Assesment of obesity

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Assesment of obesity

  1. 1. Assessment of Obesity By, Pranav Khawale, BNYS, 3rd year, SVYASA.
  2. 2. Contents• What is Obesity• Types of obesity• Epidemiological determinants• Classification of obesity according to BMI• Assessment about obesity • Body weight • Skin fold thickness • Waist circumference and waist : Hip ratio • Other• Hazards of obesity • Increased morbidity • Increased mortality• Prevention and control•References
  3. 3. Obesity• Obesity is defined as – an abnormal growth of the adipose tissue due to an enlargement of fat cell size – or an increase in fat cell number -WHO
  4. 4. Types of obesity• Android obesity• Gynoid obesity
  5. 5. Childhood obesity
  6. 6. Epidemiological determinants Age  Family tendency Sex  Endocrine factors Genetic factors  Alcohol Physical inactivity  Smoking Socio-economical status  Education Eating habits  Ethnicity Psychological factors  Drugs
  7. 7. Classification of obesity according to BMI
  8. 8. Assessment of Obesity• Body composition • The active mass (muscle, liver, heart act.) • The fatty mass (fat) • The extracellular fluid (blood, lymph, etc) • The connective tissue (skin, bones, connecting tissue)
  9. 9. Body weight• Body mass index kg Meter
  10. 10. Skin fold thickness• A large proportion of total body fat is located just under the skin• It is a rapid and non-invasive method for assessing body fat• The measurement may be taken at all the four sites • Mid-triceps • Biceps • Subscapular • Suprailiac region
  11. 11. Waist circumference and waist : Hip ratio• Waist circumference is measured at the mid point between the lower border of the rib cage and the iliac crest
  12. 12. Others…• Total body water• Total body potassium• Body density
  13. 13. Hazards of Obesity Morbidity HTN
  14. 14. Prevention and control• Dietary changes • Carbohydrate Reduced • Fats • Fibre content diet
  15. 15. • Increased physical exercise • Most important part of weight reducing programme • Regular physical exercise is key to an increase energy expenditure
  16. 16. • Others • Appetite suppressing drugs to control of obesity • Surgical treatment » Gastric bypass » Gastroplasty, etc • Obesity prevention programmes
  17. 17. References• WHO (1995). Tech. Rep. Ser. No. 854• WHO (1995). Tech. Rep. Ser. No. 894• Oliver, M.F.(1981). In: medicine international, 1 (15) 664

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