Obesity is a
leading cause of morbidity and mortality world-wide. It was previously thought
to be western disease and a sign of affluence or high socio- economic status.
It has crept into our society with its silent epidemic of related diseases.
Obesity is a
serious public health problem despite the fact that in most cases, clients are
symptom free. New cases are usually discovered in the Hospital during Periodic
Medical Examination (PME) and when patient comes for treatment for other
ailments.
Obesity is as
accumulation of excessive fat.
Some Medical
Doctors identified Obesity as a predisposing factor for many chronic diseases
therefore becoming a subject of public health importance. It is regarded in the
context of other risk factors and co-morbidity (other medical conditions that
could influence risk of complication).
It is rated
according to body mass index (BMI) which is equals to weight in kilogram over
weight in meters square.
Although there are
genetic and hormonal influences on body weight, the bottom line is that obesity
occurs when you take more calories than you burn through exercise and normal
daily activities. Your body stores the excess.
Contributing
Factors
Certain
Medications:
Some medications can lead to weight gain if you do not
compensate through diet or activity e.g.
steroid and insulin.
Genetics: Your genes may affect the amount of body fat store
and where that is distributed.
Physical Inactivity:
If you are not
very active, you don’t burn as much calories. With a sedentary life style,
you easily take in more calories everyday than you burn off though exercise or
normal daily activities. Watching too much television is one of the biggest
contributors to a sedentary lifestyle and weight gain.
Unhealthy eating
habits:
Having a diet that is high in calories, eating fast
food, skipping breakfast all contribute to weight gain.
Effect of
Obesity on Health
Obesity increases the risk of developing certain
diseases. The American Health foundation a non profit research organization
dedicated to finding preventive strategic to reduce chromic disease, this
concerned an expert panel which
comprises of authorities on diseases that are directly associated with excess
body weight.
These finding were published in the American Journal
of clinical Nutrition.
Cardiovascular diseases risk increases due to
overweight, elevating blood pressure, cholesterol, triglycerides and increasing
insulin resistance. The location of excess body fat can further increase cardio
vascular disease risk central to obesity for example a 20% reduction in body
weight can reduce cardio vascular disease risk by 40%. This can be achieve by
keeping BMI in the normal range, over 50% of all cases of hypertension are simple due to overweight.
The incidence of diabetes increases with increasing
weight, diabetes is three times more likely in obese individual with a BMI of
28 or greater.
Osteoarthritis symptoms are worse in men and woman
with a BMI over 25 Excess body weight stresses joint cartilage.
Cancer risk can increase due to elevated hormones
associated with obesity, influencing cancer development; excess estrogen is
linked with reproductive system cancers.
Adipose tissue (fat tissue0 is a major site of
estrogen synthesis in woman, scientist link a BMI of 28 to 30 with an increase
in cancer risk.
Other diseases associated with obesity include sleep
apnea, abdominal hernias, varicose veins, gout, gall bladder disease,
respiratory problems and liver malfunction.
Management
of Obesity
The management of obesity
consists of dieting and physical exercise. Diet programs may produce weight
loss over the short term, but maintaining this weight loss is frequently
difficult and often requires making exercise and a lower calorie diet a
permanent part of a person’s lifestyle. Success rates of long-term weight loss
maintenance with lifestyle changes are low ranging from 2-20%.
Dieting and physical exercise are the
mainstays of treatment for obesity. Moreover, it is important to improve diet
quality by reducing the consumption of energy-dense foods such as those high in
fat and sugars and by increasing the intake of dietary fiber. To supplement this,
or in cases of failure, anti-obesity drugs may be taken to reduce appetite or
inhibit fat absorption. In severe cases, surgery is performed or an
intragastric balloon is placed to reduce stomach volume and/or bowel length,
leading to earlier satiation and reduced ability to absorb nutrient from food.
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