“The first signs of obesity in the abdomen and waist”

SHAFAQNA Türkiye – Declaring that obesity is the problem of the new century, General Surgery Specialist at VM Medical Park Pendik Dr. Trainer Member Yalcin Burak Kara warned by drawing attention to the diets that paved the way for obesity in conjunction with the European Day Against Obesity on 20 May. Defining obesity, Dr. Instructor Professor Kara said: “We characterize the state of overweight, which is accompanied by secondary excess fat accumulation due to high energy intake, as obesity. Obesity is assessed by body mass index, 30 kg/m2 and above is called obesity.


Dr. Instructor Cara said: “Fast foods high in calories, foods rich in refined carbohydrates and poor in vegetable fibers, foods high in refined sugar consumed in the form of packaged foods, overly fatty and high-calorie foods are among the most important foods that cause obesity. . . In addition, obesity in our country is affected by excessive consumption of bread, excessive meals, alcohol and cigarettes. In addition, some behavioral disorders; overeating (compulsive overeating), overeating and repeated vomiting (bulimia nervosa), night overeating syndrome, consisting of nocturnal awakenings and overeating, are among the factors that seriously affect obesity.


By focusing on the cause of obesity and explaining the risk factors, Dr. Instructor Member Kara shared the following information:

“In obesity, energy homeostasis is disrupted due to an increase in energy intake or a decrease in energy expenditure. Many genetic, epigenetic, physiological, behavioral, sociocultural and environmental physiopathological factors pave the way for the development of obesity. The main factors include such factors as biological predisposition to the formation of body fat, behavioral factors that we call environmental factors, chronic stressful environment, eating high-calorie foods, large portions, ease of access to food, physical inactivity, sedentary lifestyle. Factors accelerating the development of obesity. In addition, environmental toxins, nutritional deficiencies, and exposure to (high-fat) obesity lead to obesity-related epigenetic changes, increased food intake and adipose tissue, which negatively impact this process.”


Speaking about the symptoms of obesity, D. Instructor Prof. Dr. Kara said: “Although obesity is usually diagnosed by determining the body mass index, an increase in waist circumference, increased abdominal obesity due to abnormal accumulation of fat in the abdomen and waist, and early hunger can be seen after resistance to insulin caused by increased abdominal obesity. Early symptoms include frequent garbage-eating style feeding, high calorie intake, and drowsiness.


Claiming that the diagnosis of obesity is based on body mass index, Dr. Instructor Cara said: “The value obtained by dividing the equivalent of our current weight in kilograms by the equivalent of our height in meters twice is called the body mass index. According to the World Health Organization, 18-24.9 kg/m2 is considered normal, 25-29.9 kg/m2 is considered underweight, and 30 kg/m2 and above is considered obese. 40 years and older is called morbid obesity.


Expressing what needs to be considered in order not to be obese at an early age, dr. Instructor Member Kara said:

“The fight against obesity can be achieved through discipline, knowledge and regulation of eating habits. In particular, a protein-fat-carbohydrate balance should be maintained in the diet consumed throughout the day, refined sugar and packaged foods should be avoided, complex carbohydrates should be added to the diet, and carbohydrates, fruits and vegetables should be added to the diet in appropriate amounts. proportions, fiber-rich foods should be preferred, exercise should be adopted and practiced as a lifestyle, high-calorie drinks should be avoided, and insufficient water intake should be avoided.


Noting that according to the Turdep-2 study, the level of obesity in society in our country is defined as 35 percent, D. Instructor Kara said: “When we look at the distribution by sex, 44 percent of women and 27 percent of men are obese. Obesity has been associated with type 2 diabetes, hypertension, hyperlipidemia, coronary artery disease, cerebrovascular disease, obstructive sleep apnea, non-alcoholic fatty liver disease, biliary tract disease, gastroesophageal reflux, polycystic ovary disease, infertility, osteoarthritis, depression, and various cancers. . In particular, various studies have shown that it increases the risk of colon, breast, esophageal, endometrial, and kidney cancers.


Emphasizing that obesity in children and especially in adolescence is a new age problem, Dr. Instructor Member Kara said: “Children with percentile curves above 95 percent, that is, those who rank above 95 percent among 100 children in their age group, are considered obese. The approach is similar to the adult age group. Factors influencing the causes, dietary habits must be carefully studied, the early start of the fight against obesity and its serious continuation determine the success of the treatment. Diet therapy and increased activity (sport and exercise program) constitute the initial treatment. While medical treatment may be used in unsuccessful cases, surgery may be preferred in selected cases.

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