Dr. Vashistha is a renowned senior Bariatric and advanced Laparoscopic surgeon in India with over 20 years of experience in Minimal Access Surgery. He is the Head of the "Department of Surgery" Max Health Care, Saket, New Delhi. He has made significant contributions to Bariatric and minimal access....
Obesity is a complex disorder involving an excessive amount of body fat.
Obesity isn't just a cosmetic concern. It increases your risk of
diseases and health problems, such as heart disease, diabetes and high
Being extremely obese means you are especially likely to have health problems related to your weight.
The metabolic syndrome is constellation of risk factors in an individual which predisposes the person to greater risk of developing T2DM and CVD.
Presence of 3 or more of the following variables make you qualify into metabolic syndrome.
|Central Obesity||Men: waist circumference > 102 cm
Women: waist circumference > 88 cm
|Hyperlipidemia||LDL – C > 150 mg /dl and /or HDL – C < 40mg/dl in men; < 50 mg/dl for women|
|Hypertension and hyperglycaemia||Blood Pressure > 130/85 mm Hg and fasting blood sugar > 110 mg/dl|
|Hyperinsulinemia||Fasting insulin compared with GTT|
Being obese is a health hazard with mental, psychological, social physical and economic co- morbidities. If not treated properly, it might become a cause of premature death. Morbid obesity or clinically severe obesity is associated with co- morbidities like adult onset of diabetes and high blood pressure, which can contribute to heart attack, heart failure and stroke. Health concerns such as asthma, sleep apnea, severe acid reflux, lower back pain, urinary stress incontinence are also by – products of increased weight.
BMI or Body Mass Index is used to calculate a person’s excess weight. It is calculated by following formula.
BMI = Weight (kilogram) / Height (Meter2)
|Asia – Pacific guidelines||Obesity Grade|
|Normal built||18 - 22.5||Normal|
|Over weight||22.5 – 27.5||Overweight|
|Obese||27.5 – 32.5||Obese|
|Morbidly Obese||32.5 – 37.5||Severe Obesity|
|Above 37.5||Morbid Obesity|
Weight Loss surgery is a treatment option for patients with severe obesity. It can cause significant weight reduction by altering your body’s food digestion and absorption pattern. The choice of procedure should be decided after a discussion with your Bariatric surgeon. Bariatric surgery is now performed laparoscopically (‘key hole surgery’) which leads to early recovery as it minimizes trauma of surgical access.