Relationship between Obesity and OSA(Obstructive sleep apnea)

Obesity has become an alarming epidemic across the world. Though considered a cosmetic issue, obesity results in depression, self-confidence loss and public perception issues. It is also a risk factor for developing health problems like high cholesterol, high blood pressure and diabetes.
Obesity can also result in a serious sleep disorder called Obstructive Sleep Apnea(OSA). Sleep Apnea is a common disease, which occurs when a person’s breathing interrupts during sleep. This happens when throat muscles intermittently relax, block airway and cause breathing to repeatedly start and stop during sleep. A noticeable sign of obstructive sleep apnea is snoring (a grunting sound while asleep) and facial congestion during sleep usually seen by spouse. Patients with this ailment often complain of morning headaches, constant fatigue, listlessness, day time sleepiness and mood variations.

Obesity is directly related to obstructive sleep apnea as it affects the structure and function of the upper airway. The airway of obese patients become obstructed by large tonsils, enlarged tongue and increased fat in the neck. Neck circumference is a good predictor of sleep apnea. Obese men and women with a neck circumference of 17 inches and 16 inches respectively are more likely to have this disorder. The fat surrounding the internal organs (visceral fat) appears to be an important risk factor for developing sleep apnea.

Though obesity results in obstructive sleep apnoea, it is believed that sleep apnoea increases obesity. The possible ways in which obstructive sleep apnea can promote obesity are –

•Obstructive Sleep Apnea or OSA person has poor sleep, which cause the body to lose appetite control resulting in increased hunger and obesity.

•OSA persons tend to be less physically active. This means those patients burn fewer calories and are more likely to gain weight due to excess of calories.

Snoring is a serious issue and should be taken seriously. Please talk to your doctor for effective treatment options to lessen the associated complications. Temporary relief can be achieved by using a CPAP machine, which pushes air to keep breathing passage open. For long term improvement or remission of sleep apnoea, weight loss either through a strict regimen of healthy eating and exercise or through bariatric surgery can correct the underlying cause.

 

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4 Benefits of bariatric surgery in improving the chances of pregnancy in women.

Planning to start a family, but unable to do so because of being overweight?
In order to improve fertility and reproductive outcomes, morbidly obese people can undergo surgery for weight loss, i.e., bariatric surgery. Going through weight loss surgery can increase chances of pregnancy and lessen risks of miscarriage, enhance fertility, and improve hormonal profile.

Obesity is a major cause that augments pregnancy complications. It leaves negative impact on natural fertilization and also increases the possibility of metabolic diseases (diabetes and high blood pressure) in later life. Obesity basically weakens the reproductive system in both men and women. The detrimental effects of obesity raise the likelihood of miscarriage and risk of abnormalities of the baby.

4 Benefits of bariatric surgery in improving the chances of pregnancy in women

1) Positive change in fertility post-surgery. Women with fertility problems can start ovulating regularly as well as metabolic and reproductive abnormalities improve.

Continue reading “4 Benefits of bariatric surgery in improving the chances of pregnancy in women.”

Positive Outcomes of Arthritis Post Bariatric surgery

From health to work, obesity has a wide-ranging effect on an individual’s life and contributes to a bunch of health problems such as heart disease, type 2 diabetes, sleep apnea etc. But those extra Kgs can also increase the stress on knees and set you up in a world of pain. Knee pain is one of the common complications of being overweight. If you are among the millions who suffer from degenerative joint diseases including rheumatoid arthritis, osteoarthritis, crystalline arthritis, in that case bariatric surgery rewards you in countless ways. Research shows weight loss following surgery is associated with improved rheumatoid arthritis and a significant decrease in the need for medication and inflammatory markers. At six months post-surgery, patients lose an average of 72 lbs and six years after surgery, 78 lbs.1,2,3

The most notable benefits of bariatric surgery are –….

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Positive Outcomes Of Arthritis Post Bariatric Surgery

From health to work, obesity has a wide-ranging effect on an individual’s life and contributes to a bunch of health problems such as heart disease, type 2 diabetes, sleep apnea etc. But those extra Kgs can also increase the stress on knees and set you up in a world of pain. Knee pain is one of the common complications of being overweight. If you are among the millions who suffer from degenerative joint diseases including rheumatoid arthritis, osteoarthritis, crystalline arthritis, in that case bariatric surgery rewards you in countless ways. Research shows weight loss following surgery is associated with improved rheumatoid arthritis and a significant decrease in the need for medication and inflammatory markers. At six months post-surgery, patients lose an average of 72 lbs and six years after surgery, 78 lbs.1,2,3

The most notable benefits of bariatric surgery are –

 

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Diet and exercise, the two pillars for Losing weight

How diet and exercise play a role in weight loss?

Obesity has become an Achilles heel for many. Most obese people realise, often late, that it is extremely difficult to lose and maintain weight. However, medical or surgical intervention cannot be the only answer for the millions of overweight individuals in the world.

Diet

The most established long-term strategy for weight loss is by restricting calorie intake popularly known as ‘dieting’. Unfortunately, ‘diet’ is used as a fad most of the times, defeating the real purpose of a well-balanced diet for optimal health.

To understand the relevance of a balanced diet, one needs to understand the principles behind weight changes. It was widely believed, that if calories consumed equals calories spent, then weight can be maintained and in order to lose 2 kg/month, a person generally needs to reduce his/her calorie intake by 500 calories.

In reality, calories are so delicately balanced in the body, that to maintain weight, a person needs to eat exactly the same amount of calories that is spent on a daily basis.

For instance, having 2 potato chips (22 calories) daily, results in 8000 surplus calories over one year. Even this is likely to result in 1 kg of weight gain annually.

This recent understanding has a few major implications on weight loss:

  • Restricting 500 calories/day from current intake may be insufficient for weight loss since many people consume 1000-3000 calories extra daily.  The correct approach is to calculate one’s daily calories expenditure and then consume at least 500 calories less than the calories spent.  This may result in restriction of 500-3,000 calories/ day depending on pre diet food intake and exercise levels.
  • One’s diet should not be manipulated for only a few weeks or months with the purpose of weight loss. It should be improved for life. A person’s tendency to gain weight is unchanged over time.
  •  Once calories through food are restricted, the body starts using internal stores for energy. Initially glycogen (stored in muscles and liver) and then fat depots are used as energy sources. Usually it is advisable that despite dieting, calories intake should always be more than 1000/day to avoid a starvation response by the body.

 How the human body resists weight loss?

Reduced food intake results in two major physiological responses

  •  Increased in ghrelin hormone secretion by the stomach, which makes people feel hungry.
  • Reduced food intake over time means that as food digestion decreases, the rate of metabolism will also fall. This means that, with time, people will experience lower levels of weight loss.

Exercises

Scientifically speaking, exercise on its own does not result in significant weight loss. However, exercises are extremely important to

  • enhance diet induced weight loss
  •  maintain weight in the long-term
  • improve fitness and overall health

Enhancing diet induced weight loss

People can increase their daily calorie expenditure by 200-1000 calories through aerobic exercises. If the calorie intake is fixed, calories spent can be increased through exercises and weight loss will thus speed up.

Role in long-term weight maintenance

Regular strength exercises result in increased muscle mass. Muscle cells consume more calories than fat cells. People with more muscle mass burn more calories even at rest. Thus exercise helps people maintain weight long-term.

Improving fitness and overall health

Besides its role in weight loss/maintenance, regular exercises play an extremely important role in one’s fitness through improved cardiac contractility. Aerobic exercises also help improve breathing capacity of a person. They also result in increased glucose utilisation by muscles, thus reducing insulin resistance and improving blood sugar control amongst diabetics.

In conclusion, diet and exercises remains the cornerstone of an attempt to lose weight. The successful outcome is largely based on long-term compliance with the same.

India: A Hub For Medical Tourism In Bariatric Surgery

Millions of men and women are grappling with obesity, which is a global epidemic now. Even after following strict diets and doing regular exercises, most people complain of not losing excess pounds.

For these reasons, many prefer to undergo bariatric or weight loss surgery for long term weight loss. Despite knowing the benefits, most avoid a bariatric surgery due to prohibitive cost in UK, USA, Canada, and several other European nations1. The long waiting period of 6 months to 2 years, for a bariatric surgery, in most of these countries is also a major deterrent.

In India, the cost of bariatric surgery is a fraction of what it costs to get the surgery done in western world. It’s the third most obese country with one in every fifth Indian diagnosed with obesity. India is carrying out more than 100 weight loss surgeries a day with Mumbai, being one of the preferred locations for patients seeking such treatment. Thanks to the medical tourism, India has become a popular destination for weight loss surgery. The availability of experienced surgeons, advanced equipment, competitive prices and world-class hospital facilities gives India an edge over other countries. However, the cost of weight loss surgery in India differs with the surgery type, surgeon experience, quality of hospital, as well as the city chosen to get the surgery done.

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Understand Bariatric Surgery with Dr.Ramen Goel,Bariatric Surgeon,Mumbai

Understand Bariatric Surgery with Dr.Ramen Goel

Bariatric surgery is connected to a lot of industries- there is the entire health and wellness food industry worth about 33000 crore. Some major hospitals like Apollo, fortis and Workhardt are talking more about bariatric and investing heavily, since it’s now insurable and has multiple benefits. Swati Khandelwal Jain spoke to Dr. Ramen Goel, Director, Bariatric and Metabolic Surgery at Workhardt Hospitals to know the pros and cons of it.