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obesity

OBESITY avoirdupois describe as sufficient  body fat has accumulated to adeversly have an effect on health,or body mass index on top of twenty five kg/m2 . WHO suggested CLASSIFICATION OF avoirdupois (1)underweight WHO have bmi below eighteen (2)normal WHO have bmi between eighteen.5 to 24.5 (3)overweight WHO have bmi on top of twenty five ETIOLOGY OF avoirdupois (1)Genetic causes Some genetic inheritant is also chargeable for avoirdupois likebarded belly syndrome,leptic deficiency, pradee Willi syndrome etc (2)Environment causeas (à)high energy diet (b)physical inactivity (3)Endocrine sickness endocrine sickness like pubescence adiposeness,hypothyroidism,cushing's syndrome,polycystic sex gland syndrome (4)drugs induce avoirdupois medicine like metallic element valporateprednisolone  atenolon ,gliclazide will induce avoirdupois in some patient MANAGMENT OF avoirdupois (1)Exercise Exercise is beneficial as supplements to diet unless there's medical contradiction (2)Diet managemente -Rigid diet is best treatment control 800 to 900 calories per day - food ought to contain all essential foodstuffs -food to be avoided -bread any issue created with flour,cereals,potatoes and different whole root vegetables,food containing abundant sugers ,and fatty foods -food to  and eggs (3)Drugs (a)sibutramine -inhibits uptake of noeadrinaline and serotonine ,prolonging satiation (b)orlistat -orlistat is enteral enzyme substance. -it generates assimilation of half-hour dietory  fat.(c)Rimonabant it's canaboid receptor antagonist it induce weight loss (4) Bulk agents that province essential nutrients and felling of satiation (5)Psychotherapy -Motivation for weight reduction should be cultivated in patient mind -Neurotic patient square measure far-famed to hunt relief from anxiety by uptake (6)surgery (a)Vertical banded gastroplication limits food consumption b)gastric bypass with Roux-en-y is simplest

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