OBESITY CLINIC

IN 2013, THE AMERICAN MEDICAL ASSOCIATION OFFICIALLY RECOGNIZED AND DEFINED OBESITY AS A DISEASE.
OBESITY IS A DISEASE COMPOSED OF SICK FAT DISEASE (ADIPOSOPATHY) AND FAT MASS DISEASE.

Obesity is a condition in which a person has an unhealthy amount and/or distribution of body fat.
To diagnose  obesity, the body mass index(BMI), is calculated by dividing a person’s weight (in kilograms) by their height (in meters) squared (commonly expressed as kg/m2).
 BMI provides a more accurate measure of obesity than weight alone, and for most people it is a fairly good (although indirect) indicator of body fatness
BMI may be normal and the waist circumference may be more – They are the lean obese and prone for Disease.
The most sensitive method to diagnose is by DXA SCAN.

Diseases associated by Obesity

  • Cardiovascular: Dyslipidemia, Hypertension
  • Pulmonary: OSA, Asthma
  • GI: Gall bladder disease, NAFLD-non alcoholic fatty liver disease.
  • CNS: Pseudotumour cerebri.
  • Endocrine: Type 2 diabetes mellitus, Metabolic syndrome, PCOS.
  • Orthopedic: Blont disease, SCFE-slipped capital femoral epiphysis.
  • Psychological: Behavioural problems of anxiety, depression, low self esteem, disordered eating, school isolation, poor academic performance, bullying/being bullied.
  • Cancers : Endometrial cancer, Breast cancer, Ovarian cancer, Esophageal adenocarcinoma,Gastric cardia cancer,Liver cancer, Gallbladder cancer,Colorectal cancer, 
    Kidney cancer, Multiple myeloma, Meningioma, Pancreatic cancer.

How many cancer cases may be due to obesity?

A population-based study using BMI and cancer incidence data from the GLOBOCAN project estimated that, in 2012 in the United States, about 28,000 new cases of cancer in men (3.5%) and 72,000 in women (9.5%) were due to overweight or obesity
Obesity is not caused simply by the indifference or the willful misconduct of the patient.
The traditional mandate to “eat less and exercise more” is the nutritional equivalent of telling a depressed patient “just pull yourself together” or an asthmatic patient “just breathe easy.

Treating Obesity

Understanding the cause
Motivation
Medication
The best way to treat obesity is to eat a healthy, reduced-calorie diet and exercise regularly.
To do this, you should:
  • eat a balanced, calorie-controlled diet as recommended by your GP or weight loss management health professional (such as a dietitian)
  • join a local weight loss group
  • take up activities such as fast walking, jogging, swimming or tennis for 150 to 300 minutes (2.5 to 5 hours) a week
  • eat slowly and avoid situations where you know you could be tempted to overeat

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