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.
- Weight loss goals – 5- 15 % of body weight or 0.5 – 1 kg per week
- Nutrition – Reduce energy intake by 500 – 1000 kcals/day (with advise from nutritionist ) .
- Physical Activity – Initially 30 min of moderate intensity (Brisk walking ) 3 – 5 times a week , eventually increase to 60 min on most days
- Behavioural interventions
- Prevention and treatment of comorbidities
- 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 .
- Bariatric Surgery
Dr. K.S.Soma Sekhar Rao
MBBS , MD (Gen Med ) , DM ( Gastro)
Medical Gastroenterology & Hepatology
Apollo Health City, Hyderabad