Adiposity Grades

The World Health Organization (WHO) distinguishes three degrees of obesity depending on the severity of obesity. It thus pursues an important goal: to use this classification to assess the risk of possible secondary diseases.

Pre-obesity, the precursor to obesity

If the body mass index (BMI) is between 25 and 29.9, the preliminary stage to obesity has already been reached. According to the German Obesity Society (Deutsche Adipositas-Gesellschaft or DAG in German), the risk of secondary diseases in this area is still limited, but it is still worth taking a closer look at the waist circumference.
If the waist circumference is more than 88 centimetres for women and more than 102 centimetres for men, there is an increased risk of cardiovascular disease. Blood circulation and blood vessels are at risk. Doctors are also concerned about an increased proportion of abdominal fat, a so-called abdominal obesity. Metabolic diseases and cardiovascular disorders then have an easy time of it.

Obesity Grade 1

Experts speak of grade 1 obesity (mild obesity) when the BMI is between 30 and 34. The German Obesity Society urges caution: The risk of secondary diseases is already slightly increased. The most likely are:

Obesity grade 2

If the BMI values lie between 35 and 39.9, we speak of grade 2 obesity (moderate obesity). Obesity is already well advanced and even simple movements are now difficult. The risk of secondary diseases is correspondingly high. In particular, the risk of heart attacks and strokes is increasing rapidly.

Diets alone often do not lead to the desired success with grade 2 obesity. Above all, radical diets such as the juice or salad diet can only rarely relieve those affected of their suffering. Strict diets can trigger the feared yo-yo effect. The patience decreases, the cravings increase. They return just as quickly as the pounds fall. After all, radical diets are rarely permanent. The considerable loss of protein and water is often compensated by itself after the intensive slimming phase.

Obesity grade 3

If the BMI value climbs above 40, it means extreme obesity, the most severe form of obesity. Experts also refer to Grade 3 obesity as permagna or morbid obesity. Consequential diseases are highly probable at this stage.

Obesity is usually accompanied by other unpleasant symptoms such as shortness of breath, uncontrolled sweating and severe joint pain. Psychological complaints such as self-doubt, depression and anxiety also result in severe obesity. If the body is exposed to extreme stress over a longer period of time, Grade 3 obesity can even become chronic.

With this severe degree of obesity, a professional diet plan is often not enough. Those affected are dependent on further help, for example behavioural therapy. Through self-reflection, they should rethink their eating habits, question them and change them for the better. Occasionally, doctors also recommend surgical measures to treat obesity.

Successful in the fight against obesity

The higher the degree of obesity, the more persistent the obesity. At the same time, accompanying symptoms such as high blood pressure, fatty liver and arteriosclerosis cannot be easily reversed. This makes it even more important to declare war on extra kilos at the right time.

Eat consciously

A healthy lifestyle is still the best way to keep obesity in check. Vitamins, fibre and unsaturated fatty acids let your body breathe a sigh of relief. However, foods containing industrial sugar and saturated fats should only be consumed in moderation or should be taken off the diet altogether.

There is no universal recipe for the right diet. Each body is very individual. BIOMES specialises in researching this uniqueness., a self-test for home, tells you how your intestinal flora is and what's good for your body. All you need is a small stool sample, which you discreetly take at home using the test kit and send to the BIOMES Experts. They analyse your intestinal bacteria and share their findings with you via a protected online dashboard. Based on the results, they'll also create a personalized recommendations that can be a reliable helper.

Exercise, exercise, exercise

Sitting is the new smoking. Germans spend an average of 7.5 hours a day in the chair – no wonder that exercise is not enough. But it is indispensable in the fight against kilos. We should exercise for at least one hour a day. Your creativity is called for: whether climbing stairs, taking a walk or doing some sports in front of the TV – all this helps to integrate more exercise into everyday life.

Enlightenment is the key to success

A healthy diet does not have to be a mystery. It is purely a matter of education. And the earlier it begins, the better. Children need role models who can show them how to eat consciously – not only at home, but also in kindergartens, schools, leisure facilities and clubs.

Conscious Nutrition


Regular Exercise