| Obesity Clinic |
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| Obesity |
| It has been said, "Your body is a temple." Few people realize this and even fewer treat it as such. Your body is the only material thing that you cannot lose until death. Everything else can be taken away. Your body is all you have in the world. |
| We are primarily responsible for our health. There are the risk factors of genetics, toxic environments and the like, but our emotional and lifestyle choices determine our health and well being more than anything else. |
| Over the recent year rates of overweight and obesity are escalating rapidly to epidemic proportion in many parts of the world including India, reflecting increasing consumption of high energy diets rich in fats and sugars, compounded by declining levels of physical activity. |
| Define: |
| Obesity is a state in which there is a generalized accumulation of excess adipose tissue in the body leading to more than 20 percent of the desirable weight. |
| How to assess obesity? |
| There are several methods used world wide to establish a correct weight, over weight and obesity. Such methods include. |
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Body mass index |
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Height weight range |
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Brocas Index |
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Body fat measurement |
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Others |
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1. Body mass index in this method the weight in Kgs is divided by the height in Mtrs Square.
| BMI = |
Weight in kilogram |
| Height in (meter) 2 |
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| Experts from different scientific bodies including WHO have recommended obesity cut-off for Asians to be as follows: |
Grading of BMI (kg/m2) is as follows.
Not obese < 25 and below
Overweight 23 – 25
Obese > 25
Grade I obesity 25 – 29.9
Grade II obesity 30 - 40
Grade III obesity 40 > and above. |
| 2. Brocas Index The formula for Brocas index is, height in centimeters minus 100 is equal to ideal weight in kgs. For example if an individual’s height is 155cms or (1.55 Mtrs), then minimum 100 from the height and in case the weight is in excess of 55 kgs, the person is considered overweight. Thereafter 20% above ideal weight is considered obese. |
| 3. Body fat measurement: |
| 1. Waist hip ratio- Most people store their body fat in two distinct ways: |
| a |
Around middle (apple shape) |
| b |
Around hips (pears shape) |
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Being apple shape (more fat around the waist) places them in higher risk category than the pear shaped (carrying more fat on hips). |
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The measure of the two is called waist hip ratio (WHR) |
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WHR (men) = 0.89 |
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WHR (women) = 0.81 |
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Waist measure below the rib cage above the naval. |
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Hip measure at its maximum. |
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1. Waist circumference - is another quick measure to determine obesity especially in Indian population, due to more marked central obesity.
Normal Range
Men: 85 cm
Women: 80 cm |
| 4. Height weights range The simplest and wildly used method is to compare one's height and weight against given Standard heights and weights chart. |
| Height |
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Standard weight |
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Men |
Women |
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|
| Cm |
ft |
Kg |
Lb |
kg |
lb |
| 152.3 |
5’-0" |
- |
- |
50.8-54.4 |
112-120 |
| 154.8 |
5’-1" |
- |
- |
51.7-55.3 |
114-122 |
| 157.3 |
5’-2" |
56.3-60.3 |
124-133 |
53.1-56.7 |
117-125 |
| 159.9 |
5’-3" |
57.6-61.7 |
127-136 |
54.4-58.1 |
120-128 |
| 162.4 |
5’-4" |
58.9-63.5 |
130-140 |
56.3-59.9 |
124-132 |
| 165.0 |
5’-5" |
60.8-65.3 |
134-144 |
57.6- 61.2 |
127-135 |
| 167.5 |
5’-6" |
62.2-66.7 |
137-147 |
58.9-63.5 |
130-140 |
| 170.0 |
5’-7" |
64.0-68.5 |
141-151 |
60.8-65.3 |
135-144 |
| 172.6 |
5’-8" |
65.8-70.8 |
145-156 |
62.2-66.7 |
137-147 |
| 175.1 |
5’-9" |
67.6-72.6 |
149-160 |
64.0-68.5 |
141-151 |
| 177.7 |
5’-10" |
69.4-74.4 |
153-164 |
65.8-70.3 |
145-155 |
| 180.2 |
5’-11" |
71.2-76.2 |
157-168 |
67.1-71.7 |
148-158 |
| 182.7 |
6’-0" |
73.0-78.5 |
161-173 |
68.5-73.9 |
161-163 |
| 185.3 |
6’-1" |
75.3-80.7 |
166-178 |
- |
- |
| 187.8 |
6’-2" |
77.6-83.5 |
171-184 |
- |
- |
| 190.4 |
6’-3" |
79.8-85.7 |
176-189 |
- |
- |
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| 5.other simple methods include for example THE MIRROR TEST. In this you may simple stand nude in front of a mirror to self assess, whether or not you are fat. In THE BELT TEST, you simply measure your stomach at the navel, and if it is larger than your upper chest measurement (above the breast in ladies) then you are over fat. In THE PINCH TEST you simply pinch the roll of flesh in the abdomen region and in case it is more than I inch thick, it is indicative of being over fat. |
| What can be health risks of Obesity? |
| Obesity invites disability, disease and premature deaths. Excess body weight is a hindrance, leading to breathlessness on moderate exertion and predisposes a person to diseases like arteriosclerosis, high blood pressure, stroke, diabetes, gall bladder diseases and osteorthritis of weight bearing joints, varicose veins. Obese men have a higher mortality rate from cancers of the colon, rectum, and prostate; obese women from cancers of the gallbladder, billiary passages, breast (postmenopausal), uterus, and ovaries, obese individuals may have shorter than normal life span. |
| Following diseases have definite proven link with Obesity |
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Hypertension (High Blood pressure) |
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Diabetes |
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Cardiovascular diseases |
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Stroke |
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Gall bladder diseases |
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Osteorthritis of weight bearing joints |
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Cancers |
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Depression |
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Gout |
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Respiratory Problems- Sleep apnea |
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| Etiology / what causes obesity? |
| Usually obesity is due to positive energy balance. That is, the intake of calories is more than the expenditure of calories. |
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Genetic factors |
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Poor eating habits |
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Physical inactivity |
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Endocrine factor (Hypothyroidism, hypogonadism, Cushing’s syndrome) |
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Trauma (due to damage to the hypothalamus after head injury) |
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Prosperity |
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Psychological factors (food is used to relieve boredom, reduce anxiety, or alleviate stress) |
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| How to control? |
| Long-term weight control requires a permanent sense of awareness and lifelong habit change. Clients must be willing to devote much time and long-term effort in order to change lifestyle habits that have contributed to the weight problem. |
| Are crash diets are good? |
Crash diets, gimmicky fads and schemes may cause temporary weight loss due to an increase in eating awareness and a forced change in habits, yet any results are impermanent. As soon as diet is forsaken, any lose weight is regained- usually with additional poundage.
Weight reducing diets must be low in total calories and yet ensure optimum intake of all nutrients. Diet restriction should be combined with exercise. |
| What is the goal of weight loss program? |
| In weight loss programs, individual eating practices and levels of physical activity function together to determine body weight and body fat. The ultimate goal is to establish a permanent lifestyle changes in both food consumption and physical activity patterns for the attainment and maintenance of healthful body weight and fat. |
| Why Lifestyle changes are needed? |
Focus on health, not diets. Diets are hard to maintain and usually do not work in the long run. It is very hard to stick with a diet that includes lots of big changes in your eating habits.
Instead of a diet, focus on lifestyle changes that will improve your health and achieve the right balance of energy and calories. To lose weight, you need to burn more calories than you take in. You can do it by eating healthy foods in reasonable amounts and becoming more active. And you need to do it every day.
Little steps mean a lot. Losing just 10 pounds can make a difference in your health. |
| When one should take medicines or have surgery? |
Surgery and medicines do not work by themselves. Most people also need to make changes in what they eat and how active they are.
Before your doctor will prescribe medicines or surgery, he or she will probably want you to work on diet and activity for at least 6 months. Even if your doctor gives you medicines or recommends surgery, you will need to stick with your new healthy habits for the rest of your life. |
| OBESITY CLINIC at DAC |
| The whole person assessment |
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| STEP 1 - Assessment: Complete a whole person assessment in 10 dimensions of wellness and lifestyle. |
| STEP 2 - Scores: Receive Wellness & Satisfaction Scores. Discover where you need modification. |
| STEP 3 - Personal Treatment Plan: Create 3-5 action steps in the areas you are most motivated to change |
| STEP 4 - Tools to Help You Reach Your Goals: Utilize expertise advices to help you follow your wellness plan and meet your goals. |
| STEP 5 - Supporting Surgeries if required: Reassess in equal intervals, this is to if surgery is needed or not. |
| Treatment |
Weight reduction is achieved by consuming fewer calories and increasing activity and exercise.
Structured approaches and therapies to reduce weight include: |
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A modified diet — A reasonable weight loss goal is one to two pounds weekly, which can usually be achieved by eating 500 to 1,000 fewer calories daily. |
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Regular exercise — U.S. health experts currently recommend at least 30 minutes of moderate physical exercise daily, such as walking. |
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Surgery — If obesity is severe (a BMI greater than 40), your doctor may recommend a suitable surgical procedure. Different surgical procedures are as follows: |
| 1. |
Injection Lipolysis (Lipodissolve Injections), Contouring of the abdomen, arms, back, legs and can be obtained with lipo-dissolve agents. These agents are injected in specific body areas to remove excess fat. |
| 2. |
Electrolipolysis this is combine with lymph drainage which is a complete new way to remove unwanted fat. |
| 3. |
Cellulite reduction is achieved through Mesotherapy which scientifically proven treatment for cellulites. |
| 4. |
Liposuction details at Liposuction page |
| 5. |
Bariatric surgery is surgery for only those who are morbidly obese with BMI 40 or more.This is laproscopic surgery in which stomach capacity is reduced with key hole surgery. |
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| Individualised treatment package is designed after computerised data analysis through Life style and wellness scan designed by Apollo Lifestyle and wellness centre,Hydrabad. |
| Achieving a state of wellness means living a higher quality of life and experiencing a peace that goes beyond what material wealth and external situations can offer. In fact, those who have had it all, conclude that there is no greater wealth to attain. The state of wellness is priceless, yet available to rich and poor alike. |
| The body is your vehicle. If it is not taken care of, you cannot get far and that is precisely where most of us are. |
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