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       Obesity


 
 General Info about Obesity
 What are the causes  of Obesity ?
 What are the symptoms of Obesity ?
 How can we diagnose Obesity ?
 How can Obesity be treated ?
 More valuable information about Obesity
 Frequently asked questions about Obesity
 Glossary
 
General Info about Obesity

Obesity may be defined as a condition in which there is an excessive amount of body fat. This is one of the most commonest diseases found all over the world.

Obesity is the commonest disease in the United States. The aged are particularly prone to it, when one by one other physical pleasures have been outlived or denied, and there remains only the joys of the table.

-Richard A. Kern, 1951

What are the causes  of Obesity ?

Age : This is most prevalent in middle age and can occur at any stage of life.

Socio-economic : In developing countries it is more prevalent in the wealthy society, whereas in fully developed countries it is more common in lower-socioeconomic groups. 

Heredity : Obesity tends to run in families. A clearer role of genetics helps in prevention of obesity on those who are most vulnerable. Eighty percent of the offspring of two obese parents become obese. 

Endocrine factors : Abnormal influence or imbalance can be one of the causes of obesity. Obesity in women commonly begins at puberty, during pregnancy or at menopause. 

Drugs : The use of steroids, oral contraceptives and insulin is commonly followed by weight gain.

What are the symptoms of Obesity ?

Patient's appearance is sufficient to arrive at a diagnosis in most cases. Obesity is determined based on an individual's body mass index ( calculated with reference to the person's height and weight).

Large body frame.

Difficulty in doing daily activities. 

Lethargy 

Breathlessness

How can we diagnose Obesity ?
Degree of overweight or obesity should be assessed by measuring height and weight of the individual and thereby calculating body mass index (BMI)
How can Obesity be treated ?
Eat a low calorie or carbohydrate diet.
Small frequent meals. 
A high fiber and a low fat diet.
Regular exercise improves the fitness of obese people and their feeling of well-being.

Advantages of exercise :

1. Most obese people are capable of moderate aerobic exercise such as walking, swimming, gardening,dancing, provided it does not exceed their cardiovascular capacity.

2. Because of their heavy weight obese people expand more food energy than lean people doing exercise of this type.

3. Regular daily exercise will help in reducing than exercising once in a while. 

There are various appetite suppressing drugs but should be taken only on recommendation by the doctor. Surgery also may be an option but usually as a last resort, only recommended in case of morbid or gross obesity.
More Valuable information about Obesity

Mechanical disabilities associated with obesity are : 

Flat feet
Osteoarthritis of knees, hips, lumbar spine. 
Abdominal hernia.
Varicose veins.
Exertional healthlessness.
Respiratory infection. 
Accidents 

A lot of drugs which we use, may give rise to obesity. To mention a few; antidepressants, antoepileptics, steroids and antihypertensives.

Frequently asked questions about Obesity
Does obesity cause complications ?
Yes. Obese patients are at a risk of developing Diabetes mellitus, Cardiovascular diseases and Hypertension in the long term.

Does a low calorie diet help in losing weight ?
Yes. Weight reduction can be achieved by reducing food intake and by regular exercise. A low calorie diet should constitute a low carbohydrate, high fiber, moderate protein and a low fat diet.

Does exercise help in losing weight ?
1. Most obese people are capable of moderate aerobic exercise such as walking, swimming, gardening,dancing, provided it does not exceed their cardiovascular capacity.
2. Because of their heavy weight obese people expand more food energy than lean people doing exercise of this type.
3. Regular daily exercise will help in reducing than exercising once in a while.

What are the methods in surgical treatment ?
1. Wiring the jaws together to prevent eating has been used to treat those who have found it impossible to ahere to a low calorie diet.
2. Although this usually results in marked loss of weight, many patients regain weight when the procedure is reversed.
3. An alternative and fairly safe operation (major) is to reduce the size of the stomach, for eg. by stapling, which can be undone.
4. Small intestine bypass, aimed at inducing mal-absorption, has been undertaken in some centres for the treatment of severe "morbid" obesity, but complications can be severe and sometimes fatal.
5. It should be emphasized that surgery should be considered only for those with gross, interactable obesity.
Glossary
Body mass index (BMI)- a nutritional indicator

steroids
- group of drugs
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