1. People at risk for obesity-related health problems, especially adult onset diabetes, need to be particularly careful about gaining abdominal fat.

2. When assessing the health importance of obesity for an individual, total fat, fat distribution and risk of disease all need to be considered.

3. It is more crucial for abdominally obese people to reduce fat for health reasons than for people with a more gynoid pattern.

4. The primary* location of fat storage in an individual (i.e. upper or lower body) influences not only the health risk but also the degree to which changes can be made in body fat content. Abdominal body fat stores tend to be more mobile than those in the lower body.

5. For this reason, body fat in android-shaped males is likely to be more easily mobilised than in most gynoid-shaped females.

6. Because of possible significant genetic, psychological and metabolic differences, long term cases of severe and morbid obesity should be regarded differently to short term cases of overfatness.

7. Because of hormonal changes, the fat loss response of postmenopausal women may be different to that of younger women and hence fat loss treatments may need to be different.

8. The genetic contribution to overfatness needs to be assessed to help determine the difficulty of the potential fat loss response.

9. Look for and consider less obvious health problems that may be related to excessive overfatness, e.g. bad back, bad knees, poor sleep, all of which may affect the fat loss response.

10. Be sensitive to psycho-social problems and sexual disorders in people who are excessively fat.

11. Accept that there are many factors influencing body fat and body shape that cannot be significantly modified, i.e. genetics, gender, age.

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