Archive for the ‘Obesity Surgery’ Category
Obesity Surgery
Since in many cases, conservative treatment of obesity ends in failure, then when considering the surgical option, which it aims is to improve symptoms and reduce risk of obesity through weight loss and sufficient maintained over time, with minimal complications.
Therefore, no striving for the ideal weight, but the change in surgery of the structure of the digestive aid is offered to the patient to try to change their eating habits.
The accepted indications for surgical treatment of obesity are:
- Patients with obesity and a body mass index (BMI)> 40 kg/m2, and absence of endocrine diseases that can cause this obesity (eg hypothyroidism).
- Patients with BMI> 35 kg/m2 is associated with potentially serious diseases such as obstructive sleep apnea, heart disease, diabetes mellitus … Also included in this group those with physical mobility by obesity diminish their quality of life much.
- Acceptable surgical risk, and age between 18 and 60.
- Absence of toxic habits or psychiatric illness.
- Obesity held for 5 years, with failure of conservative treatment for at least 2 years.
- Assumption by the patient’s surgical risk and postoperative compromise of a right and follow strict nutritional guidelines.
It is accepted that surgery should not be under 18 years of age and above differences of opinion between those who say not to intervene over 60 years, while others accept older patients depending on the individual case.
Obesity has become one of the great problems of today
Obesity has become one of the great problems of today. And children do not escape this reality. Quite the contrary, childhood obesity is a huge wake up call for parents to attend special care to feed their children.
They always say that the infant is essential. However, in practice many do not take the proper habits to feed the children.
It is still very latent idea that fat children are healthy and the weak are malnourished. And this makes even the kids eat more food induced greater than advise them to eat more to avoid getting sick.
We should know that nourishment is not synonymous with a diet of bakery products and fast food. The permanent ads are a real temptation for children, but they do not want anything other than burgers, pizzas, chips, ice cream and candy.
However, everything can change through proper nutrition education in the home. It’s good that children will have a balanced breakfast before leaving home. In addition, it is much better to bring a snack to school to buy what they can sell there. Replace sweets and soft drinks or yogurt and fruit juice is a very healthy option.
Of course, you should not go so far as to ban all food to a child. It’s good that it can taste sweet or share a pizza with friends. But these preferences should be occasional and not a daily event.
Finally, it is good to promote children’s physical activity. An active child will be much healthier and more easily able to maintain a healthy weight for a young sedentary.
Food For The Obese
To maintain for long periods a hypocaloric diet, it should be varied, balanced, friendly and tailored to individual conditions. Before discussing the different types of diet, we need to examine the nutritional recommendations that should be considered in developing a diet for obese patients:
Carbohydrates:Should be 100 g minimum to preserve proteins, prevent ketosis and to avoid large fluctuations in weight due to changes in water balance.
Protein:0.8 g / kg / day plus 1.75 g of high biological value protein per 100 kcal of caloric deficit proposed. They are necessary for the maintenance of lean body mass.
Fats:Fewer than 30% of total caloric distribution of 10% saturates, 10% polyunsaturated and 10% monounsaturated.
Alcohol:Shortly consumption or permanently delete it. Provides 7 kcal / g.
Vitamins, minerals and electrolytes
According to dietary recommendations of the U.S. National Research Council, are considered necessary only supplements in diets with less than 1,000 kcal. The usual vitamin complexes do not provide electrolytes and minerals.
Fiber:The input fiber is useful because it increases satiety and may prevent constipation, frequent low-calorie diets, also recognizes its beneficial effect on the metabolism of carbohydrates and lipids. It is difficult, however, to obtain the recommended amount of fiber, 20-30 g / day or 25 g/1000 kcal / d, making it necessary to use supplements such as bran, oat bran or other.