), plus targeted tests.

  • 4

    Risk and plan

    Health risk graded low, moderate or high, and the treatment plan.

Treatment Options


Why Early Treatment Can Matter


Treating overweight early stops the drift to obesity and its complications. Small changes in weight at this stage prevent larger problems later.

Why Early Treatment Can Matter


Treating overweight early stops the drift to obesity and its complications. Small changes in weight at this stage prevent larger problems later.

Prevention

Further weight gain is stopped early.

Hidden risk

Abdominal fat and early prediabetes are found.

Simple plan

A plan that fits the level of risk.

Cost & Consultation Investment


The cost of an overweight assessment covers the consultation with Dr Felix, the examination, the blood tests that change the plan and the written plan. Dr Felix explains the full cost before anything is done.

Frequently Asked Questions


A BMI of 25 to 29.9 counts as overweight, and 23 to 24.9 in people of Asian origin.

Overweight alone carries a low risk; with a large waist or a weight-related condition the risk is moderate.

Weight loss medicine is considered from a BMI of 27 with a weight-related condition when lifestyle has not reached 5 percent weight loss.

The cost covers the consultation, examination, blood tests and written plan. Dr Felix explains the full cost before anything is done.

Evidence

Where this information comes from

Every figure on this page is taken from the sources below. All of them are free to read, so you can check them yourself.

Written byDr Felix Lucian Happich

This page is general medical information and does not replace a personal consultation. Trial results are averages across large groups, not a prediction for any one person.

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