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Diabetology

Obesity Centre

Obesity is a chronic medical condition characterized by an excess accumulation of body fat that poses a risk to health. It’s a complex multifactorial disease influenced by genetic, environmental, behavioral, and socioeconomic factors. Obesity is commonly defined based on body mass index (BMI), which is calculated by dividing a person’s weight in kilograms by their height in meters squared. A BMI of 30 or higher is typically considered obese, while a BMI between 25 and 29.9 is classified as overweight.

Obesity has become a significant global health concern, with rates steadily rising across all age groups and populations. It is associated with a wide range of adverse health consequences and increased risk of developing chronic conditions, including:

  1. Type 2 Diabetes: Obesity is a leading risk factor for type 2 diabetes, a metabolic disorder characterized by high blood sugar levels due to insulin resistance. Excess body fat, particularly abdominal fat, impairs insulin action and contributes to the development of insulin resistance.
  2. Cardiovascular Disease: Obesity is closely linked to cardiovascular disease, including conditions such as hypertension (high blood pressure), coronary artery disease, stroke, and heart failure. Excess body weight strains the heart and blood vessels, leading to increased risk of atherosclerosis (hardening and narrowing of the arteries) and other cardiovascular complications.
  3. Metabolic Syndrome: Obesity is a key component of metabolic syndrome, a cluster of metabolic abnormalities that increase the risk of cardiovascular disease and type 2 diabetes. Metabolic syndrome is characterized by a combination of abdominal obesity, high blood pressure, elevated blood sugar levels, and abnormal blood lipid levels.
  4. Joint Disorders: Excess weight puts added stress on the joints, particularly the knees, hips, and lower back, leading to musculoskeletal problems such as osteoarthritis, joint pain, and decreased mobility. Obesity is a significant risk factor for the development and progression of osteoarthritis, especially in weight-bearing joints.
  5. Respiratory Conditions: Obesity is associated with an increased risk of respiratory conditions such as obstructive sleep apnea, asthma, and obesity hypoventilation syndrome. Excess fat around the neck and chest can obstruct the airways, leading to breathing difficulties and impaired lung function.
  6. Cancer: Obesity is a known risk factor for several types of cancer, including breast, colorectal, endometrial, kidney, and pancreatic cancer. The mechanisms linking obesity to cancer risk are complex and may involve inflammation, hormonal imbalances, and metabolic dysregulation.
  7. Psychological and Social Impacts: Obesity can have profound psychological and social consequences, including low self-esteem, depression, anxiety, and social stigmatization. Individuals with obesity may face discrimination and bias in various settings, including healthcare, education, employment, and interpersonal relationships.

Preventing and managing obesity requires a comprehensive approach that addresses underlying factors contributing to weight gain and focuses on promoting healthy lifestyle behaviors. This may include:

  • Adopting a balanced and nutritious diet that emphasizes whole, unprocessed foods, fruits, vegetables, lean proteins, and healthy fats.
  • Engaging in regular physical activity, including aerobic exercise, strength training, and flexibility exercises, to promote weight loss, improve fitness, and enhance overall health.
  • Making behavior changes to promote mindful eating, portion control, and stress management.
  • Seeking support from healthcare professionals, including physicians, dietitians, psychologists, and exercise specialists, to develop personalized treatment plans and address underlying factors contributing to obesity.
  • Addressing environmental and socioeconomic factors that influence access to healthy food options, opportunities for physical activity, and other determinants of health.

Overall, addressing the obesity epidemic requires a multifaceted approach involving individuals, communities, healthcare providers, policymakers, and society as a whole. By working together to promote healthy behaviors, create supportive environments, and implement evidence-based interventions, we can reduce the burden of obesity and improve the health and well-being of individuals and populations worldwide.

Diabetology