Obesity is defined as an increase in body weight beyond optimal skeletal and physical requirement, as the result of an excessive accumulation of fat in the body. Obesity may be due to metabolic or internal (endocrine) abnormalities known as endogenous causes or exogenous obesity due to overeating. Exogenous obesity is the end result from an imbalance between calorie intake and the expenditure of energy used in day to day activities.

Endogenous obesity is a result of abnormal function of one of the endocrine glands: the thyroid, adrenal, gonads or insulin producing cells of the pancreas.

These endocrine abnormalities occur in one of four different areas: