The Obesity should be treat like one of the most common nourishment disorders, that
result in many medical complication, principally frustration and difficulty to obtain
effective result in the manage.
Obesity is considered to be the direct result of a sedentary lifestyle with the continued and persistency ingestion in the excess of calories.
The 40-70% of obesity is explained like genetic influence. The rapid increase in obesity in the last decades point to the roles of environmental and behavioral factors in the development.
Obesity And The Evaluation of The Different Degrees
Consider this different factor that contribute to develop overweight age, recent weighty changes, history of obesity, occupation, eating, exercise pattern and the use of tobacco and alcohol.
The assessment of the BMI for the evaluation of the different degrees and distribution of body fat, nutritional status evaluation, for the prevention of concomitant disorders.
T H E B M I
The BMI closely correlates with excess adipose tissue. It is calculated by dividing measured body weight in kilogram by the height in meters squares.
According to the National Institutes of Health (NIH) define a normal BMI as 18.5-25.9.
Overweight is defined as BMI = 25-29.9
Class I Obesity is 30-34.9
Class II Obesity is 35-39.9
Class III OBESITY 9(extreme) obesity is BMI greater than 40.
Obese person with increasing abdominal circumference (greater than 102 cm in men and 88 cm in women) or with high waist hip ratios. Have a greater risk of diabetes mellitus, stroke, coronary artery disease, and early death than equally obsess patients with low radios.
All persons with overweight or obesity should be assessed for possible medical consequences by screening for the metabolic syndrome. Blood pressure, waist circumference, fasting glucose, low density lipoprotein (LDL) and HDL cholesterol and triglycerides should be measured.
Definition of Metabolic Syndrome.
The 25% of the general nonobese, nondiabetis population has insulin resistance of a magnitude similar to the type 2 diabetes. This insulin resistant non diabetic individuals are in much higher risk for developing type 2 diabetes also has elevated plasma triglycerides, lower high density lipoproteins (LDLS) and high blood pressure a cluster of
abnormalities named syndrome X or metabolic syndrome.
The goals of this syndrome to correct hyperglycemia, to manage the elevated blood pressure and Dyslipidemia that result in increased cerebrovascular and cardiac high risk.
Different ways of Management and Treatment.
The successful program employ a multidisciplinary approach to weight loss, with low diet in calories, behavior modification to change eating disorders, aerobic exercise and social support, with the final goals to keep the good diet habits and the ideal weight for the age and high.
Low in carbohydrate can be used safely and effectively for weight loss without adverse effects on lipids or other metabolic parameter. Long term changes in eating behavior are required to maintain weight loss.
Very low calorie diets between (800-1000 kcl/day) result in rapid weight loss and marked initial improvement in obesity. Person in this program for 4-6 moths lose and average of 2 pounds per week.
The best plan is the daily many and exercises.
Has a great value to people to try to lose weight and keep it. Specially aerobic exercise directly increase the daily energy expenditure and is particularly useful along term.
Exercise alone result in small amounts of weigh loss. The diet plus exercise result in slightly greater weight loss that diet alone. A more exercise per day is associated with greater amount of weight loss.
The social support in the process is the great value for the accomplishment of the goals. The combination of aerobic exercise and the diet give excellent results.
For the treatment of obesity are available bot over the counter and by prescription. A person with BMI greater than 30 or those with 27 with obesity and complication follow the medical prescriptions.
Is a treatment option for patients with severe obesity. Most popular is the roux in Y gastric bypass (RYGB) The operation can be done laparoscopically with the RYBG typically result in substantial loss of over 30% in some cases.
Another operation is gastric banding result in less dramatic weight loss that RYGB and has short-term complications
THREE DIFFERENTS GUIDELINE OF DIET MANAGEMENT.
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-The Raw Food Diet from Liz Swan Miller
-The Paleo Diet Liz Swan Miller
-The Ketogenic Diet by Liz Swann Miller
Mueller C. et al ASPEN clinical guidelines: nutrition, screening, assessment and intervention in adults.
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