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Obesity

Differential Diagnoses

Cushing's syndrome
Deficiency in thyroid activity (hypothyroidism)
Genetic disorders (e.g., Down syndrome)
Severe familial high cholesterol (hyperlipidemia)
Severe familial obesity
Tumors of the adrenal or pituitary gland

Specialists

Clinical Psychologist
Endocrinologist
General Surgeon
Internal Medicine Physician
Neurologist
Psychiatrist

Comorbid Conditions

Diabetes
High blood pressure (hypertension)
Osteoarthritis

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Factors Influencing Duration

Factors that may influence length of disability include type of job and compliance with treatment protocol.

Duration Trends from Reference Data

DURATION TRENDS

ICD-9-CM: 278, 278.0, 278.00, 278.01

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
11912	39	0	124	0.1%	0%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	14	27	38	47	73

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

	ICD-9-CM:
	278 -	Obesity and Other Hyperalimentation
	278.0 -	Obesity, Simple
	278.00 -	Obesity, Unspecified
	278.01 -	Obesity, Morbid
	278.1 -	Localized Adiposity; Fat Pad

Return to Work (Restrictions / Accommodations)

Some obese individuals, especially those who are morbidly obese, may no longer be able to perform their duties efficiently because obesity tends to lead to fatigue. Weight-related conditions and diseases may also occur. Accommodations may include the possibility of a more sedentary position or one that incorporates limited exertion. A position that involves walking and moving around may also be beneficial because it engages the individual in exercise while working.

Individuals may need additional time away from work for appointments with the physician, dietitian, or personal trainer. A flextime arrangement may be a consideration for the individual whose weight reduction plan includes regular visits to a fitness club.

Source: Medical Disability Advisor

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