Obesity and weight loss
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and / or increased health problems. It is defined by body mass index (BMI). BMI is closely related to both percentage body fat and total body fat.
- Any BMI > 25 in India is considered obesity
A BMI > 35 is severe obesity
- A BMI of 35 to 45 is morbid obesity
- A BMI of > 45 is super obesity.
As Asian populations develop negative health consequences at a lower BMI than Caucasians, some nations have redefined obesity; the Japanese have defined obesity as any BMI greater than 25 while China uses a BMI of greater than 28. In India currently obesity is defines as a BMI of > 25. Low levels of physical activity, sedentary lifestyle and consumption of junk foods have been associated with a higher prevalence of overweight and obese adults. The development of obesity is characterised by a chronic imbalance between energy intake and energy expenditure and it is often ascribed to changing lifestyles and inadequate dietary habits.
Obesity and overweight is associated with several co morbidities including
- Heart diseases
- Polycystic ovarian syndrome (PCOD)
- Infertility (male and female)
- Pregnancy complications
- Sleep apnea
- Risk of cancer
- Sedentary lifestyle
- Other illnesses
- Social determinants
WHO confirms obesity as one of todays most neglected public health problem affecting every region of the globe.
The main treatment for obesity consists of dieting and physical exercise. Diet programs produce weight loss as long as they are followed, but maintaining this weight loss is frequently difficult and often requires making exercise and a lower food energy diet a permanent part of a person's lifestyle.
It is often required to have a maintenance diet plan that one follows long term so that the weight loss stays effective. Dr. Neha has researched and understood this fact and has specifically designed maintenance diets to help you maintain the weight loss that you achieve with her.
Diet plays a major role in prevention of obesity . One should follow some basic principles :
- Eat regular intervals
- Eat lots fruits and vegetables
- Drink plenty of water
- Include more protein rich foods
- Don't give gaps in diet
Weight Loss Programme
The main area of concern is to provide balanced weight loss diets . To lose weight and to maintain the loss over the long term, we provide well balanced customized weight loss diets as per the individuals daily dietary and lifestyle habits.
A pattern is followed where, the details of an overweight or obese patient is taken. A dietary recall is noted followed by Body composition analysis - done with the help of specialized equipment). This helps us know the excess body weight and excess fat levels. Looking at this the tables are compared side by side with ideal weight and fat composition. Realistic targets are set up. Finally physical measurements are taken and a customized weight loss plan is made for the patient.
In a month a target of 3- 5 kg weight loss is taken for which daily diet plan are provided to patients. Weekly visits and weight loss record of the patients is maintained. Once the desired weight loss is achieved, a maintenance diet is given to the patient.
Benefits Of Weight Loss
- Decreases menstrual disturbances
- Aids in the return of ovulation
- Increase insulin sensitivity
- Reduces insulin level
- Decrease acne, hirsutism and male hormone level
- Improve blood lipids
- Deceases chronic disease risk
- Benefits of exercise
- Weight loss and weight loss maintenance
- Decreases insulin levels
- Increase good cholestetrol and decreases bad cholesterol level
- Improve fertility
- Decrease chronic disease risk
Diet in different age groups:
All humans have to eat food for growth and maintenance of a healthy body , but we humans have different requirements as infants, children (kids), teenagers, young adults, pregnancy, lactation and in old age. For e.g., infants may require feeding every four hors unitl they gradually age and begin to take in more soild foods. Eventually they develop into the more normal pattern of eating three times per day as young kids . However as most parents know kids , teenagers and young adults often snack between meals. Snacking is often not limited to these age groups because adults and seniors often do the same.