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Dr. imtiyaz kondkari 28 oct 13

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  • 1. OBESITY & ITS MANAGEMENT BY DR. IMTIYAZ IBRAHIM KONDKARI B.U.M.S.(MUM);C.C.H.;C.G.O,;C.F.P,;S.F.A.(USA) PRACTISING AS CONSULTANT GREEK PHYSICIAN FOR LAST 24 YRS.IN MUMBAI
  • 2. I, TREAT CHRONIC DISEASES, DEGENARATIVE DISEASES, RARELY TREATED DISEASES E.G. • WEIGHT MANAGEMENT (LOSING WT / GAINING WT.), •INJECTION TREATMENT FOR PILES, (Without operation) • MEDICAL MANAGEMENT OF BPH, •PREVENTING HEART DISEASES, •REVERSAL OF HEART DISEASES,
  • 3. HE IS ALSO MANAGING DIRECTOR FOR elaaj.com elaaj.com Multi-Modality Multi-Specialty Treatment of Pain THE CLINIC OF ITS KIND FOR 1 ST TIME IN INDIA
  • 4. TO BEGIN WITH TODAYS SCIENTIFIC SESSION FIRSTLY I WELCOME YOU ALL FOR THIS VERY IMPORTANT & MOST SCIENTIFIC TALK ON OBESITY “THE OPEN (honest/sincere/truthful/direct/ un-answering/constant/solid) KILLER”
  • 5. • • • • • WHOM THIS SEMINAR IS ORGANISED FOR …? FOR PEOPLE FROM ALL THE WALKS OF LIFE ,WHY? AS…. THE BOSSES ARE OBESE BUSSINESSMAN R OBESE HOME MAKER ARE OBESE SALES MAN ARE OBESE ADOLESCENCE ARE OBESE • • • • • EXECUTIVES ARE OBESE SECRETARIES ARE OBESE HOUSE WIVES ARE OBESE LABOURS ARE OBESE CHILDREN ARE OBESE EVEN DOCTOR’S AND HEALTH WORKER’S ARE OBESE
  • 6. FACT’S ABOUT OBESITY A STUDY……. • 65—80 MILLIONS OF INDIAN’S ARE OBESE BETWEEN THE AGE OF 15 YRS. TO 75 YRS. • 50---60 MILLIONS OF INDIAN’S ARE ON DIET AT ANY GIVEN TIME (DIET) • 90% OF THE DITIER SKIPS MEAL { DIETING… CYCLING } • MONO DIET {THE MORE OF ONE AND SAME DIET} IS DIFFICULT TO LOOSE WEIGHT • CHILD OBESITY IS INCREASING AS OF LACK OF EXERCISE • WOMEN BURNS FEWER CALORIES THAN MAN
  • 7. CHILD OBESITY CHILD OBESITY IS INCREASING AS OF LACK OF EXERCISE
  • 8. DISCUSSION ON OBESITY •WHAT IS OBESITY ? OVER WEIGHT ? •ROOT CAUSE OF OBESITY ? •WHY DO PEOPLE GAIN WEIGHT ? •WHAT ARE THE DISEASES CAUSED BY OBESITY ? •WHAT ARE THE DISEASES RESPONSIBLE FOR OBESITY? •WHAT SHOULD BE THE PERSONS IDEAL WEIGHT // BMI // FAT% // ? •HOW TO MANAGE OBESITY ?
  • 9. • WHAT IS OBESITY ? OBESITY ABNORMAL ACCUMULATION OR COLLECTION OF FAT UPTO 20% OR MORE THAN 20% OF BODY WEIGHT IS OBESITY. OUR SOCIETY HAS OBSESSED WITH LOOSING WEIGHT.
  • 10. ROOT CAUSE OF OBESITY OVER EATING ====HOGGING ===LESS OR NO ACTIVITY ===PSYCOLOGIC AFFECT ===HIGH LEVEL MEALS OF ANIMAL FOOD === MILK AND MILK PRODUCTS ====MEAT JUNK FOOD ===BURGER, PIZZA ,BATATA WADA, FAST FOOD ===NOODLES,FRIED FOODS,PROCESSED FOODS
  • 11. WHY DO PEOPLE GAIN WEIGHT 1. DISORDER • OBESITY IS A PERSONNEL • A LARGE PROPORTION OF OVER WEIGHT ARISES FROM PSYCOLOGICAL EFFECTS {ANGER SPELL— ANGER DISORDER,OVER INDULGENCE IN FOOD } • EMOTION STRAIN– FRUSTRATION –BOREDOM— UNHAPPY—LONELINESS—UN LOVED • FOOD ACTS AS A MEANS OF RELIEVING NERVOUS TENSION • PEOPLE EAT MORE FOOD THAN THEIR BODY CAN USE
  • 12. 2. • PARTICIPATION IN TOO LITTLE EXCERCISES • WE PRACTISE HABITT OF LIFE STYLE THAT PROHIBITS US FROM HEALTHY EATING AND ACTIVITY • RETENSION OF WATER { KIDNEY AND OTHER HORMONAL DISORDERS } • OVER WEIGHT MAY BE THE SYMPTOMS OF THE DISEASES RATHER THAN A SIMPLE RESULTS OF OVER EATING • HERIDETARY FATHER 40% // MOTHER 40% • ENDOCRINE---- THYROID // PITUITRY // DIABETES// MENOPAUSAL
  • 13. • It is amazing how quickly people can come to the point where they are really overweight and obese. • Obesity is a complex chronic disease. The excess of body fat results in bad health problems and risks. • A lack of physical activity, unhealthy eating, along with genetics and lifestyle choices results in declining health and eventually death. • Television, computer and video games contribute to inactive lifestyles.
  • 14. DISEASES CAUSED BY OBESITY • HEART DISEASES (CHOLESTROL ) • LUNGS DISEASES • LIVER DISEASES ( FATTY LIVER ) • DIABETES MELLITUS • NEUROPATHY • RETINOPATHY • DIABETIC FOOT • NEPHROPATHY • IMPOTENCE • BREAST CANCER • • • • • • • • • JOINT PAIN BACKACHE SLIP DISC ARTHRITIS GOUT SLEEP DISORDER LOW SELF IMAGE LOW CONFIDENCE INTROVERT NATURE
  • 15. DISEASES CAUSED BY OBESITY
  • 16. WHAT ARE THE DISEASES RESPONSIBLE FOR OBESITY? • • • • • • • • • PITUITARY DISEASES THYROID DISEASES MENOPAUSE DRUGS(STEROIDS) POST OPERATIVE I.V. FLUIDS & REST POST DELIVERY I.V. FLUIDS & REST & EXTRA EATINGS WATER RETENTION SALT RETENTION UNUSUAL MULTIPLICATION OF MUSCLES A TYPE OF CANCER
  • 17. HT IN CMS 148 150 153 155 158 160 163 165 168 IDEAL WEIGHT FOR INDIAN FEMALES AGE-20 AGE-25 AGE-30 AGE-35 AGE-40 AGE-45 AGE-50 38.6 40.3 41.9 42.8 44.9 46.0 47.3 49.1 50.0 41.0 41.6 43.5 44.3 46.3 47.3 48.8 50.6 52.1 42.6 43.5 45.3 46.2 48.1 49.1 50.8 52.6 53.8 44.0 44.8 46.6 47.7 49.5 50.6 51.5 54.1 56.6 45.1 46.0 47.9 48.8 50.4 51.5 52.4 55.3 56.8 46.3 47.0 48.8 49.5 51.6 52.4 54.2 56.0 57.7 47.1 48.0 49.5 50.1 52.1 53.0 54.9 57.3 56.0
  • 18. IDEAL WEIGHT FOR INDIAN M A L E S HT IN CMS 153 155 158 160 163 165 168 170 173 175 AGE-20 AGE-25 AGE-30 AGE-35 AGE-40 AGE-45 AGE-50 45.4 46.3 48.6 49.7 51.1 53.1 54.0 56.5 58.1 60.1 47.0 48.1 50.0 51.1 52.7 54.7 56.3 57.9 60.1 62.2 49.0 49.9 52.0 53.1 54.9 56.9 58.1 60.3 62.2 64.2 50.4 51.5 53.5 54.7 56.3 58.5 61.1 62.2 64.0 66.0 51.7 52.7 54.5 55.6 57.6 59.7 61.5 63.7 65.8 68.1 52.3 53.5 55.7 56.7 58.1 60.6 62.4 64.7 67.9 69.7 53.5 54.2 56.3 57.4 59.4 62.0 63.7 65.8 68.3 71.0
  • 19. BODY– MASS INDEX (B.M.I) Body mass index is scientifically derived formula for an individual to see weather a person is healthy. BMI=Wt. in Kgs. / (Ht. in mtrs.)2 If the results is 20 ==normal >>20<<25==1 st degree obese (slightly) >>25<<30==2 nd degree obese (moderate) >>30<<35==3 rd degree obese
  • 20. BODY FAT PERCENTAGE %..%
  • 21. A DISEASES WHICH IS CAUSED BY SO MANY OTHER DISEASES & WHICH IS ALSO A CAUSE OF SO MANY DREADED DISEASES IS NOT TO BE TREATED BY BEAUTICIAN== CHATERJI’S, BENERJI’S,MUKERJI’S OR LAY MANFORMULA== HERBALIFE/NUTRIOLITES EVEN YOUR FAMILY PHYSICIAN & OTHER CONSULTANT MAY NOT BE HELPFUL TO YOU
  • 22. WHO WILL TREAT THAN.. ? IT HAS TO BE TAKEN CARE AND TREATED ………………… UNDER THE SUPERVISION OF WEIGHT MANAGEMENT PHYSICIAN===BARIA TRICIAN
  • 23. TO FIGHT WITH YOUR OBESITY USE DR.KONDKARI’S TRISHUL …… 1. RECOGNISED YOUR HUNGER 2.CHANGE YOUR LIFE STYLE
  • 24. • • • • • • • • RECOGNISED YOUR HUNGER WHEN YOU ARE HUNGERY EAT FOOD EAT REAL FOOD ….. DON’T EAT PLEASURE FOOD DON’T EAT JUNK FOOD DON’T EAT FAST FOOD AVOID DEEP FRIED/ FATTY /SWEET FOOD DON’T DRINK TEA/COFFE NEXT TO FOOD NO DRINKING…SOFT-DRINKS/JUICE/SOUPS A GLASS OF MILK== IN PLACE OF MEAL • BUT…FOOD MEANS… FOOD AND REALFOOD….
  • 25. CHANGE YOUR LIFE STYLE • WAKE UP EARLY IN THE MORNING • EAT YOU BREAK FAST NO MORE SKIPPING OF BF • WALK ABOUT A MILE AT HOME • ATLEAST CLIMB DOWN- SAY NO TO LIFT • NO MORE AFTER NOON NAP • SLEEP NOT MORE THAN 6 TO 8 HRS. • PLAY WITH YOUR CHILDREN (GROUND) • AVOID LATE NIGHT DINNER • NO RUSHING TO BED IMMIDIETLY AFTER DINNER • DRINK WATER IF YOUR THIRSTY NO FORTIFIED LIQ
  • 26. USE GREEKWAY OF MEDICINE • 5000 YRS. BACK UNANIST (GREEK PHYSICIAN) HAD WORKED ON OBESITY AND THEIR RESEARCH HAS GIVEN THEM GROUP OF HERBS THEY CALLED IT “MUHAZZIL ADVIYAT” MEANS WEIGHT REDUCER OR FAT MATABOLISER GARCINOMA COMBGIA (MUSIL-E IKHLAT-E SALASA
  • 27. THANKYOU U LOSE UR WT SO THAT U R ….. HEALTHY DISEASEFREE 2 ENJOY LIFE
  • 28. NUT SHELL • Did you ever wonder why the percentage of overweight children has doubled since 1989 Fifteen percent of the children between the ages of 12 to 19 are now overweight in our country • In order to reduce that percentage, children need to educate themselves by understanding the importance of good nutrition, exercise and being aware of lifestyle choices that can lead to obesity. Children need the encouragement of others around them to make the right lifestyle choices.
  • 29. NUT SHELL • Did you ever wonder what goes on inside the body of an overweight person? When food enters the stomach, it triggers receptors to alert the brain to induce a feeling of fullness. Fat triggers this sensation and also the receptors in the mouth and brain that urge people to gulp down food before they feel too full When this balance is upset, obesity may occur. Slow eating allows for less food being swallowed, and therefore less fat cells are formed. When a person starts losing weight, the cells decrease in size but the number of fat cells generally stays the same. This presents a real problem.
  • 30. NUT SHELL • As a result of inactivity and eating larger and more fatty meals, the obesity rate in America continues to climb. Nationally, more than 50% of kids are considered overweight and 30% are considered obese. Currently, the number of obese children is at an all-time high. The percentage of children who are defined as overweight have more than doubled since the early 1970s. An estimated 15% of children ages 6-19 are overweight . Obesity already accounts for 5% of health expenditures around the world, so imagine what health expenditures will be like in 20 years. To decrease these percentages and health risks, we need to educate adults and teens as to what needs to be done to reduce the rate of obesity. We need to understand how lifestyle choices and food choices affect us.