An eye-opening article by the Institute of Minimal Access, Metabolic and Bariatric Surgery at Sir Ganga Ram Hospital) reveals the shocking aspects of obesity and how it travels from pre-birth maternal obesity to to children in our society. It also highlights the most dangerous form of obesity common among Asians especially Indian Asians, namely abdominal or central obesity. The article also offers solutions, by providing appropriate treatment for this dangerous condition.
How Diabetes is Directly linked to Obesity?
There is an increasing belief among medical experts that abdominal or central body obesity is directly linked to the genesis of diabetes and more importantly the rise of cardiovascular disease during adulthood.
Shocking aspect of obesity starting from pre-birth levels:
This problem has its root in nutritional and sedentary behaviour starting from the birth of the child to an unhealthy mother. Maternal obesity and diabetes is now linked to the establishment of adult obesity and diabetes in her children. Sadly, childhood and adolescent obesity has a high chance of resulting in obesity in adulthood.
How Asians are prone to Excess Visceral Fat?
There is now increasing recognition that Asians, especially Indians with obesity have a predisposition for the excess body fat to be largely distributed around the abdomen. Interestingly, a large part of this abdominal fat is visceral or spread around the internal organs contained within the abdomen. Excess visceral fat is dangerous as it produces an excess of substances that have an harmful effect on various systems in the body. The following facts characterise the profile of Asian Indians – 1. A high prevalence of abdominal obesity. 2. Abdominal obesity can occur even in the absence of elevated body mass Index (BMI) and is seen even at a young age.
Indian Asians have even more danger:
Indian Asians have more abdominal visceral fat, higher degree of insulin resistance, hyperinsulinemia, hypertension and diabetes all of which are implicated in the generation of the Metabolic Syndrome and its consequences, especially, premature cardio vascular disease and death among many other morbid and mortal outcomes.
Role of Bariatric surgery and other social aspects in reducing Obesity:
In adults where obesity and especially abdominal obesity is well established, the role of metabolic realignment in the form of bariatric surgery must be considered.
This has immense implications for the promotion of health and the prevention and treatment of obesity. Solutions have to be implemented at the level of larger society as well as the individual. Sharp solutions would have to focus on rendering hopeful mothers non-obese, preventing childhood and adolescent obesity. This largely will come in the form of positive life style choices.