At this age, the prevalence of obesity increases.

SHAFAQNA Türkiye – doctors from the Medicana health group who issued statements on the occasion of European Anti-Obesity Day, according to the World Health Organization; that there are 1.9 billion overweight and 650 million obese people in the world; They noted that among adults over 18, Turkey ranks first in Europe with a 32 percent obesity rate. One in three people (20 million people) in Turkey is obese; They said that while the prevalence of obesity is 40 percent in women, the rate is 20 percent in men. When considered according to age distribution, they stated that the prevalence of obesity increased at age 30 and peaked at age 45-65, and provided information on obesity.

threatening public health

According to the World Health Organization, General Surgery Specialist at Medicana Ataşehir Op. Dr. Babek Tabande said: “Obesity occupies an important place among the health problems that are worsening in the world and in our country and threaten public health. With the development of medical technology day by day, methods have appeared with which we have obtained satisfactory results in the treatment of obesity, as in many chronic diseases. Bariatric surgery is one of the methods used to get rid of obesity, which can cause many health problems such as diabetes, cardiovascular disease, neurological disorders, and even cancer.


Claiming that operations performed by laparoscopic and robotic surgery provide important comfort in the patient’s return to his normal life and in the ongoing process, Op. Dr. Tabande explained the importance of the robot in bariatric surgery, saying, “In this method, which is also defined as robotic surgery, the doctor performs the operation by controlling the robot’s arms rather than the robot itself, and can perform the operation. surgery is much more precise than other methods.”

“People who are obese and even super-obese may find it more difficult to expand the abdominal area during surgery by pumping it up. Increasing the pressure too much can adversely affect anesthesia. Difficulties arise in practice when extra weight of the abdominal wall is added to the instruments, as well as limited difficulties in working and mobility in a narrow space. With the attachment of large and fatty organs, the narrowing of the space of the large liver and the decrease in the flexibility of the organs, performing graceful operations becomes more difficult and risky, especially for laying new paths between the stomach and intestines. When using a robot, these difficulties are largely overcome by the absence of movement restrictions in a narrower area, the elimination of the influence of the weight of the abdominal wall with the robot, and the absence of load on the instruments. . To briefly describe the technical features of this robotic surgical system, which is used by doctors in many departments, its 3D camera and high-resolution camera can magnify the surgical field up to 10 times, thereby offering the doctor more than what he sees naked. eye. The instruments used in this operation, which is done with incisions smaller than 1 cm (8 mm), accurately follow the movements of the doctor’s hand, and with the ability to rotate 540 degrees, allow the doctor to comfortably work into narrow places that cannot be reached by hand. In addition, the stapler, which is one of the most commonly used instruments in minimally invasive bariatric surgery and is used to separate tissues from each other, is a form of instrument used in robotic surgery that cuts and stitches (sutures) tissues automatically. , making more than 1000 measurements per second, making the doctor more stable and reliable, thanks to smart notifications suitable for tissue thickness, ensures the formation of a tissue line.”


Emphasizing that obesity brings with it many chronic diseases such as hypertension, heart disease, fatty liver disease, especially type 2 diabetes, Physiotherapy and Rehabilitation Specialist at Medicana Çamlıca Hospital, Assoc. Dr. Erdal Dilekci said: “As a result of wear and tear caused by excessive stress on the spine, hip, knee and ankle joints carrying excess body weight, calcification can cause structural changes in muscles and soft tissues and a decrease in muscle strength. As a result of the negative impact of muscle-cartilaginous-articular structures and pain in obese people, their gait worsens, they become unable to perform physical exertion, and their articular cartilage is destroyed.

Continuing his statement, Dilekchi said: “Due to being overweight, an inflammation of the tendons called tendonitis, ankle injuries, frequent heel spurs and flat soles cause long-term and chronic pain. On the other hand, since obesity causes mild inflammation in the body, inflammation of the joint fluid causes worsening of symptoms in rheumatic diseases. However, being overweight and/or overweight also triggers fibromyalgia. Because they are physically inactive, flexible and strong, they have more trouble sleeping than normal weight fibromyalgia patients, they have more trigger points, chronic neck pain, more symptoms of anxiety and depression, and they have a much harder time with the disease.

Assoc. Dr. Erdal Dilekci said: “The most important reason for this increase over the past 30 years is obesity. People are gaining weight more and more, the world is starting to get fat. In addition to calcification, posture and gait disturbances began to be observed very often. Studies have shown that obese people have major changes in gait characteristics compared to people of normal weight. When the step interval is reduced, the load on the leg increases with increasing walking speed and the duration of standing on one leg. It is known that in obese people when walking or standing there is a serious increase in the load on the soles of the feet. This disordered type of gait, which develops due to weight and inactivity, the negative impact of the muscular-cartilaginous-articular structures and pain, makes it impossible to perform physical activity. In addition to diet and exercise, obese patients may benefit from physical therapy in the treatment of muscle, joint, tendon, and ligament disorders. In addition, they may benefit from injectable treatments such as hyaluronic acid, PRP, and ozone, which activate repair mechanisms in joint cartilage such as knees, hips, and ankles.


Claiming that this is one of the biggest public health issues of our time, nutritionist and nutritionist Diet. Maria Tanoglu Abdulmesih said: “One of the most important issues in the fight against obesity is adequate and balanced nutrition. A balanced diet is a behavior that must be carried out consciously in order to take in the nutrients the body needs, in sufficient quantities and at the right time, in order to protect and improve health and improve the quality of life.

Declaring that obesity, which is considered the disease of our century, significantly reduces the life expectancy of a person, Abdulmesih said: “Obesity; This is a condition in which the amount of fat mass in the human body is excessively increased compared to the muscle mass containing other components such as bones, muscles and water. In other words, we can say that body weight is much greater than height.

Noting that one of the most important issues in the fight against obesity is adequate and balanced nutrition, Abdulmesih said: “Balanced nutrition is a behavior that must be carried out consciously in order to receive the nutrients the body needs in sufficient quantities. and at the right time to protect and improve health and improve the quality of life. Unfortunately, the eating process of patients with obesity problems is completely changing, and unbalanced eating habits are increasing day by day.

dit. Maria Tanoglu Abdulmesih stated that obesity also causes mood disorders and high levels of depression. He emphasized that advanced technologies are very effective in combating obesity and that good results can be easily obtained in a short time.

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