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

16. DISEASES CAUSED BY
OBESITY

17. 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

18. 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

19. 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

20. 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

21. BODY FAT PERCENTAGE %..%

22. 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

23. WHO WILL TREAT THAN.. ?
IT HAS TO BE TAKEN CARE
AND TREATED
…………………
UNDER THE
SUPERVISION OF
WEIGHT
MANAGEMENT
PHYSICIAN===BARIA
TRICIAN

24. TO FIGHT WITH YOUR OBESITY
USE
DR.KONDKARI’S
TRISHUL ……
1. RECOGNISED YOUR HUNGER
2.CHANGE YOUR LIFE STYLE

25. •
•
•
•
•
•
•
•
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….

26. 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

27. 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

28. THANKYOU
U LOSE
UR WT
SO THAT
U R …..
HEALTHY
DISEASEFREE
2 ENJOY
LIFE

29. 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.

30. 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.

31. 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.