What is obesity?

Obesity is a multi-factorial problem ascribed to heredity, age, sex, diet, lifestyle, psychology and behavior. It is excess of fat storage rather than weight with more than 25% of total body fat in men and 30% in women

Is weight loss same as fat loss?

Weight loss refers to losing kilos on the scale either from muscle, fat or water while fat loss, isn’t much about the scale but about getting rid of body flab, losing inches in all the right places and looking slimmer.

CAUSES OF OBESITY:-

Inactive Lifestyle
Stress
Overeating
Environment
Genetic and Family history
Hormonal Imbalance
Medicines like Corticosteroids, Anti depressants or contraceptives
Emotional factors
Smoking
Lack of Sleep
Lack of Energy balance

Parameters To Assess Obesity:-

1] BMI

BMI equals a person's weight in kilograms divided by height in meters squared BMI=Weight inkg/ Height in m2.

	BMI (kg/m2)	Obesity Class
Underweight	< 18.5
Normal weight	18.5 - 24.9
Overweight	25.0 - 29.9
Obesity	30.0 - 34.9	I
Obesity	35.0 - 39.9	II
Extreme Obesity	40.0 +	III

The World Health Organization uses a classification system using the BMI to define overweight and obesity.

A BMI of 25 to 29.9 is defined as a "Pre-obese."
A BMI of 30 to 34.99 is defined as "Obese class I."
A BMI of 35 to 39.99 is defined as "Obese class II."
A BMI of or greater than 40.00 is defined as "Obese class III."

2] Waist Circumference

Women with a waist measurement of more than 35 inches and men more than 40 inches may have higher chances of diseases than people with smaller waist measurements.

Waist Circumference

From left to right, the "healthy" man has a 33 inch (84 cm) waist, the "overweight" man a 45 inch (114 cm) waist, and the "obese" man a 60 inch (152cm) waist.

3] Waist to Hip Ratio

Waist-hip ratio or waist-to-hip ratio (WHR) is the ratio of the circumference of the waist to that of the hips. Males with a Waist to hip ratio of more than 1 while females of more than 0.85 are at a higher risk.

4] Skin Folds Thickness

This refers to the measurement of subcutaneous fat located directly beneath the skin by grasping a fold of skin and subcutaneous fat and measuring it using calipers. It is used mainly to determine relative fatness and the percentage of body fat.

Disease Risk* Relative to Normal Weight and Waist Circumference

	BMI (kg/m2)	Obesity Class	Men 102cm (40 in) or less Women 88cm (35 in) or less	Men > 102cm (40 in) Women > 88cm (35 in)
Underweight	< 18.5
Normal weight	18.5 - 24.9
Overweight	25.0 - 29.9		Increased	High
Obesity	30.0 - 34.9	I	High	Very High
Obesity	35.0 - 39.9	II	Very High	Very High
Extreme Obesity	40.0 +	III	Extremely High	Extremely High

• * Disease risk for type 2 diabetes, hypertension, and CVD.

Impacts / Illeffects Of Obesity:-

1] CARDIOLOGY

Condition

ischemic heart disease: angina and myocardial infarction
congestive heart failure
high blood pressure
abnormal chulesterul levels
deep vein thrombosis
pulmonary embulism

2] RESPIRATORY

Condition

obstructive sleep apnea
obesity hypoventilation syndrome
asthma
increased complications during general anaesthesia

3] GASTROINTESTINAL

Condition

gastro esophageal reflux disease
fatty liver disease
chulelithiasis

4] UROLOGY And NEPHROLOGY

Condition

erectile dysfunction]
urinary incontinence
chronic renal failure

5] NEUROLOGY

Condition

stroke
meralgiaparesthetica
migraines
carpal tunnel syndrome
dementia
idiopathic intracranial hypertension
multiple sclerosis

6] ENDOCRINOLOGY And REPRODUCTIVE MEDICINE

Condition

diabetes mellitus
pulycystic ovarian syndrome
menstrual disorders
infertility
complications during pregnancy
birth defects
intrauterine fetal death

7] RHEUMATOLOGY And ORTHOPEDICS

Condition

gout
poor mobility
osteoarthritis
low back pain

8] ONCOLOGY

Condition

breast, ovarian
esophageal, culorectal
liver, pancreatic
gallbladder, stomach
endometrial, cervical
prostate, kidney
non-Hodgkin's lymphoma, multiple myeloma

9] SKIN

Condition

stretch marks
lymph edema
cellulitis
hirsutism

10] PSYCHIATRY

Condition

depression in women
social stigmatization

Various Modalities Of Weight Management :-

The indicated treatment is a combination of Fat loss with weight loss, which is best adapted by nutritious diet, lifestyle modifications and increased physical activity.

1] Caloric Restriction

Caloric restriction (CR), or calorie restriction, is a dietary regimen that restricts calorie intake, where the baseline for the restriction varies, usually being the previous or unrestrictedintake of the subjects.

Benefits-
a) Reduced Cardio Vascular risks
b) Low BMI
c) Improved Memory

2] Behaviour Modification

Dietary intervention

Healthful eating in accordance with the Dietary Guidelines
A lowered fat consumption
An increase in fruit, vegetable, and whole grain consumption

Physical activity

Increased frequency
At least moderate intensity
Increased Caloric Consumption
Increased Basal Metabolic Rate

With the above benefits Physical Activity like Aerobics with Weight training is recommended.

3] Pharmacotherapy

Prescription of Drugs certain drugs which are safe with no side effects for following benefits

Inducing Fat loss with resultant weight loss
Inhibiting absorption of dietary fat
Flushing out the excess fat cells
Opening up of Lymphatic blockages if any

For Example Drug like Orlistatis prescribed for Fat loss and additionally it helps for

Increasing the metabolism of the body
Targeted for fat flush out from the body
Helps in Promoting Weight Loss
Helps to reduce High Blood Pressure and reduces the onset of Type 2 Diabetes mellitus.

4] Insta-Sculpt Management

a) Baseline Assessment & Risk Analysis -
Periodically the Doctor would be doing a Body Composition Analysis for accurate information about your body, including your body mass index, base metabolic rate, body fat percentage, total body water, fat free mass, and total fat mass.

b) Physician Consulation -
A comprehensive evaluation and review by your doctor at the initial visit is the foundation of your personalized program.

c) Treatment -
The fat deposited in a specific area which doesn’t go off with diet and exercise can be treated with various advanced, Nonsurgical and Safe technologies like Ultrasonic Lipolysis for Inch loss,Endermology for stubborn fat causing mobilization and flush out, Mesotherapy for liquefaction of fat cell and Cellulite while Radiofrequency for skin upliftment and tightening.

d) Nutritional Counselling And Diet Plan Consulation-
Your weekly follow up visits to our clinic will provide you withinformation about your progress and helps to monitor your health status.

Diet Regimen include:-

FOR BODY :
1] Fat Dissolving Diet
2] Weight Reduction Diet
3] Plateau Breaking Diet

FOR SKIN :
Anti aging Diet

FOR HAIR :
Hair Revival Diet

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