Obesity emerges as the most important health problem today. As a chronic disease, diabetes mellitus can cause many diseases such as ischemic heart diseases, gallbladder diseases and hypertension. For this reason, it is very important to be protected before obesity occurs.
The importance of protection in obesity is very important. Because obesity treatment covers a long period of time, depending on the person's desire for treatment, determination and effectiveness. During this period, a team consisting of a physician, dietitian, psychologist and physiotherapist works to determine the factors that cause obesity and begin the treatment of the disease. During this treatment process, it is possible to prevent other health problems that may occur by reducing the person's body weight by 5 to 10% in the first 6 months.
5 DIFFERENT METHODS ARE USED IN OBESITY TREATMENT. THESE METHODS;
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Diet (Medical Nutrition) Treatment
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Exercise Treatment
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Behavior Change Treatment (Changing Food Intake Behavior)
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Medication Treatment
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Surgical Treatment.
DIET (MEDICAL NUTRITION) TREATMENT
The main goal of diet treatment is to reduce the amount of calories the person consumes. This diet treatment process Since factors such as metabolic rate, lifestyle and nutritional habits of each individual differ, it should be created under the supervision of a dietitian and physician. Due to these factors, medical nutrition therapy is very important in the treatment of obesity.
In medical nutrition treatment, the table created to reduce the amount of calories consumed by the individual includes vegetable-based foods and is also supported by low-fat foods. In this way, the person acquires correct eating habits during the treatment process. As a result of this treatment, it is aimed to reduce the body weight and height ratio to the appropriate level. These targets, determined in the initial phase, may be the ideal weight or they may be slightly above this weight. When the target weight is reached in the treatment, it is very important to prevent weight gain again and maintain the lost weight.
EXERCISE TREATMENT
In obesity. Physical activity limitation or lack of movement can be defined as cause and effect. In addition, although the effect of exercise therapy on weight loss is debated, it is observed that increasing mobility and performing physical activities in regular periods reduces the fat accumulated in the abdominal area with adipose tissue. When applied together with diet, it prevents muscle mass loss. For this reason, nutritional therapy and exercise therapy can be combined to prevent regain of lost weight.
It is recommended that an adult exercise 30 minutes of moderate intensity every day to ensure daily energy consumption (200kcal). In addition, in the tables regarding obesity, it is aimed for individuals to do physical activity every day and be active during the day, and energy consumption may vary depending on the individual's weight and activity intensity. It is necessary to ensure that the exercises are suitable and applicable for the individual.
BEHAVIOR CHANGE TREATMENT
Behavior change treatment is the most difficult method to convince the individual among the treatments for losing excess body weight. This treatment involves not only eating less or gaining physical activity habits, but also changing the entire lifestyle. The main goal of treatment is to transform all negative behaviors and habits regarding eating and physical activity into positive ones.
THE STEPS OF TREATMENT ARE:
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Observing oneself
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Stimulus control
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Developing alternative behaviors
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Reinforcement, rewarding oneself
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Cognitive restructuring
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Social support
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It is in the form of pharmacological treatment.
SURGICAL TREATMENT
Surgical treatment is considered on two basis. The aim of bariatric surgery, which aims to reduce the energy intake through foods, is to reduce the absorption of nutrients in the gastrointestinal tract. With this goal, sleeve gastrectomy, bypass, gastroplasty, gastric balloon, gastric banding, etc. Surgical methods are applied. In reconstructive surgery; within the body It is aimed to remove settled fat communities. This treatment, unlike other treatment methods, has an aesthetic nature, and if the person does not comply with the requirements of obesity treatment, recurrences of fat accumulation may occur.
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