Obesity

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faculty of nursing Tanta University

Obesity

Gesundheit & Medizin

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Overweight and obesity are defined as abnormal or excessive fat accumulation in the body that presents a risk to health. Obesity will have a negative effect on health, leading to reduced life expectancy and/or increased health problems. According to WHO, Obesity is one of the most serious public health problems of the 21st century. For more info visit :- http://gisurgery.info/player_presentation.php?id=133

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Tharwat's Family Tharwat's Family O B E S I T Y A N D T H E D I G E S T I V E S Y S T E M Diet and exercise in management of obesity and overweight Kwong Ming Fock* and Joan Khoo† Departments of *Gastroenterology and †Endocrinology, Changi General Hospital, Singapore Keywords BMI, diet, exercise, NAFLD, obesity. Accepted for publication 30 September 2013. Correspondence Professor Kwong Ming Fock, Division of Gastroenterology, Department of Medicine, Changi General Hospital, 2 Simei Street 3, Singapore 529889. Email: [email protected] Abstract According to World Health Organization, in 2010 there were over 1 billion overweight adults worldwide with 400 million adults who were obese. Obesity is a major risk factor for diabetes, cardiovascular disease, musculoskeletal disorders, obstructive sleep apnea, and cancers (prostate, colorectal, endometrial, and breast). Obese people may present to the gastroenterologists with gastroesophageal reflux, non-alcoholic fatty liver, and gallstones. It is important, therefore, to recognize and treat obesity. The main cause of obesity is an imbalance between calories consumed and calories expended, although in a small number of cases, genetics and diseases such as hypothy- roidism, Cushing’s disease, depression, and use of medications such as antidepressants and anticonvulsants are responsible for fat accumulation in the body. The main treatment for obesity is dieting, augmented by physical exercise and supported by cognitive behavioral therapy. Calorie-restriction strategies are one of the most common dietary plans. Low-calorie diet refers to a diet with a total dietary calorie intake of 800–1500, while very low-calorie diet has less than 800 calories daily. These dietary regimes need to be balanced in macronutrients, vitamins, and minerals. Fifty-five percent of the dietary calories should come from carbohydrates, 10% from proteins, and 30% from fats, of which 10% of total fat consist of saturated fats. After reaching the desired body weight, the amount of dietary calories consumed can be increased gradually to maintain a balance between calories consumed and calories expended. Regular physical exercise enhances the efficiency of diet through increase in the satiating efficiency of a fixed meal, and is useful for maintaining diet-induced weight loss. A meta-analysis by Franz found that by calorie restriction and exercise, weight loss of 5–8.5 kg was observed 6 months after intervention. After 48 months, a mean of 3–6 kg was maintained. In conclusion, there is evidence that obesity is preventable and treatable. Dieting and physical exercise can produce weight loss that can be maintained. Introduction Since 1980, obesity has more than doubled globally and is now considered as a major health hazard and a global epidemic. This review aims to evaluate the current management of obesity and overweight employing a combination of dietary interventions, exercise, and behavioral modification. For ...

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Obesity has many deleterious effects for women of reproductive age. In the first place, obese women are more likely to encounter problems becoming pregnant and they are more likely to miscarry They are at greater risk of developing pregnancy complications and problems associated with labour and delivery. Finally, obese women are more at risk of postpartum complications . Taken all together, maternal mortality and morbidity is significantly elevated for obese women . Maternal obesity is also dangerous for the fetus and the newborn.The management of obesity requires a multidisciplinary approach. Stepwise programmes with realistic time-related goals are required, starting with modification of lifestyle, progressing to pharmacotherapy and ultimately obesity surgery. Weight loss interventions do not appear to be common practice among fertility centres& pre-pregnancy clinics in spite of clear evidence as to the benefits. Women should be referred to a nutritionist in cases where clinicians lack the knowledge and/or time to provide adequate counselling.

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