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Pathophysiology of obesity
Mr. Bestha Chakrapani
Associate professor
Department of pharmacology
Balaji college of pharmacy
Anantapur
Obesity is a medical condition in which excess body fat has
accumulated to the extent that it may have a negative effect on
health.
Obesity increases the likelihood of various diseases,
particularly heart disease, type 2 diabetes, obstructive sleep
apnea, certain types of cancer, and osteoarthritis.
Obesity is most commonly caused by a combination of
excessive food intake, lack of physical activity, and genetic
susceptibility
 A few cases are caused primarily by genes, endocrine
disorders, medications, or mental illness.
Obesity is mostly preventable through a combination of social
changes and personal choices.
Changes to diet and exercising are the main treatments.
Diet quality can be improved by reducing the consumption of
energy-dense foods, such as those high in fat and sugars, and by
increasing the intake of dietary fiber.
Medications may be taken, along with a suitable diet, to reduce
appetite or decrease fat absorption.
 If diet, exercise, and medication are not effective, a gastric
balloon or surgery may be performed to reduce stomach volume or
bowel length, leading to feeling full earlier or a reduced ability to
absorb nutrients from food.
BMI (kg/m2)
Classification
from up to
18.5 underweight
18.5 25.0 normal weight
25.0 30.0 overweight
30.0 35.0 class I obesity
35.0 40.0 class II obesity
40.0 class III obesity
Classification of obesity
Obesity is a medical condition in which excess body fat has
accumulated to the extent that it may have an adverse effect on
health.
Health issues due to obesity
Cardiovascular disease
Diabetes type 2
Musculoskeletal disorders
Cancers-endometrial, cervical and
colon
Infertility
Gallstones
Premature death and disability
Just the Facts!
According to WHO:
1.6 billion adults (over 15 years old)
are overweight
400 million are obese
 2.3 billion will be overweight and
700 million obese
Heart Disease and Diabetes
Heart Disease
The world’s number #1 cause of death
Kills 17 million each year around the world
Heart attack
Stroke
Diabetes type 2
Becoming global epidemic
WHO projects diabetes will increase by 50%
across the world
Diabetes Type 2
• Symptoms
– Blurred vision
– Erectile dysfunction
– Fatigue
– Frequent or slow-healing
infections
– Increased appetite
– Increased thirst
– Increased urination
Complications of Diabetes
Heart disease and stroke
Glaucoma
Neuropathy…especially the feet
Skin complications...wounds do not
heal well
Diabetic retinopathy (eye disease)
Kidney disease and kidney failure
Damage to blood vessels that supply
the legs and feet (peripheral vascular
disease)
Fruits and Vegetables
WHO states:
Fruits and vegetables need to be part of
the daily diet to prevent disease such as
obesity and noncommunicable disease
The statistics are startling
Lack of enough fruits and vegetables cause
19% of GI deaths
31% of Ischemic heart disease
11% of stroke
How much fruit is enough
WHO recommends at least 400 gms of
fruit and vegetables each day…
This will prevent chronic disease related
to overweight and obesity
Heart disease
Diabetes
Cancers
Thank
you

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Obesity

  • 1. Pathophysiology of obesity Mr. Bestha Chakrapani Associate professor Department of pharmacology Balaji college of pharmacy Anantapur
  • 2. Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health. Obesity increases the likelihood of various diseases, particularly heart disease, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis. Obesity is most commonly caused by a combination of excessive food intake, lack of physical activity, and genetic susceptibility  A few cases are caused primarily by genes, endocrine disorders, medications, or mental illness.
  • 3. Obesity is mostly preventable through a combination of social changes and personal choices. Changes to diet and exercising are the main treatments. Diet quality can be improved by reducing the consumption of energy-dense foods, such as those high in fat and sugars, and by increasing the intake of dietary fiber. Medications may be taken, along with a suitable diet, to reduce appetite or decrease fat absorption.  If diet, exercise, and medication are not effective, a gastric balloon or surgery may be performed to reduce stomach volume or bowel length, leading to feeling full earlier or a reduced ability to absorb nutrients from food.
  • 4. BMI (kg/m2) Classification from up to 18.5 underweight 18.5 25.0 normal weight 25.0 30.0 overweight 30.0 35.0 class I obesity 35.0 40.0 class II obesity 40.0 class III obesity Classification of obesity
  • 5. Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health.
  • 6.
  • 7.
  • 8. Health issues due to obesity Cardiovascular disease Diabetes type 2 Musculoskeletal disorders Cancers-endometrial, cervical and colon Infertility Gallstones Premature death and disability
  • 9. Just the Facts! According to WHO: 1.6 billion adults (over 15 years old) are overweight 400 million are obese  2.3 billion will be overweight and 700 million obese
  • 10. Heart Disease and Diabetes Heart Disease The world’s number #1 cause of death Kills 17 million each year around the world Heart attack Stroke Diabetes type 2 Becoming global epidemic WHO projects diabetes will increase by 50% across the world
  • 11. Diabetes Type 2 • Symptoms – Blurred vision – Erectile dysfunction – Fatigue – Frequent or slow-healing infections – Increased appetite – Increased thirst – Increased urination
  • 12. Complications of Diabetes Heart disease and stroke Glaucoma Neuropathy…especially the feet Skin complications...wounds do not heal well Diabetic retinopathy (eye disease) Kidney disease and kidney failure Damage to blood vessels that supply the legs and feet (peripheral vascular disease)
  • 13. Fruits and Vegetables WHO states: Fruits and vegetables need to be part of the daily diet to prevent disease such as obesity and noncommunicable disease The statistics are startling Lack of enough fruits and vegetables cause 19% of GI deaths 31% of Ischemic heart disease 11% of stroke
  • 14.
  • 15.
  • 16. How much fruit is enough WHO recommends at least 400 gms of fruit and vegetables each day… This will prevent chronic disease related to overweight and obesity Heart disease Diabetes Cancers
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Editor's Notes

  1. We know what obesity can do to our bodies..but what is interesting is that obesity is preventable. In the last slide, the information that obesity is caused by eating more than our bodies need…so if we eat the right amount of food…we will be healthier and have much less chance of being obese…seems to simple doesn’t it? The challenge is, when we have so many choices and eat the Western diet, we have a strong tendency to eat more than we need. Exercise: Is there anyone in your family that has health problems with obesity or being overweight? When did they start being overweight? Are they healthy? Do you have anyone in your family with diseases related to obesity? What are your favorite foods? Are they processed and have lots of sugar and fat? Many people will say they like desserts, candy or soda pop…all can cause someone to gain weight. Reference: World Health Organization.(2008). Obesity and overweight. Fact sheet #311. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en
  2. Reference: World Health Organization.(2008). Obesity and overweight. Fact sheet #311. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en
  3. Couple of comments about diabetes and obesity. Diabetes is even more scary than heart disease and is primarily caused by obesity…now Type 2 diabetes is the not the same as Type 1. Type 1 diabetes is when the body makes no insulin and can happen at any age, any weight. Type 2 is a result of being overweight, the body struggles to make enough insulin and at some point is not able to make enough, but can make small amounts. The best way to control diabetes is to control weight and to exercise. Some people do not have to take any medicine to control diabetes. But some do. According to WHO: “Diabetes is a chronic disease that occurs when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin it produces. Hyperglycaemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels.” World Health Organization (2010). Diabetes: Fact sheet 312. Retrieved from http://www.who.int/mediacentre/factsheets/fs312/en/index.html
  4. Diabetes is an insidious disease. According to the American Diabetes Association, there are several symptoms to screen for. References: American Diabetes Association. (2010). Diabetes. Retrieved from: http://www.diabetes.org/diabetes-basics/type-2
  5. Reference: World Health Organization. (2004) Promoting fruit and vegetable consumption around the world. Retrieved from http://www.who.int/dietphysicalactivity/fruit/en/index.html
  6. Keep in mind, that even with more fruits and vegetables in the diet, there is still need to reduce the fats, sugars and processed foods. Keep in mind that tubers, such as potatoes and cassava are not included in fruits and vegetables. Reference: World Health Organization. (2004) Promoting fruit and vegetable consumption around the world. Retrieved from http://www.who.int/dietphysicalactivity/fruit/en/index.html