Overweight and obesity result from an imbalance involving
excessive calorie consumption and/or inadequate physical
activity. For each individual, body weight is the result of
a combination of genetic, metabolic, behavioral,
environmental, cultural, and socioeconomic influences. The
present day life style, environment and genetics are the
main reasons for this. Life style and behavioral habits are
the most important reasons for these disturbing trends.
Eating junk foods, fast foods, beverages and lack of
exercise (eating too many calories while not getting enough
physical activity) allows the person to add on weight to
his body to dangerously alarming proportions. Behavioral
and environmental factors provide the greatest
opportunities for prevention and treatment.
How
does overweight and obesity affect an individual’s
health?
If a person is overweight, he is more likely to develop
health problems; such as,heart disease, stroke, diabetes,
cancer (such as colon cancer, endometrial cancer, and
postmenopausal breast cancer) , gallbladder disease, sleep
apnea (interrupted breathing during sleep), osteoarthritis
(wearing away of the joints). The more overweight an
individual is, the more likely he is to have health
problems. Apart from this other serious consequences of
severe obesity are well documented and include heart
failure, lung problems, digestive diseases and other
complications.
Is there any evidence for this statement?
Yes there are plenty and I can quote a few in the following
sentences. In a 12 year follow-up of 336,442 men and
419,060 women, it was found that overweight people of both
sexes, especially young overweight people, tend to die
sooner than their lean contemporaries and the death rates
for men 50% above average weight were increased
approximately two fold.. In a study of 200 morbidly obese
men aged 23 to 70 years, with an average weight 143.5 kg
showed a twelve fold increase in death rate in the 25-34
year age group and a six fold increase in the 35-44 year
age group. During the average follow-up period of 7 ½
years, 50 of the original group had died.
We can get glaring evidence this even from the Guinness
Book of Records which memorializes the world’s
heaviest individuals. Robert Earl Hughes, the heaviest
human ever recorded was born in Illinois, USA in 1926. By
age six he weighed 91 kgs, by age 10 he was 171 kilos, by
age 25 he was 406 kilos, and in 1958, the year of his
death, he weighed 484 kilos. At the age of 32, he developed
measles and was treated in the modified semi trailer (in
which he traveled) as he was too big to be taken to any
hospital. He developed uremia and died. As no coffin was
able to fit him, he was buried in a piano case which was
lowered into the grave by a crane. Like Hughes a fair
number of people have found their names in the Guinness
Book due to their obesity. It is quite saddening to note
that none of these people who gained their names in
Guinness book of records lived over 40 years of age.
Individuals who are obese (BMI > 30)* have a 50 to 100%
increased risk of premature death from all causes, compared
to individuals with a healthy weight.
Are
there any other associated problems apart from what you
have mentioned before?
The obese patients not only suffer from health related
problems but also from emotional problems linked to obesity
like feeling depressed;feeling rejected;feeling
shameful;feeling unattractive; and feeling shy in social
settings.They face discrimination at work, at school, and
in social settings
Is there any benefit if one reduces his weight ? Can the
serious complications that has been mentioned prevented ?
Weight loss and regular exercise can help improve the
harmful effects of being overweight. Studies show if an
individual is overweight or obese, losing 5–10% of
body weight can improve his health considerably. It has
been estimated that a ten percent reduction in body weight
corresponds to a twenty percent reduction in the risk of
developing coronary heart disease.
Weight loss can result in lower blood pressure, lower blood
sugar, and improved cholesterol levels. A person with a
Body Mass Index (BMI) above the healthy weight range may
benefit from weight loss, especially if he or she has other
health risk factors, such as high blood pressure, high
cholesterol, smoking, diabetes, a sedentary lifestyle, and
a personal and/or family history of heart disease.
What
are the methods that an individual has to choose from in
order to loose weight?
The obesity is a complex; multifactorial chronic disease
The method of treatment depends on level of obesity,
overall health condition and motivation to lose weight.
Treatment can include a combination of diet, exercise,
behavior modification, and sometimes weight-loss drugs. In
some cases of severe obesity, gastrointestinal surgery may
be recommended.
Can you tell us about the Normal Digestive Process in us?
How is this altered in the obesity surgeries?
After we swallow our food, it moves down the esophagus to
the stomach, where a strong acid mixes with the food to
start the digestion. The stomach holds about 500 –
600 ml of of food. The food in the stomach moves into the
duodenum (the first segment of the small intestine), where
it mixes with bile and pancreatic juice (produced by the
liver and pancreas, respectively). This is completely mixed
and the digested food enters the jejunum and ileum, the
remaining intestine (15 to 18 feet) to complete the
absorption of almost all calories and nutrients. The
unabsorbed food passes into the large intestine and is
excreted out.