Description
Severe obesity in young adults requires a comprehensive, multidisciplinary approach that addresses both the physical and psychological aspects of the condition. The first step is a thorough medical evaluation, including assessments of underlying causes, comorbidities, and the impact of obesity on overall health. A combination of evidence-based interventions such as lifestyle changes (diet and exercise), behavioral therapy, and, in some cases, pharmacotherapy or bariatric surgery may be necessary for effective management. It's crucial for healthcare providers to offer ongoing support, emphasizing a non-judgmental, patient-centered approach to ensure long-term success and improved quality of life.
Summary Listen
- The speaker discusses obesity as a burning topic, citing its recognition by the Prime Minister and the introduction of new drugs, while emphasizing the importance of understanding their advantages and disadvantages. They highlight the growing trend of severe obesity in young adults and reference their book, "Beyond Weight Loss Surgery," as a resource on obesity-related issues. A key point made is that obesity is a leading preventable cause of cancer after smoking, underlining its serious health implications.
- The discussion includes the case of Denny Kahel from the "Biggest Loser" series, who lost a significant amount of weight but later regained it, challenging the simple "eat less, move more" approach. The speaker emphasizes that obesity is not just about energy balance but involves metabolic derangements, hormonal imbalances, genetic factors, and environmental and social triggers. They contrast the glycemic index with the insulin index, underscoring the role of insulin resistance in obesity and metabolic problems.
- Bariatric surgery is presented as a viable option, particularly for individuals with a BMI over 30 (Western population) or 27.5 (Asian population) who also have diabetes. The speaker explains that the procedure works by altering hormone levels, specifically decreasing ghrelin and increasing GLP1, leptin, and adiponectin. They also address common misconceptions, clarifying that bariatric surgery is not cosmetic and is performed laparoscopically or robotically.
- Finally, the speaker shares several patient profiles, illustrating the diverse benefits of bariatric surgery, including improved blood sugar control, resolution of sleep apnea and fatty liver, and enhanced fertility. They emphasize that bariatric surgery is a safe and effective intervention that can lead to significant weight loss and improvement in overall health, countering the misconception that it's a quick fix or restricts individuals from enjoying food.
Sample Certificate
About the Speakers
Dr. Abhishek Katakwar
Associate Director and Lead Bariatric Surgeon, AIG Hospital, Hyderabad
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