Medical Advertisement Ministry of Health Appl.No. CB62039 – valid upto 12.06.2019



Obesity

Obesity

Obesity

Introduction

Obesity is defined as having a Body Mass Index (BMI) of 30 or more. BMI is a widely accepted indicator of obesity worldwide. However, it does not distinguish between excess muscle, bone mass or amount of fat and its distribution. There is a high prevalence of overweight and obesity (43.0 and 32.3%, respectively) amongst expatriates in UAE (1).

Major Causes of Obesity

  • Poor diet rich in fats and calories
  • Sedentary (inactive) lifestyle
  • Psychological factors such as depression, smoking, steroids.
  • Genetics can affect how the body metabolizes and stores fat
  • Growing older leads to decrease in muscle mass and metabolic rate
  • Medical conditions such as PCOS, Hypothyroidism, Cushing Syndrome, Osteoarthritis
  • Sleep deprivation, which leads to hormonal imbalance and feeling of being hungry, which thereby leads to craving for more high calorie foods

 

Obesity related health risks and their Diagnosis

Overweight and obese persons are at a risk of developing additional diseases. Your doctor may also order certain tests to help diagnose obesity as well as obesity-related health risks such as:

  • Type 2 diabetes
  • Heart disease
  • High blood pressure
  • Cancer
  • Stroke
  • Gallbladder disease
  • Fatty liver disease
  • High cholesterol
  • Sleep apnea and other breathing problems
  • Arthritis
  • Infertility

Influence of obesity and lifestyle factors on fertility, please click PPT link below.

Increased Health Risk Factors in the UAE - Assessment in the Medical Laboratory

 

Some basic clinical testing recommendations for overweight and obesity are:

  • General Profile: CBC + Diff, ESR, Glucose (fasting), Lipid Profile, Urea, Creatinine, Uric Acid, Total Bilirubin, Direct Bilirubin, Indirect Bilirubin,Total Protein, Albumin, Globulin, A/G Ratio, GPT, GOT, ALP, CK, Electrolytes, Calcium, Phosphate, TSH, Urine Analysis
  • Glucose – Blood Sugar, Fasting Blood Sugar, Hemoglobin A1c (HbA1c), Glucose Resistance Test
  • Cardiovascular Risk Profile: hsCRP, Lp(a), Homocysteine, Lipid Profile basic (Chol, Trig, HDL, LDL, VLDL, Chol/HDL)
  • Lipid Profile: Cholesterol, Triglygerides, HDL, LDL, VLDL, HDL/Chol
  • Liver Function Profile: Bilirubin, CBC, AST, ALT, Alk. Phosphatase, GGT, Total Protein, Albumin, LDH, PT/INR
  • Renal Function Profile: Urine analysis, Urine Alb/Crea, Urea, Creatinine, Cystatin C, Total Protein, Albumin, Electrolytes, Calcium
  • Thyroid Profile: FT3, FT4, T3, T4, TSH
  • Drug Abuse Screening: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Methamphetamine, Opiate/Morphine, Phencyclidine, Tricyclic Antidepressants
  • Vitamins in Blood: Folate (Vitamin B9), Vitamin A (Retinol), Vitamin B12 (Cobalamin), Vitamin B2 (Riboflavin), Vitamin B3 (Niacin), Vitamin B5 (Pantothenic Acid), Vitamin B6, Vitamin C (Ascorbic Acid), Vitamin D2+D3 (25-OH), Vitamin E (Tocopherol), Vitamin H (Biotin), Vitamin K (Phylloquinone)
  • Female Fertility Profile: AMH, TSH, Estradiol, Progesterone, Prolactin, FSH, LH
  • Male Fertility Profile: Testosterone (total), SHBG, Free and Bioavailable Testosterone, Inhibin B, Semen Analysis
  • UAE/GCC/Middle East Risk Profile: CBC & Differential, Vitamin D total, Vitamin B12, HbA1c, A-TPO, A-TG, TSH, H. pylori Ag, HCV abs, HBsAg, LFT, Lipid Profile Basic, Uric Acid, Ferritin, Homocysteine, Lp (a)
  • Genetic risk assessment: Evaluation of overweight and obesity based on genetic findings.
  • Leptin: Leptin is a 16 kDa protein hormone that plays a key role in regulating energy input and energy output, including appetite and metabolism. Leptin is one of the most important adipose derived hormones.

 

Overweight and IgG Antibodies to Food – Food Intolerance

An IgG food intolerance might lead to systemic chronic inflammatory condition in your body, leading to a partial blockade of the insulin receptors. If these receptors do not function properly, you are unable to use the sugars in your blood and burn them in your cells to generate energy. As a result, more insulin is produced and will transform the excess sugar into fat. Chronic elevated insulin levels will block the use of the stored fat. As a result, you will have problems to lose weight, even if you restrict calories.

Our Food Intolerance Test ImuPro identifies your personal trigger foods that lead to chronic low-grade inflammation. The ImuPro concept consisting of a blood test for IgG antibodies and of personalized diet guidelines helps you to identify these foods. At the same time, it offers you food alternatives to guarantee a balanced diet without any nutritional deficiencies. By avoiding the trigger foods for a certain time, your insulin sensitivity will increase, you will have fewer cravings and automatically reduce your calorie intake.

https://imupro4weightloss.com/

Notes

There are major health risk factors in the UAE which can be easily identified in the clinical laboratory. Please contact the laboratory for any support.

References

Sulaiman N, Elbadawi S, Hussein A, et al. Prevalence of overweight and obesity in United Arab Emirates expatriates: the UAE National Diabetes and Lifestyle Study. Diabetol Metab Syndr. 2017;9:88. Published 2017 Nov 2. doi:10.1186/s13098-017-0287-0


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