Obesity Disease

Obesity is not just an aesthetic defect but a metabolic disease. Many factors are effective in the development of obesity disease. In the future, with advances in genetics, we may be able to identify more precise causes of obesity. The recent rapid increase in the frequency of obesity in less than a generation shows that genetic causes alone cannot be held responsible for the disease. It likely involves a combination of genetic and environmental factors.

The degree of obesity is defined by the body mass index, which relates weight and height. Body weight (kg)/height (m²)

• Normal weight 18-25

• Pre obese 25-30

• Obese class I                                                 30-35

• Obese class II                                             35-40

• >Obese class III                                              > 40

 

FREQUENCY OF OBESITY DISEASE 

Severe Obesity is reaching epidemic proportions and increasing dramatically around the world. According to the latest statistics, 40% of adults in the USA are obese. (Obese class I or more)

 

CAUSES OF OBESITY DISEASE

Genetic and environmental factors are effective in the emergence of obesity. While the probability of children of normal weight individuals being obese is 10%, if both parents are obese, the probability of their children being obese is 80-90%. The weight of adopted children is proportional to the weight of biological parents. These statistics indicate that genetic factors are more effective. It shows its success. However, diet and culture are important factors. Decreased metabolic activity, increased high-calorie foods.

 

MEDICAL AND SOCIAL PROBLEMS CAUSED BY OBESITY

Severe obesity causes many chronic diseases. is happening. But for people struggling with obesity, the most challenging aspect of the disease is the social stigma. They are discrimination and prejudices imposed by other segments of society. Many people view severely obese people as lethargic or gluttonous and unself-disciplined, which has a huge impact on emotional well-being. For this reason, psychological problems such as depression are much more common in obese people than in the general population.

There are many medical problems and chronic diseases caused by obesity. The most well-known of these are degenerative joint diseases, low back pain, hypertension, sleep apnea syndrome, gastroesophageal reflux disease, cholelithiasis, type II diabetes, hyperlipidemia, hypercholesterolemia, asthma, migraine, headaches, varicose veins, skin abscesses, infertility, menstrual irregularities, abdominal pain. hernias, uterine breast and colon cancers.

 

PROGNO OF OBESITY DISEASE

Obesity has a profound impact on life expectancy and general health. According to estimates, obesity causes an average shortening of life by 12 years for men and 9 years for women. In addition, decreased quality of life is also a result of obesity.

 

TREATMENT OF OBESITY DISEASE

The first medical treatment to be tried is diet and exercise. Studies have shown that only 3% of severely obese patients can lose and maintain their weight with diet and exercise.

 

SURGICAL TREATMENT OF OBESITY

 

Bariatric Surgery Treatment Indications

What the patient must have;

All patients with a body mass index of more than 40

Body mass index of 35-40 between and accompanied by one or more of the diseases caused by obesity.

 

The patient must also have the following

• Medical Having failed with supervised diet

• Being psychologically stable

 

Contraindication for Bariatric Surgery

Medical diseases that make anesthesia or surgery prohibitively risky.

Mental inability to understand the procedure

Postoperative life Reluctance or inability to make style changes

Drug, alcohol, or other addictions

Active bulimia or other eating disorders

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Psychologically unstable

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