Morbid obesity

Ischaemic heart disease - Morbid obesity Factor

"BMI" means body mass index and is calculated as follows:

BMI = W/H2 where:

W is the person's weight in kilograms; and

H is the person's height in metres.

(For Imperial weights and measures, BMI = wt. in lbs/ (ht in inches2) x 703.1).

Establishing the presence of morbid obesity

While efforts should be made to obtain details of the veteran's height and weight, if it is just not possible to obtain specific height/weight measurements, a medical comment that the veteran or member was morbidly obese will be sufficient.  Details of any ongoing, medically prescribed drug therapy for weight reduction or any surgical intervention for weight reduction should be obtained.

If height/weight measurements can be obtained, the BMI formula should be applied.

Last reviewed for CCPS 27 April 2010.

Investigative Documents

Preliminary questions [38915]

38198 there is some evidence that morbid obesity may be a factor in the development or worsening of the condition under consideration.

9004     the veteran has a history of morbid obesity.

38916 the veteran has been morbidly obese for at least five years at some time.

38917  the veteran has established the causal connection between morbid obesity and VEA service for ischaemic heart disease.

38918   the veteran has established the causal connection between morbid obesity and VEA service for the clinical onset of ischaemic heart disease.

38920  the veteran has established the causal connection between morbid obesity and operational service for the clinical onset of ischaemic heart disease.

or

38921  the veteran has established the causal connection between morbid obesity and eligible service for the clinical onset of ischaemic heart disease.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

38919   the veteran has established the causal connection between morbid obesity and VEA service for the clinical worsening of ischaemic heart disease.

38922  the veteran has established the causal connection between morbid obesity and operational service for the clinical worsening of ischaemic heart disease.

or

38923  the veteran has established the causal connection between morbid obesity and eligible service for the clinical worsening of ischaemic heart disease.

Clinical onset and operational service [38920]

33414 the veteran was morbidly obese for at least five years before the clinical onset of the condition under consideration.

9005     the morbid obesity is causally related to operational service.

Clinical onset and eligible service [38921]

28048 the veteran was morbidly obese for at least five years within the 15 years before the clinical onset of the condition under consideration.

9006     the morbid obesity is causally related to eligible service.

Clinical worsening and operational service [38922]

33416 the veteran was morbidly obese for at least five years before the clinical worsening of the condition under consideration.

9005     the morbid obesity is causally related to operational service.

9009     the clinical onset of the condition under consideration occurred prior to that part of operational service to which the morbid obesity is causally related.

Clinical worsening and eligible service [38923]

28049 the veteran was morbidly obese for at least five years within the 15 years before the clinical worsening of the condition under consideration.

9006     the morbid obesity is causally related to eligible service.

9010     the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the morbid obesity is causally related.