What is Obesity?

  • OBESITY is defined as a state of excess accumulation of body fat.
  • It can result from increased energy intake, decreased energy expenditure or a combination of both.
  • Although often viewed as equivalent to increased body weight, this need not be the case - lean but very muscular individual may be overweight by arbitrary standards without having increased adiposity.
  • Obesity itself can be considered as disease as well as underlying cause of many diseases.

Measurement of Obesity

Body Mass Index (BMI) is the most widely method to gauge obesity. It can be calculated as (Weight in Kg)/ (Height in Meter)2.

BMI(kg/m2) Obesity Class Risk
Healthy weight 18.5 - 24.9 -- --
Overweight 25 - 29.9 -- Increased
Obesity 30.0 - 34.9 I High
Obesity 35.0 - 39.9 II Very High
Extreme Obesity ≥ 40
III Extremely High

Waist Circumference > 40 inches in men and > 35 inches in women is a risk factor.

Waist/hip ratio > 1.0 in men and > 0.9 in women is also a risk factor.

MODIFIABLE MODIFIABLE NON-MODIFIABLE
LIFE STYLE MEDICAL
  • Unhealthy Life style problems
  • Inappropriate diet

    a) Food Fadism

    b) Food Cultism

    c) High Carbohydrate diet

    d) High Fat diet

    e) Low Protein Diet

  • Lack of Exercise
  • Sedentary Life style
  • Addictions
  • STRESS
  • SLEEP DISTURBANCES
  • Hormonal Causes
  • a) Hypothyroidism

    b) Diabetes Mellitus - II

    c) Insulin Resistance

    d) Cushing's Syndrome

    e) Insulinoma

    f) PCOD

    g) Low Growth hormone

    h) Low Testosterone

    i) Hyperestrogenemia

    j) Hypogonadism

  • Hypothalamic or Central Nervous System Lesions
  • Bulimia
  • Drug Induced
  • Idiopathic (No known cause)
  • Genetic
  • Hereditary
  • Complicating factors in Obesity / Metabolic Syndrome
    • Increased waist circumference.
    • Raised waist to hip ratio.
    • Fasting Blood Glucose >- 100mg/dl.
    • Diagnosed Diabetes Mellitus Type 2 (On/Off medication).
    • High Serum Insulin Levels.
    • High Blood Pressure.
    • High Triglycerides.
    • High LDL - Cholesterol.
    • Low HDL - Cholesterol.
    • High Serum Uric Acid Levels.
    • Male Sex.
    • Age < 40 years at the time of diagnosis.

    The medical management for weight management has to be taken strictly under medical supervision of a consultant.

  • Complications of Obesity
    • Diabetes Mellitus-II
    • Insulin Resistance
    • Metabolic syndrome
    • Hypertension
    • Heart diseases
    • Snoring/Obstructive sleep apnea
    • Osteoarthritis
    • Acid Reflux disease
    • Cataract.
    • Respiratory diseases
    • Gall stones
    • PCOD
    • Menstrual Irregularities
    • Impotence
    • Infertility
    • Depression
    • Skin problems like pigmentation, acne, hirsutism etc.
    • Cancers (Breast, Cervix, Uterus, Colon, Rectum, Pancreas etc)
    • Endocrinopathies and hormonal imbalances.
    • Others
  • Management of Obesity
    • Education and Counselling
    • Identify the risk factors
    • Identify the Modifiable Cause
    • Identify the Complications
    • Treat the Modifiable Causes
    • Manage the Complications
    • Prevent further Complications
    • Avoidance of risk factors
    • Dietary Management
    • Life Style Management (Exercise, Stress reduction)
    • Sleep Management
    • Medical Management of Obesity and it's Complications (Medical Bariatrics)
    • Surgical Management Of Obesity (Bariatric Surgery)
    • Post Bariatric Surgery life style modification
    • Psychosocial Counselling and management
    • Occupational Management

Non - Invasive Body Contouring

We understand that in today's world, self image perception is of prime importance. Non Invasive Body Contouring has gained lot of popularity in last decade.

  • Zerona Lipolaser
  • Cryolipolysis (Fat Freeze)
  • Radiofrequency (Pollogen)
  • Ultrasound Cavitation

Questionnaires

  • Weight Control Questionnaire

    Weight Control Questionnaire - Check Now

  • Diet Questionnaire

    Diet Questionnaire - Check Now

  • Energy Questionnaire

    Energy Questionnaire - Check Now

  • Sexual Function Questionnaire

    Sexual Function Questionnaire - Check Now

  • Mood and Memory Questionnaire

    Mood and Memory Questionnaire - Check Now

To know more about Non - Invasive Body Contouring please click here

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