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Zulfiqar Shaikh
NON-COMMUNICABLE
DISEASE
PREVENTION
ZULFIQAR SHAIKH
OBESITY
OBESITY
OBESITY
•Because of a number of Modern Trends
•World has an ↑ing Weight Problem:
•Rising Affluence & Urbanization
•Sedentary Lifestyles
•Proliferation of Conveniences (Cars,
Computers, Television, Fast Food, etc)
•21st
Century Work Culture - Desk Jobs &
Long Hours
04-May-18 3
OBESITY
•In Developing World
•(Where Health Education is Non-Existent)
•People - Vulnerable to glamour of American
burgers & comforts of the couch
•Rural Migrants to cities - suddenly
confronted with market-stall snacks &
McDonald’s
04-May-18 4
OBESITY
• Obesity - Calculated by Weight to Height
Ratio
• Body Mass Index
Weight (Kgs)
• Body Mass Index = ————————
Height x Height (meters)
04-May-18 5
04-May-18 6
OBESITY
•Underweight - BMI <19 /kg/m2
•Normal - BMI 20-24.9
•Overweight - BMI 25-29.9
•Obese - BMI > 30
04-May-18 7
Relationship of Height & Weight
Height Weight in kilograms
Healthy Overweight Obese
170 cm 60 - 70 Kg 72 – 84 86 >
175 63 - 75 77 – 89 91 >
180 66 - 80 82 – 94 96 >
185 69 - 83 85 – 101 103 >
190 72 - 88 90 – 106 108 >
OBESITY
Worldwide
•> 30 million people - Obese
•1 billion people – Overweight
In Pakistan
•In addition to problem of Under Nutrition
•12% Males & 19% Females - Obese or
Overweight
04-May-18 8
OBESITY
In Pakistan
•52 % of Overweight & 73% Of Obese People
think they are Normal Weight
•Traditionally Body Weight - regarded as a
Symbol of Health, Prosperity & Wealth in
Various Population sub-groups
•Tend to accept Overweight/Obesity as a
Norm
04-May-18 9
OBESITY
In Pakistan
•Older Age ↑ed Prevalence of Obesity -
Accepted as age-related phenomenon
•People with HTN, Dyslipidemia, DM - focus
more on their primary diseases than on
Obesity
•64% of Obese Pakistanis - Not advised of
their weight by their Doctors
04-May-18 10
OBESITY
•Each Year - People die:
•> 3m due to Physical Inactivity
•2m as a result of being Overweight or Obese
04-May-18 11
OBESITY
Physical Inactivity contributes to:
•22% of IHD
•11% of Ischemic Strokes
•14%t of Type 2 Diabetes
•10% of Breast Cancer
•16% of Colon Cancer
04-May-18 12
OBESITY
Physical Inactivity, in addition to Obesity, also
causes:
•Osteoporosis
•Falls
•Low Back Pain
•Anxiety & Depression
04-May-18 13
OBESITY
•Sedentary Life Style - Directly responsible
for 4% of Global Disease Burden
•Globally Obesity related:
•80% of Diabetes Cases
•21% of Heart Diseases
•40% of Uterine Cancer
•25% of Kidney Cancer
•10% of Breast & Colon Cancers
04-May-18 14
OBESITY
•According to “thrifty gene” theory of weight
gain
•Body, which learns to cope with Minimal
Calories & Nutrition in lean times
•Can Quickly become Obese when exposed
to unlimited Food
04-May-18 15
THANX
THANX
6-NCDs-Obesity.pdf
6-NCDs-Obesity.pdf

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6-NCDs-Obesity.pdf

  • 3. OBESITY •Because of a number of Modern Trends •World has an ↑ing Weight Problem: •Rising Affluence & Urbanization •Sedentary Lifestyles •Proliferation of Conveniences (Cars, Computers, Television, Fast Food, etc) •21st Century Work Culture - Desk Jobs & Long Hours 04-May-18 3
  • 4. OBESITY •In Developing World •(Where Health Education is Non-Existent) •People - Vulnerable to glamour of American burgers & comforts of the couch •Rural Migrants to cities - suddenly confronted with market-stall snacks & McDonald’s 04-May-18 4
  • 5. OBESITY • Obesity - Calculated by Weight to Height Ratio • Body Mass Index Weight (Kgs) • Body Mass Index = ———————— Height x Height (meters) 04-May-18 5
  • 6. 04-May-18 6 OBESITY •Underweight - BMI <19 /kg/m2 •Normal - BMI 20-24.9 •Overweight - BMI 25-29.9 •Obese - BMI > 30
  • 7. 04-May-18 7 Relationship of Height & Weight Height Weight in kilograms Healthy Overweight Obese 170 cm 60 - 70 Kg 72 – 84 86 > 175 63 - 75 77 – 89 91 > 180 66 - 80 82 – 94 96 > 185 69 - 83 85 – 101 103 > 190 72 - 88 90 – 106 108 >
  • 8. OBESITY Worldwide •> 30 million people - Obese •1 billion people – Overweight In Pakistan •In addition to problem of Under Nutrition •12% Males & 19% Females - Obese or Overweight 04-May-18 8
  • 9. OBESITY In Pakistan •52 % of Overweight & 73% Of Obese People think they are Normal Weight •Traditionally Body Weight - regarded as a Symbol of Health, Prosperity & Wealth in Various Population sub-groups •Tend to accept Overweight/Obesity as a Norm 04-May-18 9
  • 10. OBESITY In Pakistan •Older Age ↑ed Prevalence of Obesity - Accepted as age-related phenomenon •People with HTN, Dyslipidemia, DM - focus more on their primary diseases than on Obesity •64% of Obese Pakistanis - Not advised of their weight by their Doctors 04-May-18 10
  • 11. OBESITY •Each Year - People die: •> 3m due to Physical Inactivity •2m as a result of being Overweight or Obese 04-May-18 11
  • 12. OBESITY Physical Inactivity contributes to: •22% of IHD •11% of Ischemic Strokes •14%t of Type 2 Diabetes •10% of Breast Cancer •16% of Colon Cancer 04-May-18 12
  • 13. OBESITY Physical Inactivity, in addition to Obesity, also causes: •Osteoporosis •Falls •Low Back Pain •Anxiety & Depression 04-May-18 13
  • 14. OBESITY •Sedentary Life Style - Directly responsible for 4% of Global Disease Burden •Globally Obesity related: •80% of Diabetes Cases •21% of Heart Diseases •40% of Uterine Cancer •25% of Kidney Cancer •10% of Breast & Colon Cancers 04-May-18 14
  • 15. OBESITY •According to “thrifty gene” theory of weight gain •Body, which learns to cope with Minimal Calories & Nutrition in lean times •Can Quickly become Obese when exposed to unlimited Food 04-May-18 15