Final answer:
Extreme obesity predominantly increases the risk of breathing problems during the perioperative period, along with other obesity-related health risks such as cardiovascular disease and type 2 diabetes.
Step-by-step explanation:
Among the perioperative risks strongly associated with extreme obesity, the increased risk of breathing problems is particularly notable. Those who are extremely obese may have obstructive sleep apnea and other respiratory disorders that can complicate anesthesia and surgery. Additionally, obesity contributes to a heightened risk of several serious health conditions, such as cardiovascular disease, type 2 diabetes, and certain types of cancer. Obesity's impact on the body includes increased inflammation, altered metabolism, and a higher risk of blood clots due to an increased number of fat cells. This emphasizes the importance of managing weight to prevent complications, including those associated with surgery.