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Todd M – The increase in obesity is commensurate with the rise in associated complications, including type 2 diabetes, cardiovascular disease and some types of cancer (breast, colon, endometrium, prostrate, kidney and gallbladder). There are also increased cost implications for health services, welfare services and employers. A crude estimate of approximately 15000 patients attending a US clinic showed almost 75% of morbidly obese patients have chronic oedema of the legs. An audit of body mass index of patients attending a specialist lymphoedema clinic showed 36% were clinically obese and 23% were morbidly obese. This has major implications for lymphoedema practitioners in terms of allocating time and resources, and health and safety issues relating to providing a safe environment for both patients and practitioners.


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