What makes us put on weight? This is 1,000,000 dollar question. Indeed, even in the year 2021, we can’t respond to this inquiry with complete certainty and we are as yet not certain with regards to what precisely it is that makes individuals fat. One of the significant entanglements in the treatment of corpulence lies in the absence of comprehension about its illness cycle. Sadly, current hypotheses are frequently profoundly shortsighted and regularly consider only one single component.
For example:
· Obesity is caused due to intake of excess calories or,
· Obesity is a result of inadequate physical activity or,
· Obesity is due to excess fat consumption or,
· Obesity is due to excess carbohydrate in diet
No other disease has been mired with as many myths as obesity. To be able to understand the disease better, it is important to bust a few myths that surround it. We discuss a few of these below:
Obesity equals prosperity
Traditionally, in many cultures and especially in India, fatness is perceived as a sign of prosperity and good health. Nothing could be further from the truth. Obesity is the precursor of many metabolic diseases like type 2 diabetes mellitus, hypertension, heart disease and dyslipidemia.
Obesity leads to many mechanical problems like joint issues and mobility problems. It can adversely affect the lungs, liver and reproductive health. It is also implicated in many types of cancers like uterine, breast and colon cancer. Obesity is a chronic progressive disease that affects the body from head to toe.
“Eat less, move more”
It is obvious that eating such a large number of calories can bring about weight gain. Enrolled dietician Mariam Lakdawala says that “eat less and move more” is the most widely recognized counsel that is given out to patients with corpulence. It sounds exceptionally basic that assuming eating more is the issue, eating less should be the arrangement.
Individuals who attempt to purposely lessen their eating regimen, get thinner for a brief time however when they return to their typical eating routine, the weight returns hurrying. The inability to forever adhere to a confined eating routine is helpfully nailed to the patient.
In any case, we are feeling the loss of a vital connection here. Weight reduction isn’t only a subordinate of attempting to eat less. Discover “why” certain individuals can’t handle their hunger. Would could it be that causes them to eat more? We can’t have a successful weight reduction arrangement except if we can comprehend the systems behind this.
Obese people lack willpower
Blaming the disease on mental state and lack of willpower is an index of how much is not understood about the physical terrain of the disease. Obesity is a complex multifactorial disease. It has been proven in multiple studies that 70% of obesity is inherited through our genes. Complex systems regulate eating behavior to balance energy intake and expenditure.
Obesity is not a mere derivative of food intake and energy expenditure but seems to be a result of impaired brain circuits and neuroendocrine feedback associated with pathological overeating and physical activity. Obesity is probably a result of breakdown of regulation (as in cancer and heart disease) of fat tissue. We need to find out the exact defect.
Bariatric surgery is a shortcut
Presently, bariatric surgery is the only effective treatment option for people with severe obesity. Most people who have tried to lose weight know how difficult it is and repeated cycles of weight loss and weight gain can be highly demotivating. The folly lies in subjecting patient with severe obesity to ineffective weight loss measures. Obesity must be treated in a graded manner.
Very much like a patient who needs to lose around 5 kg should not be exhorted bariatric medical procedure, also a patient who needs to lose 50 kg should not be exposed to unending weight reduction counts calories which are insufficient.
Bariatric medical procedure is shown for individuals with a BMI in excess of 35 Kg/m2 or for those with a BMI ≥ 30 Kg/m2 with 2 heftiness related infections. Bariatric medical procedure is certainly not a simple choice nor is it an alternate way. A great many people who decide on bariatric medical procedure have invested in a ton of energy into getting more fit by moderate measures prior to depending on a medical procedure.
