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Know your obesity

If you think that obesity is just obesity the fat in the body then you are wrong? The obesity has got many types and what type of obesity it is and how much fat and where it is located in the would decide the fate of my health and then treatment strategies.

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Know your obesity

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  1. Know your obesity Type Types of Obesity: If you think that obesity is just obesity the fat in the body then you are wrong? The obesity has got many types and what type of obesity it is and how much fat and where it is located in the would decide the fate of my health and then treatment strategies. Categories of Obesity • For a layman we can start with BMI. • BMI = Weight(kg)/Height(M2) • You can go on our website and get it checked.

  2. According to BMI there are different categories: Normal 18.5 to 23.9 kg/m2 2 .Overweight 24 to 29.9 kg/m2 3 .Obese level 1 30 to 34.9 kg/m2 4 .Obese level 2 34.9 to 39.9 kg/m2 5 .Obese level 3 > 40 kg/m2 According to place in the Body: There are 3 types of obesity depending upon the place where more fat is stored in the body. Peripheral or pear shaped: The fat is stored in thigh, buttocks and thighs. 2 .Central obesity or Apple body: The fat is more centrally located, around abdomen 3 .Combination: fat accumulation both at periphery and centrally.

  3. According to the problems associated There is also categorisation according to the problems associated with obesity. That is called Edmonton scale Stage 0: No health problems related to obesity Stage 1: Mild weight related health problems like mild HTN, slight pains in the body. Stage 2: Chronic weight related health problems like HTN, T2DM, OA, or sleep apnoea. Stage 3: Serious weight related issues like heart problems, stroke, kidney related problems, fatty liver etc Stage 4: Life threatening problems associated with obesity.

  4. Depending on the size and number of Fat cells: Childhood obesity (Increase in the number of Fat Cells) It is difficult to reduce the number of fat cells that are made in the body. Though the size of the cells can be kept in check to minimize the risk. Adult-onset obesity. (Increase in the size of Fat cells due to fat deposition happens mostly in the adults especially middle aged. Depending on the disease association • Type 1 obesity: Not associated with any diseases but more and less lifestyle associated • Type 2 obesity: It is associated with various diseases like Cushing syndrome, hypothyroidism, hyperinsulinemia etc. • There are a few other categories also that we left to the experts who are managing the diseases.

  5. Dangers associated with Obesity: As our understanding of body and its physiology is getting deeper, we are beginning to understand that obesity is not just inert fat which is collected under the skin and does nothing, on the contrary it is active tissue.It secretes various types of hormones that interferes in digestion, metabolism and other functions like insulin resistance, PCOD in females, sexual weakness in males, hypertension, skin problems like acne, hairy skin, blocking the viscera like Liver leading to fatty liver, pancreas by reducing the insulin secretion by fat accumulation, joint problems like osteoarthritis, proneness to many types of cancers, mood disturbances etc.

  6. Management As you have seen above there are various types of obesity few are lifestyle oriented and few are disease oriented, in some cases just the lifestyle changes may help and in some where morbidities are associated serious management is required, like medicines, surgery or other parallel management like psychotherapy etc. Introducing you to the topic does not mean treatment that we leave to the experts only. But to make you understand that it is more important to make a diagnosis first then comes the management part. If my kitchen is overloaded with water overflow, what would we do, stop the leaking pipe or clear the drain whose blockage is not letting the water to go out. Maybe Both. Once we find out the problem the treatment is always easier. That’s what a doctor does daily in his practice, like you got a fever how would you manage take a pill for malaria, for typhoid, for TB, for viral, for protozoal infection and for fungal infection all covered. Right?

  7. You will die not because of fever but drug overdose. Takeaway: So don’t just jump on the conclusion and start therapy or dieting or overexercise • What most of us do is to look for a magic pill on internet or buy a treadmill or would start overexerting ourselves but this is not the right method. • What’s the end result most of the times a disaster either some medicine side effects or some muscle cramps due overexercise or some metabolic or hormonal disturbance. • First get to know the type of (obesity) problem, understand the causative factors behind and then act you will reach your goal far easier than you expect.

  8. Dr.Tarun Bharti www.tickmyheath.com Contact Now: 9821197009 Plot No. 639, Sector 38 Near Subhash Chowk. Gurgaon

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