Childhood obesity is a matter of grave concern, as obese children often grow into obese adults, with other health problems like cardiovascular diseases and diabetes.
It not only affects the physical health of the child but also interferes with his/her emotional behavior, often arising from fat/body shaming by peers.
As stated by WHO, obesity rates in infants aged 0-5 years, increased globally to 41 million in 2016 from 32 million in 1990. The rate of increase is 30% higher in developing countries than developed countries. These numbers are startling and need an immediate attention.
Promote healthy eating in your child:
– Let mealtimes be something children look forward to. Give them your complete attention.Hear out their stories.You may keep TV switched off. Have some nice background music so that the family is relaxed at mealtime.
– Prepare healthy meals. Be aware of the quality of food served ( oil & sugar content) at home. Many a time this part is overlooked by parents. It has been seen that even the regular food is also calorie dense at homes, which is unhealthy. This apparent;y done to supposedly make it tastier by cooks/ maids/ family etc
– Be a role-model and make nutritious choices yourself. This creates a more powerful impression on your child as he/she looks up to you for most of the things.
– Keep the preparation and presentation appealing for your children. Use different shapes to cut vegetables and/or choose bright color utensils to serve the food.
– Do not force the child to eat or overeat if they are not hungry or if they are full. Caretakers including many mothers feel happy if the child overeats but this becomes a habit & continues in adulthood which is difficult to change later in life
– Fast foods can be made healthier either outside or at home by modifications like choosing whole grain options in bread, avoiding extra cheese, butter or calorie rich dressings etc
– Efforts to control weight gain should be started early as fully developed behavior is harder to change and requires more effort.
Childhood obesity is a challenge, and joint efforts are required to fight back its consequences on the children. Be a smart parent and teach your child to make healthier choices, so they can grow into healthier adults and lead a happier life.
My life has changed COMPLETELY after my surgery. As I started dropping weight, I started feeling more energetic.
Weekends no longer needed ‘down time’: I was fine the next morning. I could walk so much more, and do so much more without needing to sit down. I started to spend more active time with my daughter, I started participating in runs. It was a great experience to be able to do something like a 5k run, although I was mostly walking briskly, but not lose my breath and feel great afterwards.
In terms of family, apart from my avid supporters, there was a sense of confusion. I no longer ‘fit’ into expected pigeonholes, I was no longer a ready ‘target’: further, many people did not understand what had happened. Most people thought I had ‘finally’ gone on a diet and solved my problem, and so they asked me my secret. There was a general ‘gushing’ response : but at the root of it was a lack of understanding of any of my transformation. I took it in stride: few people had understood my problem and so very few people would understand how I solved it.
It was much the same in my social circle. Apart from close friends, most people assumed I had gone for some drastic plastic surgery. When asked I mentioned my surgery. But for the most part, I just went with the flow.
Everyone told me I was an inspiration. Such statements have little impact on me. I have spent too long in the wallpaper, and been too rejected for too long to find the appreciation a plus.
It makes me happy to see my family impressed with my added energy, seeing my daughter happy to have me share her interests: simple things like mother -daughter outings are more fun now, because I can do more and share her energy and enthusiasm. My biggest joy is to be able to run with my daughter and dance with her. Seeing her joy in my sharing these moments with her makes it so worth it!!
It makes me happy to see my husband finally ‘respect’ how I have turned my life around. At some level he pushed me to my decision, indirectly. I sometimes wonder if he feels guilty about that. I wish he wouldn’t. His support has meant a lot.
And it makes me happy to see my parents and sister celebrate my liberation and truly rejoice in it. I remember my father once told me that his biggest fear was that he would lose me before time. And now he is happy I am doing all the things he always believed I could do.
I spend a lot of time with children and I can match their energy these days. I am running, painting, exploring theatre..
Obesity has become an alarming epidemic across the world. Though considered a cosmetic issue, obesity results in depression, self-confidence loss and public perception issues. It is also a risk factor for developing health problems like high cholesterol, high blood pressure and diabetes.
Obesity can also result in a serious sleep disorder called Obstructive Sleep Apnea(OSA). Sleep Apnea is a common disease, which occurs when a person’s breathing interrupts during sleep. This happens when throat muscles intermittently relax, block airway and cause breathing to repeatedly start and stop during sleep. A noticeable sign of obstructive sleep apnea is snoring (a grunting sound while asleep) and facial congestion during sleep usually seen by spouse. Patients with this ailment often complain of morning headaches, constant fatigue, listlessness, day time sleepiness and mood variations.
Obesity is directly related to obstructive sleep apnea as it affects the structure and function of the upper airway. The airway of obese patients become obstructed by large tonsils, enlarged tongue and increased fat in the neck. Neck circumference is a good predictor of sleep apnea. Obese men and women with a neck circumference of 17 inches and 16 inches respectively are more likely to have this disorder. The fat surrounding the internal organs (visceral fat) appears to be an important risk factor for developing sleep apnea.
Though obesity results in obstructive sleep apnoea, it is believed that sleep apnoea increases obesity. The possible ways in which obstructive sleep apnea can promote obesity are –
•Obstructive Sleep Apnea or OSA person has poor sleep, which cause the body to lose appetite control resulting in increased hunger and obesity.
•OSA persons tend to be less physically active. This means those patients burn fewer calories and are more likely to gain weight due to excess of calories.
Snoring is a serious issue and should be taken seriously. Please talk to your doctor for effective treatment options to lessen the associated complications. Temporary relief can be achieved by using a CPAP machine, which pushes air to keep breathing passage open. For long term improvement or remission of sleep apnoea, weight loss either through a strict regimen of healthy eating and exercise or through bariatric surgery can correct the underlying cause.
From health to work, obesity has a wide-ranging effect on an individual’s life and contributes to a bunch of health problems such as heart disease, type 2 diabetes, sleep apnea etc. But those extra Kgs can also increase the stress on knees and set you up in a world of pain. Knee pain is one of the common complications of being overweight. If you are among the millions who suffer from degenerative joint diseases including rheumatoid arthritis, osteoarthritis, crystalline arthritis, in that case bariatric surgery rewards you in countless ways. Research shows weight loss following surgery is associated with improved rheumatoid arthritis and a significant decrease in the need for medication and inflammatory markers. At six months post-surgery, patients lose an average of 72 lbs and six years after surgery, 78 lbs.1,2,3
The most notable benefits of bariatric surgery are –
Pain reduction – A lot of weight loss following bariatric surgery is effective for relieving osteoarthritis pain. It’s been noted that for every pound lost, there is about a 5-pound decrease in pressure across the joint while walking. Bariatric surgery patients can ultimately lose up to 80 % of their excess weight.
Increased mobility – As the surgery significantly reduces knee pain, physical functioning and the overall quality of life improves and leads to increased mobility. Losing weight helps the patient be more active. Moreover, doing daily exercises is a key to helping osteoarthritis patients maintain the effective weight loss.
Better outcome post joint replacement – To see a better outcome after joint replacement surgery, an orthopedic surgeon will insist an obese patient lose weight before going for the surgery. Being overweight increases the risk post-surgery and are more likely to suffer from complications like infection or blood clot. 1.
Apart from health benefits mentioned above, most impressive is the positive effect that bariatric surgery has in addressing other related illnesses, which includes type-2 diabetes, hypertension, obstructive sleep apnea and high triglycerides.4
Millions of men and women are grappling with obesity, which is a global epidemic now. Even after following strict diets and doing regular exercises, most people complain of not losing excess pounds.
For these reasons, many prefer to undergo bariatric or weight loss surgery for long term weight loss. Despite knowing the benefits, most avoid a bariatric surgery due to prohibitive cost in UK, USA, Canada, and several other European nations1. The long waiting period of 6 months to 2 years, for a bariatric surgery, in most of these countries is also a major deterrent.
In India, the cost of bariatric surgery is a fraction of what it costs to get the surgery done in western world. It’s the third most obese country with one in every fifth Indian diagnosed with obesity. India is carrying out more than 100 weight loss surgeries a day with Mumbai, being one of the preferred locations for patients seeking such treatment. Thanks to the medical tourism, India has become a popular destination for weight loss surgery. The availability of experienced surgeons, advanced equipment, competitive prices and world-class hospital facilities gives India an edge over other countries. However, the cost of weight loss surgery in India differs with the surgery type, surgeon experience, quality of hospital, as well as the city chosen to get the surgery done2,3,4.
There are four types of surgeries – Sleeve Gastrectomy, Gastric Bypass, Mini Gastric Bypass, and Gastric Band. Based on the patient’s weight, health condition and their preference, individuals are advised for a specific type of surgery.
In India the bariatric surgery prices are almost 20%-25% of the same surgery in USA. The average cost of Sleeve Gastrectomy is around $ 25,000 in USA whereas in India, the same costs around $ 6000. Also, few bariatric surgeons are also accredited as ‘Center of Excellence’ by international rating agencies assuring quality care at par with the best in the world.
Because of the several advantages the country offers, India is considered one of the best destination for people planning to have safe, economical and early weight loss surgery3.
Patients generally want to know exactly how much weight they will lose after undergoing bariatric surgery. Surgical procedures such as Gastric bypass & Sleeve gastrectomy emerge as a lifesaver for those struggling hard with obesity and its related side effects.
The amount of weight you will lose depends upon several factors such as the initial weight, excess weight, adequate protein & liquid intake etc. but on an average people can lose around 80% of their excess weight after surgery.
Generally, people lose 10% of their initial weight in the 1st month after surgery. From the second month, they lose around 5% of their weight every month. The first 6 months is the golden period for weight loss. Weight loss continues for 18 months to two years post Bariatric surgery.
Once you start losing weight, you will feel motivated. Undoubtedly, weight loss surgery is not the easy way out to shed extra pounds but you should pursue a healthy lifestyle after undergoing it to maintain the weight long term
Planning to start a family, but unable to do so because of being overweight?
In order to improve fertility and reproductive outcomes, morbidly obese people can undergo surgery for weight loss, i.e., bariatric surgery. Going through weight loss surgery can increase chances of pregnancy and lessen risks of miscarriage, enhance fertility, and improve hormonal profile.
Obesity is a major cause that augments pregnancy complications. It leaves negative impact on natural fertilization and also increases the possibility of metabolic diseases (diabetes and high blood pressure) in later life. Obesity basically weakens the reproductive system in both men and women. The detrimental effects of obesity raise the likelihood of miscarriage and risk of abnormalities of the baby.
Benefits of bariatric surgery in improving the chances of pregnancy in women –
1) Positive change in fertility post-surgery. Women with fertility problems can start ovulating regularly as well as metabolic and reproductive abnormalities improve.
2) Surgery for weight loss lowers maternal complications including gestational diabetes and preeclampsia. Losing weight before trying to conceive improves the chances of having a healthy baby and reduces the risk of pregnancy problems.
3) Women who have lost a significant amount of weight after weight loss surgery give birth to babies with lesser cardiovascular risks as compared to siblings born before surgery.
4) It’s not only women but in men also being overweight can cause the problems of reduced semen volume and sperm count. However, undergoing bariatric surgery can improve these parameters
It is important for obese couples to determine a plan for weight management as part of an infertility evaluation and treatment planning. The healthier the parents, the better will be the possibilities of having a healthy child.
The psychological impact of the reality that one is overweight can be emotionally challenging and affect self-confidence. Obese people find it difficult to lose weight simply by following diet and exercise alone. A person who has tried all the non-surgical attempts to shed extra pounds can only understand the importance of obesity surgery – the only effective tool for substantial weight loss. Bariatric surgery which includes well-known surgical procedures such as Gastric band, Sleeve Gastrectomy & Gastric bypass have ameliorated the overall health of the people struggling with obesity and other co-morbidities associated with it. Brief information on how to prepare for weight loss surgery.
1) Psychological evaluation of the patient – It is important to evaluate whether patient is mentally prepared to undergo the surgery & understands the requirements post-surgery.
2) An extensive work up including blood tests & other investigations are done to evaluate fitness & to get an idea of the vitamin & mineral status.
3) Diet before surgery – Patients are advised to follow a high protein, low carbohydrate & low-fat diet (not necessarily liquid) to reduce the liver size.
4) Incentive spirometry (breathing exercises) is the most important preparation. It improves lung function & ensures faster recovery post-surgery.
5)Communication with the bariatric team is essential – In order to see the best results during and after the surgery, effective communication with your bariatric surgeon & his team of physician, dietician & patient coordinator is of utmost importance. As each bariatric group manages patients differently, it is advisable to follow their instructions completely.
I think we would all agree that a child brings changes to parent’s lifestyle. There is an immediate shift in priorities and your happiness is dependent on the health and wellbeing of the offspring. Of lately, obesity in children has become a rising concern amongst industry health advocates and parents. In fact, a recent study found that children are likelier to have extra calories post watching advertisements for ‘unhealthy’ food. With such massive exposure and an array of options, how can adults try to bring their children on the healthy track when they find it difficult themselves? We present to you 5 tips on ensuring your child doesn’t trudge along on the path of obesity.
1)Start Early – According to the studies, excessive weight gain during pregnancy can impact your baby’s risk of becoming overweight as a child. Do not overeat or eat unusually high fats in pregnancy.
2) Practise what you preach – Be a role model. If children see parents making healthy choices it will ultimately reflect in their choices as well. You should not expect them to eat healthy if parents are eating unhealthy foods.
3) Eat meals together – According to the study published in the journal of Paediatrics, children who ate with their families are less likely to be overweight. Proteins & vegetables should be a part of all meals. They should have 2-3 servings of fruits daily. Do not encourage them or force them to overeat. Accept if child says that they are full.
4) Do activities together – If you aren’t active, then don’t expect your child to be so. It doesn’t have to be any complicated exercise regimen. Whether it is a playing outside with the other kids or joining a sports club, encourage your child to choose an active lifestyle and limit their time in front of the television.
5) Sleep is important – Make sure that child sleeps for atleast 8 hours a day. It is well known fact that lack of sleep results in weight gain.
More and more people are increasingly turning to bariatric surgery in order to lose weight and for improving comorbid diseases like diabetes, cardio-vascular diseases, joint pain etc. The rising popularity of bariatric surgery can be attributed to its results which morbidly obese people haven’t been able to achieve before. These are the patients who have tried all forms of diets, exercise regimes and changes in lifestyle but haven’t achieved sustained results. What could be wrong? There can be many causes for the weight-gain. The reason can be slow metabolism or increase in hunger etc.
Bariatric surgery helps the extremely obese people to significantly cut down on the weight by means of different type of surgical procedures.
Procedure like the gastric sleeve is known for reducing the hunger pangs by the surgical removal of the part of stomach that produces hunger stimulating hormone.
On the other hand, Gastric Bypass is the oldest bariatric procedure being carried out for last 50-60 years. A patient who undergoes this surgery feels full with a small portion of food intake. In addition, because of bypass of a part of intestine food is not absorbed from portion, therefore, helping in weight loss.
Mini Gastric Bypass is a fairly recent procedure that is a combination of sleeve and bypass. In this procedure, a long sleeve of stomach is created along with bypass of rest of the stomach with long segment of intestine.
These and many other Bariatric procedures usually result in substantial weight loss.
Studies have shown that as a result of bariatric surgery much of the weight appears to stay off for at least 10 years. Apart from the weight loss, success is also measured in terms of improvement in quality of life, patients’ self-confidence etc.