OBESITY&

ITS MANAGEMENT

BY

DR. IMTIYAZ IBRAHIM KONDKARI B.U.M.S.(MUM);C.C.H.;C.G.O,;C.F.P,;S.F.A.(USA)

PRACTISING AS CONSULTANT

GREEK PHYSICIAN FOR LAST 24 YRS.IN MUMBAI

I, TREATCHRONIC DISEASES, DEGENARATIVE DISEASES, RARELY

TREATED DISEASESE.G.

• WEIGHT MANAGEMENT (LOSING WT / GAINING WT.),

•INJECTION TREATMENT FOR PILES,(Without operation)

• MEDICAL MANAGEMENT OF BPH,•PREVENTING HEART DISEASES,•REVERSAL OF HEART DISEASES,

HE IS ALSO MANAGING DIRECTORFOR

elaaj.com

elaaj.com Multi-Modality Multi-Specialty

Treatment of Pain

THE CLINIC OF ITS KIND FOR 1ST TIMEIN INDIA

We are a team of 15- SPECIALTY drs

TO BEGIN WITHTODAYS SCIENTIFIC SESSIONFIRSTLY I WELCOME YOU

ALL FOR THIS VERY IMPORTANT &

MOST SCIENTIFIC TALK ON OBESITY

“THE OPEN(honest/sincere/truthful/direct/un-answering/constant/solid)

KILLER”

WHOM THIS SEMINAR IS ORGANISED FOR …?

• THE BOSSES ARE OBESE• BUSSINESSMAN R OBESE• HOME MAKER ARE OBESE• SALES MAN ARE OBESE• ADOLESCENCE ARE OBESE

• EXECUTIVES ARE OBESE• SECRETARIES ARE OBESE• HOUSE WIVES ARE

OBESE• LABOURS ARE OBESE• CHILDREN ARE OBESE

FOR PEOPLE FROM ALL THE WALKS OF LIFE ,WHY? AS….

EVEN DOCTOR’S AND HEALTH WORKER’S ARE OBESE

FACT’S ABOUT OBESITYA STUDY…….

• 65—80 MILLIONS OF INDIAN’S ARE OBESE BETWEEN THE AGE OF 15 YRS. TO 75 YRS.

• 50---60 MILLIONS OF INDIAN’S ARE ON DIET AT ANY GIVEN TIME (DIET)

• 90% OF THE DITIER SKIPS MEAL { DIETING… CYCLING }

• MONO DIET {THE MORE OF ONE AND SAME DIET} IS DIFFICULT TO LOOSE WEIGHT

• CHILD OBESITY IS INCREASING AS OF LACK OF EXERCISE

• WOMEN BURNS FEWER CALORIES THAN MAN

CHILD OBESITYCHILD OBESITY IS INCREASING AS OF LACK

OF EXERCISE

DISCUSSION ON OBESITY•WHAT IS OBESITY ? OVER WEIGHT ?•ROOT CAUSE OF OBESITY ?•WHY DO PEOPLE GAIN WEIGHT ?•WHAT ARE THE DISEASES CAUSED BY OBESITY ?•WHAT ARE THE DISEASES RESPONSIBLE FOR OBESITY?•WHAT SHOULD BE THE PERSONS IDEAL WEIGHT // BMI // FAT% // ?•HOW TO MANAGE OBESITY ?

OBESITY• WHAT IS OBESITY ?

ABNORMAL ACCUMULATION OR

COLLECTION OF FAT UPTO 20% OR

MORE THAN 20% OF BODYWEIGHT

IS OBESITY.OUR SOCIETY HAS OBSESSED

WITH LOOSING WEIGHT.

ROOT CAUSE OF OBESITYOVER EATING ====HOGGING ===LESS OR NO

ACTIVITY ===PSYCOLOGIC

AFFECT ===HIGH LEVEL

MEALS OF ANIMAL

FOOD === MILK AND

MILK PRODUCTS ====MEAT JUNK FOOD ===BURGER, PIZZA ,BATATA WADA,FAST FOOD ===NOODLES,FRIED FOODS,PROCESSED

FOODS

WHY DO PEOPLE GAIN WEIGHT1.

• OBESITY IS A PERSONNEL DISORDER• A LARGE PROPORTION OF OVER WEIGHT

ARISES FROM PSYCOLOGICAL EFFECTS {ANGER SPELL—ANGER DISORDER,OVER INDULGENCE IN FOOD }

• EMOTION STRAIN– FRUSTRATION –BOREDOM—UNHAPPY—LONELINESS—UN LOVED

• FOOD ACTS AS A MEANS OF RELIEVING NERVOUS TENSION

• PEOPLE EAT MORE FOOD THAN THEIR BODY CAN USE

2.• PARTICIPATION IN TOO LITTLE EXCERCISES• WE PRACTISE HABITT OF LIFE STYLE THAT

PROHIBITS US FROM HEALTHY EATING AND ACTIVITY

• RETENSION OF WATER { KIDNEY AND OTHER HORMONAL DISORDERS }

• OVER WEIGHT MAY BE THE SYMPTOMS OF THE DISEASES RATHER THAN A SIMPLE RESULTS OF OVER EATING

• HERIDETARY FATHER 40% // MOTHER 40%

• ENDOCRINE---- THYROID // PITUITRY // DIABETES// MENOPAUSAL

• It is amazing how quickly people can come to the point where they are really overweight and obese.

• Obesity is a complex chronic disease. The excess of body fat results in bad health problems and risks.

• A lack of physical activity, unhealthy eating, along with genetics and lifestyle choices results in declining health and eventually death.

• Television, computer and video games contribute to inactive lifestyles.

DISEASES CAUSED BY OBESITY

• HEART DISEASES (CHOLESTROL )

• LUNGS DISEASES• LIVER DISEASES ( FATTY LIVER )• DIABETES MELLITUS• NEUROPATHY• RETINOPATHY• DIABETIC FOOT• NEPHROPATHY• IMPOTENCE• BREAST CANCER

• JOINT PAIN• BACKACHE• SLIP DISC• ARTHRITIS• GOUT• SLEEP DISORDER• LOW SELF IMAGE• LOW CONFIDENCE• INTROVERT

NATURE

DISEASES CAUSED BY OBESITY

WHAT ARE THE DISEASES RESPONSIBLE FOR

OBESITY?• PITUITARY DISEASES• THYROID DISEASES• MENOPAUSE• DRUGS(STEROIDS) • POST OPERATIVE I.V. FLUIDS & REST• POST DELIVERY I.V. FLUIDS & REST &

EXTRA EATINGS• WATER RETENTION • SALT RETENTION• UNUSUAL MULTIPLICATION OF MUSCLES A

TYPE OF CANCER

IDEAL WEIGHT FOR INDIAN FEMALESHT IN CMS AGE-20 AGE-25 AGE-30 AGE-35 AGE-40 AGE-45 AGE-50

148 38.6 41.0 42.6 44.0 45.1 46.3 47.1

150 40.3 41.6 43.5 44.8 46.0 47.0 48.0

153 41.9 43.5 45.3 46.6 47.9 48.8 49.5

155 42.8 44.3 46.2 47.7 48.8 49.5 50.1

158 44.9 46.3 48.1 49.5 50.4 51.6 52.1

160 46.0 47.3 49.1 50.6 51.5 52.4 53.0

163 47.3 48.8 50.8 51.5 52.4 54.2 54.9

165 49.1 50.6 52.6 54.1 55.3 56.0 57.3

168 50.0 52.1 53.8 56.6 56.8 57.7 56.0

IDEAL WEIGHT FOR INDIAN M A L E SHT IN CMS AGE-20 AGE-25 AGE-30 AGE-35 AGE-40 AGE-45 AGE-50

153 45.4 47.0 49.0 50.4 51.7 52.3 53.5

155 46.3 48.1 49.9 51.5 52.7 53.5 54.2

158 48.6 50.0 52.0 53.5 54.5 55.7 56.3

160 49.7 51.1 53.1 54.7 55.6 56.7 57.4

163 51.1 52.7 54.9 56.3 57.6 58.1 59.4

165 53.1 54.7 56.9 58.5 59.7 60.6 62.0

168 54.0 56.3 58.1 61.1 61.5 62.4 63.7

170 56.5 57.9 60.3 62.2 63.7 64.7 65.8

173 58.1 60.1 62.2 64.0 65.8 67.9 68.3

175 60.1 62.2 64.2 66.0 68.1 69.7 71.0

BODY– MASS INDEX (B.M.I)Body mass index is scientifically derived

formula for an individual to see weather aperson is healthy.

BMI=Wt. in Kgs. / (Ht. in mtrs.)2

If the results is 20 ==normal >>20<<25==1st degree obese (slightly)

>>25<<30==2nddegree obese (moderate) >>30<<35==3rd degree obese (severely) >>35……………………………..(ultimate)

BODY FAT PERCENTAGE %..%

A DISEASES WHICH IS CAUSED BY SO MANY OTHER DISEASES

& WHICH IS ALSO A CAUSE OF SO

MANY DREADED DISEASES

IS NOT TO BE TREATED BY BEAUTICIAN== CHATERJI’S,

BENERJI’S,MUKERJI’SOR

LAY MANFORMULA== HERBALIFE/NUTRIOLITES

EVEN YOUR FAMILY PHYSICIAN & OTHER

CONSULTANT MAY NOT BE

HELPFUL TO YOU TO LOSE YOUR WEIGHT

WHO WILL TREAT THAN.. ?IT HAS TO BE TAKEN CARE

AND TREATED

………………… UNDER THE SUPERVISION OFWEIGHT MANAGEMENT PHYSICIAN===BARIATRICIAN

TO FIGHT WITH YOUR OBESITY USE

DR.KONDKARI’S TRISHUL ……

1. RECOGNISED YOUR HUNGER

2.CHANGE YOUR LIFE STYLE

3.USE GREEKWAYS OF MEDICINE

RECOGNISED YOUR HUNGER

• WHEN YOU ARE HUNGERY EAT FOOD• EAT REAL FOOD …..• DON’T EAT PLEASURE FOOD• DON’T EAT JUNK FOOD • DON’T EAT FAST FOOD• AVOID DEEP FRIED/ FATTY /SWEET FOOD• DON’T DRINK TEA/COFFE NEXT TO FOOD• NO DRINKING…SOFT-DRINKS/JUICE/SOUPS A GLASS OF MILK== IN PLACE OF MEAL• BUT…FOOD MEANS… FOOD AND

REALFOOD….

CHANGE YOUR LIFE STYLE• WAKE UP EARLY IN THE MORNING

• EAT YOU BREAK FAST NO MORE SKIPPING OF BF

• WALK ABOUT A MILE AT HOME• ATLEAST CLIMB DOWN- SAY NO TO LIFT

• NO MORE AFTER NOON NAP• SLEEP NOT MORE THAN 6 TO 8 HRS.

• PLAY WITH YOUR CHILDREN (GROUND)• AVOID LATE NIGHT DINNER

• NO RUSHING TO BED IMMIDIETLY AFTER DINNER• DRINK WATER IF YOUR THIRSTY NO FORTIFIED

LIQ

USE GREEKWAY OF MEDICINE• 5000 YRS. BACK UNANIST

(GREEK PHYSICIAN) HAD WORKED ON OBESITY AND THEIR

RESEARCH HAS GIVEN THEM GROUP OF HERBS THEY CALLED IT

“MUHAZZIL ADVIYAT” MEANS WEIGHT REDUCER OR

FAT MATABOLISERGARCINOMA COMBGIA

(MUSIL-E IKHLAT-E SALASA

THANKYOU

U LOSE UR WTSO THATU R …..HEALTHYDISEASE-FREE2 ENJOYLIFE

NUT SHELL

• Did you ever wonder why the percentage of overweight children has doubled since 1989 Fifteen percent of the children between the ages of 12 to 19 are now overweight in our country

• In order to reduce that percentage, children need to educate themselves by understanding the importance of good nutrition, exercise and being aware of lifestyle choices that can lead to obesity. Children need the encouragement of others around them to make the right lifestyle choices.

NUT SHELL

• Did you ever wonder what goes on inside the body of an overweight person? When food enters the stomach, it triggers receptors to alert the brain to induce a feeling of fullness. Fat triggers this sensation and also the receptors in the mouth and brain that urge people to gulp down food before they feel too full

When this balance is upset, obesity may occur. Slow eating allows for less food being swallowed, and therefore less fat cells are formed. When a person starts losing weight, the cells decrease in size but the number of fat cells generally stays the same. This presents a real problem.

NUT SHELL

• As a result of inactivity and eating larger and more fatty meals, the obesity rate in America continues to climb. Nationally, more than 50% of kids are considered overweight and 30% are considered obese. Currently, the number of obese children is at an all-time high. The percentage of children who are defined as overweight have more than doubled since the early 1970s. An estimated 15% of children ages 6-19 are overweight . Obesity already accounts for 5% of health expenditures around the world, so imagine what health expenditures will be like in 20 years. To decrease these percentages and health risks, we need to educate adults and teens as to what needs to be done to reduce the rate of obesity. We need to understand how lifestyle choices and food choices affect us.