What is obesitology, what does an obesitologist do?
Obesity is a complex, multidisciplinary discipline that aims to assess the metabolic status of overweight, obese people, identify the causal factors that cause obesity, and use them to determine the individualized therapy to correct the overweight.
Obesity can be determined from the body mass index (BMI) calculated from body height and body weight. Those with a value between 25 and 30 kg / m 2 are considered overweight, while those with a value above 30 kg / m 2 are considered obese.
Why is it important to visit a private obesity clinic?
Unfortunately, obesity is now a popular disease, especially in Western-type societies, including Hungary. An even bigger problem is that many children are also affected by being overweight or obese. It is important to know that this is not just an aesthetic problem, but being overweight can be the cause of many diseases. It is no coincidence that Hungary is at the forefront of the world every year in terms of cancer or death from cardiovascular disease.
Obesity can cause the following problems, among others:
- substances present in adipose tissue impair the effect of insulin and increase the risk of developing diabetes,
- blood pressure or heart rate increase, the heart will be more stressed,
- abdominal obesity in particular increases the risk of heart attack and stroke,
- reduces the ability to fight infections,
- increases the risk of developing sleep apnea and asthmatic lung disease,
- it puts a strain on the load-bearing joints (eg knees, hips), which can lead to joint wear and other musculoskeletal disorders.
To prevent the above, it is definitely recommended to visit an obesity clinic if someone is overweight or obese. Obesity is mostly the result of poor nutrition and a sedentary lifestyle, but in 10-15% of cases there are other causes, e.g. diseases, side effects, genetic, hormonal causes. In such cases, visiting an obesity clinic is even more important.
When is it recommended to visit an obesity clinic?
It is recommended to visit a private obesity clinic in the following cases:
- if your BMI exceeds 25,
- if you have suddenly gained weight with an unknown background
- if you want to diagnose or treat the fact of being overweight,
- if you are wondering about the cause of being overweight,
- if previous weight loss has not been successful or if you have lost weight after weight loss,
- if the treatment of obesity-related complications and comorbidities becomes necessary,
- if more than one family is already overweight,
- if maintaining health, a planned diet is important to you.
What happens at the first obesity clinic?
During the first appointment, the specialist is questioned in detail by the specialist, followed by physical examinations to determine the fact of overweight and obesity, to find out the possible causes.
During the interview, the attending physician discusses when the weight gain can be observed, what the patient's eating and movement habits are, and what kind of work he or she is doing. It is important to know about past and / or current illnesses, surgeries, taking medications and vitamins, and whether you have a history of obesity or other illnesses in your family.
Physical examination includes measurement of height, body weight, and abdominal circumference. They determine the ratio of body fat, measure blood pressure, heart rate and oxygen saturation. The doctor listens to the heart and lungs, feeling the internal organs through the patient's abdomen.
What further research might be considered in the future?
After questioning the patient and physical examination, laboratory tests may be required to include insulin resistance, uric acid, lipid profile, liver and kidney function, urine, TSH, cortisol, but blood glucose testing may also be required.
Cardiological and orthopedic examinations may be warranted to map subsequent exercise.
Ordering tests to diagnose comorbidities is also very important.
After completing the tests, the degree of obesity is revealed and the target value for the body weight to be achieved is determined.
What are the treatment options for weight loss?
If the cause of obesity is poor nutrition and a sedentary lifestyle, a long-term solution requires a lifestyle change that requires a change in diet and regular exercise. The caloric content and composition of the food to be consumed must be determined, and the carbohydrate content of diabetics also requires increased attention. Calculating your daily caloric intake is of paramount importance. Various mobile applications can be a great help in this today. In addition to diabetes, other comorbidities should be considered in the design of the diet.
Medication may be required if the BMI remains between 27 and 30, despite other lifelong changes, and is associated with other conditions. Medication is decided by your doctor.
Surgery may be required for extreme obesity, such as gastric bypass surgery or the insertion of a gastric balloon.
Co-morbidities should be treated in addition to overweight.
It is clear from the above that this is a rather complex problem that requires the cooperation of many disciplines (internal medicine, gastroenterology, cardiology, dietetics, rheumatology, psychology), whether it is the diagnosis or treatment of overweight or comorbidities. Our specialists in these fields are at your disposal at our clinic, so that all problems can be treated effectively in one place.
Are follow-up tests required?
Control tests are of paramount importance in the treatment of obesity, as they can be used to ascertain whether a lifestyle change is progressing, whether there have been any complaints since the start of diet or medication.
Control tests also play an important role psychologically to provide ongoing motivation and appropriate psychological support.