{"id":6024,"date":"2019-07-04T14:34:59","date_gmt":"2019-07-04T09:34:59","guid":{"rendered":"https:\/\/drmohans.com\/?p=6024"},"modified":"2024-11-27T14:47:27","modified_gmt":"2024-11-27T14:47:27","slug":"obesity-a-deterrent-to-diabetes","status":"publish","type":"post","link":"https:\/\/drmohans.com\/backend\/obesity-a-deterrent-to-diabetes\/","title":{"rendered":"Obesity- An Impediment to Diabetes"},"content":{"rendered":"\r\n<p class=\"wp-block-paragraph\">Obesity has been described as the major pandemic of the 21st century and an impediment to diabetes. Estimates of the prevalence rates of obesity vary, but by rough estimates, up to 30% of the population in most developed countries is obese. While obesity is a problem of the underprivileged classes in the West, it is a disease of prosperity in India. As more and more individuals and families break out of the grip of poverty, it increases the risk of obesity can also be expected to go up. <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Definition\r\nof obesity <\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">&nbsp;Obesity\r\nis qualitatively defined as a condition in which excess fat gets accumulated in\r\nthe body to the extent that it causes adverse effects on health. Most of the\r\nclassification systems use the body-mass index (BMI), waist circumference (WC)\r\nor waist-hip ratio (WHR)<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; BMI is calculated as\r\n(weight in kg)\/(height in m)2<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">The BMI is used by the world health organization\r\nin its classification of obesity, whereas WC, WHR are indices of abdominal\r\nobesity <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Indian\r\nclassification of obesity <\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">&nbsp;It has been\r\nlong noted that the health consequences of excess adiposity start at a much\r\nlower level of BMI in Asians compared to Caucasians <\/p>\r\n\r\n\r\n\r\n<table class=\"wp-block-table\"><tbody><tr><td>\r\n  <strong>BMI\r\n  (kg\/m2)<\/strong>\r\n  <\/td><td>\r\n  <strong>Classification<\/strong>\r\n  <\/td><\/tr><tr><td>\r\n  &lt;22.9\r\n  <\/td><td>\r\n  Normal\r\n  <\/td><\/tr><tr><td>\r\n  23.0-24.9\r\n  <\/td><td>\r\n  Overweight\r\n  <\/td><\/tr><tr><td>\r\n  25.0-29.9\r\n  <\/td><td>\r\n  Obese\r\n  <\/td><\/tr><\/tbody><\/table>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Types of\r\nobesity <\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Android or central or visceral obesity- Here the\r\nbody has the shape of an apple. The fat accumulation occurs mainly above the\r\nwaist <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Gynoid Obesity-Here the body shape resembles\r\nthat of a pear. The fat accumulation occurs below the waist. This type of obesity\r\noccurs mainly in females. <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Diabetes\r\nand obesity <\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Obesity, particularly visceral obesity is a\r\nstrong risk factor for type 2 diabetes. Increased depots of visceral adipose\r\ntissue lead to increased delivery of free fatty acids to the liver, which can\r\nlead to development of insulin resistance in this organ. In contrast to\r\nsubcutaneous fat, visceral fat is a metabolically active tissue which releases\r\na variety of adipocytokines and inflammatory mediators which can cause further\r\nreduction in insulin sensitivity. <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Obesity increases the risk of hypertension, dyslipidemia, cardiovascular disease, gall stones, polycystic ovary syndrome and certain malignancies. A person who is overweight or obese at age can expect to die 3 to 10 years earlier than a contemporary who is lean. <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Management\r\nof obesity <\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">The treatment of obesity\r\nrequires a multi-pronged approach and involves input from the patient,\r\nphysician, dietician, and other members of health care team. <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Medical nutrition therapy is\r\nimportant for initial weight loss as well as maintenance of the weight loss.\r\nThe more extreme diets are not advisable unless they are willing for close\r\nmedical supervision. Physical activity is more important in preventing weight\r\nloss, preventing weight regain rather than in achieving initial weight loss. A\r\nminimum of 30 to 45 minutes of moderate intensity physical activity 3 to 5 days\r\na week should be aimed at initially. The duration and intensity of exercise can\r\nthen be gradually increased. <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Bariatric surgical procedures\r\naim to reduce nutrient digestion and absorption by altering the anatomy of the\r\ngastrointestinal tract. It is one of the few interventions that can cure type 2\r\ndiabetes. <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Conclusion\r\n<\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">It is essential to screen for\r\nobesity, &nbsp;pre-diabetes and diabetes. The\r\nbest treatment for diabetes is prevention. Prevention of diabetes can be\r\naccomplished through a 7% weight loss through intensive lifestyle interventions\r\nthat include caloric reduction and approximately 30 min of daily moderate\r\nphysical activity.&nbsp;<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Thus better nutrition, increased physical activity, and control of blood glucose levels can delay the progression and act as an impediment to diabetes and help prevent the complications associated with the obesity and diabetes <\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Obesity has been described as the major pandemic of the 21st century and an impediment to diabetes. Estimates of the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":17286,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[350,440],"tags":[],"class_list":["post-6024","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs","category-pediatric-care"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Obesity- An Impediment to Diabetes - Dr. Mohan&#039;s<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drmohans.com\/backend\/obesity-a-deterrent-to-diabetes\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Obesity- An Impediment to Diabetes - Dr. Mohan&#039;s\" \/>\n<meta property=\"og:description\" content=\"Obesity has been described as the major pandemic of the 21st century and an impediment to diabetes. 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