Obesity, particularly with early onset and severe degree, imposes function limitations in different areas. We need appropriate assessment tools to identify and evaluate the obesity-related disability. Generally, tests of physical and cardiorespiratory performance (FIM, 6MWT, dyspnoea score, sub-maximal exercise test), score of daily life activities (ADL o IADL), and quality of life (SF36, IWQL) are used. However, these instruments have not been specifically developed for obese patients and cover only a part of the complex disability that is associated with this condition, thus underestimating the disability risk profile. In the last years, a reference classification of disability (ICF) proposed by WHO has been used also in obesity. Areas such as mobility, self-care, handling stress, and social relationships appear hindered. Recently, an obesity-specific disability questionnaire (TSD-OC) has been validated against other standard tools and linked with ICF. A correct identification and evaluation of functional, psychological, and social limitations/disability secondary to obesity might promote long-term successful rehabilitation intervention to reduce the impact of this disease.
|Title of host publication||Disabling Obesity: From Determinants to Health Care Models|
|Publisher||Springer-Verlag Berlin Heidelberg|
|Number of pages||22|
|ISBN (Print)||9783642359729, 364235971X, 9783642359712|
|Publication status||Published - Nov 1 2013|
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