Description – Obesity is now a true epidemic and public health crisis that both clinicians and patients must face. Normal body weight is defined as a body mass index (BMI), calculated as the weight in kilograms divided by the height in meters squared, of less than 25;
Obesity is now a true epidemic and public health crisis that both clinicians and patients must face. Normal body weight is defined as a body mass index (BMI), calculated as the weight in kilograms divided by the height in meters squared (easily available on mobile apps), of less than 25; overweight is defined as a BMI = 25.0-29.9, and obesity as a BMI greater than 30. Between 1980 and 2013 there was a 10% increase in India in a proportion of men and women with a BMI greater than 25.
Risk assessment of the overweight and obese patient begins with determination of BMI, waist circumference for those with a BMI of 35 or less, presence of co morbid conditions, and a fasting blood sugar and lipid panel. Obesity is clearly associated with type 2 diabetes mellitus, hypertension, hyperlipidemia, cancer, osteoarthritis, cardiovascular disease, obstructive sleep apnea and asthma. In addition, the metabolic syndrome.
How To Prevent Obesity Essay: Metabolic syndrome is defined as the presence of any three of the following: waist measurement of 40 inches or more for men and 35 inches or more for women, triglyceride level of 150 mg/dL or above, HDL cholesterol less than 40 mg/dL for men and less than 50 mg/dL for women, blood pressure of 130/85 mm Hg or above, and fasting blood glucose levels of 100 mg/dL or above. The relationship between overweight and obesity and diabetes, hypertension, and coronary artery disease is thought to be due to insulin resistance and compensatory hyperinsulinemia
In the study, overweight and obesity were associated with a large decrease in life expectancy. For example, 40-year-old female nonsmokers lost 3.3 years and 40-year-old male nonsmokers lost 3.1 years of life expectancy because of overweight, and 7.1 years and 5.8 years of life expectancy, respectively, because of obesity.
Prevention of overweight and obesity involves both increasing physical activity and dietary modification to reduce caloric intake. Adequate levels of physical appear to be important for the prevention of weight gain and the development of obesity.
Lifestyle modification, including diet, physical activity, and behavior therapy, has been shown to induce clinically significant weight loss. Other treatment options for obesity include pharmacotherapy and surgery. In overweight and obese persons, at least 60 minutes of moderate to high-intensity physical activity per day may be necessary to maximize weight loss and prevent significant weight regain. Counseling appears to be most effective when intensive and combined with behavioral therapy. Pharmacotherapy appears safe in short term; long term safety is still not established. You can also read about Better Eye Care
Commercial weight-loss programs are effective in promoting weight loss and weight loss management. Weight loss strategies using dietary, physical activity or behavioral interventions can produce significant improvements in weight among persons with prediabetes and a significant decrease in diabetes incidence.
Bariatric surgical procedures, e.g., adjustable gastric band, sleeve gastrectomy, and Roux-en-Y gastric bypass, are reserved for patients with morbid obesity whose BMI exceeds 40,or for less severely obese patients (with BMIs between 35 and 40) with high-risk comorbid conditions such as cardiopulmonary problems or severe diabetes mellitus. Nutritional deficiencies are one complication of bariatric surgical procedures and close monitoring of a patient’s metabolic and nutritional status is essential.
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