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OBESITY SOLUTIONS FOR YOUTH

 Attention to minute differences in biological and metabolic processes existing among different age groups and careful attention to gender based differences as well are our core strengths. These strengths aid us in precisely tailoring different but apt obesity solutions for young men and young women. We strongly believe in the fact that the nature, causes, and burden of obesity and severity of obesity related health disorders are different among various population groups including younger generation. As an example, the definition of overweight and obesity we use for young people is different than it is for adults. We take into account of the changes in growth transition, differences in growth velocity and differences in age of maturation from age to age and gender and use centiles to define. A BMI <5 centiles is considered under-nutritious. A BMI in between 5 and <85 centiles is normal. A BMI in between 85 and<95 centile is overweight and a BMI more than 95 centile is considered as obesity.

We further bear in mind that BMI does not distinguish between lean tissue and body fat, which is the reason why some growing children will have BMI in the overweight or obese range without having an excess body fat. Additional parameters are then taken into consideration to evaluate obesity. To prevent any errors in ascertaining obesity and the treatment offered thereof, we medically evaluate the young person for the following.

  • History for hypoventilation (snoring, apnea, morning headaches, somnolence during the day)
  • History of dysmenorrhea in adolescent females
  • Careful blood pressure measurement with attention to proper cuff size
  • Physical assessment for orthopedic abnormalities
  • Fasting lipoprotein profile
  • Fasting glucose
  • Insulin and/or glucose tolerance test
  • Echocardiographic evaluation
Gender based differences and age based differences of obesity do exist. All these differences have been taken into consideration by us before offering our solutions. In addition to several others, below is a small list, for a general reader to ponder, of gender and age based differences of obesity that we take into consideration while designing an obesity solution for youth.

  • Youth is a period of continuous growth and development. Development and maturation of various tissues and organs take place during this period. Hormonal changes, sexual maturation and wide swings in emotion take place. The pattern and proportion of various body components like body water, muscle mass, bone and fat increase. Young girls are at great physiological stress than boys because of menstruation. Rapid anabolic changes take place
  • Overeating and exists
  • Indiscriminate dieting is found
  • Tendency to skip breakfast is found. This is done to lose weight. In reality the opposite happens.
  • Body fatness and body fat distribution are heritable
  • Genetic influences on resting metabolic rate, feeding behavior, changes in energy expenditures in response to overfeeding
  • Environmental factors such as region of residence, season, urban living and being part of a smaller family
  • Social stigma leading to less participation in athletic activities
  • Maintenance of a certain level of adiposity may be centrally regulated
  • There is metabolic resistance to alterations in body weight
  • Excess body fatness in the abdomen can be a marker for increased health risk even at a lower BMI.

Studies suggest that hours spent in watching television is strongly associated with weight gain because of the concomitant sedentary behavior, Tendency to consume snack foods and effects on dietary behavior of the advertising of energy-dense foods during television programs. Best advice in this regard as how to reduce time spent in watching television or working with computer is offered.

The bottom line is – the burden of obesity and the severity of obesity related health conditions differently affect the youth. Naturally, then, the obesity solutions offered for youth should be different than other solutions. Prefer a clinic like ours which thoroughly understands these differences and offers advice and treatment according to these differences.



 
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