Is Obesity a Disease?

Obesity is often viewed as a matter of personal choice or lack of willpower—but science tells a different story. According to major medical organisations around the world, obesity is classified as a chronic disease, not just a lifestyle issue. Understanding this can be an important step toward reducing shame and seeking the right kind of support.

Obesity Defined

The World Health Organization (WHO) defines obesity as abnormal or excessive fat accumulation that presents a risk to health. It’s typically diagnosed using Body Mass Index (BMI), where a BMI of 30 or more is considered obese. While BMI has its limitations, it remains a useful screening tool in clinical settings.

Is Obesity Officially a Disease?

Yes. In fact, several leading medical bodies classify obesity as a chronic, relapsing, and progressive disease:

  • The World Health Organization (WHO)

  • The American Medical Association (AMA) (since 2013)

  • The European Association for the Study of Obesity (EASO)

  • The Irish Society for Clinical Nutrition and Metabolism (IrSPEN) supports this classification within the Irish context

This classification is based on a growing body of evidence showing that obesity involves complex interactions between genetics, hormones, environment, psychology, and behaviour—many of which are beyond a person’s control.

Why This Matters

If you live with obesity, you might have been told to "just eat less and move more." But research shows it’s rarely that simple.

Obesity is associated with real physiological changes, including:

  • Hormonal shifts (like leptin resistance) that affect appetite and metabolism

  • Inflammation that can impact cardiovascular health

  • Insulin resistance, which can lead to type 2 diabetes

Calling obesity a disease doesn't remove personal responsibility—but it recognises that biology plays a role, and that long-term success often requires medical and behavioural support.

Obesity and Chronic Conditions

Obesity significantly increases the risk of developing conditions such as:

  • High blood pressure

  • Type 2 diabetes

  • Sleep apnoea

  • Certain cancers

  • Joint pain and mobility issues

  • Depression and low self-esteem

Studies show that losing just 5–10% of your body weight can significantly improve many of these conditions (Ryan & Yockey, 2017).

What This Means for You

Recognising obesity as a disease helps shift the conversation from blame to care. It means that if you’re struggling with your weight, you deserve evidence-based, non-judgemental support—just like with any other chronic condition.

At our virtual clinic, we use a clinical, compassionate approach that focuses on:

  • Nutrition counselling tailored to your health profile

  • Habit-based behavioural change

  • Managing emotional eating and mindset

  • Supporting 5–15% weight loss, which is clinically significant and sustainable

Ready to Take the First Step?

If you’re living with obesity and feel stuck, know that it’s not your fault—and you’re not alone. Whether your goal is weight loss, improving your health, or feeling more confident in your body, our team of registered dietitians is here to help.

Book a free consultation today to explore how we can support you.

References:

  • World Health Organization. Obesity and Overweight. Link

  • American Medical Association. AMA Adopts Policy Recognizing Obesity as a Disease. (2013)

  • Ryan, D., & Yockey, S. R. (2017). Weight loss and improvements in comorbidity: differences at 5%, 10%, 15%, and over. Current Obesity Reports, 6(2), 187–194.

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The Link Between Obesity and Eating Disorders.