According to WHO, obesity is a complex disease defined as abnormal or excessive fat accumulation that presents a risk to health.
Obesity is classified with body mass index (BMI). BMI is calculated as your weight (in kilograms) divided by the square of your height (in metres) or BMI = kg/m2
Underweight: BMI <18,5 Normal: BMI between 18,5-24,9 Overweight: BMI between 25-29,9 Obese: BMI between 30-34,9 Extremely Obese: BMI >35
Two main methods are used to treat obesity according to your condition. One of them is healthy lifestyle and healthy nutrition to lose weight with right healthcare team including a dietitian. The second one is a recently popularised procedure known as bariatric surgery. Though a surgery may make it seem easy to lose weight, surgery can also cause many complications. It should be noted that treatment should be personalised according to your health conditions.
Some examples of diets include a low-calorie diet, low fat diet, low carbohydrate diet, no carbohydrate diet, high protein diet and Mediterranean-style diet. It should be noted that your diet programme should be highly personalised and unique, like fingerprint, and it shouldn’t be practised without a health care team.
Weight Reduction / Weight Loss
Weight loss depends on many factors and interrelations of these factors like age, genetics, behaviours, body compositions, metabolic rate, hormones, insulin sensitivity or resistance, gut microbiota, and medications.
Before beginning a weight reduction/weight loss programme you should check the markers below: **If you have an additional disease, you should check for other markers and ask your doctor if any special notes to be observed while starting the programme.
There isn’t a standart but it could be said that with a light physical activity level 2-4 kg could be your goal.
No, it isn’t because you can be slimmer at the same weight; which pointed that your lean body mass increased whereas your fat mass decreased.
Insulin Resistance
Insulin is a hormone secreted by pancreas that regulates blood glucose level. It keeps blood glucose level in the normal range.
The cells in pancreas sense the increase of blood sugar after meals and release insulin into your blood. However pancreatic cells sometimes stop responding to blood glucose level and they don’t secrete insulin because of unhealthy life style habits like low physical activity or overeating. This is called insulin resistance.
You'll need to get a blood test that checks your fasting insulin level and blood sugar levels. A HOMA-IR value of 2.5 is taken as an indicator of insulin resistance in adults.
By changing your life-style (having a healthy diet and losing excess weight, getting moderate amount of physical activity) and using some medications (if you need) you can often completely reverse insulin resistance.