How to Control Obesity

control obesity

How to Control Obesity

Humanity is facing a fast growing serious health problem called Obesity

Around 35%  people around the world are suffering from obesity.

What is Obesity?

If a person’s body weight is more than what is considered healthy for his height, then he/she is said to be obese.

In other words, when a person accumulates fat in his body to such an extent it produces ill health, it is called obesity.

How is obesity measured?

Obesity is measured using the unit called Body Mass Index ( BMI ).

It is calculated by dividing that person’s body weight (in kilograms) by square of his/her height ( in meters)

Example: Person’s weight: 80 kilograms.

Person’s height: 1.60 meters.

BMI : 80/1.60X1.60 =  31.25

Result: Obesity.

Obesity Table

  • BMI below 18.5 – Underweight.
  • BMI   18.5- 24.9 – Normal
  • BMI      25- 29.9 – Over Weight
  • BMI     above 30 – Obesity
  • BMI     above  40 – extreme obesity.

What causes Obesity?

The main cause of obesity is the energy imbalance.

The amount of energy taken (as food and drinks ) should be equal to the amount of energy spent for the normal functions of the body.

If the amount of energy taken in is more than necessary, it produces obesity.

Diet: Energy imbalance is due to consuming large quantities of high-calorie diet, junk foods, deep fried foods, aerated sweet drinks, ice creams etc.

Reduced Physical activities: Previously we used to walk to our workplace or for shopping. Now we use vehicles and buy things online.

We used to climb stairs, now we use lifts or escalators.

Previously children used to play outside. But now they play games on smartphones or computers. They also watch television for hours together munching some fried food like chips. This reduced activity produces obesity.

Other causes of obesity

Diseases like Hypothyroid, polycystic ovaries, and Cushing’s disease can produce obesity.

Not having enough sleep at night also produce obesity.

Mental Stress and psychological problems like depression can also produce obesity.

Obesity can be caused by drugs like steroids, antiepileptics, antidepressants and antipsychotics.

What are the complications of obesity? 

Many people take obesity as a cosmetic problem. But it can produce severe health problems.

Most people with obesity develop type 2 diabetes. It can also produce heart attack, high blood pressure, gall bladder stones, chronic kidney disease and cancer.

Obesity is one of the main causes of knee pain (osteoarthritis).

Obesity produces breathlessness while walking. It is the cause of sleep disorders like snoring and obstructive sleep apnoea, which produces daytime drowsiness.

What are the treatments for obesity? (How to lose weight?) 

Diet

Reduce empty calories like sweetened aerated drinks. Reduce deep fried foods, junk foods, high carbohydrate diet and ice screams.

Take more organic fruits and vegetables. Change cooking oil to coconut oil or olive oil.

Increase physical activities

Increase physical activities like walking and daily exercise. Reduce mental stress.

Treat diseases like mental depression, anxiety, hypothyroidism and type 2 diabetes.

Medical treatment

Medicines may not give the same results to all the obese patients. Anti-obesity drugs like Phentermine  (Qsymia), Orlistat (Xenical), Bupropion (Contrave) and meta-amphetamine can be taken under physician’s care.

Surgical treatment

Surgery is necessary if the patient is having severe obesity ( BMI 35 and above).

Surgery is called Bariatric surgery.

Sleeve gastrectomy: Here part of the stomach is removed to reduce the capacity.

Adjustable gastric band: A band placed around the upper part of the stomach to reduce the capacity.

Gastric bypass: The upper portion of the stomach is separated and connected to the small intestine.

These surgeries are invasive and have complications.

So it is better to prevent obesity or treat it naturally.

Click here to know, how to reduce weight naturally

PREVENTION IS BETTER THAN CURE

what causes gestational diabetes

Gestational Diabetes, Holistic doctor online

Gestational Diabetes Mellitus (GDM)

What is Gestational Diabetes?

When a non-diabetic woman develops diabetes (high blood sugar) when she is pregnant, it is called Gestational Diabetes.

Gestational Diabetes develops during the last 3 months of pregnancy and resolves after delivery.

Gestational Diabetes is found in 5 to 15% of pregnant women.

What is the cause of Gestational Diabetes?

Placenta helps the baby to grow in the uterus.

Hormones produced by the placenta to help the development of the baby, affects the function of mother’s insulin. This produces gestational diabetes.

It is more common in pregnant women with obesity, polycystic ovaries, type 2 diabetes in their families and in pregnant women above 35 years.

What are the symptoms of Gestational Diabetes?

Gestational Diabetic patients may not show many symptoms. Diagnosis is normally made when routine blood tests are done.

What are the types of Gestational diabetes?

Type 1 GDM:  High blood sugar level in oral glucose tolerance test with normal fasting & postprandial (pp) blood sugar values.

Type 2 GDM: High blood sugar in oral glucose tolerance test and high fasting& postprandial (pp) blood sugar levels.

What are the possible complications?

Gestational diabetes can produce intrauterine death of the baby, stillbirth, congenital abnormalities, and big Babies. Babies can become diabetic later. In mothers, it can produce pre-eclampsia (Condition with high blood pressure with albumin in the urine), uterine atony, prolonged labour and infection.

GDM patients can become type 2 diabetics latter.

What are the investigations to be done?

Oral glucose tolerance test, HbA1c, Urine examination and Ultrasound abdomen.

What are the treatments for Gestational diabetics?

For type 1 GDM: Diet control and mild exercise is enough. Reduce carbohydrates in the diet and take more proteins and lot of vegetables.

For type 2 GMD: Insulin is the treatment of choice. Anti-diabetic tablets are not approved by Food and Drug Administration (FDA).

EARLY DIAGNOSIS AND TREATMENT MINIMIZES THE COMPLICATIONS.