Dr.Kumargurubaran

Obesity

Obesity is the excessive build-up of body fat, typically brought on by consuming more calories than the body can absorb. Adipose tissue, or fat, is where the extra calories are subsequently deposited.
BMI means Body Mass Index.BMI is calculated by weight in kilograms divided by height in meters square A BMI of less than 18.5 indicates underweight; a BMI of 18.5 to 24.9 indicates healthy weight; and a BMI of 25 to 29.9 indicates overweight. A BMI of 30 or above indicates obesity

Complications

Individuals who are obese have an increased risk of several potentially dangerous health issues, such as:
Strokes and heart disease: overweight increases the chances of high blood pressure and bad cholesterol, both of which are linked to heart disease and strokes.
Diabetes type 2-The way the body utilizes insulin to regulate blood sugar levels can be impacted by obesity. Diabetes and insulin resistance are made more likely by this.
Certain cancers- Cancer of the uterus, cervix, endometrium, ovary, breast, colon, rectum, esophagus, liver, gallbladder, pancreas, kidney, and prostate may be more common in obese people.
Digestive issues –  Being obese raises the risk of liver issues, gallbladder disease, and heartburn.
Apnea during sleep –  Obesity increases the risk of sleep apnea, a potentially dangerous condition in which breathing stops and resumes frequently while a person is asleep.
Arthritis of the bones- Weight-bearing joints are under more stress when an individual is obese. Moreover, it encourages inflammation, which is characterized by pain, swelling, and a heated sensation throughout the body. Osteoarthritis is one of the consequences that these variables may cause.
Fatty liver illness – deposits in the liver cause a condition known as fatty liver disease, which is made more likely by obesity. Liver cirrhosis, a severe form of liver disease, may result from this under specific circumstances.

Diagnosis

Additional more precise measurements of body fat and its location include skinfold thickness examinations, Hip-to-waist measurements, Scans using dual-energy radiography absorptiometry (DEXA), Further screening examinations, including MRI, CT, and ultrasound scans

Additionally, in order to detect obesity-related health problems, a doctor may request certain tests. These might consist of blood tests to check blood sugar
and cholesterol levels.

Testing for liver function, Thyroid screening, Diabetes tests check sugar levels, Cardiac examinations, such as an electrocardiogram (ECG or EKG)
The risk of contracting illnesses linked to obesity may also be accurately predicted by measuring the amount of fat around your waist.

Dietary Modifications

The modifications to your diet you require to lose weight will be unique to you. Reducing snacking in between meals or portion sizes may help some people. For some, it can be more about altering what they consume than the quantity. Eating more vegetables is beneficial for almost everyone. Vegetables, whole grains, legumes, and fruits often have higher fiber and vitamin content and lower fat content. They are higher in nutrients and can increase feelings of fullness and satisfaction following a calorie reduction.

If Lifestyle changes, Dietary modifications, and Medical treatment has no improvement in weight reduction, Surgery is advised for those patients.

Medical Management

The doctor could suggest taking some drugs in addition to other forms of treatment. While they might assist in approaching weight reduction from a different perspective, medications aren’t the only solution. For instance, certain brain circuits that influence hunger can be blocked by appetite suppressants. This may represent a little piece of a puzzle. to some, but it may represent a larger one for others.

Surgical Management

This kind of surgery restricts the amount of food that can be consumed without discomfort or stops the body from absorbing nutrients. It can occasionally do both.
Surgery for weight reduction is not a fast remedy. This significant procedure has some very high risks. Following surgery, patients will need to adjust their dietary habits, both in terms of quantity and quality, to avoid infection.
Nonsurgical methods, however, don’t always work to help obese individuals shed pounds and lower their chance of developing comorbidities.

GASTRIC BYPASS –  During a gastric bypass operation, a little pouch that
links the stomach to the small intestine is created by the surgeon. Food and
liquids skip the majority of the stomach and enter the intestine through the pouch. Another name for it is Roux-en-Y gastric bypass surgery (RYGB).
GASTRIC BANDING – Using a band, laparoscopic adjustable gastric banding (LAGB) divides the stomach into two pouches.
GASTRIC SLEEVE SURGERY- With gastric sleeve surgery, a portion of the stomach is removed.
BILIOPANCREATIC DIVERSION-With a duodenal switch biliopancreatic diversion, the majority of the stomach is removed.

Prevention

Engaging in 20 to 30 minutes of moderate activity every day, such as walking, swimming, or bicycling; Eating a balanced, heart-healthy diet consisting of nutrient-dense foods like fruits, vegetables, whole grains, and lean protein.Moderate consumption of foods rich in calories and saturated and trans fats.

DR.KUMARAGURUBARAN is one of the BEST DOCTORS for Gastric sleeve surgery, Gastric bypass, and Gastric banding procedures.

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