Contributed by Dr. Sandhya, Consultant plastic and reconstructive surgeon, Columbia Asia Hospital, Whitefield
With the change in lifestyle, obesity in India has reached epidemic proportions in the 21st century. The sedentary lifestyle is the major reason for obesity, which can strongly be witnessed in youngsters and adults all over the world. India, in particular, is bearing the heavy burden of obesity, which is prevalent even among children between the age of 5 and 19 years.
Since 1980, the prevalence of obesity has doubled worldwide. Over 1.9 billion adults (18 years and older) and 41 million children under the age of five were overweight in 2014 and nearly half of these children lived in Asia. Over the last decade or so, the prevalence of obesity has seen a significant rise in India, with almost one-third of the adult urban population estimated to be obese. Not only that, India has the second-highest number of obese children in the world with 14.4 million reported cases, according to a study. Another study estimates that by 2025, India will have over 17 million obese children and in the next 20 years, the number of obese adults is forecasted to be as high as 26 million people.
Something which a lot of people are unaware about obesity is that it is not just an issue of being overweight because of over-eating, but it is also directly linked to metabolic disorders like cardiovascular diseases, insulin resistance, and Type 1 diabetes. This makes obesity a threatening socio-economic and public health problem in the country.
Causes of obesity
Obesity is marked by high body mass index (BMI), abdominal adiposity, increased subcutaneous fat, and fat deposits in parts like the liver and other muscles.
The chief causes include:
· Lack of physical activities and exercises,
· A sedentary lifestyle,
· Binge eating,
· Alcohol consumption,
· Improper/unhealthy food habits.
· High consumption of sugar, fat-based foods and energy-dense diet can lead to increased body fat percentage.
· Regularly skipping breakfast or high dependence on fast-foods
As mentioned above, obesity is not about just being over-weight; but it also brings along many medical complications with it and poses a threat to the body in many ways. Obese people are likely to develop various potentially serious health problems like:
· Heart disease and stroke
· High blood pressure
· Abnormal cholesterol levels
· Type 2 diabetes
· Certain cancers like that of the uterus, cervix, endometrium, ovary, breast, colon, rectum, esophagus, liver, gallbladder, pancreas, kidney and prostate
· Digestive problems, heartburn, gallbladder disease, and liver problems
· Gynecological and sexual problems like infertility and irregular periods in women or even erectile dysfunction in men
· Sleep apnea
· Osteoarthritis due to increased stress on weight-bearing joints
· Reduced quality of life
Some weight-related concerns that affect the quality of life include:
· Sexual problems
· Shame and guilt
· Social isolation
· Lower work achievement
Ways to prevent obesity
If the underlying causes of obesity are not addressed early on in life, it has the capacity to convert into a major health issue in adulthood.
· Encourage children to participate in household activities and regular physical exercises. Physical activities must be a part of the regular curriculum in school. Children who are into outdoor games and sports have a greater metabolism rate and do not tend to gain excess weight, as compared to children who spend all their time in front of digital screens.
· Promote well-portioned meals and nutritious food among children.
· Physical activity must be a part of one’s daily routine even later in life. Let your child choose a form of exercise whether its athletics, sports, outdoor games, cycling, swimming or dance.
· Practice healthy eating habits including eating on time, not over-eating, avoiding fatty processed foods (like excess cheese, gluten, whip cream, and other such unhealthy foods), and by eating the right kinds of food (locally available foods, whole grains, vegetables, whole fruits, nuts, beans, and fish)
· Replace ‘screen time’ with ‘family time’.
The treatment methods that one can opt when dealing with obesity are:
· Gastric bypass
· Gastric banding
· Laparoscopic sleeve gastrectomy
· Mini bypass gastric surgery
· Tummy tucks
Though obesity is a non-communicable disease, it is creating a ‘New World Syndrome’ that is rapidly affecting every part of the world. Thankfully, simple shifts in lifestyle is all you need to lead a healthy, fat-free, worry less life!