Wednesday 1 November 2017

Bariatrics-The One Stop Management for Weight Loss

Nowadays, obesity and overweight is becoming one of the biggest challenges for the health care providers, as many people are falling prey to this lifestyle problem. To tackle this problem, a branch known as the “Bariatrics” was established in 1965. It is a field, which deals in the various approaches for weight loss like behavioral therapy, dieting, exercises, surgery, and pharmacotherapy.

Obesity and overweight are the main reasons for many of the medical problems like diabetes, asthma, heart diseases, kidney problems, osteoarthritis, and other neuro-musculoskeletal diseases, that have seen many folds increase in recent times. There is also a direct link in the increased morbidity and mortality due to obesity.



Obesity can be due to lifestyle behavior or due to any medical problem like hypothyroidism, hormonal imbalance, kidney diseases, etc. The Body Mass Index is the most popular method for finding the excess amount of body weight. The other marker for measuring the obesity is the waist circumference measurement and the waist-hip ratio.
It is very difficult for an individual to lose weight on his own. You see everywhere that the overweight people go on diet and have a weight loss, only to be back to their earlier weight after some time. When you lose weight, it is equally important to maintain it for a long time.

Behavior therapy, exercise, and diet along with the anti-obesity medicines are considered as the first line of treatment for losing weight in obese persons. But these have been found to have very short and limited success in weight loss programs and very rarely long term benefits. The conventional therapies for losing weight are:

Dietary Counseling, where the dieticians advice the patients, as to what changes can be brought about in the food that they are eating to make it more healthy, nutritious and at the same time are low-calorie food. The diet is prepared according to the type and amount of work the patient is doing in addition to his daily activities. They calculate the calorie requirements based on the above stated factors and suggest ways to have the right amount of calorie food daily, so that your body loses weight and at the same time gets adequate nutrition.

For any weight loss program to become successful, exercise is very necessary. It helps in improving the basic metabolic rate, and increasing the muscle mass, so that you are able to spend more calories while doing the same work.

For any weight loss program to have a long lasting effect, it is very necessary to have psychological counseling so that, if there is any block some where it can be resolved and the program can become successful. The counseling also helps in developing positive attitude towards life and the losing weight program in special so that you can get fast results.

Those who are very obese do not respond to these measures and hence require interventional therapies like weight loss surgeries. Usually surgeries result in greater losing of weight, and also help in marked improvement in the quality of life that the person leads. Such surgeries also help in greater control of diabetes and hypertension. Such type of obese patients benefit a lot if after the surgery, they are put on the conventional line of weight loss programs. This method is known as the combination therapy, and is customized according to each patient, keeping in view his lifestyle habits and needs.

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