Girija Hospital & Fertility CenterAzad nagar, near Gujarat Colony, Kothrud, Pune
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What are these >>>>>> Please lose weight !!! A constant reprimand by the doctor. Any issue you go to the doctor may be menstrual abnormality, fibroids, pain, painful periods, planning babies, infertility the “obesity” comes in !! ‘But all of us in the family are fat ‘ ‘this is our tendency’, ‘I don’t eat anything’, ‘I just can’t lose weight’, ‘I have no time ‘, ‘I have hypothyroidism’, ‘I feel tired’, ‘I am a foody’’I am lazy’ ! Many of these thoughts constantly run through our minds.
Through this sketch have made an attempt o simplify the issues ignorer to improve the approach towards health and to overcome obesity and to prevent and overcome fatness and nurture fitness.
Something or someone that has or who has eaten till making itself fat is the actual Latin meaning of the word obesity. Obesity was rare entity before the 19th century. Today it has become rampant. The history of this state of physicality goes a long way. The greeks were the first to identify this as a medical condition. Hippocrates who is revered as the father of modern medicine recognised obesity as a disease and also mentioned that it led to other diseases.
If one goes through the evolution of time scarcity of food and excessive physical activity was the norm. Obesity then was the sign of the wealthy as this class could afford to eat and also handle the consequences. And obesity that time was a sign of gluttony ( excessive eating and consuming wrong things ), psychological illnesses ( depression or mental ill health or disorder )and laziness ( inactivity with no purpose and physical activity ).Christianity was the widest spread faith and believed that obesity was a result of laziness and lust for food and identified both of these as sins against the church and the God and reprimanded individuals by calling them ‘fat’.
Ethnicity : Asians can genetically process complex foods and less amount of food. Complex carbohydrates are the main food content balanced with moderate proteins and fibres.
Endocrinology : some hormones can potentiate the occurrence of obesity and are interlinked with this. Thyroid disorders, insulin dysfunction, leptin deficiency, abnormalities in ovarian hormones etc
Environment : factors such as lifestyle, increased consumption of highly processed foods, stress.Intrauterine programming is emerging as a new cause of obesity. If the mother has had diabetes or is obese or if the baby is growth restricted or premature the possibilities are that such offsprings are at a higher chance of developing obesity.
Exercise absence or inadequacy : no physical activity, sedentary routine and work
Diabetes, heart disease, raised blood pressure, menstrual irregularities, infertility, poor self-image are she of the consequences of obesity. During pregnancy, obese women can have rapid weight gain, diabetes, overweight babies, raised blood pressure, increased possibility of miscarriages, preterm deliveries and pregnancy and delivery complications.
When the weight does not match the height of a person or is more than what should be one can know that we are overweight. Simple formulas exist such as the BMI where the weight in kilograms is divided by height in metres squared. The ideal BMI for Indians has to be 23 and BMI more than 29 is considered obese. Simple measure such as the waist circumference measured in centimetres can tell us that all is not right. Waist circumference more than 88 can be commonly associated with obesity and its consequences such as diabetes, infertility, raised blood pressure etc. The actual assessment can also come by assessing the body composition and that can be a better guide. Consequences of obesity mentioned above are assessed through clinical examination by a doctor and laboratory tests.
Beware about your Asian ethnicity and plan strategically. Eat healthy and as much as is necessary. Food is for nourishment not for appeasement. Do not find solace in food alone. Eat complex foods which are as original as possible and not overcooked and processed. Eat what is necessary for your stage of life. Young adolescent girl has different needs than a peri-menopausal woman. Be smart in your food choices and composition. Balance of fibres, micronutrients and proteins has to be proper. The food has to be eaten consciously and not conveniently.
Have a regular exercise plan. Take it on as a commitment. Focus on being smart and acquire proper posture and body image. A good physique and a posture is a work of a craftsman and needs to be acquired through perseverance.
Be focused and committed to your own health and be your own sculptor.
Above all identify your own biology.
Every individual is unique. The same formula does not work for all. So everyone has to identify along with the doctor’s help what would work for them and become a partner with your doctor in achieving your own health.
The clinical assessment helps in identifying the cause and the effects of obesity and in accordance the 4 ‘E’s of obesity can be tackled.
So commitment, consciousness and perseverance matter. And yes, it is doable. So let’s start now. Some more in by next post. Meanwhile please visit the following links for more info on related previous posts form me.
Happy heath !! Love you all
Dr. Girija Wagh, MD (Obstetrics & Gynaecology), FICOG, FICP, Diploma (Endoscopy, Infertility), Fellowship of Indian College of Ob-Gynec, Women health care specialist, Academician, Acclaimed Orator & Researcher, B. J. Medical 1990-1992, Topper University Of Pune 1992
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