Causes and measurements of obesity
Definition
Obesity means 20% or more increase body weight more than normal due to excessive fat deposition in the subcutaneous and deep tissues due to increase activity of fat cells and increase it number obesity can be assessed by the thickness of the skin folds measured by special instruments as 1- lateral aspect of arm =0.9-1.1cm 2- abdomen =1-1.5cm buttocks =1.5-2.5 cm when we can say that person obese or no by method of body mass index (BMI) when become more than 30kg|m squared BMI=WT in kg /HI in m squared so according to BMI it can be classified the obesity as BMI=18-20 that is normal BMI=25-30 means overweight BMI more than 30 called obese and BMI over than 50 called super obese what are the problem
related to obesity there are many problem associated with obesity which can be classified to two big categories first life
Threatening problem
Which can lead to increase the risk of cancer breast uterus and so on and also cardiac problem like ischemic heart disease and hypertension also can causes hypoventilation or sleep apnea syndrome and increase risk of pulmonary embolism due to increase venous stasis and hypercoagulability secondly
Non life threatening problem
Like increase risk of gall bladder stone and cholecystitis all hemias varicose veins osteoarthritis and fractures chronic back pain renal stones stress incontinence skin infections sex hormones imbalance pseudotumour cerebi increase intra abdominal pressure psychological and social problems and
make difficulty in diagnosis
Obesity can be classified to
exogenous obesity
endogenous obesity
Exogenous obesity
This is the commonest form of obesity and it is often hereditary depending on the number and size of fat cells
Endogenous obesity
Causes either 1- endocrinal causes as 1- hypothyroidism lead to weight gain rather than obesity 2- hypogonadism lead to obesity with hot flushes and sweating in female 3- hypopituitarism and hypothalamic as in (froehlich,s syndrome and laurance moon biedle syndrome) 4- cushing,s syndrome moon face buffalo hump trunckal obesity it considered fat distribution rather than obesity other rare causes are encephalitis which rarely obesity follow it possibly the inflammatory process destroying the hypothalamus statiety centers
tags:measurements,causes,obesity
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