Tuesday 22 January 2013

How common is obesity in India? And Why?













HOW COMMON IS OBESITY IN INDIA? And WHY?


Obesity is more common that is believed. It is becoming common in not only adults but also in children all over the world.


OBESITY IN CHILDREN






OBESITY IN ADULTS


Among the Indian adults too, overweight status among the women increased from 10.6% to 12.6% from 1999 to 2005.This increase was doubled to 40% in urban areas in less than 10 years.


OBESITY IN INDIAN STATES – National Family Health Survey, 2007





Rural population  show a rapid change with nearly 8.6-fold increase in obesity in the past 14 years.


WHY THE INCREASE IN OBESITY IN INDIA?


As to why is obesity becoming more prevalent, living conditions in rural areas have improved remarkably. Transport, medical attention, improved food habits, increased educational status, and rise in family income have augmented with easy access to city and television and contributed to life style modification.

Sedentary life style is significantly associated with obesity in both sexes, compared with non obese men and women. Obesity, overweight, and central obesity and sedentary behavior coexist along with under nutrition in major cities in India.


HOW TO PREVENT OBESITY

Programs with only diet regimen can induce weight loss over a short term. To maintain this lowered weight is not easy by diet alone

One needs to throw in some form of exercise as well to achieve this. 


To make this last, a change of life style is desired. 


Long term weight loss success is achieved in 2-20% of patients, with the above.

The most effective way of permanent weight loss is by  bariatric surgery.There is weight loss of 14-25% in 10 years.  With surgery, the mortality due to obesity  is reduced by 29%.







Sunday 20 January 2013

WEIGHT REDUCTION SURGERY IN 143 KG MAN CURES DIABETES & HIGH BP


WEIGHT REDUCTION SURGERY IN 143 KG MAN CURES DIABETES  & HIGH BLOOD PRESSURE

42 year old heavy set man weighting 143 Kg presents for weight reduction surgery. His expected ideal weight  is 72 Kg . His excess weight is 71 Kg



Just Before Surgery


He is a severe diabetic on two drugs and despite this his blood sugars fluctuate to 400.

He is also a hypertensive on drug treatment as well as increased cholesterol and other lipids.

He underwent weight reduction ( bariatric) surgery at Anurag Hospital, Coimbatore.

The same day, he was drinking fluids by mouth and was walking .

Next day his blood sugars and BP(hypertension) were within normal limits with no medication and remained so.


Day 2 After Weight Reduction (Bariatric)Surgery


Bariatric or Weight Reduction Surgery is useful and offers other advantages apart from permanent weight reduction of weight.
  • Weight reduction surgery cures type 2 diabetes in 75% , improves in 10%
  • Weight reduction surgery cures hypertension in 60%, improves in 18%
  • Weight reduction surgery cures dyslipidemias in 70%
  • Weight reduction surgery cures sleep apnea in 85% 
  • Weight reduction surgery increases the life duration of the patient
  • Weight reduction surgery improves Fatty liver, joint pains, Cardiomyopathy, Breathlessness

However, in certain of the following situations, it is not useful
  • Severe uncontrolled heart disease
  • Uncontrolled Psychiatric disorder or Low IQ
  • Inability to follow instructions
  • Drug abuse or disseminated cancer