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Obesity_Vital Informer_June July 2010

Obesity_Vital Informer_June July 2010

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Published by Saurav Arora

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Published by: Saurav Arora on Nov 14, 2010
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HOMOEOPATHIC APPROACH TOWARDS OBESITY 
Dr. Archana Narang (M.O.T)Dr. Saurav Arora (SRF), dr.saurav.arora@gmail.com  Dr. Latika Nagpal (SRF)Thyroid Clinic, Dr. B. R. Sur Homoeopathic Medical College & Hospital, Nanak Pura, Moti Bagh, New Delhi - 110021shmc.thyroidclinic@gmail.com
 Life style and endocrine disorders would be the next challenge to medical  fraternity in coming few years. Anonymous
 ABSTRACT
In this ever changing era of competition and stress we are losing harmony  with nature and our surrounding environment. Life style and endocrinedisorders are on the verge and to a certain extent we may be responsible forthem. Recent researches are now finding the mechanism by which thesediseases are rooting themselves. Many risk factros are now identified andmost common being related to life style. It is very hard to deal them especially  when they assume a state of ‘
 poor response to offered or prevalent therapies
’.Many a times, we being practitioners of true healing art encounter ‘
obstaclesto cure
’ for these life style disorders. Thus it becomes need of the hour to learnthe scopes, limitations and how to deal with them judiciously. In this article,
‘obesity’ 
one of the rapidly emerging life style disorders is discussed keepingin minds the basic philosophy of Homoeopathy.
INTRODUCTION
 According to textbook of medicine by Harrison ‘
Obesity is a state of excessadipose tissue mass
’. It can also be defined as a progressive disease withexcess fat accumulation which has
multiple consequences
. It is associated with the accumulation of adipose tissue in the body (as body fat) that isexcessive for an individual’s height, weight, gender and race
to an extent that it produces adverse health outcomes
. It is one of the most neglected yet visible risk factor contributing to the several other disorders worldwide.Obesity is the tip of ice berg which includes various diseases like cardio vascular disease, Type II Diabetes, osteoarthritis or even some types of cancers. On many occasions it becomes a cosmetic issue, but at the same timecan cause various other risks and decreased quality of life.
EPIDEMIOLOGICAL CONSIDERATION
Obesity is emerging as one of the major health problems, particularly in theurban areas of the country. About 30 – 65 % of adult urban Indians is eitheroverweight, obese or has abdominal obesity. In 1997, the World HealthOrganization (WHO) formally recognized obesity as a global epidemic. According to a recent survey it is estimated that at least 1.1 billion adults and10% of children are overweight and/or obese. Comparison of two majorstudies conducted by National family health survey (NFHS-2) in 1998–1999and NFHS-3 in 2005–2006 shows that prevalence of obesity among Indian women has elevated from 10.6% to 12.6% (increased by 24.52%).
 
 ASSESSMENT OF OBESITY 
Body fat percentage is total body fat expressed as a percentage of total body  weight. It is generally agreed that men with more than 25% body fat and women with more than 33% body fat are obese. A certain amount of fat isnecessary for body to function properly as it is the key factor for storingenergy, heat insulation, shock absorption, and other functions. It is stored inthe form of adipose tissue in our body. Although not a direct measure of adiposity, the most widely used method to gauge obesity is the
body massindex 
(BMI), which is equal to weight/height
2
(in kg/m
2
). The reference rangeused to categorize individuals is: Along with BMI certain other measures may also be taken into considerationto assess an individual in terms of nutrition. These are:
 Waist circumference
Hip circumference
 Waist to hip ratio: a ratio of >0.9 in women and >1. 0 in men isconsidered abnormal
Markers of nutrition e.g. mid arm circumference, skin fold thickness,etc.
OBESITY PATTERNS
: Two major patterns of obesity are observed inpopulation, although these patterns are not gender specific, both the sexes canhave any pattern, but it is seen that cross patterns are more dangerous. Infemales, the pattern seen is pear shaped obesity, i.e. they tend to collect fat intheir hips and buttocks. In males, fat usually collect around the belly, givingthem “apple” shaped pattern of obesity.
CAUSES:
For each individual, body weight is the result of a
combination of genetic,metabolic, behavioural, environmental, cultural and socioeconomicinfluences
. Behavioral and environmental factors are large contributors tooverweight and obesity and provide the greatest opportunity for actions andinterventions designed for prevention and treatment.
 Fundamental or the miasmatic causes:
o
Heredity : determines how susceptible an individual is to becomeoverweight or obese.
BMICLASSIFICATION
< 18.5Underweight18.524.9Normal weight25.029.9Overweight30.034.9Class I obesit35.039.9Class II obesit> 40.0Class III obesit(Morbid Obesity)
 
o
Genetically a person is influenced by how the body use caloriesfor energy and how the body stores fat.
o
Familial obesity is an established risk factor, which exposes anindividual to develop obesity.
 Exciting and maintaining factors:
o
Eating habits : contribute to the development of overweight andobese states specially in individuals consuming food rich inanimal fats, vegetable oils and sugar/syrups and less of  vegetables, fruits and other high fibre starchy foods.
o
Lack of exercise and workout.
o
Increasing industrialization, better transportation facilities,more mechanization at home and workplace.
o
 Medical causes associated with obesity
o
Cushing’s syndrom
o
Hypothyroidism
o
Insulinoma
COMPLICATIONS
Obesity is just the tip of the
“ice berg” 
of major symptom syndromes. It hasdirect association with many syndromes like Diabetes, Hypertension, Insulinresistance, etc. (Mixed miasmatic states which are harder to treat). Obesity affects more or less every system of the body. Some of the complicationsassociated with obesity are:
Cardiovascular  System
:
Ischemic heartdisease: anginaand myocardialinfarction
Congestivecardiac failure
Hypertension
 Abnormalcholesterollevels
Deep veinthrombosisand pulmonary embolism
 Endocrinology and  Reproductive System
:
Diabetesmellitus
Polycysticovariansyndrome
Menstrualdisorders
Infertility 
Complicationsduringpregnancy 
Birth defectsandintrauterinefetal death
 Neurological disturbances:
Stroke
Meralgiaparesthetica
Migraines
Carpal tunnelsyndrome
Dementia
Idiopathicintracranialhypertension
 Psychiatric Problems
:

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