AN INTERVENTIONAL

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AN INTERVENTIONAL STUDY OF OBESITY
of 70 obese and overweight adult subjects
30-60 years of age
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Done By KAPIL BHATIA (7)DHAVAL BHATT
(8)MITUL BUTALA (9)

• ( Students of Smt. N.H.L. Municipal Medical
  College, Ahmedabad )

Dr. D. V. Bala - Associate
Professor, Dept. of Community Medicine.

• Under Guidance Of

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RESEARCH QUESTION

• Will an intervention of regular Physical Exercise
  and Diet in 70 obese and overweight subjects
  30-60 years of age for a period of 3 months
  result in decrease in BMI and WAIST-HIP RATIO by
  5?

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DEFINITION OF OBESITY

• Obesity is a complex, multifactorial disease that
  develops from the interaction between genotype
  and the environment. Our understanding of how and
  why obesity occurs is incomplete however, it
  involves the integration of social, behavioral,
  cultural, physiological, metabolic, and genetic
  factors.

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Magnitude of Obesity Problem

• In world
• Globally, there are more than 1 billion
  overweight adults.
• Atleast 300 million are obese.
• Obesity and overweight pose a major risk for
  chronic disease, including type 2 diabetes, CVD,
  HTN and stroke and certain forms of cancer.

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• In India

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Epidemiological facts factors

• Age 1/3 of obese Adults have been so, since
  childhood
• Sex female affected more between 45-49 . Male
  29-35.
• physical inactivity
• Eating habits
• Alcohol
• Smoking
• Drugs

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Aims and objectives

• To create awareness about obesity and its ill
  effects
• To educate people about obesity.
• To screen people for obesity and overweight .
• To reduce the BMI and WAIST HIP ratio of
  selected subjects .

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Materials Methods

• Design Interventional study
• Place Gyms of 3 areas
• No. of Subjects 70
• Population
• Inclusion Obese and overweight
  above the age of 30 years
• Exclusion Having cardiac problems
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• Ethics Informed consent.

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Time Line Chart
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SUMMARY

• 70 obese and overweight subjects were selected.
• 39 were males.
• 31 were female.
• 43 subjects were obese, 27 were overweight.
• Those having serious cardiac problems were
  excluded from study.
• 9 males were smoker no female was smoker.

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SUMMARY (cont.)

• 56.3 were hypertensive.
• Z-test for BMI in males(5.44) and in
  females(4.86) is significant.
• Z-test for WAIST-HIP RATIO in males(0.35) and
  females(2.4) is significant.
• T-test is significant at 0.05 for males in age
  group of 35-39 for BMI.
• T-test is significant at 0.05 for females in age
  group of 35-39 for WAIST-HIP RATIO.

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CONCLUSION

• Obesity increases risk for -
• Non Insulin dependent Diabetes Mellitus.
• Gall Bladder disease
• Dyslipidaemia
• Insulin Resistance.
• Regular Physical Exercise and Diet Control helps
  in reducing obesity.

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RECOMMENDATION

• Maintain the weight within the healthy range of
  BMI(18.5-24.9 kg/m2) throughout the adulthood.
• For overweight reduction of 5-10 of body weight
  is recommended as initial goal.
• Prevention of obesity should begin in early
  childhood as it is difficult to treat in adults.
• Control of obesity can be achieved by following
  methods -

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PRIMARY PREVENTION

• DIETERY CHANGES
• Increase the fibre content.
• Dietery fat intake should not exceed 30
  of total energy intake.
• INCREASED PHYSICAL ACTIVITY
• decreases blood pressure and body weight.
• increases HDL level in blood
• PSYCOTHERAPY Motivation for weight reduction
  must be cultivated in patients mind

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SECONDARY PREVENTION

• DRUGS Appetite suppressing drugs have been
  tried like Fenfluramine(60mg) Phenteramine(30mg)
• SURGICAL TREATMENT
• Gastric Bypass
• Gastroplasty
• Jaw-wiring
• Liposuction.
• These measures may be tried in advanced cases in
  which diet control and physical exercise are not
  effective.

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LIMITATIONS

• BMI doesn't differentiate between weight due to
  muscle mass and that due to fat.
• WAIST-HIP RATIO.

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THANK YOU

• QUESTIONS????

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• SHOOT!!!