dr ubaid.n.p community medicine dept pariyaram medical college obesity
TRANSCRIPT
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DR UBAID.N.PCOMMUNITY MEDICINE DEPT
PARIYARAM MEDICAL COLLEGE
OBESITY
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Abnormal growth of the adipose tissue due to an enlargement of fat cell size (hypertrophic obesity) or an increase in fat cell number (hyperplastic obesity) or a combination of both
Overweight is usually due to obesity but can arise from other causes
Android obesity and Gynoid obesitySpectrum of malnutrition
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Epidemiological determinants
Age
Sex
Genetic factors
Physical inactivity
Socio economic status
Eating habits
Psychosocial factors
• Familial
tendency
• Endocrine
factors
• Alcohol
• Smoking
• Education
• Ethnicity
• Drugs
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Assessment of obesity
1. Body weight (i) Body Mass Index (Quetelets Index) =
Classification BMI Risk of co morbidities
Underweight <18.50 Low
Normal range 18.50- 24.99 Average
Overweight ≥25.00
Pre Obese 25.00 – 29.99 Increased
Obese class I 30.00 – 34.99 Moderate
Obese class II 35.00 – 39.99 Severe
Obese class III ≥ 40 Very severe
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(ii) Ponderal index =
(iii) Brocca index = Height(cm) minus 100
(iv) Lorentz’s formula =
(v) Corpulence index = This should not exceed 1.2
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2. Skin fold thickness – Harpenden skin callipers
3. Waist circumference (WC) : Men (≥ 102 cm) and women (≥ 88 cm) Waist Hip ratio(WHR) : Men (>1) and Women(>0.85)
4. Others – total body water, total body potassium, total body density
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Hazards of obesity
a) Increased morbidity – hypertension, diabetes, gall bladder disease, heart disease, certain cancers and also; varicose vein, abdominal hernia, osteoarthritis, psychological etc, increased risk from surgery, lower fertility…
b) Increased mortality
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Prevention & Control
Weight reduction!!!
Dietary changes Increased physical activity Others
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THANK YOU