Obesity Diagnosis and Treatment

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Measuring Body Fat
Not easy to measure a person’s body fat. The following methods require special equipment and conducted by trained personnel:
• Underwater Weight, weight measurements performed in water and then body fat is calculated based on the amount of water remaining.
• BOD POD is an egg-shaped room that has been computerized. Once a person enters BOD POD, the remaining amount of air used to measure body fat.
• DEXA (dual energy X-ray absorptiometry), resembling bone skening. X-rays are used to determine the number and location of body fat.
Two ways is more simple and not complicated:
1. Term skin, skin fold thickness in several parts of the body is measured by term (a metal tool resembling a forceps).
2. Bioelectric impedance analysis (analysis bioelektrik prisoners), the patient stand on a special scale and number of electric current flowed harmless to the body and then analyzed. Examination can give inaccurate results if not done by experts.

Body Mass Index (BMI):
BMI is a measurement that connects (compare) with high weight loss. BMI is a mathematical formula where the weight (in kilograms) divided by height (in meters) square. Someone said if you are obese have a BMI value of 30 or more.

Handling
Restricted calorie intake and increasing physical activity is the most important component in weight management. Both these components are also important in maintaining weight after weight loss. Must be a change in the pattern of physical activity and begin to live a healthy eating habits.
First step in treating obesity is to assess the patient’s body fat and health risks in a way to calculate BMI. Health risks associated with obesity will increase with the increase in BMI:
1. Low Risk: BMI
2. Medium risk: BMI 27-30
3. High Risk: BMI 30-35
4. Very high risk: BMI 35-40
5. Very very high risk: BMI of 40 or more.
The type and weight training and calorie restriction on the amount each person differently and given medication tailored to the circumstances of the patient.
1. Patients with low health risk, the diet was (1200-1500 calories / day for women, 1400-2000 calories / day for men) along with sports.
2. Patients with high health risk, low-calorie diet (800-1200 calories / day for women, 1000-1400 calories / day for men) with exercise.
3. Patients with high health risk or very high, get an anti-obesity drug with a low-calorie diet and exercise.
Choosing a weight-loss program is safe and successful. The elements that must be considered in choosing a weight-loss program:
1. Diet should be safe and meet all the recommended daily requirements (vitamins, minerals and protein). Diet to lose weight should be low in calories.
2. Weight-loss program should be directed to lose weight slowly and stable.
3. Before a weight-loss program started, conducted a thorough health examination.
4. Programs that follow should include weight maintenance after weight loss is achieved. Weight maintenance is the hardest part of weight control. The selected programs should include changes in eating habits and physical activity permanently, to alter the lifestyle of the past to support the occurrence of weight gain. This program should be conducted behavioral changes, including education in healthy eating habits and long-term plan to deal with weight problems.

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