Dr.sathya balasubramanyam

MD DNB MRCOG (UK) FNB(Reprod med)

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Obesity is defined as a medical condition characterised by the increased accumulation of fat, causing negative effects on our overall health. Although it is often thought of in association with body weight, obesity is actually judged as an excess of fat. They are known to interfere with fertility and cause complications during pregnancy.

Unlike popular belief, a person with body weight above the normal limits might not have excess fat. Hence, it is necessary to estimate the rate of fat deposition in a person. Techniques such as hydro densitometry though available, are impractical as they involve immersing the patient in water.

The other techniques of fat evaluation involving, calculating the measure of skinfold thickness with the help of callipers and other imaging techniques are not very flexible or reasonable. BMI (Body Mass Index) are ideal for measuring the extent of obesity, clinically.


obesity evaluation management


Body Mass Index (BMI) can be calculated by dividing your body weight in kilogram by the square of your height in metres. A normal BMI value will be between 19 and 24.9. If the value is between 25 and 29.9, it is termed overweight, while a value above 30 is classified into different classes of obesity.

Obesity makes people susceptible to many diseases and conditions such as hypertension, Type 2 diabetes, coronary artery diseases, subfertility and so on. In pregnant women, obesity increases the chance of gestational diabetes, preterm delivery. Hypertension is another condition witnessed in obese women during pregnancy.

Evaluation of obesity in patients

The evaluation of obesity in patients includes a clinical examination followed by a primary assessment of the patient's history and other procedures to find the optimal path for treatment. A history of being obese even from childhood or adolescence increases the risk of contracting conditions that have been mentioned before.

An analysis of medical history is also done to detect previous cases of diseases, drugs used and so on. An assessment of the interest of the patient in losing weight is considered as well. A physical examination of the patient is performed to calculate the extent of fat deposition by measuring the height, weight and waist size. A waist measurement value of above 102 cm for male and 88 cm for female points to be risky.

Lab analysis of different factors such as fasting sugar, blood pressure, lipid profile and the sort are also done.

Management of obesity

The management of obesity in patients is based on the severity of the condition and the patient’s cooperation to change. Proper management of obesity is a prerequisite for fertility as well as pregnancy. The various methods for the management of obesity are as follows: -

  • Diet – a reduced calorie intake is the first step for treating obesity. This can be fixed with the help of a dietician.

  • Exercise – the main cause of fat deposition is due to our inability to shed the extra calories that we consume each day. A vigorous and regular exercise pattern helps in taking care of this issue.

  • Pharmacotherapy – pharmacotherapy is used in managing obesity in people with BMI over 30 with the help of medications approved by the FDA

  • Surgery – weight loss surgeries such as bariatric surgery are becoming popular these days. They involve the manipulation of stomach and intestine to limit the food consumed and absorbed.




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Dr. Sathya Balasubramanyam

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