Obesity can be seen as the first wave of a defined cluster of noncommunicable diseases called "New World Syndrome," creating an enormous socioeconomic and public health burden. The World Health Organization has described obesity as one of today's most neglected public health problems, affecting every region of the globe. Obesity is one of today’s most neglected public health problems. India is gaining weight. Traditionally known for malnutrition, Indians now report more and more frequently with overweight, obesity, and their consequences.
Indians exhibit unique features of obesity:
- Excess body fat
- Abdominal adiposity
- Increased subcutaneous and intra-abdominal fat
- Deposition of fat in ectopic sites (such as liver, muscle, and others).
Obesity is a major driver for the widely prevalent metabolic syndrome and type-2 diabetes mellitus.
- The prevalence of obesity in India is increasing continuously and recent data shows that between 13%-50% of the urban population and 8%-38.2% of the rural population suffers from obesity
Furthermore, various genetic, behavioural, and environmental factors play a role in its pathogenesis.Many Indians fit into the category of metabolically obese, normal weight individuals. Despite having lean BMI an adult Indian has more chances of having abdominal obesity. The body fat percentage of an Indian is significantly higher than a western counterpart with similar BMI and blood glucose level. It has been hypothesized that excess body fat and low muscle mass may explain the high prevalence of hyperinsulinemia and the high risk of type-2 diabetes in Asian Indians.
The main contributors to this rise are adoption of sedentary lifestyle and consumption of energy dense foods.
The increase in obesity has led to increase in associated co-morbidities like T2DM, hypertension, dyslipidemia, coronary heart disease, non-alcoholic fatty liver disease, and certain cancers.
Diagnosis of overweight and obesity is done using Body Mass Index (BMI) cut-offs of ≥23kg/m2and ≥25kg/m2, respectively, as per Consensus Guidelines for Asian Indians.
Obesity Clinic at Manipal Hospital attempt to outline ‘real life’ approaches in dealing with patients with obesity.
Manipal Obesity Clinic strategic approach to fight obesity:
1. Optimum physical activity and diet to maintain weight in ideal range is a preferred strategy for primary prevention of obesity as well as for weight loss.
2. Educating patient(s) regarding weight loss expectations and goal setting
It is important to discuss realistic weight loss goals and long term expectations as patients might perceive the loss to be slower and lesser than expected.
3. Regular Follow Up
Patients may regain weight with passage of time due to decreased compliance with lifestyle changes. A close monitoring of weight & regular visits motivation by Manipal Obesity Clinic team help you to motivate towards positive life style modification.
4. Strategic Counseling for Specific dietary modifications as per the need of the patients
5. Encouraging patients for physical activity
6. Advising appropriate choice of medications to avoid weight gain
7. Different approaches to deal with obesity if diet & exercise is not working as per expectations.
Given the rapid rise in obesity in India, it is important to know the "weight of the nation." Due to the long-term consequences, the cost burden of obesity on the health care system is enormous. Manipal Obesity Clinic objective is to overcome barriers to the primary prevention of obesity for youth and adults in communities.
Manipal Obesity Clinic is coming up to the need to achieve a healthy weight, in order to ensure health of the country.