Overweight (Obesity): Medical History

Medical history (history of illness) represents an important component in the diagnosis of obesity (overweight). Family history

  • Is there a frequent occurrence of obesity in your family?

Social history

  • What is your profession?
  • Is there any evidence of psychosocial stress or strain due to your family situation?

Current medical history/systemic history (somatic and psychological complaints).

  • Do you suffer from symptoms such as shortness of breath, increased sweating, back and joint pain?
  • Do you suffer from your excess weight?
  • Do you feel depressed because of body weight?
  • Do you have feelings of inferiority?
  • Do you have trouble sleeping?
  • Do you have a depressive mood?

Vegetative anamnesis including nutritional anamnesis.

  • Do you get enough exercise every day?
  • Do you sleep enough?
  • Were you breastfed as a child?
  • Do you eat a balanced diet every day? Which foods are part of this for you?
    • Do you tend to eat high-fat foods?
  • Do you smoke? If so, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
  • Do you use drugs? If yes, what drugs and how often per day or per week?


  • Pre-existing conditions (metabolic disorders; psychological problems).
  • Operations
  • Allergies
  • Pregnancies

Medication history (Subsequent medications increase appetite or decrease energy expenditure – increased body weight is the result).

Environmental history

  • Bisphenol A (BPA) as well as bisphenol S (BPS) and bisphenol F (BPF) are associated with obesity in children; detection of BPF (versus no detection) showed an association with abdominal obesity (OR 1.29) and BMI (BPA is considered an endocrine disruptor and obesogen)
  • Phthalates (plasticizers used in the plastics industry), these occur especially in fatty products (cheese, sausage, etc.) overNote: Phthalates belong to the endocrine disruptors (synonym: xenohormones), which even in the smallest amounts can damage health by altering the hormonal system.