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About Obesity

Type of Obesity

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Dr.Yashpal Singla

Obesity is a life-long progressive, life threatening condition marked by the excess accumulation of body fat, which can significantly reduce life expectancy.

When weight reaches extreme levels, it is called MORBID OBESITY. Obesity is a multifactorial disease. Simply put it as the result of energy imbalance when the energy intake is higher than the energy output.

The treatment therefore is directed at decreasing the energy intake and increasing the energy output. Obesity is often a misunderstood word. If one has to be cured of obesity one must begin with classifying him/herself.

People whose BMI is between 23.5 - 27.5 are classified as overweight, if not tackled in time, overweight people can easily become obese. If your BMI is between 27.5 - 32.5 you fit into Grade I Obesity category.

It is important to be very careful with your weight; at this stage there is tremendous scope to get back to your ideal weight yet there are equal chances to slip into Grade II Obesity.

Grade II Obesity is often symptomatic; most patients would have had developed co-morbidities at this stage. Type 2 Diabetes, hypertension, sleep apnoea, cardiac problems joint pains are some of the most common co-morbidities for these individuals. It is very important that one immediately takes reversal action at this stage as this condition could lead to morbid obesity or any other fatal illness. If one doesn't show any symptoms of co-morbidities one can certainly reduce their weight with diets and exercise and a great amount of will power. For those with co-morbidities Bariatric surgery is the only and best option.

People with BMI beyond 37.5, fall in the last and the most dangerous category called Grade III or Morbid obesity. At this stage diets and exercise deliver negligible results. Most patients would have had developed more than one co-morbidity at this stage, many are even rendered immobile. Corrective action at this stage is imperative, the only clinically proven way for morbidly obese people to lose and maintain weight is bariatric surgery.

Obesity is also defined by waist size - over 90 cm in males and over 80 cm in females.

How can Obesity affect you?

Obesity is rarely just a physiological problem .This disorder has far reaching effects; physiological, psychological and social. On the physical front, obesity can lead to several complications that could be fatal or incapacitating if left untreated.

Some of the most common diseases that are directly and indirectly linked to obesity are:

The treatment protocol for treating obesity is as follows:-



For patients who remain severely obese after conventional approaches to weight loss such as diet and exercise , or for patients who have an obesity-related disease, surgery is the best treatment option.

Surgical Treatment options available are :

Laparoscopic Sleeve Gastrectomy:

The Roux-en-y Gastric Bypass

Bilio-pancreatic Diversion with Duodenal Switch:

Gastric Banding

It is a procedure which is done by placing a band in the upper part of stomach dividing it into two sections. There is a small opening between the sections allowing the food to pass through. The section above the band acts like the stomach that fills with food quickly. This surgery does not restrict the quality food intake and high calorie liquid intake can hinder weight loss