If a person's bodyweight is at least 20% higher than it should be, he or she is considered obese. If your Body Mass Index (BMI) is between 25 - 29.9 kg/mt2 (In Western population) or 22.5 -27.5 kg/mt2(In Indian population) you are considered overweight. If your BMI is > 29.5kg/mt2 (In western population) or >27.5kg/mt2(In Indian population) you are considered obese. As your BMI increases,risk of diseases and death also increases.
Causes of Obesity
- High calories intake and less physical activities
- Genetical factors
- Harmonal abnormalities
How Can Obesity measured?
Formula of BMI
BMI (kg/mt2) = Weight (in kilograms) / Height (in meter) x Height (in meter)
||Asian (including India)
|18.9 to 24.9||17.5-22.5||Normal Size|
|25 to 29.9||22.5-27.5||Over Weight|
|30 to 34.9||27.5-32.5||Class1,Obesity|
|35 to 39.9||32.5-37.5||Class 2,Serious Obesity|
|40 and >||37.5 and >||
Class 3,Morbid Obesity
Health problems/risks of Morbid obesity
- High blood pressure /heart diseases/increase cholesterol
- type 2 diabetes
- Breathing difficulties, such as sleep apnea, and asthma
- Joint pain
- Fatty liver disease, gallstones, and gastro-esophageal reflex
- Risk of cancers
- Low self confidence and esteem and depression.
- Childhood obesity can leads to low self-confidence,depression, anxiety, less social interaction and poor learning ability
How can it be prevented?
- Periodic monitoring of various parameter like BMI,Waist circumference and Waist /Hip ratio.
- Promote healthy eating habits since childhood and in family and encouraging low calorie diets, vegetables and fruits, low-fat dairy foods, and whole grains and promoting physical activities in society.
Management of Obesity
The nonsurgical treatment of severe obesity like diet ,exercise and drugs is a life-long struggle with own weight. While no one disputes the ability of morbidly obese patients to lose weight for significant weight loss but the challenge is to maintain weight loss in the long term .
Bariatric surgery (weight loss surgery) is the only treatment modality that produces significant, sustained, long-term weight loss in patients with severe obesity . The National Institutes of Health,USA consensus conference in 1991 stated unequivocally that surgery is the only approach that provides consistent, permanent weight loss for morbidly obese patients.