March 3, 2021
–
23
–
Thai SMEs together with the Thai without belly network Lessons learned about the obesity situation in Thailand on the “World Obesity Day”, which takes place on March 4, in order to raise awareness of the silent dangers posed with inappropriate consumption behavior. Risk of chronic NCDs
World Federation of Obesity (World Obesity Federation) set to have a World Obesity Day. There is a goal for everyone to see that “Overweight” Is a life threat because “Obesity” Is the beginning of ill health Affecting work performance, sleep quality, social life Anxiety in their own appearance has a weak point and can suffer from mental health problems, stress, depression if everyone knows how to prevent and maintain food and physical activity. Will help reduce the risk
“Prof. Kiattikhun, MD. Wannee Nitiyanan” Chairman of the Thai without Belly Network Royal College of Physicians of Thailand Said that the present found “Fat people” More than 800 million people spread around the world. This reflected that it is a major health problem that cannot be overlooked. In the past 20 years, Thailand has encountered a large number of overweight children and adults. From excessive consumption In 2014 to date, 19.3 million Thai people, 34.1 percent of them were found to be “obese” and there were Thai people with excess waist circumference. “Fat belly” More than 20.8 million people, 37.5% of both groups are at risk of contracting NCDs.
- What kind is called “obesity”
Obesity Is a condition in which the body has accumulated more fat than normal Lead to the causes of various chronic diseases, which are non-communicable diseases, there are 2 types: metabolic obesity There is an accumulation of fat in the abdomen and internal organs such as liver, kidneys, intestines, stomach, etc. causing complications such as diabetes, hypertension. Coronary heart disease And obesity Having more whole-body fat than usual with increased fat Not limited to any particular position Some people, besides being obese, also suffer from metabolic obesity. There will be all complications And diseases caused by a lot of weight, including arthritis, joint pain, osteoarthritis, back pain, respiratory distress
- Is obesity? See BMI.
Information Bureau of Nutrition, Department of Health, Ministry of Public Health Stated that BMI can be used. (Body Mass Index or BMI) for the diagnosis of obesity whole. And measure the waist circumference for diagnosing metabolic obesity because BMI is the thickness of the body It is used as a standard to assess obesity in adults aged 20 years and over. Using your body weight in kilograms and dividing by your height in meters squared. Which can be used by both women and men The following formula: Body Mass Index (BMI) = body weight (kg) / height (m) 2, for example, having a weight of 50 kg, height 1.50 m = 50 / (1.5×1.5) = 22.22, will have a BMI of 22.22. there
In addition, the waist measurement. Or the belly line (Generally measure the waist At the navel level) to assess the risk of disease Men must have a waist circumference less than 90 centimeters, and women less than 80 centimeters.If the waist circumference is larger than this value, the risk of developing diseases is higher.
The international standard used to measure obesity is BMI: Body Mass Index, as follows: BMI below 18.5 indicates underweight, BMI from 18.5-24.9 indicates that it is in good health, BMI from 25-29.9 shows. Being overweight, a BMI of 30-38.9 indicates obesity at risk of developing health problems. A BMI of 40 or higher indicates an extremely obese condition and is at risk of facing serious health problems.
- “Fat” from everyday life
However, due to daily use, it can lead to “obesity” because eating unhealthy foods, consuming too much sweet and salty. Living life out of balance Drinking alcohol, smoking, contributes to being overweight and has a total negative impact on your health. The part that thinks obesity comes from genetics In medical practice, it was found in a minority. The best thing is to eat 400 grams of fruits and vegetables a day, and have physical activities such as walking, running, cycling to promote good health. Because obesity is a warning sign of various diseases such as cardiovascular disease, cancer, cystic fibrosis, diabetes and other chronic diseases such as kidney failure, gout, cirrhosis, etc. If society maintains healthy energy, it will help stop these problems.
- Obese people have severe symptoms of COVID.
There is currently no confirmed medical information. Obesity patients are at risk of contracting COVID-19. More than normal people But in medicine, it was found that these people have low immunity. If infected with COVID-19 It may be more severe and more likely to die than a healthy person. It can be seen from the phenomenon of other infectious diseases, such as influenza, that obese people are among the first risk groups to be vaccinated against severe infections because obese people are among the first at risk of developing different diseases. Easily, especially in the group of NCDs
- Exercise for obese people
Medical Center, Synphaet Hospital Recommend how obese people exercise that the best exercise for obese people who have started exercising or will use forever is Walking every day for 30 minutes consecutively Walking in a brisk walking manner Swing your arms to alternate with your stride feet, long strides swung their arms high. You can walk in the morning or in the evening. If it is the same time every day, it will be better to develop a habit of being comfortable with your body than walking at ease.
For sports, warm up 5 minutes before playing, 20-25 minutes of practice, and 5 minutes of relaxation, such as swimming, badminton, table tennis, tennis, scotch, practice at least 3 times a week. Obese people who are starting to lose weight start with simple steps, for example, perhaps starting to complete 8,000-10,000 steps a day, and then think of opportunities to achieve goals each day, such as inviting a friend who is already exercising to exercise. Find a place and make lifestyle adjustments to be able to engage in physical activity into a habit.
- Obesity treatment
“Using weight loss pills” Must be used under doctor’s prescription only. Diet pills or diet pills are currently in the testing phase. For eating one hour before or after a main meal. Or eat with meals It prevents the body from absorbing fat from about one-third of the food eaten, but instead sends fat to the digestive system. Use no more than 3 capsules a day.After using the drug, the patient’s weight will be reduced approximately 5% within 3 months. And exercise along with medication If this does not work, please consult your doctor. And even if you stop taking the drug, you have to continue to control your behavior in order to avoid further weight gain.
“Surgery to reduce obesity” Surgical treatment (Bariatric Surgery) People with a high BMI of 40 or more or patients with a BMI 35-40 with serious health problems need immediate weight loss treatment such as hypertension and type 2 diabetes. Obesity by other methods does not work. With bariatric surgery, there are several methods, including
“Roux-en-Y Gastric Bypass Reduction Surgery” Upper gastric cyst surgery And cut the small intestine at the bottom of the stomach to connect to the bag created. Causing food eaten to be delivered directly to the intestines This will make the patient eat less food and feel full faster.
“Laparoscopic Adjustable Gastric Banding (LAGB) Gastric Banding Surgery” Bring a flexible loop to tighten the stomach, divide it into 2 parts, thus the space in the stomach is reduced. Causing patients to eat less food because they fill up faster This loop will last forever. Which can later be resized and stretched
“Gastric Sleeve Reduction Surgery” Surgery to remove part of the stomach. Leaving only a smaller stomach Patients will eat less food. Because there is a smaller stomach
“Gastric bypass surgery with Biliopancreatic Diversion with Duodenal Switch “ Surgery for most of the stomach wall To have only some of the stomach that still do the same function By this part of the stomach will be directed to the upper small intestine. While the dissected part of the stomach is connected to the lower small intestine. So that there is still a process of digestion in this part of the intestines.
–
