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Overview

Obesity - Symptom, Treatment And Causes

What is Obesity?

Obesity is a term used to describe excessive body fat. This weight can come from body water, fat, bone and muscle. Obesity occurs when you start consuming more calories than your body uses. Many factors can affect your weight such as not being physically active, consuming high fat foods and genetic makeup. Being obese can have a lot of complications on your health such as the risk of cancer, arthritis, stroke, heart disease and diabetes.

What causes obesity?

  • Consuming excessive calories- Nowadays people eat more food than in the previous generation. This used to happen in the developed nations, but now this trend has spread across the world. People also consume a lot of sweetened drinks which leads to the formation of carbohydrates. Fast food can also increase weight to a great extent.
  • Leading a stationary lifestyle- With the arrival of dishwashers, washing machines, remote controls, video games, computers and televisions, people have become less active and refuse to do their work on their own. The lesser active you are, the fewer calories you tend to burn. Engaging in physical activities is also beneficial for you as it keeps your insulin levels stable. This prevents you from developing diabetes.
  • Not sleeping- Studies suggest that if you don’t sleep enough, you can get obese. Both children and adults face this risk. Studies show that sleep deprivation can lead to obesity due to increased appetite as a result of changes in hormones. Lack of sleep also makes your body produce less amount of Leptin (a hormone which reduces appetite).
  • Medications- Some medications which make people put on excessive body weight. People who are already overweight should select some alternative therapy to avoid getting obese.

How to treat obesity?

  • Dietary changes- It is recommended to reduce the intake of whole grains, vegetables and fruits. It is important to reduce the consumption of fats, refined carbohydrates and sugar. A low calorie diet is usually prescribed by a dietitian or a healthcare professional.
  • Physical activity- It is advisable to engage in physical activities like walking, jogging, playing outdoor sports to lose weight.
  • Prescription medications- These medications should be considered as the last resort if the patients find it very difficult to lose weight.
  • Weight loss surgery- This is also known as Bariatric Surgery. This procedure is recommended for only morbidly obese people.
Can't be cured, but treatment helps Usually self diagnosable Chronic: can last for years or be lifelong Non communicable
Symptoms
Pain on back Pain on joints Binge eating Fatigue Pot belly Snoring

Popular Health Tips

Bariatric Surgery - Know Problems Of It!

MBBS, Fellowship In Minimally Invasive Bariatric Surgery, Fellowship In Minimally invasive(Keyhole) Surgery
Bariatrician, Bangalore
Bariatric Surgery - Know Problems Of It!

Bariatric surgery is unlike other surgeries, as its effects are not instant but gradual and are seen over the months. Like any other surgery, it is not without complication. But again unlike all other surgeries, the complication rate can be negligible if a strict protocol is followed. Moreover, the factors like technology advancements, development in the field of advanced laparoscopy, enhanced skillset of the bariatric surgeon, dedicated management of bariatric and metabolic surgeries by bariatric surgeons, play a vital role in the reduction of complication rate which eventually results in safe surgery.

As the procedure is done laparoscopically, the pain is just for a day and is minimally managed by analgesics.

The fear of increasing incidence of incisional hernias while operating an obese patient is so negligible or nil, as the procedure is performed through tiny key holes and all precautions are taken to suture the sheath through which the ports are put to perform the surgery.

Reduced hospital stay and early resuming to work is one of the biggest benefits of this laparoscopic bariatric procedure.

Sometimes, problems that may be faced are:- 

  1. Post-operative bleeding: Normally, this a nearly bloodless surgery involving 5 to 10ml loss of blood. However bleeding from the staple edges is known, but this can be managed well by the surgeon, by choosing the right size of the cartridge as well the right technique of application of the cartridge.

  2. Dehydration: We are normally accustomed to drinking water at long intervals (a few hours) as we can consume nearly 200 to 400ml at one go. Following bariatric surgery, gulping or drinking water in one go is not possible in the first 2 to 4 weeks, due to reduced capacity of the gastric pouch. Hence, care needs to be taken to drink small quantities of water at frequent intervals to avoid dehydration. This is possible only if the patient is counselled about this prior to surgery and is fully aware of this. Also, the patient needs to be given good and clear post operative instructions regarding the quantity and frequency of liquid consumption, not forgetting the type of liquids. Coffee taken frequently could be another cause for dehydration. Family members and colleagues and friends at work play a major role in reminding tthe patient about consuming water frequently. Special care needs to be taken in people who are not accustomed to consuming adequate quantities of water prior to surgery as a general habit.

  3. Vomiting/Fullness/ Discomfort/Indigestion: Following bariatric surgery, soft food is introduced in the diet in the third week, after the first 2 weeks of taking liquids. Due to the reduced capacity of the gastric pouch, the morsel size is significantly reduced and one has to chew the morsel well and eat slowly, giving a gap of 40 to 50 seconds between the morsels. This prevents distension or overdistension of the gastric pouch and thus avoids vomiting. This again requires good counselling prior to the surgery and on the follow up visit too before stating soft food. There is a subjective difference when we say small morsels and we cannot reach a standardization as the morsels size of each individual varies prior to the surgery itself. The best way to avoid this confusion is to make the person have the first soft food meal before you where in you can physically show the way food is expected to be eaten. However, by mistake, there is a chance that one can have a regular sized morsel as over years one is used to eating in that manner. If this happens, the person will vomit , and this will be a reminder to gauge the morsel size the next time the person eats. Following the vomiting, there could be a burning sensation in the stomach which will subside afer taking an antacid. If one follows the instructions of small morsel size, chewing properly and eating slowly, there is no chance that there will be vomiting. Another reason for vomiting could be keeping the stomach empty for a longer duration or having sicy food on an empty stomach. Avoid nuts, seeds, fried foods and processed foods. Very rarely vomiting could be due to reduced size of the joint between the gastric pouch and the small intestine. This could require an Endoscopy and necessary treatment.

  4. Vitamin and mineral deficiency: It is seen that many of the obese patients are seen to have vitamin B12, vitamin D, iron and protein deficiencies in their blood tests that are done prior to surgery. With the significant reduction in the amount of food consumed after bariatric surgery, the existing deficiencies are bound to increase. Hence, it is necessary to do these tests, before surgery and rectify the deficit prior to the surgery.     

  5. Gall bladder stones: Significant weight loss which is consistant over a short duration could lead to the formation of gall bladder stones, be it with or with out surgery in a small percentage of patients. To avoid this there are two schools of thought, one is have a prophylactic removal of the gall bladder along with the bariatric surgery and another is to put the patient on ursodeoxycholic acid (a tablet) for the first few months after surgery during which there is significant weight loss.

  6. Skin sagging: In the morbidly obese, when the skin is overstretched beyond a certain point, it tends to sag once significant weight is lost. This sagging is influenced by a number of factors like age of the patient, the BMI, pre existing sagging, pre-existing muscle tone and protein supplements taken during weight loss and exercises done during the weight loss period. Skin sagging is less if the age is less than 45, BMI less than 45, good protein intake during weight loss and good toning exercises done during the weight loss period.

  7. Hairfall: Significant weight loss either by diet and exercise, aerobics, bariatric surgery, will entail hair loss. But this can be minimised to a greater extent by ensuring good protein intake during the weight loss period and adequate supplements in terms of vitamins and minerals.

  8. Dumping syndrome: With a reduced size of the stomach, the food moves from the stomach into the smaller intestine much faster. This causes the pancreas to release excessive amount of insulin, leading to very low blood sugar levels , producing various symptoms like abdominal cramps, bloating, diarrhoea, sweating, dizziness, nausea, weakness, and anxiety. This is managed by eating less amount of sugars and fats and spacing out the meals through the day, having four to five small meals compared to  2 to 3 large meals. Having a high protein diet and avoiding liquids during meals is also an option.

3237 people found this helpful

Pregnancy - 5 Tips To Control Obesity During It!

MBBS, MS -Gynaecologist, from WALL, From WALLS
IVF Specialist, Varanasi
Pregnancy - 5 Tips To Control Obesity During It!

Are you gaining excessive amount of weight during your pregnancy, well you are not alone.  Most of the pregnant women tend to be overweight or obese. You are viewed as overweight, if your pre-pregnancy body mass index (BMI) is approximately between twenty-five and twenty-nine. Your BMI is the relationship between your height and weight. You are considered obese, if your BMI is thirty or more.

However, here are some ways with which you can control the weight gain during pregnancy:

  1. Eat a solid, yet less-calorie dietUtilize a convenient pregnancy food journal to ensure you are getting enough supplements and drinking a lot of water every day. The journal is additionally helpful for keeping track of your mood swings and appetite levels, so you can spot patterns you may need to change. Since you realize that you have to take after a particular eating regimen, the following are very solid for you:
    • Crisp leafy foods
    • Oats and bread made with whole grains
    • Low-fat milk and dairy items
    • Foods rich in folate such as strawberries, spinach and beans
    • Unsaturated "good" fats such as olive oil, canola oil, and shelled nut oil
  2. Regular exercise: In case you are a relative newcomer to work out, you can start with pregnancy exercise for beginners. You can practice low-impact exercises; for example, walking, swimming and light heart stimulating exercises. Never begin an exercise without first talking with your medicinal services supplier or doctor. Furthermore, make sure to you adhere to the thirteen principles of safe pregnancy work out. A few women do get in shape during pregnancy in case that they roll out solid eating regimen and make way for life improvements, so make sure to check in with your specialist if this happens.
  3. Comprehend your calorie needs: As specified before, not all pregnant women have to put on equivalent measures of weight. Thus, you have to know precisely what number of calories you require. Talk with your specialist to get the correct number.
  4. Eat frequent, small meals: This is true when you need to deal with your weight, pregnant or not. Eating successive little dinners is particularly helpful when you are pregnant. Eating a full feast makes you wiped out.
  5. Taking prenatal pre-natal vitamins: This is something your specialist will recommend in any case. Yet, in case that you require an extra motivation to take your pre-birth vitamins consistent, then this is it. As you most likely are aware, your body needs additional food and nutrients during pregnancy. In case that you need to deal with your weight and take in the supplements without stacking yourself with calories, take your vitamins.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3184 people found this helpful

Effective Tips To Help You Fight Obesity!

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Effective Tips To Help You Fight Obesity!

As on date obesity is a major problem in India. As per the World Health Organization statistics, India ranks third on the list of most obese nations after US and China. Further, a survey revealed that Delhi has over 35 percent of teens who are obese or overweight, which is an alarming number.

Obesity is a condition wherein you suffer from excessive body weight as a result of either genetic or lifestyle-related factor. This condition, if not taken seriously, can be life-threatening as obesity can put you at risk of developing chronic conditions like diabetes, cholesterol, blood pressure, and which in certain cases can lead to heart attack. Hence, it is crucial to undergo weight reduction.

Calculate the weight you need to lose
Before you begin to practice effective steps for weight loss, consider the amount of weight you need to shed. You should first measure your current weight and then calculate your body mass index (BMI) to find the amount of deviation from the recommended range. Then consider the difference between your current and ideal weight as your target.

Tips For Losing Weight

1. Eat Right

  • Consult a nutritional expert- It all starts with the right diet. Your eating habits contribute significantly to your weight. If you are obese or overweight, then you should consult a health expert and have him prepare an appropriate diet based on your weight and body type.
  • Balanced diet- Make sure you have lean meats, fruits and green leafy vegetables as part of your diet. Also, cut down on the amount of food you consume and your intake of sugar, salt and fats gradually. Water is also the best medicine since it is helpful in flushing out toxins from your body. Make it a point to drink around 2 liters of water on daily basis. It will help clean your system and also keep you feeling full and hydrated.
  • Regular meal time- Another effective tip is to eat regularly. If you skip meals, then your body starts storing excess fat to act as a reserve. If you eat regular meals in small portions, you not only slow down the fat storing process but also reduce the quantity of food you consume.
  • Healthy options- Moreover, switch immediately to the modern-day marvel that is green tea, as it is rich in antioxidants. Green tea is highly effective if you aim to lose weight. If you do not prefer green tea, then aloe vera juice is an even better alternative.

2. Exercise
As an obese person, you need to exercise regularly. If you find it difficult to do exercise, take baby steps and start with easy sitting and lying exercises. Go out into the fresh air such as a garden and perform these exercises early in the morning for just 10 minutes. As you build your stamina, increase the intensity gradually.

3. Manage stress
Shed some of that stress in your life as stress and weight are directly correlated. Lose out on stress, and you will also lose those extra pounds.

4. Don’t neglect sleep
Six to eight hours of sleep is essential for a healthy being. Insufficient sleep results in increased levels of cortisol. Cortisol is associated with weight gain.Hence, it becomes crucial to rest enough.

Make sure you seek advice from your doctor and implement the necessary lifestyle changes to accomplish weight reduction effectively. In case you have a concern or query you can always consult an expert & get answers to your questions!

6758 people found this helpful

Keep Track Of Your Obesity And Avoid The Health Risks Associated With Obesity!

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Keep Track Of Your Obesity And Avoid The Health Risks Associated With Obesity!

The word obesity in itself isn't a very pleasant sound. Being one of the most common problems in the world, it is become an epidemic in recent years. The best way to deal with it is to control it and to understand the symptoms and causes of obesity, one must know what exactly obesity is. Although there are multiple definitions of obesity, in general, obesity indicates weight that is greater than what is considered healthy. Even though a certain amount of body fat is necessary for storing energy, heat insulation, and shock absorption, an excess amount of body fat leads to obesity.

Causes of Obesity
A person’s weight is determined by a balance between calorie intake and energy expenditure. The body stores the excess calories in the form of body fat. The hormone leptin is responsible for the mechanism of fat regulation. If a person is suffering from leptin deficiency, then he can suffer from obesity. Also, diseases such as hypothyroidism and polycystic ovary syndrome contribute severely to obesity. Furthermore, body weight is determined by several factors such as an individual’s genetics, diet, metabolism, environment, culture, and behavior.

Obesity and Associated Health Risks
Obesity is not merely a cosmetic consideration but is also very harmful to a person’s health. Life expectancy is significantly reduced for people with BMI over 40. Obesity leads to insulin resistance which is a pre-diabetes condition that often leads to Type 2 (adult-onset) diabetes.Another major health risk of obesity is high blood pressure. Most obese people suffer from hypertension and increase in blood pressure is found more commonly in women than in men as a result of weight gain. Other health risks of obesity are cholesterol, stroke, heart attack and various forms of cancer such as breast and colon cancer.

How is Obesity Diagnosed?
Your doctor will give you a series of tests to confirm if you are obese. He will analyze your medical history taking into account your weight history, eating and exercise habits, your family’s health history, heart rate, and examination of heart, lungs, and abdomen.

Obesity is generally measured by calculating the body mass index (BMI). Body mass index takes into consideration a person’s height and weight as the two determining factors to calculate an individual’s appropriate weight. Body mass index is calculated by dividing a person’s weight in kilograms (kg) by their height in meters (m) squared. BMI shows high correlation with body fat content in adults since it exhibits a ratio between weight and height.

A full-grown adult with a BMI ranging from 25-29.9 is considered overweight while an adult with BMI over 30 is considered obese. An individual with BMI ranging from 18.5-24.9 is of normal weight. Waist circumference is measured to know the amount of abdominal or visceral fat stored around your waist. Women with over 35 inches waist circumference and men with over 40 inches waist circumference are prone to high risks of contracting diabetes and heart ailments.

It is a good practice to measure your BMI and Waist circumference once in a year. If they are more than the normal, it is best to consider a physician to get diagnosed with obesity and plan the best treatment option.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3932 people found this helpful

Obesity - How It Affects The Human Brain?

M.Phil in Clinical Psychology, Ph.D. Psychology
Psychologist, Hubli-Dharwad
Obesity - How It Affects The Human Brain?

Obesity is the new-age lifestyle disease with multiple ramifications. While its effects on the physical aspects are very evident, the damage it does to the brain are more severe, though not obvious. Read on to know some harmful effects of obesity on the emotional well-being.

  1. Leads to binge eating: There is a certain pleasure in eating sugary and fatty food, and this is lost with depression. Therefore, to get that emotional satisfaction, people tend to eat more chocolates, cookies, milkshakes, and other weight-accumulating food items, which further add to obesity. Greater the weight gained by a person, lesser the response or happiness from such food products.
  2. Increases impulsivity: The area of the brain known as orbitofrontal cortex, which is in charge of controlling impulsivity, shrinks in obese people. This results in people eating more impulsively.
  3. Affects immunity: Obesity is a major cause of inflammation, leading to damage in certain parts of the brain. This impairs the immune system, making the affected person more prone to infections and tissue damage. This leads to increased chances of diabetes, heart disease, stroke, sleeping disorders, eating disorders, etc. The chemical known as C-reactive protein increases as seen on MRIs in obese people, and which is usually seen in patients with chronically increased inflammation.
  4. Effects on memory: As the BMI increases, there is a decrease in scores of memory tests. This effect is more obvious in women after menopause. With increased fat accumulation, more hormones are released, which affects the memory. Increased inflammation also affects cognition and memory.
  5. Increased risk of dementia: With more belly fat accumulating, there is extra stress on the body to burn the visceral fat. This reduces brain size and causes certain hormones to release, which further affects the body’s ability to remember things. It has been proven that people with smaller brain size are at greater risk for developing dementia.
  6. Weight loss stress adding to more stress: When obesity sets in and the BMI goes up, there is an added pressure to lose weight, which further ups the stress levels. During these dieting days, the brain is constantly alert and finds ways to eat more. This also leads to excess eating. Moreover, there are indications that there could be genetic changes during this phase, which may leave a permanent mark in the person’s composition.
  7. Depression: When a person is not happy with their reflection in the mirror, the chances of feeling good and happy are very less. In this age, where aesthetics plays a major morale booster, an obese image staring back does not help at all.

So, if you have a risk of obesity, watch out. It is not just how you look, but how you feel is also altered. If you wish to discuss about any specific problem, you can consult a Psychologist.

2753 people found this helpful

Popular Questions & Answers

Should a female with BMI of 42.6 with conditions of diabetes, BP and thyroid go for the bariatric surgery at the age of 33 years? I have a 4 year old daughter.

MBBS, MD
Endocrinologist, Delhi
Bariatric surgery is not that simple as you are thinking and is not the final answer for your problems. I think strict diet control, regular exercise and life style modification will give you permanant and long lasting resultsm.

I'm suffering from obesity, fatty liver grade 1 and umbilical hernia problem. My height is 152 cm. Weight 79.5 & I'm 28 years old. Can you suggest me the calories intake and tell me how to reduce my belly fat to recover hernia. I was under c section 2 and half years passed.

MBBS, Fellowship In Minimally Invasive Bariatric Surgery, Fellowship In Minimally invasive(Keyhole) Surgery
Bariatrician, Bangalore
Lybrate-user, you are approx. 20 to 25 kgs overweight and you have a fatty liver which is a matter of concern. You need to restrict your calorie intake to 1000 per day and also go for a brisk walk 45 min per day. Ensure to hydrate yourself well by drinking plenty of water. Umbilical hernia is a defect and needs to be repaired with the help of surgery. Laparoscopic surgery using a mesh is the best option in the current time.
4 people found this helpful

Hi Sir, I am 46 female. Hight 5" 5' and weight 81 kg. Is it proper to take slim trim 15 mg. I have no any problems like Bp or sugar now.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Lybrate-user ji, Thanks for the query. There is no proper clinical evidence about weight loss occurring on taking that particular medication. Diet control and exercise plus that medication may be helpful. Thanks.

Sir main high cholesterol aur obesity se pareshaan Hun aur mujhe aaj kal gale me kuchh phansa hua mehsus hota hai laar nigalne me bhi takleef hota phir khud se theek ho jata hai. please suggest me sir.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Please consult a cardiologist for tests like ECG, TMT and medications if required. Also take a diet consult from a dietician. If all tests are found to be normal you should also start with daily exercise.
1 person found this helpful

I am a young girl I am suffering from obesity I need a diet plan and suffering for leg pain.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Hyderabad
Take low calorie foods like millets, raw fruits & vegetables, soups, buttermilk, green tea, chia seeds. If you want a systematic diet chart & WEIGHT LOSS capsules then contact us by website NUTRILINE where we would help you in a better way.
2 people found this helpful

Table of Content

What is Obesity?

What causes obesity?

How to treat obesity?

Play video
Bariatric Surgery
Bariatric surgery refers to a host of surgical procedures that help a person suffering from obesity to lose weight. Various methods are used to achieve the desired results, often times using the help of a gastric band to decrease the size of the stomach or surgically removing a small portion of the stomach
Play video
Know More About Obesity
How to manage Obesity?

Hello everyone. I am Ms. Kanchan Patwardhan. I am clinical dietician and nutritionist, working in this field for the last 22 years. See, today I am going to speak about Obesity.

What is the biggest killer today? It is not war. It is not natural calamities. It is not diseases but the lifestyle. You know, the major cause of all problems is obesity. So, today we are going to talk about obesity and generally when obesity comes and when you are on weight loss programs so generally people think that you have to eat tasteless food, boiled food and starvation, you have to only eat soups, you have to only eat salads, and it is a total torture for your body isn t? But believe me, diet is a mind game. Kanchan House Of Health and Nutrition prepares a diet for you which not only satisfies your taste buds but definitely going to help you in weight loss also. We don t give any yogo diet. We will make sure you will have all the food groups including carbohydrates, proteins, fats, vitamins and minerals.

We calculate everything and we give it to you according to your lifestyle, not according to my lifestyle. This is the biggest benefit if you take Kanchan s House of Health and Nutrition s diet. So when we talk about dieting, generally people think that eating soups and salads is diet or eating boiled food or eating tasteless food without spices is diet but believe me, diet is not like that. When your diet is good and tasty, then only you can sustain it for a longer period. Otherwise, in between you will stop that dieting and you will not achieve your diet plan or diet goals.

So if you want you can join Kanchan s House of Health and Nutrition and we will give you the best diet which suits your necessity, which suits your requirement, which is actually according to your region, your time, your pattern, so whenever you want to join us, please contact us and keep watching my videos. Thank you very much.
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