Findings on Review of Systems in Obesity Assessment and Possible Causes

SymptomPossible Causes
Anxiety, school avoidance, social isolationDepression
Severe recurrent headachesPseudotumor cerebri
Shortness of breath, exercise intoleranceAsthma, lack of physical conditioning
Snoring, apnea, daytime sleepinessObstructive sleep apnea, obesity hypoventilation syndrome
Sleepiness or wakefulnessDepression
Abdominal painGastroesophageal reflux disease, constipation, gallbladder disease, NAFLDa
Hip pain, knee pain, walking painSlipped capital femoral epiphysis, musculoskeletal stress from weight (may be barrier to physical activity)
Foot painMusculoskeletal stress from weight (may be barrier to physical activity)
Irregular menses (<9 cycles per y)Polycystic ovary syndrome; may be normal if recent menarche
Primary amenorrheaPolycystic ovary syndrome, Prader-Willi syndrome
Polyuria, polydipsiaType 2 diabetes mellitusa
Unexpected weight lossType 2 diabetes mellitusa
Nocturnal enuresisObstructive sleep apnea
Tobacco useIncreased cardiovascular risk; may be used as form of weight control
  • a These conditions are often asymptomatic.