Obesity and its Complications
Obesity is a medical condition where person has abnormal accumulation of fat which may have negative effects on health. It is normally defined using body mass index (BMI).
Weight In Kg
(Height in M)²
Body Mass Index
Morbidly obese >40
Super obese >50
Super Super obese >60
Obesity crop up when people tend to eat more than they burn. Lot of factors contributes to obesity, including:
- Sedentary lifestyle
- High calorie intake
- Genetics, Familial Lifestyle
- Medial Conditions (hypothyroidism, Cushings syndrome)
- Drugs (Beta –blocker, steroids, Anti depressant)
- Lack of exercise
Health complications associated with obesity are
- Diabetes and High blood pressure
- Pulmonary disease (abnormal function, obstructive sleep apnea, hypoventilation syndrome)
- High Cholesterol
- Gall bladder diseases
- Infertility and irregular periods
- Cancer (breast, uterus, pancreas, kidney)
- Non Alcoholic fatty liver
- Dietary modifications – Eat fat free food and high fiber diet, avoid oily and carbohydrate rich food.
- Exercise and yoga – Start your day with exercise. You can adopt yoga, aerobics, or indulge in swimming, cycling
- Ideally your calorie intake should be less then burned calories.
- Behavioral changes – stay positive and be motivated about your weight loss.
- Weight loss surgery – It’s a surgical procedure to control your appetite, which eventually help you to reduce fat.
Who are the ideal candidates for bariatric surgery?
- BMI>32.5 with associated comorbidities.
- BMI>37.5 without comorbidities.
What are the types of Bariatric procedure commonly done?
- Laparoscopic sleeve gastrectomy
- Laparoscopic gastric bypass
Benefits of Bariatric surgery- Weight loss surgery
- 55-70% excess weight reduction
- Control Of Hypertension & Diabetes
- Withdrawal of fatigue
- Infusing Activeness
What are the complications with the procedure?
- 1% chances of leak
- 3.5% of pulmonary embolism and DVT
What are the dietary advice following Bariatric surgery?
- First 2 week of liquid diet
- Next 2 week-pureed food followed by
- 2 weeks of soft diet
- Resume normal diet after 6 weeks.
What is the need of extra supplement following Bariatric surgery?
- Eat protein supplement (protein shakes, soya milk etc)
- Multi vitamins & Calcium supplements.
- Need for supplements are more in gastric bypass in comparison to other procedure.
When to Resume work?
- Patients are ambulated same day
- Patient discharged after 2 days
- Resume regular lifestyle – 2 days
- Resume to work – 1 weeks
Pregnancy after Bariatric surgery
Women should wait for at least 8 to 12 Months after bariatric surgery before getting pregnant.