Is Obesity a Disease, Behavioural Abnormality or Self-perpetuating

Dr Ntsathung Murry speaks on Cure and Prevention

A general talk of health begins with the appearance of the body. Many people mistake fitness with being healthy and fat. Fit is healthy, whereas fat is unhealthy.
We often project fat people to be in good health. Excess body fat in fact creates health disorders. Our food habits and our lack of required physical movement are the main reasons behind development of excess fat in our body. However, some people have abnormal immune system which develops excessive fat in the body regardless of the diet maintained. What could be the cause of it or how can one handle such discomfort?
In the current interview with medical professional Dr. Ntsathung Murry (MO DIMAPUR HOSPITAL) on obesity, we know about what obesity is and how to control it.
Dr. Ntsathung Murry is of the opinion that obesity is an abnormality involving excess accumulation of fats in the body. He further adds that it can be self made if an individual consumes excess amount of calories and lives a sedentary lifestyle.
Pointing out the difference between fat and obesity he said, "Generally when we see a person with a big belly, it's our natural instinct to consider the person as fat. But that person can be either overweight or obese as well. So basically we seem to have coined one word for overweight and obesity. Let's put fat in overweight section and move on."
Dr Murry highlighted a vivid picture to differentiate between them. We need to use an index called BMI (Body Mass Index). It uses a simple formula= kg/(m)2 where kg is a person's weight in kilograms and m2 is their height in metres squared. BMI of 25 - 29.9 falls under overweight category and >30 falls under obesity.
As per latest statistics in India, he said that the age group mostly affected is between 45-59 years. The main reason behind this could be because this particular age group covers mainly married couples and it is the prime period where sedentary lifestyle usually sets in especially in urban areas. Study shows that rural areas are less affected as they are engaged in daily physical activities.
The harm caused to health due to obesity can be difficulty in sleeping without the head popped up a little, waking up gasping for air in the middle of the night, being out of breath after a little run, size issues in cloths, food issues, etc.
It can be said that being fat is not healthy unless you are stranded in a cold place alone where it can act as an insulation and source of energy.
Diabetes, Coronary heart diseases, musculoskeletal disorders, hypertension, stroke, fatty liver and cirrhosis, pulmonary embolism, sleep apnea, arthritis and gout, breast, prostate cancers are the major diseases associated with obesity.
Dr Ntsathung Murry
Image: Dr Ntsathung Murry
So definitely obesity is not something you can just dust it off. It needs proper attention and interventions.
Speaking further on overweight and obesity he said, "It can be said that being fat is not healthy unless you are stranded in a cold place alone where it can act as an insulation and source of energy."
Contributory factors for obesity include genetics and hereditary, sedentary lifestyle, unhealthy diets among the constituents of our daily diet, mental conditions like depression and stress, eating becoming a coping mechanism, hypothyroidism and pregnancy. Some medications including diabetic medications like insulin, metformin, anti-depression medications like escitalopram, amitriptyline, imipramine, anti-hypertensive drugs like metoprolol, propanol, anti-epileptics like valproate, carbamezapine, oral contraceptives and steroids like prednisolone and some medical conditions like cushing syndrome and prader-willi syndrome, poor socio-economic status are the causative factors for obesity.
Knowing the causes of obesity, the management is no-brainer.
Maintain healthy and balanced diet, cut excess calorie intake and decrease consumption of food items or products that has more fats in it. Modify lifestyle--"exercise is the key factor.
"The impact obesity has on mental health needs to be taken into consideration. Obese people need constant support emotionally and physically to overcome it. Only with better understanding of the condition we will be able to take care of ourselves better. The world is gravitating towards fitness--"be it physical education in schools or awareness of various workout regimes in social media", said Dr Murry.
Fat or overweight or obesity is reversible if we have the mindset for it and once we master the balance of INPUT and OUTPUT, it'll be a topic of the past.



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