Thursday, September 24, 2020

Obesity by Dr. Manish Madnani

“Obesity is excessive body weight when compared to the ideal one for your height. It is calculated by your Body Mass Index (BMI= ratio of your body weight in kilograms and square of your height in meters). A person is said to be obese when their BMI is more than 30 kg/m 2. Ideal BMI should be within 18 to 25.

Gulf countries have one of the highest numbers of people living with obesity. Nearly one-third of the population is obese, and three-fourths of the population is overweight (BMI more than 25). Most times it is the outcome of imbalance between calorie consumption and utilization. A healthy adult taking 500 kcal/day extra, will put on 1 kilogram of weight per week.

One meal at a fast food outlet might be containing 1300 to 1600 kilocalories, and to burn them all one needs to walk approximately 42 kilometers. A marathon for one fast food meal? One might be surprised by this calculation since it means that everyone should be putting on tons of weight, but the reason they don’t is their metabolism, body’s absorption, and daily physical activity.

Obesity is multifactorial as it covers other medical problems like genetic make, dietary habits, hormonal problems, psychological factors, stress, and so much more. The most common cause is the imbalance of calories. The dangers posed by obesity are many, including heart-related issues, blood pressure, diabetes mellitus, sleep disturbances, joint pains, back pain, fertility problems, psychological issues, and many more. The key to maintaining a healthy weight is early detection and action. Dietary modifications with physical activity can help a lot when applied earlier. Unfortunately, with established cases of obesity, these changes are required along with other means as compliance to strict lifestyle changes is challenging. There are not many medicines available, and whatever was used in the recent past is banned by most governments due to their serious side effects. It is not uncommon to hear news about someone dying of side effects of over the counter medicines.

In the cases where there are no positive results after hard work and trials, or when complications are arising, or when a person’s BMI is more than 40, the ideal way to treat obesity is by either endoscopic or surgical intervention. Laparoscopic Bariatric and Metabolic surgeries are being performed very common nowadays with an increase in their safety and success rates.

Global data shows that 70 to 80 percent of patients with hypertension will be free of all antihypertensive medicine after Bariatric surgery

Ninety percent of patients with type 2 Diabetes will show improvement, and almost 75 percent of patients will be free of all anti-diabetes medication after bariatric surgery. “

Eighty percent of patients will have a healthy cholesterol level after bariatric surgery. One can lose from 50 to 85 percent of excess body weight after bariatric surgery. Other advantages include improvement in many issues such as sleep apnea, back, and joint pain, fertility, PCOS, cardiovascular problems, acid reflux, and more.

 

Dr. Manish Madnani

Consultant Gastrointestinal & Hepatobiliary, Pancreatic Surgeon

Bahrain Specialist Hospital

Email: manish.madnani@bsh.com.bh

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