WHAT IS OBESITY?
Obesity is a chronic disease caused because of long-term positive energy balance; the intake of calories is more than the expenditure of energy. This results in progressive accumulation of body fat that might have a negative effect on the health.
HOW DO WE MEASURE OBESITY?
Body Mass Index (BMI) is the most common method of measuring obesity. BMI is calculated by dividing body weight (Kilograms) by height in (meters) 2
BMI = Weight in Kilograms / Height in (meter) squared
PROBLEMS ASSOCIATED WITH OBESITY
Obesity is not just a cosmetic problem. It’s recently recognized as a chronic disease and can further lead to a number of comorbidities such as-
It is now recognized that knee osteoarthritis exists in the highly metabolic and inflammatory environments of adiposity. Cytokines associated with adipose tissue, including leptin, adiponectin, and resistin, influence osteoarthritis though direct joint degradation or control of local inflammatory processes. It is further strongly related to the co-existence of disordered glucose and lipid metabolism.
OBSTRUCTIVE SLEEP APNEA (OSA)
Excess fat deposits in the neck cause intermittent obstruction of the air passage during sleep when neck muscles are relaxed, leading to interrupted sleep. This results in daytime drowsiness and headache. With increasing obesity, sleep apnea can contribute to the development obesity hypoventilation syndrome and frank respiratory failure.
Excess fat in body can have harmful effects by producing hormone and growth factor that affects the way cell works. Insulin and leptin are all elevated in obese people and can promote growth of cancer cells.
Most common type of cancers associated with obesity are-:
Breast cancer in women after menopause
Gall bladder, ovarian and aggressive prostate cancer
It is a medical condition that negatively affects the health and well being of children and adolescents. It occurs when a child is well above the normal weight for his or her age and height. Health risks involved with childhood obesity include
High cholesterol and high blood pressure, both of which are risk factors for heart disease.
Increased risk of type 2 diabetes
Sleep apnea, and asthma
Joint problems and musculoskeletal discomfort
Fatty liver disease, gallstones, and gastro-esophageal reflux (i.e., heartburn)
PSYCHOLOGICAL RISKS INVOLVED
Low self esteem
Behavior and learning problems: Obesity in children leads to anxiety and poor social skills. It may cause overweight children to socially withdraw and may even affect their learning.
Depression: Low self esteem children might go into depression and become emotionally flat.
PREVENTIVE MEASURES FOR CHILD HOOD OBESITY
Proactive measures should be taken at an early stage to prevent your child from hitting the morbid obesity and Co-morbidities
Knowing the Body Mass Index (BMI) of your child and monitoring it periodically
Promote healthy eating habits for the entire family
Low calorie and low fat food
Green leafy Vegetables
Avoid fried and junk foods, sweetened and carbonated beverages
3 meals a day and avoid snacking in-between
Encourage regular exercise or physical activities like outdoor games
30 minutes /day for 5 times a week
HOW TO LOOSE WEIGHT
NON-SURGICAL WEIGHT-LOSS MANAGEMENT
Medical weight-loss management at CODSILS includes therapeutic lifestyle changes (TLC). The lifestyle changes are all about diet, exercise, behaviour modification, evaluation and medication if required.
A healthy lifestyle promotes healthy behavior. It includes alteration of bad habits like excessive drinking and smoking. There should be balanced diet which must include increased fiber intake like fruits and vegetables, targeting on whole grains to increase daily soluble and insoluble fiber. Dietician will plan diet charts for every patient individually depending upon age, disease, eating habits, BMI etc. Our diet plan will include specials diets like DASH diet (for hypertensive patients), weight loss diets, pre and post-surgical diets.
In reality, failure to lose weight with dieting, exercise or life style modification can lead to frustration, depression, loss of self-confidence, and in many cases serious health issues. Fortunately, for many in this situation, weight loss through bariatric surgery may be an option. Determining whether you may be a candidate for bariatric surgery is a process that requires serious discussions with your doctor and you’re your family.