DISEASES AND DISABILITIES


It is very unfortunate that obesity leads to many disabilities in one’s later life. Some of these disabilities are crippling in nature & others, degenerative.

Diabetes: -
Onset of diabetes in adulthood is more common solely among obese persons. Even though heredity is the deciding factor in diabetes, chances are remote if the person takes care not to gain weight as he grows. There are persons with normal weight who are not diabetic though there is a family history of diabetes.
Some among such individuals believe strongly that they will inherit the disorder one-day or other in their middle age. This belief itself leads them to behave, as obesity is also a leading cause of diabetes the United States of America. Some diabetics would & they slowly gain weight.

Abnormal eating habits in diabetes: -

Normally, a diabetic individual feels hungry & eats at short intervals. It is necessary for him to eat small frequent meals rather large ones at long intervals. They have certainly misunderstood this recommendation. While eating frequently, they fail to regulate or reduce the quantity & quality of food eaten. They satisfy their hunger pangs but stuffing themselves with readily available commercial food, rich in calories but poor in nutrition. At times they also over eat to keep hunger at bay. This type of indiscretion increases the bulk
of their body. This is harmful. There should be a rational & perceptible solution for the ignorance about what, when & how a diabetic should eat.
Heart attack: -
Obesity invites a number of heart diseases & possibilities of an attack even at a very young age. It is a disturbing fact that heart attacks & deaths occur even at the age of thirty & below, caused by obesity due to over nourishment & high living style when there is a large amount of fat around the chest, the lungs have less room to expand. Blood oxygenation is impaired. This also makes the heart work harder due to which breathing becomes laborious.
Arthritis: -
The structure of the human body is designed to be active in order to stay fit & be free disabilities. Bulk in the body disallows brisk activity & exercise. Exercise is essential for the production of calcium & to prevent its depletion in the bones. If there is no activity, the amount of calcium in and around the bones & joints will reduce causing stiffness of the joints.
When the weight bearing joints are over burdened due to obesity, they tend to cause swelling & rigidity of the limbs.
The pain & stiffness confines the individual to bed. Discouraging even the minimum of essential movements. The damage occurs slowly & progressively when degeneration of the joints takes place. This called degenerative arthritis or osteoarthritis.
Cancer: -
Obesity also results in an increase result of cancer. In females there is up to a there-fold increase in the incidence of breast, uterine, cervical, & ovarian cancer. The risk of endometirial lacer (cancer of the inside lining of the uterus) is up to seven times higher for obese women. For men, there is an increased incidence of colon & prostate cancer.
Hypertension: -
One of the most common complications of obesity is hypertension. Or high blood pressure. Around 30% of individuals who are overweight have mildly elevated blood pressure. The etiology of this increase in blood pressure appears to be related to substances produced by adipose (fat) tissue & to the increase in the hormone insulin that occurs with obesity. O bese individual with hypertension should first
be treated with dietary methods in an attempt to bring their weight down to more normal levels. The majority of people who normalize their weight and avoid excess salt can avoid being on blood pressure medications.
High cholesterol: -
Hypercholesterollemia or elevated cholesterol is commonly associated with obesity on average; every 5 kilograms of excess fat produces approximately 10 to 12 mg of cholesterol per day.
In other words putting on 20 kilos leads to the equivalent of taking in one extra egg yolk per day. Cholesterol levels are determined by both genetics & diet with 2/3 being genetically determined and the remaining 1/3 by diet. Most people can successfully control their cholesterol by reducing their fat intake & weight. And we are here to help you to reduce cholesterol through unani herbal treatments without any negative effects.

Gall stones: -

Obesity is also frequently complicated by gallstones. Approximately 25% of obese individuals have gallstones, frequently resulting in
surgery. The increase in cholesterol that results from obesity is one the major reasons for the increased incidence of gallstones.
Sleep disorder: -
Obesity is frequently complicated by many medical problems. Typically, as people gain weight, they tend to feel tired all the time & may have problems sleeping. Problems with sleep may be indicative of a severe condition called Pickwick syndrome, or “sleep apnea”. For people with this problem, it becomes progressively more difficult to breath at night as their weight increases. These people typically snore severely & have episodes when they stop breathing completely for up to one minute at a time. During these periods of not breathing, their heart rates may become very irregular, which can lead to fatal heart attacks. Frequently, these people transiently awaken when they resume breathing. This may occur dozens of times per night, causing them to feel tired the next day & even fall asleep while sitting in meetings or driving. Sleep apnea is a very serious complication of obesity.
Osteoporosis: -
Obesity causes one more disease known as osteoporosis. It is common mostly in women. A detailed description of this disease enables one to understand the damage it can cause.
We tend to think that the bone is a solid stony mass but it is not so a cavity. This cavity holds minerals, mostly calcium and phosphate & protein rich fibrous communicative tissues that keep changing. Bones keep on breaking down in minute amounts and are replaced constantly. This function in known as remodeling. This remodeling process helps in maintaining strong bones. Between the age of 35 to 40, there is a steady loss of bone, (around 4 percent in a year) especially in women, though there is enormous remodeling. This loss steadily continues till menopause, bone remodeling required calcium & other nutrients that are stored in the cavity. Since the body needs calcium for other activities, it tends to restore the calcium from the bones thus the calcium level in the blood drops too low. As a result the bones become porous with a spongy appearance.
This condition is known as osteoporosis.
Coffee, tea and other beverages & drugs containing caffeine speed up the excretion of calcium & other minerals. In case of obese people, the tendency to consume caffeine in all forms other than coffee, tea (analgesics, soft drinks etc) plays a major role for this condition besides lack of exercise & manual labour. As one grows old, it is a wise thing to avoid these unnecessary evils.
Stroke: -
An obese persons also risks stokes when he happens to fall, especially if he has crossed the age of forty. During a fall the blood supply to
the brain is deprived after the initial rush of the blood. The sudden rushing and draining our of the blood damage the arteries supplying blood to the tissues & cells of the brain this in turn, causes rupture & seepage of blood, resulting in cerebral hemorrhage. The function of the nerves gets obstructed. This results in paralysis of the limbs, at such times even the pressure of the blood pumped by the heart suddenly rises. The impact of the raised blood pressure some times results in heart attacks too.
Piles: -
People who are overweight suffer from one more irksome problem piles. Constipation is a favorable condition to cause piles among over weight persons. This is more so with those cause piles among overweight persons. This is more so with those overweight persons who use the western type of toilets instead of squatting position. Sitting for long periods increases piles.
Prevention of Disease
Primary and Secondary Prevention

The objective of primary prevention is to stop disease before it starts, often by reducing or eliminating risk factors. Primary prevention may include immunoprophylaxis (vaccinations), chemoprophylaxis, and behavioral change (eg, via counseling). In secondary prevention, disease is detected and treated at an early stage, before symptoms or functional losses occur, thereby minimizing morbidity and mortality.
Screening can be a primary or secondary preventive measure; it can be used to detect risk factors, which may be altered to prevent disease, or to detect disease in asymptomatic people, who can then be treated early.
Tertiary Prevention
In tertiary prevention, an existing symptomatic, usually chronic disease is appropriately managed to prevent further functional loss. Disease management is enhanced by using disease-specific practice guidelines and protocols.

Chronic obstructive pulmonary disease (COPD):
Smoking cessation, appropriate use of inhalers and other drugs, and patient education regarding energy-conserving behavioral techniques can decrease the number and severity of exacerbation’s of COPD leading to hospitalization.

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