STRATEGY IN WEIGHT MANAGEMENT

1. LIFE STYLE CHANGES

2. ANTI-OBESITY DRUGS

3. VLCD (VERY LOW CALORIE DIET) - UNDER MEDICAL SUPERVISION

4. SURGERY

Lifestyle change is an important part of weight management. it consist of proper diet and physical activities. 

The aim is to achieve gradual weight  reduction of 0.5 to 1 kg per week. Ideally the negative energy balance should be about 500 to 1000 kcal per day. Its all about supply and demand.

Eg. If your daily food consumption is 3000 kcal per day (which is quite a lot), you need to exercise and burn your calories about 3500 to 4000 kcal.

MANAGEMENT OF OBESITY

GOALS OF OBESITY MANAGEMENT

1. Achieve weight loss

2. Maintain reduced weight

3. Prevent weight gain

4. Treat obesity complications

WEIGHT LOSS

1. Target initial weight loss of about 10%

2. Attempt weight loss about 0.5 to 1 kg per week

THE LATEST..

ITS OFFICIAL..

I AM JOINING IPOH SPECIALIST HOSPITAL FROM 15TH DECEMBER 2008

AS RESIDENT CONSULTANT CARDIOLOGIST AND PHYSICIAN

ALLAH IS GRACIOUS..

AMIN

BENEFITS OF WEIGHT REDUCTION

Blood Pressure

Reduction in systolic and diastolic blood pressure

Reduction in dose and number of antihypertensive drugs

Lipid Profile

Reduction in LDL cholesterol and triglyserides

Increase in HDL cholesterol

Diabetes

Reduction in development of type II DM

Improvement in blood glucose control (reduction in HbA1c)

Osteoarthritis

Reduction in development of secondary osteoarthritis

Reduction in obesity related death risk

HRH SULTAN KEDAH WITH ME

HRH Sultan of Kedah visit to Kedah Medical Center

HEALTH RISK FOR OBESITY

1. Hypertension

2. Hyperuricaemia (gout)

3. Dyslipidaemia (elevated and abnormal cholesterol levels)

4. Type II diabetes

5. Insulin resistance syndrome

6. Polycystic ovarian syndrome

7. Coronary heart disease

8. Heart failure

9. Left ventricular hypertrophy (abnormal thickening of heart muscle)

10. Cerebrovascular accident (stroke)

11. Obstructive sleep apnoea (snoring)

12. Gallstone disease

13. Fatty liver

OBESITY CLASSIFICATION

There are 3 methods of diagnosing and classifying obesity

1.       Body Mass Index (kg/m2) BMI = weight (kg)/[height x height (m2)]

Classification	BMI	Risk of Obesity Complications
Underweight	Less than 18	Low
Normal range	18 to 23	Normal risk
Preobesity	23 to 27	Increased risk
Grade I obesity	27 to 35	High risk
Grade II obesity	35 to 40	Very high risk
Grade III obesity	More than 40	Extremely high risk

 

2.      Waist Circumference (measured at umbilicus/belly button)

Male obesity      more than 90 cm (36inch)

Female obesity more than 80cm (32inch)

 

3.   Waist to Hip Ratio

Male obesity      more than 0.9

Female obesity more than 0.8

 

 

INVASIVE CARDIAC LABORATORY

FACTS ABOUT OUR HEART

Our heart beats on average 50 to 80 beats per minute or about 100,000 times per day. It pumps blood about 5 liters per minute or about 2000 gallons per day.

By the time we reach 70 years old, our heart has been beating for 2.5 billion times and pumping blood about 50 million gallons.