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Educational Grand Rounds: Obesity

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Zahida Chaudhary, MD leads the discussion on Obesity amongst children and adults.

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Educational Grand Rounds: Obesity

  1. 1. OBESITY Evolution- Origins- Remedies Zahida Chaudhary MD
  2. 2. • Most important public health problem For the first time in human history, in the year 2000 it was estimated that there were more overweight than underweight people.
  3. 3. A Nation in Crisis  Our nation stands at a crossroads  The present obesity epidemic threatens progress related to increasing American’s quality and years of healthy life  Result – a decreased ability to compete in the global economy. Source: Surgeon General’s Vision for a Fit and Healthy Nation 2010
  4. 4. Obesity-Associated Illnesses That Occur in Childhood • Idiopathic intracranial hypertension • Pulmonary disorders – Obstructive sleep apnea – Hypoventilation syndrome • Hypertension • Hypercholesterolemia • Proteinuria • Nonalcoholic fatty liver disease • Gallbladder disease • Type 2 diabetes mellitus • Polycystic ovarian syndrome • Orthopedic: Slipped capital femoral epiphysis • Skin: Acanthosis nigricans , Striae
  5. 5. Elevated Visceral Fat • Metabolically more active • Greater effect on visceral organs – Greater Insulin Resistance • hyperinsulinemia • impaired glucose tolerance • Type 2 diabetes – Hyperlipidemia • Hypertriglyceridemia • Hypercholesterolemia – Hypertension Normal Fat Abnormal Fat
  6. 6. The “Toxic Environment” • supersized High-Calorie Food is… – Highly palatable – Inexpensive – Heavily advertised – Near-ubiquitous Brownell KD & Horgen KB. Food Fight. New York: McGraw-Hill; 2003.
  7. 7. Nutritional Origins Of Obesity Processes foods Portion sizes Unstructured meal time Fast food Snacking
  8. 8. The “Toxic Environment” • Physical Activity is… -To be avoided -Nearly unnecessary -Limited by infrastructure -Introduction of tv, computers and videogames
  9. 9. Treatment and Drugs For Obesity Dietary changes Exercise and activity Behavior change Prescription weight-loss medications Weight-loss surgery
  10. 10. Who may use obesity medications? Health care providers often use the body mass index (BMI) to help decide who may benefit from weight-loss drugs. BMI estimates overweight and obesity based on your height in relation to your weight. Your doctor may prescribe you a medication to treat your obesity if you are an adult with a BMI of 30 or greater OR a BMI of 27 or greater and you have obesityrelated medical problems, such as high blood pressure, type 2 diabetes, or high cholesterol
  11. 11. There people who think that obesity is a fact and it is genetic so let's not do anything. WRONG With a healthy lifestyle we can cure the vast majority of obesity cases. It is important to promote healthy life styles like our eating behavior, physical activity, healthy rest, social support, life appreciation, amount of alcohol consumption and avoid smoking cigarettes and caring about self health.

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