Dietary

Body Mass Index (BMI)

BMI = weight (kg)/height squared (m2)

• BMI of 18.5 to 22.9 kg/m2 indicates healthy weight.
• BMI of > 23 kg/m2 to 24.9 kg/m2 suggests overweight.
• BMI of 25-29.9 kg/m2 suggests pre obese.
• BMI of more than 30 kg/m2 suggests obesity.

Why waist size matters?

• Measuring your waist is a good way to check you're not carrying too much fat around your stomach, which can raise your risk of heart disease, type 2 diabetes and stroke.
• You can have a healthy BMI and still have excess tummy fat – meaning you're still at risk of developing these diseases.

To measure your waist:

• Find the bottom of your ribs and the top of your hips.
• Wrap a tape measure around your waist midway between these points.
• Breathe out naturally before taking the measurement.

Waist circumference of > 90 cm 

for men> 80 cm for women is associated with greater risk of diseases.

Body composition analysis:

• There is growing evidence that clearly links body composition with health risks and the development of certain diseases.  New research indicates that fat loss, not weight loss, can extend human longevity. The ratio of fat to muscle in our body is important.
• By measuring body composition, a person's health status can be more accurately assessed and the effects of both dietary and physical activity programs better directed.

Even a small weight loss is gives a boost to the self confidence & self esteem with resultant improvement in the quality of life of the person & the family.

Life style modification –Diet management.

• Considering treatment for weight loss lifestyle modification is always of prime importance as that is main causative factor of obesity.
• A properly designed diet with physical exercise is best that works. We analyze the reasons of your weight gain, then keeping in mind your dietary habits, genetic history, medical status etc according to your body need we plan your diet . We help you make healthier food choices, exercises plan and learn skills to avoid weight regain. We do not follow extreme methods for weight loss, but only scientific evidence based plans. 

Medical weight loss solution

• Here we provide medicines along with lifestyle modification to patients as per requirement with proper advice from our expertise team.
• Weight-loss medications are meant to help people who may have health problems related to overweight or obesity.  People who take prescription medications as part of a lifestyle program lose between 3 and 9 percent more weight.
• Weight loss of 5 to 10 percent of your starting body weight may help improve your health by lowering blood sugar, blood pressure, and triglycerides. Losing weight also can improve some other health problems related to overweight and obesity, such as joint pain or sleep apnea.

Bariatric surgery

• For the patients who have suffered repeated failures in losing weight through pharmacotherapy and behavior modification, due to disease of metabolism should opt for bariatric surgery.
• The issues of problems of obesity are fortunately having a lifetime and scientific solution like bariatric surgery. An obese person when undergoes bariatric surgery with an expert surgeon and follows recommended changes in lifestyle can lose all excess weight.
• But the main thing about this treatment option is that patient can get rid of all associated problems with obesity in a very short period after the surgery, long before the significant weight loss happens. An important example of this is the resolution of type 2 diabetes in such patient only in few days after bariatric surgery. Such improvement is seen in all other obesity related health issues.
• Weight loss surgeries are now more safe and acceptable as they are done by laparoscopic techniques.-a keyhole technique. This technique offers quick recovery with minimum or no weight loss.

Sleeve Gastrectomy

• The curvature of the stomach called fundus secretes a hormone called ghrelin, also known as hunger hormone. Ghrelin is known to induce obesity and diabetes.
• The ghrelin secreting part of the stomach is removed in sleeve gastrectomy, thereby increasing the satiety and reducing the excess hunger and craving for food. At the same time, all the functioning elements of stomach are preserved. Hence it is known to have minimum nutritional effects.

Gastric By pass  

• The stomach is divided into 2 portions. The smaller upper pouch of stomach is then connected to a Y shaped intestine, so that most of the fat ingested is not digested or absorbed and the patient also feels satisfied with a small or moderate amount of food intake. The ingested food is bypassed from direct contact with the large portion of excluded stomach. Hence the name Gastric Bypass.
• The excluded part of stomach continues to work, secrete acid, which mixes with bile, pancreatic juice and is available for digestion in the distal part of intestine.
• Research suggests that this operation has a strong anti diabetic action because of the secretion of hormones called incretins namely GLP1 & PYY. Incretins are substances which stimulates the pancreas to secrete more insulin and also improve the action of available insulin by reducing insulin resistance. The procedure is reversible since no part of the body is removed. However, it can be safely reversed only by experts.
• Patient needs to take supplements of proteins, vitamins, and micro and macro nutrients.