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From flab to fab!

With VAZER Lipo, the new and fast procedure using ultrasound that’s safer that traditional liposuction

Want to be a few Kilos lighter, a few inches lesser, but diets and exercise aren’t getting you the shape and physique you desire? Despair not, cosmetic surgery in the form of Liposuction is helping millions around the world to lose inches that prove to be stubborn.

Dr. Rustom F. Ginwalla, plastic and aesthetic surgeon, offers hope. “Liposuction,” he says, “is a most commonly performed cosmetic surgery done to flatten any areas of the body that have excess fat. It is ideal for people who control their diet, exercise moderately, but have reached a plateau and cannot get rid of those last few trouble-some areas.”

Liposuction removes fat from deposits beneath the skin using a hollow stainless steel tube with the assistance of a powerful vacuum. There are many Liposuction techniques available, but the latest, high-technology VASER ultrasound liposlection gives best results. It is a minimally invasive procedure, and an alternative to the harsh traditional liposuction, using ultrasound technology designed to gently reshape the body.

The VASER Lipo procedure differentiates targeted fat from important tissues such as nerves, blood vessels and connective tissues. It breaks up fat while conserving these tissues to promote smooth results to promote smooth results and rapid healing with only low to minimal pain. Traditional liposuction, on the other hand, uses high-pressure liposuction, which tears out all tissues from the targeted areas, including blood vessels and nerves, leading to bleeding bruising and pain, almost any area can be treated by VASER Lipo, the most common ones being the tummy, love handles, waist, arms, back, hips, buttocks and thighs. It can even be safely used on the face and neck to reduce a double chin and gives excellent results for male breast reductions. Total body contouring can also be done with excellent results.

VASER Lipo has been exclusively available with Dr. Ginwalla at the D.R.S. Medical Centre since early last year. He has performed over 50 surgeries over different areas of the body.” It is a wonderful technology, and I have entirely stopped doing traditional.

Liposuction, since the results with VASER are superior and the patients are more comfortable and recovers in only a few days,” says Dr. Ginwalla. “The procedure can take from one to five hours and be done under local or general anaesthesia, depending on the areas to be treated and the amount of fat o be removed.”

The recovery period is also determined by this and varies from a week to a fortnight. But the fat loss is permanent as it is physically removed from the body. Diet control and exercise is recommended after the procedure. Rare complications do arise occasionally but are usually not life-threatening and resolve in a few weeks.

Zap or chill? Targeting fat without surgery

REDUCING fat around one’s midriff and thighs has become a defining quest of the modern age. It has brought us Zone Diet delivery, the ThighMaster and liposuction, which involves surgically vacuuming fat out of your body.

Now a pair of machines that promises to tackle love handle without surgery can be added to this parade of wonders. The Zeltiq device is affixed to the offending jiggle and then cools a patch of midsection during an hour-long session at the doctor’s office. Zerona—a four-armed laser-Zaps your belly, flanks and hips with red beams during six 40-minute treatments.

Doctors and patients alike are excited by the prospect of having new technologies that can attack fat without surgery. It is too early, however, for consumers to know how effectively wither device works. That hasn’t stopped men and women unhappy with back fat and muffin tops from paying thousands for treatment in recent months.

“It’s so freaky, this can’t work,” kate Killgore, 37 of Los Angeles, recalled thinking about the Zerona laser. But after 12 treatments in a month last summer, costing $3,40o, she lost 11 inches from her waist, things and hips. She has maintained her new figure since then, she said. Another Zerona patient, Annie Bonvouloir, 53, of Nederland, Colo; who heard about the procedure on the daytime television talk show “The Doctors”, was less successful.

Hoping to reduce her things and midsection without the risks and inconvenience of liposuction, she paid $2,300 for six treatments from a chiropractor in the Denver area. Even though she continued to diet and work out, she had no change in her things, belly and hips. Her doctor offered her three more sessions at no cost. Still, no change. Since most aesthetic medicine is elective, and not covered by insurance, marketing plays a major role in capturing the minds and wallets of consumers. The concern is that promoting innovations that the Food and Drug Administration hasn’t approved will fuel patient expectations that clinical data may not substantiate.

Zeltiq Aesthetics, based in Pleasanton, Calif, is a cautious wallflower that aims to get the data behind its device approved by the FDA before it makes too rowdy an entrance to the party. Its slogan is “More Science. Less Fat.”

Meanwhile, Erchonia Medical, based in McKinney, Texas, has aggressively marketed its Zerona laser as” the first non-invasive body contouring procedure to effectively remove excess fat” even though it has yet to receive FDA clearance to promote this use. (In general, the FDA must sanction a medical device for a specific use before a company can marker that use. But doctors are free of use device off label.)

Nonetheless, a brochure for Zerona states patients can collectively” lose up to 9 inches without the pain or down time of surgery.”Nationwide, medical spas, chiropractors, cosmetic surgeons, plastic surgeons and dermatologists now offer Zerona for $1,700 to $3,800 for six sessions. Part of the reason the device has made inroad during these strapped times is that doctors don’t buy it outright, but pay per use.

So how is Zerona supposed to work? The low-level laser causes “fat to seep out of a cell, almost like a balloon being struck by a needle,” said Ryan Maloney medical director for Erchonia Medical. The fat enters the lymphatic system and is eventually used as energy, maloney said. Zeltiq uses controlled cooling to target and eliminate fat cells, a process called selective cryolipolysis. Skin isn’t damaged, but subcutaneous fat, which is more sensitive to targeted cold begins a two-month death march soon after exposure to Zeltiq.

Doctors on the advisory board for Zeltiq Aesthetics have put the word out about it on television news segments. But at this stage, the company itself has been careful not to promote its device directly to consumers since its FDA clearances or, say, pain reduction during dermatologic treatments don’t encompass fat reduction. Gordie Nye, the chief executive, sent an e–mail message declining to be interviewed for this article. The company has clinical data that has been submitted to the FDA for approval, according to a few doctors who were principal investigators. Data relayed at a meeting of the American Society of Dermatologic Surgery showed a 22% reduction of the fat layer as measured by ultrasound. Erchonia Medical has published the results of its clinical trial in lasers in Surgery and Medicine. Thirty-five-patients in the treatment group lost an average of 3.5 inches total in hips, things and their midsection according to the company’s clinical trial. The company has promoted Zerona as” a new body-sculpting procedure designed to remove fat and contour he body without invasive surgery.” But the FDA has not sanctioned marketing this use, it his cleared the Zerona laser for pain reduction 24 hours after breast augmentation or as a way to decrease the pain associated with recovering from liposuction. In general, Karen Riley, a spokeswomen for the FDA, said “It is considered off-label promotion if you are marketing to the public a use that has not been cleared,” StevenShanks, the president of Eruchonia Medical, said, “Since we use the exact same power for liposuction and breast augmentation, we self-certified the device.” He said that in January 2009, the company had applied for a 510 K clearance-which is based clearance-which is based on the notion that an older device is substantially equivalent to a new one-and had year to receive it.(such a delay is atypical, Riley said, adding. “Most 51oKs are cleared within six months.”)

Last month, Dr. Robert B, Seltzer, a dermatologist in Pasadena. Calif, ran an advertisement in The Los Angeles Times for an informational seminar that called Zerona” the holy grail. “In a phone interview, however, he said, “I’m not 100 percent convinced. “ He said he planned to return his Zerona if he didn’t continue seeing results in his patients. (So far 5 out of 6 have been pleased.)

After reviewing Erchonia Medicals’s clinical study, Dr. Brian M. Kinney, plastic surgeons in Los Angeles, said, “I can’t prove that it works.” His concerns are that the tape measure method of gauging circumferential changes” isn’t consistently reliable.” What’s more, study participants and the placebo group were assessed only two weeks after their last treatment, not long enough to measure adequately whether results last.

Kinney doesn’t have a Zerona or a Zeltiq cooling device, though in the case of the latter, he said, ”it is well documented that freezing fat tissue aggressively enough can lead to fat necrosis,” or, fat dying, over a few months.

Patient selection for anybody contouring procedure is crucial, said Dr.Jeffrey M. Kenkel, vice chairman of plastic surgery at the University of Texas Southwestern Medical Center in Dallas.

LOSS WEIGHT FAST!

BT presents six detox tips to speed metabolism and few tips to lose weight rapido...

Six detox tips:

The body needs to be working as efficiently as possible to los weight fast; as if your body organs are working at maximum efficiency you will shed weight quicker. Logical but not many people think about this when dieting.

*Eat Grapes- These are rich in flavionls, which help your arteries work to their maximum and make blood run smoothly and quickly around the body.

*Eat citrus fruits such as berries- These foods are rich in Vitamins C and E, which will help cleanse and detoxify the liver making it work more efficiently.

*Prunes and Fibre-Eat prunes as they will naturally cleanse the colon stimulating the gut and help expel waste quicker, you should also up your intake of fibre as well to cleanse the colon further:

*Apricots-If you are smoker this food is particularly useful, apricots are rich in betacarotene and Vitamin C which helps repair smoke damage to the lungs.

*Cranberries or juice-Contains.Proanthocyanidin which are antitoxants that will help cleanse and flush out the kidneys. You can also add a couple of supplements if you wish top the abovge list to help detoxify further. Alfalfa and milk thistle are good choices. The first acts as a general cleanser and the second as a cleanser for the liver.

Now here are a few tips to lose weight fast:

*Drink iced Water- Two litres a day minimum. Water has to be iced as the body will burn 100 calories just heating the water to normal body temperature. Also hunger pangs are very often thirst pangs, so this will help you stop over eating. Add lemon to flavour if you wish and gain the added benefit of cleansing your liver at the same time. Water also helps your body metabolise stored fat by helping the kidneys flush waste quicker. When you don't drink enough water the liver needs to help the kidneys perform this function. When the liver has to help the kidneys its normal function of providing stored fat for energy is slowed down.

*Green tea- Drink five cups a day. Research shows this can burn a massive 80 calories a day! It is belived the antioxidant catechins in green tea boost the metabolism and help burn fat.

*Chilli sauce and mustard-These foods increase your calorie burning capacity by between five to ten percent for up to two hours after eating. This is because they contain capsaicin which speeds the metabolism, so if you enjoy hot food your in luck!

*Low fat diary foods-Can increase fat burning in the abdominal area. Why? Because these foods are rich in calcium which encourages the release fo fat from fat cells and also reduces the amount of fat absorbed.

Eat Fibre- Eating fibre foods to help keep things moving through your bowel as stated above and makes you feel full . The average person can lose 9-10 pounds in one year just from doubling their fibre intake aim for 25grams per day(the average for most adults is just eight grams) fibre rich foods include strawberries, apples, brown rice, chick peas, potatoes(with skins) and brown rice.

*Gorge on salads-eating cooling salads in the summer months not only helps you stay fresh, but also helps knock off those additional inches!

The above tips should be incorporated into a sensible diet and they will enhance it and help you lose weight fast.

Why eating soup could help you lose weight!

Abowl of soup a day could keep the pounds at bay. Health experts have discouvered that adding low-calorie vegetable broth to the start of a meal can actually help to lose weight. Because you tend to feel full sooner, you eat less of your main course.

The soup regime was tested by researchers at Pennsylvania State University, led by Dr Barbara Rolls. They found that when particulpants in the study ate a first course of soup before lunch they reduced their total calorie intake by 20 percent, compared with those who did not begin the meal with soup. But those who favour creamy soups should beware. Researchers stressed the soup must be low-calorie and based on stock, not cream.


All of the soups tested in the study were made from identical ingredients-schicken stock, broccoli, potato, califlower and carrots. They were blended to create four different textures and thickness from separate stock and vegetables through to pureed soup.

Scientists thougt that thick soups with chunks of vegetables which required chewing might be more filling, but to their surprise they found all forms had the same effect. The findings were presented to the Experimental Biology conference in Washington, DC, this week and the research was partfunded by the National Institutes of Health.

Women burn more calories playing football than at the gym
Women burn more calories playing football than doing an intensive workout at the gym, a surprising new study has found. Leading sports scientist Professor Don Maclaren investigated how much energy was used in the beautiful game.

He found while rowing and cycling burns 543 calories an hour, football uses up a whopping 683 caloriescalories over the same period. This is even 40 calories more than a cross-trainer: This means women could lose at least a stone if they played a 90 minute football game a week for a year, and this is before taking training sessions into account.

Professor MacLaren, who is currently sports nutritionist to football clubs including Liverpool FC and Everton FC men's teams and the England women's team, said:"More and more women are waking upto the fact that they're not going to shed pounds with yoga once a week-they need the all over body workout that football can give you. All the running around has a cadivascular benefit. It improves both heart and lung capacity. This applies to anyone playing outfield. Football also tones the muscles. Not just the legs but the stomach muscles as well due to the breathing involved."

Professor Maclaren added: "In any contact sport there are risks of injury. The most common are the knee and ankle joints with the twisting and takling involved in the game. But a reasonable warm up would help with this. You should n't rely solely on football to get fit. You should stretch and strengthen the knee and ankle joints and do core stability exercises to improve your lower back and stomach muscles."

How does one benefit from drinking warm lemon water

*Lemon is a Vitamin C rich citrus fruit that enhances your beauty, by rejuvenating skin from within and thus bringing a glow on your face. One of the major health benefits of drinking lemon water is that it paves way for losing wieght faster, thus acting as a great weight loss remedy. Lemon water flushes out body toxins and thus is extremely beneficial for the body.

*Warm lemon water serves as the perfect morning drink, as it aids the digestive system and makes the process of eliminating the waste products from the body easier. It prevents the problem of constipation and diarrhoea from taking place, by ensuring smooth bowel functions.

*Lemon, a fruit popular for its therapeutic properties, helps promote your immune system and thus, protects you from the clutches of most types of infections. It also plays the role of blood purifier.

Experts warn of a steep rise in cases of morbid obesity in the years to come. Thankfully though, awareness of corrective procedures is on the rise, even as doctors make newer breakthroughs in the fight against fat it's an all-out battle against the bulge fighting fat has become easier on the wallet.

There was a time, about tow years ago, when Kavita Singh found it difficult to stand up or sit confortably. Running or climbing a flight of stairs was out of the question for the 35 years old homemaker. Singh had other problems too-pain in the joints, particularly in the knees, chest pain, diabetes that refused to be controlled , and hypertension were just a few of them."Mere breathing put a strain on my lungs," recalls Singh.

All of Signh's problems were attributable to here wight- a whopping 140 kg with a body mass index (BMI) of 39. But that was before she underwent gastric bypass surgery.

"My stomach is now just on-third of its original size. I cannot overeat even if Iwant to,"she says, claiming to have lost 15 kg in the first three months after surgery.

"I started gaining weight in my twenties," says the mother of two."Each delivery just made it worse." She tried several other weightloss techniques but without success.

Coaxed by her family physician and after speaking to another morbidly obese patient who had benefited from bariatric surgery, Singh finally took the decision as "I didn't want to embarrass my family anymore."

The decision may just have saved her life, the surgeon who operated on Singh later told her. At last count, Singh has lost 58.5 kg. "I weigh myself every day. It motivates me," she says, waiting for her weight to fall to 60 kg.

Like Singh, several morbidly obese patients have not only escaped death, but have also improved their lives through bariatric surgery. Any adult with a BMI of over 35 is 'morbidly obese'. The condition brings with it a host of other health problems."For such people, surgery is a life-saving procedure, not just a cosmetic enhancement," says Dr. Muffazal Lakdawala, consultant laparoscopic surgeon, Hiranandani Hospital.Nevertheless, it should be the last resort, he warns.

While a number of weight-conscious patients approach surgeons, not all undergo surgery."Before surgery, a number of tests are prescribed. This includes a hormonal test and psychiatric analysis apart from counselling says Dr Shrikant Bapat, another surgeon.

6% of Mumbai's population is morbidly obese

6mn Indians are extremely obese

370mm Indians will suffer from Type 2 diabetes due to obesity by 2025

Fat count: Body Mass Index(BMI) is a measure used to define obesity. It's a figure obtained by dividing the body weight by the square of the height in metres. If, for instance, your weight is 80 kg and height is 5 foot 7 (1.70m), your BMI would be 80/2,89=27.68

The higher your BMI, the higher the percentage of fat in your body.

Normal: BMI between 18.5 and 24.9

Overweight:BMI between 25and 29.9

Obese: BMI equal to or greater than 30

New health hazard for Indians

What do we mean by Diaobesity?

Excess body fat or obesity can lead to diabetes and a term coined to diabetes and a term coined to state it is diaobesity. The extra fat in the cells often causes resistance to the action of insulin ( which takes blood sugar into cells), a hormone made in the pancreas. Due to this blood sugar rises, turn stimulates more insulin secretion, which makes one feel more hungry and thus results in more fat deposition. If sugar levels are not controlled properly, then over a period of time the extra glucose molecules stick onto hemoglobin molecules which can damage the smallest blood vessels in the eyes, kidney and peripheral blood vessels in the legs. This may lead to heart problems, vision problems and blindness, kidney damages that necessitates dialysis, and nerve damage that may cause infection and possibility lead to amputation.

Reasons for the growing trend

Why are these numbers growing so dramatically?

Researchers point to a complex set of physiological, sociological and behavioral factors. In our country, many changes have taken place over the past 10-15 years that have affected people’s eating and exercise habits.

Snaking and that too snacking on juck foods(chips, biscuits chocolates, vada, samosa, sandwiches, burgers etc). has become a way of life for both adults and children. Though such practices once in a way not inherently bad, repetitively they promote health, the food people chose is often high in calories.

Restaurant eating and socializing has increased like never before. This food may be food to taste but your health suffers. Along --- a growing tendency to consume more --, we have tended to become far less active than we were 20 years 20 years ago. Our lives are full of conveniences and gadgets that discourage physical exertion, including cars, servants, washing machines, vacuum cleaners, food processors, computers, play stations and many more. Even those who pride themselves on not surfing much TV may spend hours surfing the internet in a sedentary position. The result of the imbalance in energy is an epidemic of excess body fat.

Diaobesity in India

Indians are more at risk because of a sudden dramatic change in our living conditions. Most of our grandparents and great grandparents were farmers, physically active, with limited income and limited food resources. Our culture and eating followed a definite pattern.. Our habits have changed at a faster pace. We like a continental breakfast, Gujarati thali for lunch and Chinese for dinner. We have confused our genes thoroughly leaving no time for into adapt to new change. Physiologically too. We are at risk. Body composition of we Indians show that we have more fat than muscle. The projection is that there will be 75 million diabetic patients in India in the next 25 years. There are 25 percent over weight women in India at present and it is going to be 50 per cent in another 10 years. The situation looks grim and no Karela and Methi seeds will do miracles to shun away diabetes, unless you get aware and improve your health quotient from today. Also, Indians have a genetic vulnerability that of contracting the disease 10 years earlier.

To Avoid diaobesity what should you check?

BMI(Body mass Index) should be ideally as low as 24 (females) and 25(males).

Check your waist circumference: Waist circumference greater than 40 inches in males and 35 inches in females indicates increased fat deposition in the abdomen. In fact, a simple measurement is, “ the pinch should not be more than an inch“ on your waist. This by no way means that fat around other areas is okey. You need to maintain the weight of overall body.

What can you do to improve your health quotient?

Let your health regime be simple, realistic and individualized if it has to work, for example, if your weight is 80 or 90 kgs and your ideal weight is 50 kgs don’t try to play havoc with your body by going on a crash diet and a drastic exercise plan to reach an unrealistic goal, you will do more harm than good. Secondly, this plan will not sustain long and also remember there are many things in life that are equally or more important than losing weight. Take professional help from a person who is qualified and experienced to understand your lifestyle and will inculcate a health plan to fit your lifestyle.

Make a small change, but follow it regularly. Discipline is the need of your health. For example dedicate at least 40 minutes daily for some physical activity like brisk walking for some physical activity like brisk walking, swimming, badminton, tennis etc.

Don’t turn into a couch potato or sit glued to your computers. However exciting the serial or news or matches may be, remember the air in the open is more refreshing and your lungs just want to replace that stale oxygen with the fresh one. You will have to get physically active to get your supply.

To see the progress compare your present parameters from where you have started and not with any height weight charts.

Eat wisely. Increase your back balance, not your fat balance. Eat a balanced diet with variety. When you are eating junk, remember the food stays for a moment on the tongue but stay long as unwanted fat in your cells.

Make a smart choice. Most patients who suffer from obesity, diabetes and alike also have long-term nutritional deficiency like anemia, calcium or other mineral or B complex deficiencies which can add to fatigue, depression which can add to fatigue, depression, weak bones and muscles. This in turn may make you less active and crave you for certain unhealthy foods. Hence, the recommendation is to improve your total health.

A cocktail for weight loss?

CELEBRITIES are following a new fitness mantra that kills workout boredom and melts the fat away.

Going to the gym everyday and looking at those heavy, bulky machines can be really boring. There might be days when you would want to bunk your workout sessions because the monotony of your exercise regime would be killing you. Fitness experts across the work, and also a few in Mumbai, have worked out a perfect solution to make your workout sessions fun.

The concept of ‘cocktail workout’ has become increasingly popular in the city. Celebrities like Preity Zinta, Bipasha Basu, Sandip Soparrkar and Neetu Chandra also follow this technique.

So, what is this ‘miracle’ regime all about? As the name suggests, a cocktail workout is one that has a little bit of everything right from yoga to Pilates to aerobics and also swimming and cycling.

Fitness expert Deanne Pandey says” Cocktail workout can be lots of fun, but the only challenge is that your weekly program has to be carefully designed by your trainer keeping in mind your body type,” informing that she’s building a new studio, which will have provisions for lots of a activities and even a spa. “Variety always interests people and the same rule works while achieving new fitness levels,” she adds.

Another fitness instructor Shaini Bhargava claims that doing something different everyday is very good for the muscles. She explains, “Your muscles don’t get habituated to a specific kind of workout and that is very challenging. This helps one burn calories faster.”

Dance expert and instructor to Bollywood stars Sandeep Soparkar obviously dances regularly. He has enrolled himself in a boot camp and also does aerobics, yoga and swimming on different days of the week. He says, “I believe that after doing the same kind of workout for a long time your muscles get immune to it. They stagnate and hence you need to add some variety.”

Actor Neetu Chandra practices this too and is extremely happy with the results. “I like to do something different every day. One day I just go for a jog, the next day I swim and probably dance the other day. I get to learn lots of things and simultaneously keep fit”.

Cocktails workout includes

• Pilates

• Swimming

• Aerobics

• Martial arts

• Boot camp

• Any form of dance

Newer Obesity Guidelines

India reworks its obesity guidelines.

“Every 10 second, a new diabetic patient is diagnosed in the world.”

“Nearly 19,ooo every day die to diabetes and its complications.”

“A diabetes related amputation takes place every 30 seconds.”

Alarmed by reports that India will become the global diabetic capital by 2050, the health ministry has for the first time revised the standard consensus for the prevention and management of obesity and metabolic syndrome in the country.

The guidelines were released jointly by the health ministry, the diabetic foundation of India, All India institute of Medical Sciences (AIIMS), Indian Council of Medical Research (ICMR), National Institute of Nutrition(NIN) and 20 other health organizations

This is the first time India has officially complied its weight and flab statistics to step up the fight against obesity and its direct fall out-Diabetes.

Why we need a new consensus?

Several studies have procrastinated that India will become the global diabetic capital by 2050 if abdominal and lower limb obesity and metabolic syndrome are not arrested.

The current load of diabetes in the country is 41 million. which is still expected to rise by 170A% in the next 20 years. Even today, India has the largest population of diabetes in the world(excerpts taken from www.doctorbruno.com).

Researches over the last several years have shown that, Indian bodies and their genetics are quite different from the western counterparts. Indians normally suffer from abdominal obesity compared to the westerners whose bodies uniformly obese.

According to the new analysis of the National Health and Nutritional Examination survey (NHANS III) as body mass index increases, the average blood pressure, total cholesterol levels rise and average HDL-cholesterol decline. Men in the highest obesity category have more than twice the risk of hypertension, high blood cholesterol or both, as compared to men with normal weight. Women on the other hand in the highest obesity category have four times the risk of either or both of these risk factors.

The absolute mortality due to chronic heart disease is estimated to increase to 20.3 million and by 2020, it is forecasted to touch 2.58 millions. In 2000, the mortality rate was 1.59 million.

Present statistics show that one in every 3 Indians has high blood pressure, which is expected to shoot by 60A% in next 20 years.

The Indian body composition puts them in high risk for diabetes and hypertension. For every 10 extra kilos above the stipulated body weight (measured according to the height), life expected of a person reduces by three years.

In view of all these the need for weight and fitness guidelines specified to Asian countries was first stressed in a study by the World Health Organization’s subcommittee set up to look into obesity and metabolic syndromes in the Asia pacific region in 2000. And one step towards the prevention of this deadly lifestyle related disease was taken up by the Health Ministry by making country’s fitness measurements leaner on eve of India’s eighth AntiObesity Day observed on Nov.26, 2008.

Revised Guidelines for Obesity: The Body mass index (BMI) considered as the individual’s fitness and obesity indicator is the ratio of the body weight in kilograms versus height in m2. The country’s new diagnostic cut off for the body mass index is 23 kg/m2 as opposed to 25kg/m2 used globally. Thus, now according to the newer stricter norms a person with a BMI of 23 Kg/m2 will now be considered overweight and below that as normal; those with BMI of 25kg/m2 will be clinically obese (as opposed to 30kg/m2 as at international level) and those with 32.5 kg/m2 will require bariatric surgery to eliminate the excess flab.

According to the guidelines, Cut offs for waist circumferences will be 90 cms for Indian men ( as opposed to 102 cms globally) and 80 cms for women (as opposed to 88cms at the international level).

Thus according to the report every second person in metros like Delhi or Mumbai fulfils the criteria of obesity or has excess abdominal fat and one fourth of the adolescent population in these cities has Syndrome X metabolic syndrome that heralds the onset of heart disease and diabetes.

Why is abdominal fat dangerous?

Abdominal or visceral or belly fat which is located around the internal organs is being linked to elevated stress hormones which in turn rise the blood pressure, blood sugar levels and cardiac risk, unlike subcutaneous fat, at the visceral fat cells release metabolic products directly into the blood; free fatty acids from visceral fat thus accumulate in the liver and other organs. This impairs the body’s regulation of insulin, blood sugar and cholesterol. In addition to this, the fat cells produce a large number of proteins that contribute to the metabolic abnormalities, inflammation and heart disease.

Obesity in children –growing concern:

Childhood obesity is a fast emerging global dilemma not only in the developed western counties, but also in many developing Asian counties including, but also in many developing asian counties including India. In the U.S. a dismaying 32 percent of young people aged 2 through 19 were judged overweight or obese as measured by body mass index, with roughly half falling into each of those categories. In New Delhi alone, nearly one in five school children ages 10 to 16 are found to be either overweight or clinically obese.

‘The figures for India indicate that the rapid progress of urbanization and demographic trends are associated with unhealthy lifestyles and related non-communicable disease with obesity leading the way!!(Vedavathi S. Jayashree R. Rafi M: Prevalence of overweight & obesity in Affluent adolescent school girls in Chennai in 1981 & 1998 Indian pediatrics, 2003;40;775-779 and kapil U et al: Prevalence of obesity among Affluent adolescent school children in Delhi. Indian Pediatrics: 2002;Vol39:449-452.)

Experts estimate 16% of kids as overweight and another 24% are at risk of becoming overweight. Among these, two thirds of overweight kids will become overweight adults.

Problems associated with childhood obesity.


50-80% of obese children will continue on into adulthood as obese adults and fall into the high risk group of Diabetes, Hypertension and coronary Heart disease. Complications of adult obesity are made worse if the obesity begins in childhood, as it is harder to treat in adults than in children. (Style D.M: Childhood obesity and adolescent obesity: PCNA 2001;48: 823-847 and Park k: Par’s textbook of Preventive and Social Medicine: Banarsidas Bhanot Publishers, 18th Edition, 2005; 316-319) In addition to these disease, the extra fat tissue causes hormonal imbalances leading to an early onset of menstrual cycles in overweight girls; this in turn may stop them from achieving their full growth potential.

These children undergo social stigmatization by other children and parents who think that obese youth are lazy, unclean, and of lower intelligence

Young adolescents with eating disorders often start developing their restrictive eating patterns in order to avoid these strong negative images associated with being overweight and go through swings in excessive weight gain and loss.

Who is to blame for this rise of obesity in children? A recent survey of parents done in US reported that a majority of parents blamed manufacturers to advertisements on TV, some blamed it onto the child itself while some said it was due to the unstipulated growth of fast food industry. Only a very few admitted that parents can easily control their eating fast food, limit watching TV and encourage outdoor activities. To combat with this several European countries have considered practical measures in town planning and some like France have even implemented these. These include: • Regular weight-ins for children as they leave primary school, including the recording of BMI

• Increasing the number of cycle lanes.

• Designing safe walking routes to schools and from suburbs to the center.

• Programs in schools to inspire children to eat healthy avoid fast food outsets, learn to cook and play sport at a young age.

• Larger parks, modern playgrounds and improved leisure activities. • Studies have confirmed that by implementing this concept in 10 eco towns in France, the proportion of overweight boys aged 7-12 years fell from 19% to 10% and in girls from 10% to 7%. Revision of obesity guidelines would help to change the attitude of parents of such obese children who themselves may also be obese or overweight and adopt a healthy lifestyle.

Diabetes and Obesity-the link:

The fact that both obesity and diabetes are interlinked is the recent observation by US study that Obesity surgery reversed the diabetes in patients who were on insulin. Similar observations are also found in Indian population, where gastric bypass surgery done to combat obesity is found to reverse the type 2 diabetes. But the question is, is this the solution?

The second national health and Nutrition Examination Survey in the US study that observed that the relative risk of diabetes for overweight adults was nearly 2.9 times that for the non-overweight adults. The relative risk imposed obesity in young adults (30-45 years) was 3.8 times that of the non-overweight match control. Another survey in USA showed men in BMI range of 25-26.9 had 2.2 times higher risk for type 2 diabetes than those with BMI with 23. The risk increased with increasing BMI with men in BMI group > 35 having a relative risk of 42.1 times greater than men with BMI<23.

A British study showed that men in the upper fifth of BMR range (> 27.9) had a risk factor 7 times more than those in the lowest.

The findings for women are quite similar, not only the age adjusted relative risk increase with increased BMI value, excess risk was seen in women in the upper end of normal risk was seen in women in the upper end of normal BMI (<22.9) range, From a risk of 1.0 at BMI of <22 the risk rose to 2.9 at BMI of 22-22.9 and a whopping 93.2 at BMI of > 35.

BMI along with weight gain is an important risk factor for diabetes. A Health Professionals follow up study which considered varying parameters including BMI showed that, men who gained weight> 13.6 kg over a 5 year term had 4.5 times higher risk than men whose weight remained within 4.5 Kg of their weight at entry. Across the range of BMI , weight gain was positively correlated with risk for diabetes. Among women, those whose weight increased from 5 to 7.9 Kg during the 14 year period of study had a risk of 1.9 times that of men who did not gain weight. The risk was conversably reduced when they lost weight.

The longer one stays obese greater is their risk for developing type 2 diabetes. In a study those who were at a BMI 30 for.> 10 years had a risk twice that of those who had been obese for less than 5 years.

According to figures, for every diabetic patient in India, these are two who have the disease but are undiagnosed and four who have abnormalities that could lead to their becoming diabetic in future. Diabetes has its own complications, retinopathy and nephropathy both linked with diabetes. It’s well established that it is one of the major risk factor for heart disease. Visceral or Central distribution of fat is responsible for the breakdown of normal glucose homeostasis. This causes increased availability of free fatty acids (FFA) and increased oxidation of FFAs, increased hepatic resistance. Hyperinsulinaemia and insulin resistance are positively correlated not only to increasing BMI but also to the amount of visceral fat.

Glucose fatty acid cycle: A factor of significance in initiating and maintaining the evolution of obesity to diabetes, as

mentioned earlier. Is increased availability of FFA and its oxidation which block the peripheral action of insulin as well as affects the oxidative and anaerobic pathway of glucose metabolism. It also brings about impairment of glucose utilisation. Increased plasma FFA levels increases the liver glucose release and adversely affect glucose uptake by peripheral tissue and causes insulin resistance.

Among women, those whose weight increased from 5 to 7.9 Kg during the 14 year period of study had a risk of 1.9 times that of men who did not gain weight. The risk was considerably reduced when they lost weight.

Summary

Hence there is a need for early detection of diabetes with a regular screening of the population at high risk. People at high risk of developing diabetes (Age > 40, obesity, abnormal lipids and strong family history) need special attention and should undergo regular screening for diabetes.

Though India has not worked on the strategies that help in bringing down obesity at the moment, with obesity norms becoming more stricter we can always follow the NIH strategies for weight loss which stresses on calorie reduction, increased physical activity, and behavior therapy designed to improve eating and exercise all combined to achieve the target BMI.

Key to obesity: We have a taste for fat

Discovery of 6th Taste Explains Why Some Can't Resist Fatty Foods; Those Sensitive To Fat Should Consume Less

Sydney: It's a theory set to confirm why humans are so fond of fatty foods such as chips and chocolate cake: in addition to the five tastes already identified lurks another detectable by the palate - fat.

"we know that the human tongue can detect five tastes - sweet, salty, sour, bitter and umami(a savoury, protein - rich taste contained in foods such as soy sauce and chicken stock)," Russell Keast, from Deakin University, said on Monday."Through our study we can conclude that humans have a sixth taste - fat"

Researchers tested the ability of 30 people to taste a range of fatty acids in otherwise plain solutions and found that all were able to determine the taste - though some required higher concentrations than others.

They then developed a screening test to see ho w sensitive people were to the taste and found that, of the 50 people tested, their ability to detect fat was linked to their weight - a finding which could help counter obesity.

"We found that the people who were sensitive to fat, who could taste very low concentrations, actually consumed less fat than the peoplewho were insensitive," keast said, "We also found that they had lower BMIs (Body Mass Indexes)."

The reverse was happening in people who were not sensitive to the taste. "They are over-consuming and this is creating an energy imbalance, which is leading to higher BMI or development of overweight or obesity", he added. Keast said the research, conducted in collaboration with the University of Adelaide, New Zealand's Massey University and Australian Science body CSIRO, suggested that the taste of fat could trigger a mechanism in the body.

"We all like eating fatty foods. What we speculate is (that) the mechanism is to do with stopping eating. Your body is able to tell you you've had enough and stop," he explained. "And if you are insensitive to it, you're not getting that feedback"

with fats easilyaccessible and commonly consumed, it was poaaible that people may become desensitised to the taste of fat, leaving some more prone to overindulging in calorie-rich foods, he added.

The results,published in the British Journal of Nutrition, have not definitively classified fat as a taste but Keast says the evidence is strong and mounting.

For something to be classified as a taste there needed to be proven receptor mechanisms on taste cells in the mouth, he said.

"We have what.... e will call posible candidate receptor cells," he said.

He says low-fat foods can be ineffictive because the body becomes convinced it is not getting what it needs and then people revert to hte full-fat version.

He says the research may lead to the development of better low-fat foods people will be less likely to abandon. "Celery will always taste like celery. Brie will always taste like bire. this is not perceivable," he said.

"(But) what this (research) would do in theory is ensure that the body.... actually would recognise there was fat without there being those excessive levels of fat in the food. You can't replace fat entirely and it would be wrong to think so. Fat is good. It is just that we eat too much of it."


Lose Weight the right way

Healthy eating, physical activity and dealing with stress are the A,B,C, of a sensible and realistiv weight loss programme.

Let's start at the very beginning/A very good place to start/ When you read, you begin with A,B,C...

When you talk Nutrition, you begin with...

Why does weight gain happen?
A gain in weight happens when there is imbalance in the calories: either the take is high or the expenditure is low or sometimes both. The extra calories are stored as fat tissues in the body. The basal metabolic rate (BMR) is an important indicator in determining weight gain. This is the rate at which the body burns calories it gets from food to maintain normal functions of the body 'atrest.'The body's normal functions include the beating of the heart, respiration, and the maintenance of body temperature.

What is the right recommended amount of body fat?How is it measured?

Body Mass Index(BMI) is a reflection of body fat. BMI can be easily calculated by dividing weight in kilograms by height in meters squared (BMI = Weight in kg/Height in meters2). This should be ideally between 18.5 and 22.9 for Asians including Indians.

What is obesity?

A BMI of more than 27 signifies obesity in Indians. Obesity is a major risk factor for developing diabetes and heart disease.The risks are significantly higher if the waist measurement is higher than 34 inches for men and 31.5 inches for women.

Do I need to lose weight?why?

Yes, if your BMI is more than 23. A BMI greater than 23 increases risk of heart disease, diabetes, hypertension, stroke and metabolic syndrome. The probability of developing disease increases if you have three or more of the following: age (more than 45 years for men and more than 55 years for women); a family history of heart disease or diabetes; currently have high blood pressure (or are taking medication for it), high cholesterol, high triglyceride, low levels of high density cholesterol, impaired blood glucose or diabetes, left ventricular disease, or cigarette smoking. Research shows that, if you are obese, even a moderate loss of five kg cuts your chances of developing lifestyle dieases to a great extent.

Do I need to get my BMI to 23 to become healthy?

Health can improve even with modest weight loss. Losing even 5-10 percent of body weight can significantly improve blood pressure, cholesterol and blood glucose. Thus, a person weighing 100 kg with an average height of 5 feet 6 inches begins to see improvement with a weight loss of even five kg.

Why do some people gain weight after going off the diet?

If a person opts for a very low calorie diet to shed weight, his/her metabolic rate lowers as the body tires to conserve energy with this new low calorie intake. When the person gets off this 'impractical' diet and returns to a more realistic meal pattern, the body, however, does not take cognisance of this. Instead, it reemains in the same low metabolic rate mode, not buring the extra calories but storing them. This leads to weight gain even if the food eaten is less than earlier but more than when on 'diet'.

How does stress lead to weight problems?

If not dealt with, stress wreaks havoc on the body's hormones, interfering with metabolism, appetite and hunger signals. Stress has a direct effect on the hormone cortisol, which is primarily responsible for fat accumulation in the body.

How do I lose weight?
The cause of weight gain is a combination of a sedentary lifestyle and an erratic diet, rich in processed food. Thus the solution lies in making realistic lifestyle changes like a sustainable exercise regimen and a diet change that enables weight loss. A sensible and realistic diet ensures that calories closest to what the body needs, are consumed; while regular exercise increase BMR and thus enables extra calories to be burnt away.

How quickly should I lose wieght?

A weight loss of 0.5-1.0 kg a week is optimal, but up to 2 kg a week may occur initially due to water loss.

A common sense approach includes A,B,C... i.e. Healthy Eating, Physical activity, Dealing with Stress. Ultimately, the science behind weight loss is the way ahead to a long and healthy life. Be sensible, proactive and follow throught with goals set for weight control.

How weight loss helps

Among other things, it will

* Reduce risk of lifestyle diseases

*Improve fitness levels

*Increase self esteem

*Improve fitness levels.

*Improve family dynamics.

Steady weight loss:

*Help reduce fat storage in the body

*Limits loss of muscles and protein stores.

*Avoids sharp dips in your metabolic rate, which occurs on a very low-calorie diet.

The A,B and C

Healthy Eating

* More whole grain foods such as ata, brown rice, parboiled rice, jowar, bajra, ragi, barely, fruits, vegetables and dals.

*More non-fat or low-fat protein foods like non-fat or low-fat milk, curds, paneer, egg white, dal, chicken and/or fish at least 3-4 times a week.

*Keep refined carbohydrates like maida, rava, cakes, pastries, chips, trational fried savouries, and biscuits to a minimum.

*Less unhealthy fats in fried foods like samosas, bhujia, full cream milk and curds, ghee, skin on chicken, marbled meats, sausages, cream biscuits.

*Less outside foods with "super , deluxe, double, jumbo, supreme" in their description.

*Smaller portions.

*alcohol in moderation, if you drink. For women, one drink a day and for men two drinks a day is acceptable.

*Eat regular times; do not skip meals.

*Cook food through healthier methods like baking, steaming, sauteing, pressure cooking and grilling instead of frying.

Physical Activity every day...

*Cardio exercises like walking, jogging, swimming, skipping,dancing increase calorie expenditure, move the large muscles and make the heart stronger.

*Resistance exercise like weights, push ups and crunches help tone and strengthen muscles and help increase lean body mass

*Proper warm up and cool down before and after these activities prevent injury

*If you can't exercise, just MOVE. Use stairs instead of the elevator, park the car further away so you walk to it, do gardening, and walk to nearby places instead of driving.

Deal with Stress

*Exercise, meditation, and yoga help to regulate hormones

*Yoga lowers levels of cortisol and increases insullin sensitivity leading to lowered blood sugar levels.

*Endorphins released during exercise help reduce stress and boost the spirit

*Meditation and deep breathing help focus on what is truly important in life overselves and not the rat race we have chosen to be a part of.

A scientific an dhealthy weight loss programme will have programme: At least 1,000 calorie diet under medical and expert supervision.

*It should avoid losing weight too rapidly-not more than 1 kg per week.

* "Crash dieting"should be a complete No.

* It should integrate physical acitivity-even something as simple as walking into your weight-loss programme to burn calories and improve the muscle to fat ratio.

*It should be "tailor-made" to suit to each individual needs.

*A weight loss programme should do proper assessment and base recommendation accordingly. EG.Weightloss for a diabetic who is on medication or insulin should include specific of food choices, portion sizes, time of eating, number of meals etc.

Losing weight despite eating pet bhar ke?

You could have high blood sugar

Un explained weight loss is one of the main signs of high blood sugar, which can have serious repercussions. Life @Work tells you have to escape turning pre-diabetic.

The body's blood sugar level usually rises after consuming anything sweet. But adding clinnamon to your dessert may prevent this, states a new study by researchers at Malmo University Hospital in Sweden. But Dr Archana Juneja, Consultant Endocrinologist, Wockhardt Hospitals cautions, "I would advise against using only one food item to prevent an ailment. Cinnamon is beneficial since it contains antioxidants, but adding it to your diet won't guarantee controlled blood sugar levels."

"Diabetes is often asymptomatic; only 50% diabetics exhibit symptoms of the condition. So keeping a check on rising blood sugar levels is a must."

What is blood sugar?

Blood sugar refers to the level of glucose in your blood stream. It's the main source of energy for the body.

Ideal blood sugar count

Blood glucose level must be LESS THAN 100 MG/DL DURING THE FASTING STAGE of the blood test, and BELOW 140 MG/DL IN THE POST GLUCOSE challenge, a type of test that determines the body's blood sugar level

You are diabetic if

You have a blood sugar level of over 126 mg/dl in the fasting stage, and over 200 mg/dl in the post glucose challenge.

After you turn 30, get your blood sugarlevels checked. From then on, do this once every two years. If there is an acute rise, it's easier to make amendments in your diet and lifestyle early, before the situation gets out of control.

Why do blood sugar levels rise?

The main reasons are:

1. Modern lifestyle

2. Increased stress levels

3. Erratic and long working hours

4. Erratic meal times

5. An imbalanced diet, rich in fast food

6. Lack of exercise

7. Obesity and high calorie intake

WHAT HAPPENS if my blood sugar is high?

Until there is an acute rise in your blood sugar levels, its harmful effects are few. But often, high blood sugar levels can predispose a patient to these diabetes-related health problems:

*ABDOMINAL PAIN, VOMITING, even diabetic coma.

*Long-term REPERCUSSIONS on the eyes, kidney, heart nd the circulation system.

*Predisposition to fungal infection, genital infection and DELAYED WOUND HEALING. This happens because diabetes is known as an Immuno Suppressed state, where the capacity of the body's white blood cells to fight infections is weakened.

7 WAYS to tell if you have high blood sugar

Only 50% diabetics show diabetes related symptoms. The rest of the patients are usually asymptomatic, says Dr.Juneja.But there are some telltale signs you should watch out for, that point to high blood sugar, hence diabetes. They are:

1. Excess urination

2. Weight loss,despite eating well

3. Constant thirst

4. Frequent giddiness

5. Weakness

6. Delayed wound healing

7. Lethargy

What do I do?

If you are experiencing any of these signs, you could be suffering from high blood sugar or Hyperglycaemia. Besides diabetics, it can also occur in non-diabetics when a medical condition-like inflammation of the pancreas-makes it difficult for the body to process sugar. Consult your doctor immediately to pinpoint the cause.

CUT OUT GUIDE TO CONTROL YOUR BLOOD SUGAR LEVELS

DIET:

*Eat a balanced idet-60% carbohydrates, 25-30% fats and 10-15% protein.

*Include more complex carbs in the form of salads and fruits - ideally 5 portions a day.

*Keep sweets and simple carbs(ghee, butter, oil, cheese) to a minimum

*Don't consume more than 1 Kg oil each month

*Never skip meals

*Include spices like jeera, dhaniya and cinnamon; they help maintain the body's cellular functions.

*Eat 5 tsps methi powder/methi seeds every day.

*Avoid high fat foods like pizzas, burgers and chips

*Avoid sugar-dense foods like carbonated drinks, alcohol, choclates, ice creams and mithai

LIFESTYLE:

* A 20-30 minute daily workout is a must. If your schedule doesn't leave you with time to work out, make up for it by taking the stairs, walking to the station and supermarket, lifting grocery bags and parking your car far away.

Quit smoking. Cigarette-smoking is a huge risk factor for diabetes.

*Drink alcohol in moderation. It's advisable to drink 2-3 pegs per week, and not more than one peg at one time.Avoid beer, since it's made from potatoes and is high in carbohydrates and calories.

*Whisky and vodka are preferable Tackle stress. Yoga is a great way to de-stress. Indulge in group activites, or just going out with friends, once a week, makes a tremendous difference to your stress levels.

Rising no. of obese tots worries docs

Chennai Saw 989 Over Weight Births In 2009.

Chennai: A month ago, when chennai-based neo- natologist Dr. Deepa Hariharan saw a new born being rushed into the ICU of a multi-specialty centre, she first put the baby on a weighing scale. It showed 5.5 kg, the largest ever the hospital had seen so far:

The tubby boy had to be ventilated and intensely monitored for days before the doctors could let him go home because he had severe breathing difficulty, enlarged heart and liver, and low blood sugar level. As the average birth weight of babies has risen to 3.5 kg, up by almost one kilogram, in the last 30 years, hospitals in Chennai are seeing a considerable number of'sumo babies' who could grow up to become adults prone to a series of obesity-related disorders.

The birth registry at Chennai Corporation shows excessive birth weight, called macrosomia (meaning large organs), has gone up from 0.77 % in 2004 to 1.06% in 2006. On an average, there have been 900 over weight births(0.9%) recorded annually. There were 989 babies out of 1 lakh children above 4 kg born in the Chennai hospitals from January to November 2009.

Specialists say the reasons are largely linked to better diet and living standards in the population."Most city women, whatever class they belong to day have a fairly rich diet during pregnancy. Genetics too play a role," says obstetrician-gynecologist Dr Jayashree Gajaraj.

The biggest factor, nevertheless, is the six-fold increase in diabetes in the last three decades in Chennai. Gestation diabetes (high sugar levels during pregnancy) is touching 18%."High birth weight is proportional to uncontrolled blood sugar,"says diabetogist Dr V Mohan.

"When a pregnant woman has diabetes, the insulin levels in the blood will be high, as the body shows insulin resistance. Insulin is a hormone, which stinulates the growth of the baby above norma,," said Dr Mohan.

US OBESITY RATES

People classified as severely obese are the fastest-growing group of overweight people in the US, according to a report released by researchers

HEALTH RISKS

Obesity-associated conditions

Respiratory problems

*Heart disease and stroke

*Type 2 diabetes and cancer

*Gall stones

*Colon cancer

*Osteoarthritis in hip and knee joints

Degrees of Obesity

To be classified as severely obese, a person must have a body mass index of 35 or higher-roughly 45 kg or more for an average adult man

*Normal - 18.5-24.9 BMI

*Overweight-25-29.9 BMI

*Obese-30-34.9 BMI

*Severely obese-35-39.9

Morbidly Obese-40+ BMI

Increase

The heaviest groups have been increasing at the fastest rates from 2000 to 2005

30-39 BMI-24%

40-49BMI-50%

50+BMI

GO FIGURE: THE BEAUTY CURVE

How an average woman's body has been tranformed in the past 60 years

5ft 2 in height 5 ft 4 in : Improved diet, warmer homes and better medicine help more energy to be devoted to growth.

61 kg Weight 65 kg: More consumption of fat, sugar, alcohol andless housework, better transportation help gain weight.

37B Breasts 38C(+): Increase in cup size partly due to rising obesity, hormone therapy during menopause

27in Waist 34 in : A diet high in saturated fat, and lack of exercise explain the expanding waistlines

39in Hips 40 in: Not much change. Unbalanced estrogen levels lead to fat storage in waists rather than in hips

31/2 Feet size 6: Heavier bodies need a broader base to stand on . More the weight, bigger the feet.

70.9 years Life Expectancy 81.5 years: Better hygiene, medicine and nutrition are all responsible for increasing lifespans.

Anti-bulge surgery risky

Patients Go For Operations Without Studying Pros And Cons

At 6 am on November 18, last year, Purnima Majumdar's mother, Vishakha(names changed), noticed that her daughter who was sleeping next to her looked pale and her nails had an unusual bluish tinge. Her face too looked drained and "bluish". The mother raised an alarm. But it was too late. The vivacious Purna (18) had been dead for four hours. She had passed away in her sleep following a heart attack. A week before her death, the teenager had undergone a stomach stapling surgery at a hospital which her family says cost them over Rs. 4 lakh.

She weighed 180 kg, considerably overweight even for her 6'4" frame. Stomach stapling is a surgery that the obese undergo to reduce the size of their stomachs which in turn limits their food intake. Soon after the surgery, she told her family that agreeing to the bariatric surgery was the biggest mistake of her life. She was depressed after the surgery, her family says. Dr Muffazal Lakdawala who operated on Purnima says that there need not be any connection between her death and the surgery. He says obese patients are prone to sleep apnea(breathing stops or gets irregular in sleep, and can be fatal) or pulmonary embolism (sudden blockage in a lung artery, usually due to a blood clot that has travelled to the lung from a vein in the leg). "Obese patients have a 20% higher risk of these two and the patient could have died because of either causes. The surgery was incidental,"he says.

But Purnima is not an isolated case. A 21- year-old boy died in Chennai recently after a stomach stapling operation. His family is cotemplating going to the court. A 46-year-old stock broker died last month after complications arising from liposuction. In February, the obese gregarious man had decided to undergo liposuction at a private clinic in the Khar suburb of Mumbai. Liposuction involves removing deposits of fat from parts of the body through a tiny incision. A narrow tube then vacuums the fat layer. The broker's family alleges that during the liposuction operation , his colon reputred. A colostomy operation was done on him after the liposuction procedure. The colostomy operation failed and he eventually died of an infection. The doctor who performed the operation has refused to comment.

General medical opinion is that obesity related operations constitute a 'category rist'> "It happens in the West too," said a doctor although official statistics are hard to come by."There's risk attached to any surgical procedure," he added.

There have been deaths following cosmetic surgery but the families of the deceased have accepted that the operations had nothing to do with it. Last May, Jude Harris(sur name changed) chose to have a tummy tuck and breast reduction at a well-known hospital. Four days after the surgery, the hospital authorities called her sister and informed her that the mother of three and ided of a 'blood clot that travelled to her lungs'. The family is not blaming the hospital for her death and has maintained that Jude could have died due to a 'freak accident'

The medical fraternity maintains that deaths following obesity-related operations are usually caused by factors that have nothing to do with the operations. But doctors do warn patients that surgeries like stomach stapling have to be resorted to only when they are absolutely necesarry. Dr Abhay Dalvi of KEM Hospital says, "Bariatric surgery should be done only for the morbidly obese. That too when the person's weight continues to shorten his or her lifespan. Such surgeries are not cosetic in nature. The surgery shoud be done when all other options, like dieting, have been explored. Also the patient has to be psychologically motivated and sure of the operation."

TIPS FOR A TRIM YOU

Tips to lose weight, improve your nutrition and stay slim forever.

You may not realise it, but your lifestyle could affect the way you look and how healthy you are. Perhaps you eat a lot eat too little or eat the wrong foods-all these, combined with your activities (or lack thereof)could set you on the road to unhealthiness and eventually unhappiness. Here are a few tips to get you back on track.

*Re-set your goals: Each time you achieve your goal, give yourself a (non-food) reward like a massage or tickets to your favourite team's next game, and then set another goal.

*New brew: Drink green tea instead of coffee for a mid-morning pick-me-up. It may have immunity-boosting properties.

*Powerful rule: Adopt 'on the side, please'as your rule when dining out. This applies to salad dressing, sauces and gravies.

*Neutral: Food is not bad or good. Food doesn't have human qualities. Food is either healthy, or fatty, or high in fibre, or high in calories. Choose based on your goals.

*Sweet tea: Avoid sweetened iced teas, even if they're labelled natural. Most have water and high-fructose corn syrup as the first two ingredients and about 200 calories per serving.

*No white foods: Avoid 'white'salads, dips and casseroles. White usually means mayonaise, cream cheese and sour cream.

*De-stress: Reduce stress and increase immunity by getting enough sleep, exercising regularly, and eating a nutrient-rich diet including fresh fruits and vegetables.

*Portion distortion: Most people understimate their intake and take in more calories daily than they think. Break out the food diary and, for one week, measure what you eat and make adjustments, if necessary, based on your meal plan.


*Slow it down: Eating too fast usually means eating more than you need. Give your brain time to catch up with your stomach. It takes about 20 minutes to feel the food, so savour your food. When you enjoy it more, you'll be satisfied with less.

*Adventure: Explore your neighbourhood on foot, and don't be a stranger. Wherever you are, take a stoll around and expand your horizons while getting some exercise.

*Grab a partner:Walking is more fun with someone; you'll motivate and support each other. If no friend is avialble, use your personal stereo to listen to your favourite tunes or talk show.

*Prepare to succeed: Have healthy snacks available for snack attacks. Buy pre-cut fresh, crunchy vegetables for a quick snack. Microwave frozen vegetables, and sprinkle them with herbs for a tasty snack.

*Sleep: The average person requires 7.2 hours of sleep to feel rested. There are exception-Bill Clinton needed only 4 to 5 hours, but Albert Elinstein needed about 10 hours. There is something to be said for dereaming! Whatever you need, be sure to get it.

Talk to yourself: Write a list of affirmations on a note card to keep in your car; or desk, or handbag."I will do it", "I am worth it" or "One day at a time" works well. Read your affirmations first thing in the morning and throughout the day. Savour the meaning, and you will succeed.

*Write in your diary: Each days, set aside atleast 10 minutes to log what you ate, when you ate it, and how you felt when you ate it. Keeping a diary helps you ate it. Keeping a diary helps you pinpoint the times when you need help, so you can strategise for success.

*Weight loss mantra:Adopt the "Been there, done that"mentalality when it comes to food. For example, you've had a great meal. You' re full. When offered dessert, you think , "Been there, done that," and take a pass.

*Anatomy is not destiny: Even if your mother; father and siblings are overweight,you can outsmart your genes with a healthy diet and exercise. Light weight training can acctually change your body type so you can stay slim more easily.

*Take a multivitamin: Even if you're eating a balanced diet, a daily multivitamin is nutritional insurance that you'll get the minimum of the requirements you need for energy. Your body can take advantage of all the foods you eat when you have all the vitamins and minerals necessary to complete the chemical reactions needed for energy.

*Sweet snack: Plan for a sweet snack that's good for you. A perfect treat is a cup of low calorie hot chocolate; it has only about 50 to 60.

*Switch to whole: Wholegrains, unpeeled fruit, salads and vegetables help you maintain your weight.

*Read labels: Most bottled sweetened beverages contain at least 2.5 servings per container, or about 500 calories per litre bottle. Most drink the whole bottle.

*Cravings: If you have sugar cravings keep it nutritius with a crisp Granny Smith apple. The combination of tart and sweet is infinitely satisfying.

*New breakfast: Don't like breakfast foods? Try a sandwich, and make it a lean one, such as turkey on wholegrain bread. A fruit smoothies made with yoghurt and fruit is delicious and balance.

*Code for calories: "Crispy" and 'crunchy' are code words for added sugar and /or fat to packaged products. Buy the original versions.

*Drink to your health: A glass of wine with dinner may have health benefits. Men limit to tow; women sty with one glass.

HEALTH 7 Days Weight Loss Program

This is an extract of ‘weight loss diet’ circulated by many companies and bank among its employees in USA & India. This has proved to be the very effective program for weight loss. Hope this will be of much use to all those who are conscious of their weight Loss Diet for 7 Days (tested by Corporates)

This program was developed in conjunction with the grant from the US Department of Agriculture and the food and Drug Administration. It was field tested at the Johns Hopkins Research Centre and was approved for distribution by the Board of Directors of General Motors Corporation at a general meeting on August 15, 1995

This program is designed for a target weight loss 5-6 Kgs per week. It will also improve your attitude and emotions because of its systematic cleansing effects. The effectiveness of this seven day plan is that the foods eaten burn more calories than they give on the body in caloric value. This plan can be used as often as you take to without any fear of complications. It is designed to flush your system of impurities and give you a feeling of well being. After seven days you will begin to feel lighter by at least 10 pounds. You will have an abundance of energy and improved disposition during the first seven days you must drink.

10 glasses of water each day.

First Day

All fruits except bananas. Your first day consist of all fruits you want. It is suggested you consume lots of melons the first day especially watermelon and cantaloupe.

Second Day.

All vegetables. You are encouraged to ea until you are stuffed with all the raw and cooked vegetables of your choice. There is no limit on the amount or type. Avoid oil and coconut while coking vegetables. Have large boiled potato for breakfast.

Third Day

Any mixture of fruits and vegetables of your choice. Any amount, any quantity, no bananas yet and no potatoes today.

Fourth Day

Banana and milk. Today you will eat as many as eight bananas and drink three glasses of milk. You can also have I bowl of Vegetable soup.

Fifth Day

Today is feast day. You will eat 1 cup of rice . You also have to eat six whole tomates and drink 12 glasses of water today to cleanse your system of the excess uric acid your will be producing.

Sixth Day

Today is another all vegetables day. You must eat 1 cup of rice today and eat all the vegetables you want, cooked or uncooked, to your heart’s content.

Seventh Day

Today your food intake will consist of 1 cup of rice, fruit juice and the vegetables you care to consume. Tomorrow morning you will be five to eight Kgs. Lighter than 1 week ago. If you desire further weight loss repeat the program again. Repeat the program as often as you like. However, it is suggested that you rest for three days before every repetition.

You have your system under control now and it will thank you for all the purging and cleansing you just gave it.

The most important element of the program is the 10 tall glasses of water a day. You can also ---the water with some lemon to make the drink easier. While on the program take only black coffee and never more than one teaspoon of oil. Preferably do not use oil because of the high calorific content. No fruit juices before day seven.

Here is what happens to your body white you are on this program and how and why it works:

Day One:

You are preparing your system for the upcoming. Your only sources of nutrition is fresh fruits. Fruits are nature’s perfect food. They provide everything you can possibly want to sustain life except total balance and variety.

Day Three:

Eliminates the potato because you get your carbohydrates from fruits. Your system is now prepared to start burning excess pounds. You will have cravings, which should start to diminish by day four.

Day Four:

Bananas and milk. You are in for a surprise. You probably will not be able to eat all the bananas allowed. But they are there for the potassium you have lost and sodium you may have missed the last three days. You will notice a definite loss of desire for sweets and you will be surprised at how easy this day will go. Day Five:

Rice and tomatoes. The rice is for the carbohydrates and the tomatoes are for the digestion and fibre. Lots and lots of water to purify you may eat less. But you may eat six tomatoes.

Day Seven:

You may celebrate with champagne. You may also have white wine instead of champagne, but in all practical programs, and in all surveys done to measure the success of the programs. General Motors employees have always preferred champagne to white wine.

More than one cup of coffee with milk is especially forbidden. Milk and oil and empty calories to your diet coffee lovers can console themselves with black coffee. However, after the first week, it will help your digestion and set you stomach. The key thing is that if your digestion and set you stomach. The key thing to remember is that if you are hungry at any time, then you are not following the diet correctly. Almost all people give up the diet when are hungry. If it is a vegetable day, eat as much vegetables that you are never hungry. If it is a fruits day, eat so much fruits that you are never hungry. You may be bored of eating vegetables all day, but you should not be hungry. You take any amount of wonder soap on any day.

Wonder Soup

The following soup is intended as supplement to your diet. Can be eaten any time of day in virtually unlimited quantities. You are encouraged to drink large quantities of this soup.

23 oz water, 6 oz green peppers, 3 oz whole tomatoes, I oz cabbage. 1 oz bunch celery –add herbs and seasoning as desired. This program is highly recommended for women and men for whom excess weight is especially dangerous. Excess weight for women aggravates arthritis problems and leads to rapid joint decay. Pain and joint deterioration can be lessened by weight loss as weight loss removes the stress on the knee joint. Excess weight is the most crucial factor in keeping good health and excess weight is responsible for the most problems including coronary disease, heart problems, arthritis and cancer among other serious life threatening diseases. Most serious health problems can be avoided by the single function of maintaining an ideal weight. Daily mild exercise of 20 minutes is also essential. Do not tire yourself out, but being regular in your exercise and maintaining an idea weight goes a long way in ensuring a happy, healthy and long life.

ONE EGG A DAY CAN HELP YOU LOSE WEIGHT

A new study claims eating one egg daily can help fight obesity.

The British study, which analysed 71 research papers on the nutritional composition of eggs and their role in diet, found that eggs are packed with vitamin D, vitamin B12 , selenium and choline that could also play a significant role in dieting and weight loss.

According to the researchers, a medium-sized egg has fewer than 80 calories provides more than 20 percent of the recommended daily allowances.

Dr. Carrie Ruxton, an independent dietitian and lead author of the report, said, “There of the report, said, “There are clear nutritional benefits to eating on a regular basis. Emerging evidence suggests that eggs may be beneficial for satiety, weight control and eye health. With previous limits on egg consumption lifted, most people would benefit from a return to the days of going to work on an egg”.

The study confirmed that eggs contain the richest mix of essential amino acids—crucial for children, adolescents and young adults since a balance of them is required for proper growth and repair.

It also claimed that the high levels of antioxidants found in eggs could even help prevent age-related muscular degeneration, a leading cause of blindness.

Work out, but watch out for that extra bite

New Study By us Researchers Finds That Even Strenuous Exercise May Not Lead To weight Loss if Diet is Not Controlled

Aarti-(name changed)opened a packet of salted peanuts when a colleague piped in: “why are you eating that when you are trying to lose weight?” Aarti, a regular at the office gym, replied confidently: “I’ II burn them.” She may just have fallen into trap millions of other people the world over succumb to on a daily basis-the myth of “burning calories” by exercising.

The answer to why your weight does not budge despite all those hours spent on the treadmill, in the swimming pool, on the yoga mat…the list goes on—may lie in a new study conducted by US researchers which says that people who work out for long durations often tend to lose the advantage through “compensation” of the predicted weight loss by increased calorie intake. Think of the umpteen times you rewarded yourself with that post-exercise piece of pizza.

The study, conducted by researchers from Louisiana State University, University of Missouri and University of south Carolina on 464 postmenopausal overweight women, randomly divided the women into four groups. While three of the groups were assigned various doses of exercise, one was the control group.

The first two groups—which did 72 and 136 minutes of exercise per week --- showed the same weight loss as predicted but the third group which exercised for more than 194 minutes per week showed only half of the predicted weight loss. All the women though showed reduction of waist circumference. The study was published in the peer reviewed journal PloS One (PLoS stands for Public Library of Science).

What the researchers in their staccato scientific terms call “compensation” may actually mean the oily samosa, worth 150 Kcal, which can be offset by 25 minutes of running on the treadmill or that one scoop of ice cream, worth 120 calories, that may be neutralized with 30 minutes of table tennis that you occasionally reward yourself with. Predictably city experts do not appreciated what they call an attempt to undermine the importance of exercise in achieving weight loss.



Says Dr. Anoop Mishra head of the department of diabetes, obesity and metabolism, Forties Hospital: “I have seen the study . It does not take away in any way from the known advantages of regular exercise like prevention of diabetes, heart disease fatty liver etc. As for weight loss, we are always very clear that diet and exercise go hand in hand and there are various combinations of the two that work for different people. It is a fact that exercising does not mean the licence to eat what you want and unhealthy eating will show”

. He added that for Indians who are prone to abdominal obesity , the international standards of exercise of 30 40 minutes a day have been revisited to 60 minutes,” It is true that exercise enhances the appetite but adjustments have to be made in the diet for a that. For example instead of a bar of chocolate, drinking a glass of nimbu pani with salt with five almonds is far healthier and it has calories too,” Dr Mishra adds.

Clinical nutritionist Ishi Khosla who accepts that the study reinforces the message that diet is as important, however , says that she would take the findings “with a pinch of salt principally because it does not deal with the quality of weight loss. There is no mention of the changes in metabolic rate. In fact, for people who are obese because of a hormonal imbalance—a condition which is called metabolic obesity—weight loss is impossible without exercise in case of simple obesity, merely watching your diet can cause weight loss but then you would also end up losing a lot of muscle mass in the process which will lower your metabolic rate because muscle spends more energy.”

According to figures published in medical journals, a kg of muscle burns about three kilo calories a day in the resting body while fat burns just a third of that. Which means 5 kg fat replaced by muscle will help you burn just 40 Kcal extra per day. One small glass of cola has 110 kcal.

For Indians who are prone to abdominal obesity, the international standards of exercise of 30-40 minutes a day have been revised to 60 minutes, says Dr. Anoop Mishra, head of the department of diabetes, obesity and metabolism, Fortis Hospital.

WORK IT OUT

If you’re looking at burning the extra fat and toning up, these exercise are a must-do

When it comes to working out, everyone wants to see results, and fast. While there are a plethora of exercises that you can try out, nothing delivers like the following seven.

Walking

Walking is the most basic form of exercise ever. Still better, you can walk any- where, anytime, on a treadmill or in the park, on the beach, literally anywhere and all you need is a good pair of walking shoes. If you’re starting out, begin with 10 minutes at a time, gradually moving up to at least 30 minutes nonstop.

Interval Training

Interval training can add to your cardio workout and boost fitness, burn more calories and help you lose weight. As you progress, vary the intensity of your aerobic workout. Bring up the pace for a minute or two, then back off a bit and again increase it.

Squats

Squats have often been associated with a boot-camp style workout. They work multiple muscle groups and hence deliver great results. The ideal way of doing squats is keeping your feet shoulder-width apart and your back straight. Bend your knees and lower your rear as if you were sitting down in a chair, keeping your knees over your ankles. They help increase you muscles mass and overall strength and power.

Lunges Like squats, lunges work all the major muscles. They have the ability to affect your entire lower body with emphasis on different muscles groups depending on the particular type of lunge that you decide to do and help to improve your balance.

Push-ups

Push-ups help strengthen the chest, shoulders, triceps and core muscles. Beginners can start by leaning into their kitchen counter, then gradually advances to a desk or a chair, onto the floor with knees bent and then on the floor on the toes. For push-ups keep your face down, place hands slightly wider than the shoulder-width, place toes or knees on the floor making a smooth line. Keep the rear-end muscles and abdominals engaged, lower and lift body by bending and straightening elbows. Remember to keep your torso stable throughout the move.

Abdominal Crunches

There are two methods to do abdominal crunches . Start by lying on your back with feet flat on the floor and palms supporting the head. Press your lower back down, contract abdominals and rise first your head, then neck shoulders and upper back off the floor, in this order. Remember to tuck your chin when raising your head.

For the second method keep your knees bent, feet of the floor for doing crunches. This engages hip flexors and avoids arching your back. Notice that you keep your neck in line with your spine and keep your elbows out of your line of vision to keep chest and shoulders open. Don’t stick your chin out or don’t hold your breath.

Bent-Over Row

Beginners should not do the movements with weights. This exercise works. This exercise works for all major muscles of back and the biceps. Stand with feet shoulder-width apart and knees bent. Flex forward at the hips and engage abdominals, extending spine to support. Hold weights beneath shoulders with hand apart. Flex elbows and lift both hands towards the sides of body. Slowly, lower hands to the first position.

All about bariatric surgery

Bariatric surgery may be an appropriate weight loss treatment option. Here’s what you need to know about it.

POSSIBLE COMPLICATIONS

• Deep vein thrombosis

• Blood cloths in the lung

• Breathing problems

• Infections in the incisions.

• Nausea, vomiting

• Bleeding

• Nutritional deficiency, anaemia

• Hernia

• Hiccups and bloating

LOSE WEIGHT WITH NON SURGICAL LIPOSUCTION-ULTRALIPOLYSIS

How does Ultralipolysis help you?

It enables you to comfortably achieve a toned, contoured and well shaped body through a safe, non-surgical, no downtime and virtually painless treatment.

Is Ultralipolysis safe?

Yes it is. It is non-surgical and non-invasive, effective on all skin types and skin colors. It uses no drugs and has no side effects. There is no "down time" following treatments.

How does it feel?

The deep, soothing heat in the targeted areas is very similar to an intense workout or a deep tissue massage. You will feel rejuvenated post-treatment.

Who are the best candidates for Ultralipolysis?

Men and women who want to lose weight in specific areas make the best candidates for this treatment.

How long does it take to see results?

Patients must commit to the full regimen of two 45-60 minute treatments per week for at least 6-8 weeks. Expect modest improvement after the fifth or sixth treatment.

Can it help me lose weight?

Light spray is applied to the treatment area followed by suction and warmth. Each area is treated thoroughly.

How long do improvements last?

Optimal results are seen at the end of the treatment protocol and with proper maintenance the results are long term. Without maintenance, results begin to fade after 6 to 8 weeks.

FIGHTING FAT

Weight loss doesn't have to be a constant struggle. iDiva tells you have to battle fat the smart way.

FOODS THAZT FIGHT FAT

Almonds:When grandma asked you to eat almonds everyday, you may have waived her off, but in reality don't avoid it. A handful of almonds not only keeps your bowel movements in check but also metabolises fat faster.

Strawberries:Did you know that strawberries are a rich source of vitamin C? and you only thought amla could do that for you! Right before your workout, eating vitamin C- enriched strawberries can help you lose 30% more fat.

Swiss Cheese: With its high content of calcium, cheese aids in breaking fat content.

Cinnamon:Love those cinamon doughnuts?Well, you should! Cinnamon, when sprinkled on your coffee or other foods, helps to keep your insulin in check. It also prevents your body from storing fat.

Mustard/turmeric:Douse your sandwiches in mustard because its main ingredient, turmeric, slows the production of fat cells.

Garlic and onions: Found in most Indian preparations, garlic and onion produce photochemicals that help break down the body's fatty deposits and even cholesterol. They also protect you against heart disease.

Organes: They are not only great for your skin, but fresh oranges or freshly squeezed orange juice first thing in the morning helps your body to store less fat in the long run. Especially true for women!

EXERCISES THAT FIGHT FAT

1. Functional training:Functional training means replicating your daily body movements in the gym. This helps you get fitter and avoid injuries.

2. Start working the bigger body parts first: To burn fat effectively, start weight training with bigger body parts like your legs first.

3.Use bouts of cardio in between weight training:This technique is effective for fat burning. Between sets, do a quick 2 minute run, jumping jacks or the cross trainer.

4.Eat pre and post workouts:One hour before your workout, have a meal containing carbohydrates and proteins. If you are short on time, just eat a banana. Post workout, consume protein.

5. Weight training is essentional:Women need to understand that weight training is not going to bulk them up. It only builds muscles and tones you up.

6. Drink enough water and keep yourself hydrated all the time.

7.Don't take long breaks while working out.

BUSTING MYTHS

False'If I want to lose weight quickly, I should go on a starvation diet'.

Pooja Makhija, consulting dietician and nuturitionist, cautions against starvation diets."When you starve, your body loses the ability to use fat as energy and instead starts using up your muscles as fuel. Instead, just watch what you eat an dincrease the intake of protein in your diet, cut down on carbohydrates and try and eat balanced meals at least four times a day".

False'I will get a shapely waist if I regularly do abexercises'.

Doing 100 crunches will not get you a super midriff,"asserts celebrity fitness trainer Yasmin Karachiwala."You have to burn calories overall and get slimmer. You need to strengthen your core(back and abs) simultaneously."

True 'For my cardio workout ot be effective, I have to sustain it for over 20 minutes.'

Yasmin explains,"You start brning fat only after you are 20 minutes into the workout." So it's important that you continue you cardio-cycling, running or walking-for over 20 minutes if you want to burn fat.

False'I don't need to eat post my workout; all the lost calories will come right back in.'

It's most important that you repair your body post the wear and tear of a workout. The best way to do this is through protein says fitness expert Yasmin."A protein shake is the best way to consume protein after a workout."

Flase'I can't workout during my periods'.

You can workout during your periods unless you have extreme pain. Keep your fitness instructor informed."For instance, if you experience cramps, you can work on your upper body."informs Yasmin.

Obesity and breast cancer in Indian Population

Studies show that being overweight puts you at an increased risk for breast cancer

Cancer is a non-communicable disease with increasing incidence in developing countries. While many cancers occur without any known risk factors, researchers have been able to determine a few risk factors associated with malignancy over the years.

Obesity is a well known health problem in developed nations and is a progressively increasing problem in developing countries like India. Obesity has been associated with several health disorders such as high blood pressure and cardiovascular disease, lipid abnormalities and Type-2 diabetes.

Among all cancers, the ones especially related to obesity are cancers of the breast , prostate uterus and colon. An increased amount of fat in an overweight or obese person probably influences the development of cancer by releasing several hormone-like factors. The majority of these factors promote inflammation, which in turn promotes pathological conditions like insulin resistance and cancer. On the other hand, fruits and vegetables contain vitamins, mineral(like calcium and selenium), fibre and photochemical or phenolic compounds (like flavonoids and vanilloids), which may act as anticancer agents. Similarly, several dietary constitutes including phytochemicals may have anti-obesity effects. (Murthy NS, Asian Pac J Cancer Prev, 2005)

Moderate association of cancer with obesity has been documented consistently. This has especially been shown both for colon cancer and for breast cancer in postmenopausal women.

(World Cancer Research Fund report 1996). The international Agency for Research on cancer (IARC) too has concluded that there us sufficient evidence of a preventive effect for cancers of the colon, breast (in postmenopausal women), uterus, and esophagus by avoidance of weight gain.

There is minimal data among the Indian population regarding Body Mass index (BMI) or Obesity trends and their correlating with breast cancer. In a small unpublished study at the Tata Memorial Hospital, serial assessment of weight in patients of breast cancer treated with radiotherapy a was done on a weekly basis. Seventy four patients of carcinoma breast were prospectively analysed. The average pre-radio therapy baseline weight of breast cancer patients was 59.8 Kg. There was no appreciable weight alteration during radiotherapy.

It is notable that unlike the West, breast cancers patients in India tend to o occur in younger patients. Also, it is a well known fact that younger patients of breast cancer tend to have more aggressive disease. Lesions in patients younger than 40 years generally are also less well visulalised in mammography.

The strategy of effective, primary prevention is difficult to implement in Indian population. However, public awareness, healthier life style, diet, exercise, promoting breast feeding and general breast awareness using appropriate technology may help in reducing the incidence and occurrence of breast cancer in our population.

To summarise, it would be a desirable to goal to disseminate awareness about obesity and its correlation and impact on breast cancer. This is especially so since lifestyles in our country are undergoing rapid transformation.

City, mecca for the obese

Balloon battles the bulge with ease in city hospital

Our city is a saviour for obese people as many are flocking to the Asian Institute of Gastroenterology to get the increasingly popular endoscopic intra gastric balloon treatment done. The balloon, which is an inflatable, silicon prosthetic device is frequently being used as a temporary aid in achieving weight loss in morbidly obese patients. Dr.G.V.Rao, Ms, MAMS, Chief of G I and Minimally Invasive Surgery says in a month an average of four to five people get this treatment done. The number would be higher if the process didn't require three to six months of post operative counseling or if doctors weren't adamant about performing it on only the seriously obese. "If post operative care isn't handled properly it can leads to serious depression," warns Dr.Rao who adds lots of youngster are denied this treatment as they look at it as the perfect short cut to achieving a supermodel's body. Can't blame them for trying as you are guaranteed to lose anything between 5 to 12 kgs in two weeks.

CANDIDATES FOR THE TREATMENT

*Body Mass Index(BMI) more than 40

*BMI in between 35 to 40 with associated medical conditions like diabetes, hypertension, Arthritis etc.

*For more seriously obese patients as a briding procedure before definitive surgery can be taken up.

*Other methods of weight loss (dietary/drugs) have been unsuccessful.

*You are unable to do daily routine activities due to severe obesity.

Ready for surgical weight loss?

If yes, try bariatric surgery, says Shruba Mukherjee. It is being touted as the only 'permanent scientific weight loss programme' practiced through Minimal Access Surgery.

Why ruin your life following those strict diets and deprive yourself of those delicious delicacies when you can knock off those extra kilos by merely using a 2.5 cm band. Gastric band, as it is called can reduce the size of the abdomen and restrict the opening of the pouch so that the food intake is automatically reduced and the patient does not have to suffer from hunger pangs.

Billed as the only'permanent scientific weight loss programme' practiced through Minimal Access Surgery (MAS) by a team of specialists led by Padmashri Dr. P.K. Chowbey of Gangaram Hospital in Delhi, the techinque involves minimum pain an discomfort. 'Bariatric surgery,' as it is called in medical parlance, is ideal for people whose body weight is 40 kg more than their ideal weight.

Claiming that the surgery is "100 per cent safe" as it involves minimum blood loss, Dr Rajesh Khullar, an eminent MAS surgeon, says that patients can walk out of the hospital the very next day of the surgery and also that they can resume normal activites within four-five days. Once the doctors are sure that a particular patient suffering from morbid obesity has no other medical reasons for abnormal weight fain, they advise bariatric surgery.

As part of the surgery, a silicon band of 2.5 cm width is inserted into the abdomen of the patient through MAS teachniques. As the size of the abdomen is reduced with the help of the band, the patient does not feel the urge to eat more. Moreover, the opening of the abdominal pouch is also made narrow and the upper part is made only 30 ml so that the food stays inside the stomach for more time and the patient does not have to eat at frequent intervals, says Dr.Chowbey.

"The band is inserted by making two or three small punctures in the abdomen which heal very quickly," says Dr.Khullar. But what makes the technique unique is its reversibility. "Suppose you have a wedding in your family and want to relish those delicacies, do not hesitate to visit your doctor who can safely deflate the band temporarily. Of course you will gain some extra kilos but that would not be a problem as the band can be inflated with saline once you are ready for it," says Dr.Chowbey.

For Mithiles Gupta of Faridabad, who underwent this surgery about eight months back, the silicon band was the last resort for reducing her 130 kg weight. "The best thing about this surgery is that I can eat to my heart's content," says Mithilesh, who is now 83 kg.

The doctors claim that the fat stored in the patient's boday is adequate to supply energy and thus there is no complaint of weakness or other side effects. Lack of side effects apart, the patients also point out the cost efectiveness of this particular method of treatment. The cost of the band is Rs.70,000 and another Rs.30,000 is required towards hospital and operation.

Are You Suffering from?

*Weight gain *Depression *Hoarse voice * Forgetfulness *intolerance to cold *Fatigue Mood Swings *Difficulty swallowing *Heavy menstrual periods *Enlarged thyroid (goiter) *Dry, coarse skin and hair

Don't Ignore It should be your thryoid disorder.

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Are you Living with Obesity?

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Tackle The thyroid threat

The fear of weight gain precedes every other impact thyroid diseases may have on women. Saadia S Dhailey talks to experts on how deal with it.

Studies have revealed that one in every two women is diagnosed of a thyroid disease. Yes, you read it right. But please don’t hit in health doubts, but you may consult your doctor for requisite tests nonetheless.

Thought very common now. Yet thyroid disease like hypothyroidism and hyperthyroidism also bring along a number of psychological problems and affect many women’s confidence due to fluctuation in weight. However, the weight gain or weight loss that affects your appearances isn’t a paramagnet feature of your condition, say experts. Read on…..

Understanding the basics….

Diagnostic research has revealed that most common cases are of hyperthyroidism among women, where the thyroid glands is underactive. In this case, patients tend to pile on weight. The other thyroid disease, hyperthyroidism, makes up for only 10 per cent cases, where one tends to lose weight.

Word from the doctor

Dr. Aditi Parmar, a gynecologist, stresses that first and foremost, women diagnosed with either of the two thyroid diseases should concentrate on brining the thyroid productuin levels under control through medication. “Only after the thyroid levels are in check should one proceed towards an exercise and diet regime to shed the extra kilos gained due hyperthyroid,” she says.

dietching the plan of action

Consulting dietician and nutritionist Pooja Making agrees that it may be a little difficult for women with hypothyroid to lose weight, “but it’s not impossible.” She stiffest a balanced diet with a regular exercise regime to meet the target. “Eat small frequent meals and include a good amount of fresh fruits and veries in your diet,” she says.

Work on your metabolic rate

Nutritionist Nysha Bijani explains the need for having meals are regular intervals. “The ideas is to raise the metabolic rate that takes a dip in case of hyperthyroid.”However , she warns that in case of hyperthyroid.” However, she warns that in case of hyperthyroid, it is not to be taken by default to do the opposite. A balanced a and a healthy diet has to be followed in both the cases urge the experts.

Protein witch in cases of hyperthyroid

“As one’s metabolic rate is very high, they need is to focus on getting enough protein. “But this doesn’t mean that one should turn to supplements, says Nysha. Vegetarians can get their source of protein from pulses, sprouts , huts and dry fruits, while the non-vegetarians can go for chicken, fish and egg white.

Pooja also adds that frequent consumption of vegetables consumption of vegetables liked broccoli, cabbage, cauliflower and other members of the cruciferous family should be avoided in case of hypothyroid, as, “ The cabbage family is known to reduce production of thyroxin.” However, there’s no need to avoid it altogether though, she says

WHAT IS THRYROID?

The thyroid is a small gland, shaped like a butterfly, located in the lower part of your neck. The function of a gland is to secrete hormones that deliver energy to cells of the body.

ASA

Don’t let daily health news confuse you. We sift through a few crucial studies to find out facts and myths on eating disorders and obesity

Everyday you read about new studies and researches that publish contradicting statements one after the other on the cause and cure obesity and other eating disorders. In a time when it has reached epidemic proportions around the world, we put together a few well known and established facts to dispel the myth around obesity.

Let’s get the basics right first. Obesity occurs when energy intake is more than its expenditure over a long period of time. It is defined as having a Body Mass Index (BMI) of 30 or higher in general. The World health organization (WHO) states that an ‘overweight’ person has a BMI equal to or higher than 25, and an ‘obese’ person has BMI equal to or more than 30.

MYTH: All over-weight people are at a high-risk of weight-related death.

FACT: Since only BMI determines the obesity quotient of a person, weight has little to do with the actual co-relation of various cancers and life-threatening diseases often associated with being overweight. Although, risks do increase significantly, factors such as general physical health and genetics play a major role the actual culmination of a weight related death..

MYTH: It’s okay to be very thin, but not okay to be very fat

FACT: The risk of death due to very low BMI is much higher than that of high BMI. Studies have shown time and again, that more skinny people die as a result of weight and subsequent health issues than overweight people. Such facts however, are never advertised as much.

Myth: Obese people don’t have eating disorders such as bulimia

FACT: Over eating or binge eating is as much of an eating disorder as eating and purging, as in the case of bulimia. Many over weight people are known to suffer from bulimia as a result of psychological distress but go unnoticed as their physiology doesn’t permit them to lose weight easily.

Myth: You cannot be over-weight and healthy

FACT: Being healthy is an outcome of overall fitness of the body and its low risk of contracting disease which is entirely possible even if you are over weight.

Myth: Fat people eat more than thin people

FACT: Numerous studies were carried out to establish the said norm but all concluded with the opposite. Some fat people eat a lot just as some thin people eat a lot. Like wise, some fat people eat less and some thin people eat less. The odds are the same for both groups entirely. Being fat is an outcome of more sever circumstances such as a genetic disposition or a physiological condition.

Myth: An Over weight child isn’t unhealthy

FACT: An overweight or obese child is just as un healthy as an obese adult. Also, if his weight isn’t checked at the right time, he will grow up to becoming an obese adult and will have a hard time losing the weight once he grows up. Childhood obesity is one of the most serious growing concerns of the 21 st century.

Myth: Long-term treatments through diet are successful

FACT: Several long-term follow up studies have shown that the success rate of diets, overtime, is dismal at best. Almost 95 per cent of the diets do not work over a long term. It’s not just about the will power to endure a diet. Often year-long diets relapse to worsen matters.

Myth: Obesity has made diabetes an epidemic

FACT: For a long time the two were teamed together and accused of being twin epidemics. Recent studies published by the American Journal of Public health have processed data of over 20 years and concluded that it even though diabetes was prevalent, it usually went undiagnosed. It’s rise among the population younger than the astronomical rise of 61 per cent as published earlier, with a rise in obesity marked at 74 per cent. There by concluding a correlation between the two.

Myth: Losing weight will reduce risk of weight-related disorders

FACT: Higher death rates are indicated by more than 10 comprehensive researches. Studies suggest the loss of lean mass form muscle, heart, bones and organs can jeopardize health, especially for older people.

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