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Assessment of Obesity




                By,
                Pranav Khawale,
                BNYS, 3rd year,
                SVYASA.
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
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
Types of obesity

• Android obesity

• Gynoid obesity
Childhood obesity
Epidemiological determinants

   Age                          Family tendency
   Sex                          Endocrine factors
   Genetic factors              Alcohol
   Physical inactivity          Smoking
   Socio-economical status      Education
   Eating habits                Ethnicity
   Psychological factors        Drugs
Classification of obesity according to
                 BMI
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)
Body weight
• Body mass index




           kg                 Meter
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
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
Others…
• Total body water

• Total body potassium

• Body density
Hazards of Obesity


                     Morbidity




        HTN
Prevention and control
• Dietary changes
     • Carbohydrate
                            Reduced
     • Fats



     • Fibre content diet
• Increased physical exercise
     • Most important part of weight reducing programme
     • Regular physical exercise is key to an increase energy
       expenditure
• Others
     • Appetite suppressing drugs to control of obesity
     • Surgical treatment
            » Gastric bypass
            » Gastroplasty, etc
     • Obesity prevention programmes
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
Assesment of obesity

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Assesment of obesity

  • 1. Assessment of Obesity By, Pranav Khawale, BNYS, 3rd year, SVYASA.
  • 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. 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. Types of obesity • Android obesity • Gynoid obesity
  • 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. Classification of obesity according to BMI
  • 8.
  • 9. 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)
  • 10. Body weight • Body mass index kg Meter
  • 11. 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
  • 12. 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
  • 13. Others… • Total body water • Total body potassium • Body density
  • 14. Hazards of Obesity Morbidity HTN
  • 15. Prevention and control • Dietary changes • Carbohydrate Reduced • Fats • Fibre content diet
  • 16. • Increased physical exercise • Most important part of weight reducing programme • Regular physical exercise is key to an increase energy expenditure
  • 17. • Others • Appetite suppressing drugs to control of obesity • Surgical treatment » Gastric bypass » Gastroplasty, etc • Obesity prevention programmes
  • 18. 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