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OBESITY

Definition: Abnormal/ Excessive accumulation of fat in body that may impair health is called obesity.

Body mass index (BMI) is a simple index of weight for height that is commonly used in classifying overweight and obesity

BMI CHART

 

BMI Chart:

Prevalence of obesity and overweight are increasing and have become an epidemic worldwide.

  • Person’s weight is determined by the balance between calorie intake and energy expenditure.
  • Calorie intake> energy expenditure = weight gain
  • Calorie intake< energy expenditure = weight loss

Causes of Obesity:

  1. Genetics : If both parents are obese than one hormone called as Leptin Deficiency result in obesity.
  2. Overeating: having excessive diet containing high fat sugar carbohydrates
  3. Frequency of eating: some studies reveal that the people who eats less (2-3 large meals daily) are overweight in comparison to that people who eats small 4-5 meals daily
  4. Sedentary lifestyle/ less physical activity: it causes obesity as sedentary people burns fever calories that results in obesity.
  5. Medications: Antidepressants- medicine used in treating depression

Anticonvulsant- medicine used in seizures

OCPS- oral contraceptive pills

  1. Psychological Factors: people usually eat more in response to emotions like sadness, stress, anger
  2. Disease: obesity can also be seen in people suffering from hypothyroidism & PCOS

Obesity & Infertility

Overweight and obese women are at a high risk from reproductive health.

Risk of infertility conception rate and pregnancy complications are increased in these women

Obesity can affect fertility by causing hormonal imbalances and ovulation disturbance

It is associate with PCOS which is a common cause of infertility

Even after conception obesity increase the risk of complication associated with pregnancy like pre-eclampsia (high blood pressure) gestation diabetes (diabetes during pregnancy) pre term birth (Delivery of a baby before maturity age)

Symptoms of Obesity

The symptoms of obesity include:

  • Breathing disorders (e.g., sleep apnea, chronic obstructive pulmonary disease)

  • Certain types of cancers (e.g., prostate and bowel cancer in men, breast and uterine cancer in women)

  • Coronary artery (heart) disease

  • Depression

  • Diabetes

  • Gallbladder or liver disease

  • Gastroesophageal reflux disease (GERD)

  • High blood pressure

  • High cholesterol

  • Joint disease (e.g., osteoarthritis)

  • Stroke

How to Get Rid of Obesity:

    1. Dietary changes: key to weight loss is reducing calorie intake. Recommended calories to remain healthy for a women is-1200 to 1500 calories

      1. Like by eating larger portions of foods that have less calories reduce your hunger pangs.

      2. Making healthier choice of food such as- eat more fibres and green vegetables

      3. Restriction of certain food items: high carbohydrates, sweetened beverages, junk food.

    2. Boost up your activity level: walking, running and cycling are the most effective means of exercise to reduce body fat.

    3. Surgery- Bariatric surgery

It is recommended for severely obese people (BMI >40) who have failed to loose weight inspite of following dietary modification and pharmacological treatment.

In this surgery volume of stomach is reduced by adjustable gastric banding which produces an earlier sense of satiation and reduce the length of bowel that comes into contact with food.

Women who are planning to start their family and trying for conception need to keep a strict eye on their weight

Even for women who is undergoing and IVF treatment it is crucial for her to be healthy in order to increase the chance of conception

For obese patients IVF can be done in a Split pattern like explain FET …………………………

 

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