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OBESITY & OVERWEIGHT ‘a modern day havoc ’
- 1. OBESITY & OVERWEIGHT ‘a modern dayhavoc ’ DR. Yogesh Agarwala
- 2. Over 370 pptsare available on slideshare.net ***for use of public/Doctors www.slideshare.net / Lifecarecentre
- 3. WHO Definition -2011 Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health.
- 4. Obesity and overweight Keyfacts • Worldwide obesity has nearly tripled since 1975. • In 2016, more than 1.9 billion adults, 18 years and older, were overweight. Of these over 650 million were obese. • 39% of adults aged 18 years and over were overweight in 2016, and 13% were obese. • Most of the world's population live in countries where overweight and obesity kills more people than underweight.
- 5. Obesity and overweight Keyfacts • 41 million children under the age of 5 were overweight or obese in 2016. • Over 340 million children and adolescents aged 5-19 were overweight or obese in 2016. Obesity is preventable
- 6. Obesity and overweight Adults Foradults, WHO defines overweight and obesity as follows: – overweight is a BMI greater than or equal to 25; and – obesity is a BMI greater than or equal to 30. – BMI provides the most useful population-level measure of overweight and obesity as it is the same for both sexes and for all ages of adults. For children, age needs to be considered when defining overweight and obesity.
- 9. Obesity and overweight Childrenunder 5 years of age – overweight is weight-for-height greater than 2 standard deviations above WHO Child Growth Standards median; and – obesity is weight-for-height greater than 3 standard deviations above the WHO Child Growth Standards median.
- 10. Obesity and overweight Childrenaged between 5–19 years – overweight is BMI-for-age greater than 1 standard deviation above the WHO Growth Reference median; and – obesity is greater than 2 standard deviations above the WHO Growth Reference median.
- 11. What causes obesityand overweight? • The fundamental cause of obesity and overweight is an energy imbalance between calories consumed and calories expended. Globally, there has been: – an increased intake of energy-dense foods that are high in fat; and – an increase in physical inactivity due to the increasingly sedentary nature of many forms of work, changing modes of transportation, and increasing urbanization.
- 12. What are commonhealth consequences of overweight and obesity? • Raised BMI is a major risk factor for non communicable diseases such as: – cardiovascular diseases (mainly heart disease and stroke), which were the leading cause of death in 2012; – diabetes; – musculoskeletal disorders (especially osteoarthritis – a highly disabling degenerative disease of the joints); – some cancers (including endometrial, breast, ovarian, prostate, liver, gallbladder, kidney, and colon). – The risk for these non communicable diseases increases, with increases in BMI.
- 13. Metabolic Syndrome • CentralObesity • Hypertension • Diabetes Mellitus • Dyslipidemia Hyperuricemia / PCOD / NASH / Errectile Dysfunction
- 14. How can overweightand obesity be reduced? • Overweight and obesity are largely preventable. • Supportive environments and communities are fundamental in shaping people’s choices • At the individual level, people can: – limit energy intake from total fats and sugars; – increase consumption of fruit and vegetables, as well as legumes, whole grains and nuts; and – engage in regular physical activity (60 minutes a day for children and 150 minutes spread through the week for adults).
- 15. Five Keys tosafer food, Five Keys to a healthy diet, Five Keys to appropriate physical activity
- 16. Five Keys tosafer food, Five Keys to a healthy diet, Five Keys to appropriate physical activity
- 17. Bariatric Surgery 1. Laparoscopic AdjustableGastric Banding 2. Sleeve Gastrectomy 3. Roux en Y Gastric Bypass
- 18. April 2017 • Weight135 kg • BMI 47kg/m2 • Diabetic, Hypertensive, Severe Obesity Hypoventilatio n Syndrome • Unable to get out of bed December 2017 • Weight 64 kg • On no medication except multivitamins • Actively ambulatory and drives her car
- 19. NASH leading toCirrohsis
- 20. Reversal of NASHafter weight loss
- 21.
- 22. ADDRESS 11 Gagan Vihar,Near Karkari Morh Flyover, Delhi - 51 CONTACT US 9650588339 9599044257 011-22414049 WEBSITE : www.lifecareivf.in www.lifecarecentre.in www.lifecareabs.in ISO 14001:2004 (EMS) …..Caring hearts, healing hands ISO 9001:2008 Helpline : 9599044257 Web.www.lifecareivf.in Helpline : 9910081484 27 Year In your service
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- #19 December 2017 Weight 64 kg On no medication except multivitamins Actively ambulatory and drives her car