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Posted on Nov 26, 2015 |

Obesity – Complications and Treatment

Obesity – Complications and Treatment

One in every 5 Indian men or women are either overweight or obese. Junk food, Alcohol and sedentary lifestyle are leading us to this self-destruction. According to a recent study, India occupies the 3rd leading position after the US and china with about 30 million obese population. Overweight in adults is categorized as BMI of 25 kg/m2 to 30 kg/m2 and Obesity as BMI of more than 30 kg/m2.

 

Complications of Obesity

Obesity has been linked to a number of health complications, some of which are life threatening.

Type 2 Diabetes Mellitus , High Blood pressure , Heart Diseases , Liver and Gall Bladder Diseases , High Cholesterol , Sleep Apnoea and other breathing problems , certain Cancers ( Breast , Colon and Endometrial ) , Stroke , Musculoskeletal Disorders

The need for total knee arthroplasty is 8.5 times higher in patients with BMI equal to or greater than 30 kg/m2.

 

Management

  1. Weight loss goals –   5- 15 % of body weight or 0.5 – 1 kg per week
  2. Nutrition – Reduce energy intake by 500 – 1000 kcals/day (with advise from nutritionist  ) .
  3. Physical Activity – Initially 30 min of moderate intensity (Brisk walking ) 3 – 5 times a week , eventually increase to 60 min on most days
  4. Behavioural interventions
  5. Prevention and treatment of comorbidities
  6. Intragastric Balloon – for adults whose BMI lies in the range of 30 – 40 kg/m2. Intended for patients who have not been able to lose weight through diet and exercise alone and is limited to those with one or more obesity related complications .
  7. Bariatric Surgery

 

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Dr. K.S.Soma Sekhar Rao

MBBS , MD (Gen Med ) , DM ( Gastro)

Medical Gastroenterology & Hepatology

Apollo Health City, Hyderabad