{"id":54376,"date":"2020-12-14T16:05:21","date_gmt":"2020-12-14T16:05:21","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=54376"},"modified":"2023-06-28T14:30:14","modified_gmt":"2023-06-28T14:30:14","slug":"obesity-is-a-disease-by-itself-affecting-the-heart-video-presentation-by-dr-harold-gunatillake","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/obesity-is-a-disease-by-itself-affecting-the-heart-video-presentation-by-dr-harold-gunatillake\/","title":{"rendered":"Obesity is a disease by itself affecting the heart- video presentation-By Dr Harold Gunatillake"},"content":{"rendered":"

Obesity is a disease by itself affecting the heart- video presentation-By Dr Harold Gunatillake<\/span><\/h1>\n

\"Harold-Gunethilake\"<\/p>\n

 <\/p>\n

 <\/p>\n

Is it a risk factor for heart disease?<\/span>
\nTranscript:<\/span>
\nYes, that is our discussion today.<\/span>
\nPrevalence of obesity world-wide is becoming an uncontrollable disease and has increased <\/span>over the last few decades reaching epidemic proportions.<\/span>
\nThere is one exceptional country, the French seem to walk everywhere, and their healthy <\/span>lifestyle makes them to stay fit.<\/span>
\nObesity is defined simply having an excess fat mass in your body<\/span>
\nThe World Health Organization WHO defines obesity as an excess fat mass that negatively <\/span>affects health.<\/span>
\nObesity is measured in body mass index (BMI), which is a person\u2019s weight in kilograms <\/span>divided by the square of his or her height in meters.<\/span>
\nA person with a BMI of 30 or more is considered obese.<\/span>
\nA person with a BMI equal to or more than 25 is considered overweight.<\/span>
\nIn the US. 93 million Americans are affected by obesity. In Sri Lanka there have been an <\/span>escalation of obesity rates attributed to change in lifestyle, characterized by consumption of <\/span>energy-dense unhealthy food prevalent in the urban areas.<\/span><\/p>\n

Obesity is emerging as the major diet associated health problem in Sri Lanka. The <\/span>prevalence of overweight, obesity and central obesity among Sri Lankan adults were 25.2%, <\/span>9.2% and 26.2%, respectively in 2005\u20132006, as defined by Asian Body Mass Index (BMI) <\/span>cutoffs, and there is a clear upward trend <\/span>People who are overweight eat a calorie surplus- diet for a long time <\/span>They have a moderate to high muscle mass, and High fat mass:<\/span>
\nLean body mass (LBM) is a part of body composition that is defined as the difference <\/span>between the total body weight and body fat weight.<\/span>
\nTreating obesity is important to reduce both metabolic and cardiovascular disease. This <\/span>involves education on nutrition, physical activities, lifestyle changes and medication.<\/span>
\nYou only must visit Colombo, the capital city to see how the rich and the poor equally <\/span>indulge in street foods available almost on every street corner, including recreational Galle <\/span>Face Green. These foods are high carbs, fried, with added salt and oils., pleasing to your <\/span>taste buds, and addictive, too.<\/span>
\nWhen you heat fats or oils to high temperatures, as with deep-frying, they can become <\/span>oxidized, creating free radicals. This effect is amplified when cooking fats are reused, as they <\/span>may be in restaurants and street food outlets.<\/span>
\nSuch free radicals can harm your body. They directly impair cell membranes and damage <\/span>your DNA, resulting in the mutations that can lead to cancer.<\/span>
\nIt is also observed that low calcium intake and low vitamin D status among Sri Lankans are <\/span>also associated with obesity. It is also observed that the obesity rates were highest in the <\/span>most educated groups in Sri Lanka against the rural people.<\/span>
\nIn your youth obesity problem is not accompanied with any chronic diseases in most <\/span>developed countries, though the incidence of obesity is becoming a problem with school <\/span>going kids. but among adult\u2019s obesity seems to be associated with type 2 diabetes, heart <\/span>disease, high cholesterol, high blood pressure, sleep apnea, cancer, and depression, among <\/span>many others.<\/span>
\nThere are seven factors: smoking, unhealthy eating, lack of physical activity, high blood <\/span>pressure, high cholesterol, and high glucose blood levels, that go in hand with the obesity <\/span>problem.<\/span>
\nObesity is a risk factor for cardiovascular health.<\/span>
\nToday it is not considered as a physiological weight gain to over-eating, but it is considered <\/span>as a disease by itself.<\/span>
\nThe American Medical Association has officially recognized obesity as a chronic disease.<\/span>
\nIt is a complex disease involving an excessive amount of body fat stored in fat cells. It is a <\/span>medical problem that increases your risk of other diseases and health problems such as <\/span>heart disease, diabetes, asthma, high blood pressure, stroke, cancer, sleep apnea, <\/span>osteoarthritis, liver disease and gall bladder disease, among others.<\/span>
\nAs obesity is linked with diabetes and high blood pressure, the risk of chronic kidney disease <\/span>is high. Recent studies have revealed that even in the absence of these risks, obesity itself <\/span>may promote chronic kidney disease.<\/span>
\nObese individuals require more blood to supply oxygen and nutrients to their bodies which <\/span>leads to increase in high blood pressure, which is also a risk factor for heart disease.<\/span>
\nYour body will also require more pressure to move this blood round <\/span>This explains why you get high blood pressure with obesity. <\/span>High blood pressure is also a common cause of heart disease, which are sadly more<\/span>
\ncommon among obese people.<\/span>
\nThat explains why obese people are more prone to heart disease.<\/span>
\nCholesterol and triglyceride levels seem to be high among obese people and is one of the <\/span>main causes of heart disease.<\/span>
\nSo, obesity is among the leading causes of elevated cardiovascular disease mortality and<\/span>
\nmorbidity. <\/span>Fat cells produce harmful cytokines<\/span>
\nThe mechanisms through which obesity increases CVD risk through cytokines produced by <\/span>the adipose tissue which can induce cardiac dysfunction and can promote the formation of<\/span>
\natheromatous plaques. <\/span>When early obesity and chronic heart disease or heart failure co-exist, the prognosis is much <\/span>better compared to individuals who are normal or underweight who gets heart disease<\/span>
\nThis phenomenon is called the \u201cObesity paradox\u201d <\/span>Obesity is defined as excess of fat mass in your body. Individuals with fat mass also has an <\/span>increased lean mass. Lean body mass (LBM) is a part of body composition that is defined as <\/span>the difference between the total body weight and body fat weight.<\/span>
\nIncreased lean mass may explain part of the obesity paradox as it is associated with<\/span>
\nimproved cardiorespiratory fitness. <\/span>As mentioned earlier obesity is associated with an increased risk of developing <\/span>cardiovascular disease, particularly heart failure and coronary heart disease.<\/span>
\nA 10 kg higher body weight is associated with a 3.0mm Hg higher systolic and 2.3 mm higher <\/span>diastolic blood pressure. This also increases an estimated 12% increase in coronary heart <\/span>disease and 25% increased risk for stroke.<\/span>
\nBottomline:<\/span>
\nWe have discussed what risk factors come from being obese. We said it is a disease by itself. <\/span>Daily vigorous exercise, aerobic exercises, physical drill, swimming with a controlled <\/span>vegetable-based diet will help you to reduce your body weight. <\/span>Start today, you will not go wrong.<\/span>
\nThank you for watching this video and listening to my talk.<\/span>
\nTake care and Goodbye for now.<\/span><\/p>\n

 <\/p>\n

Disclaimer:<\/em><\/span><\/p>\n

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Obesity is a disease by itself affecting the heart- video presentation-By Dr Harold Gunatillake     Is it a risk factor for heart disease? Transcript: Yes, that is our discussion today. Prevalence of obesity world-wide is becoming an uncontrollable disease and has increased over the last few decades reaching epidemic proportions. There is one exceptional […]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[31391,872,31390],"class_list":{"0":"post-54376","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-asian-body-mass-index","10":"tag-dr-harold-gunatillake","11":"tag-the-world-health-organization","12":"post_format-post-format-aside"},"yoast_head":"\nObesity is a disease by itself affecting the heart- video presentation-By Dr Harold Gunatillake<\/title>\n<meta name=\"description\" content=\"Is it a risk factor for heart disease?Transcript:Yes, that is our discussion today.Prevalence of obesity world-wide is becoming.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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