Obesity and its paradox discussion in various case studies

Obesity and its paradox discussion in various case studies

Obesity and its paradox discussion in various case studies

Over the past ten years, numerous research has suggested that adults over 50 who are slightly overweight have lower death rates. This seems illogical to the majority of us in the healthcare community and the general public.

Let’s look at some of the proof. Numerous studies, primarily meta-analyses, have suggested an unfavorable relationship between body weight and health. Overweight people with a BMI between 25 and 30 showed a 13% reduction in all causes of death and a 12% reduction in cardiovascular death in 40 cohort studies with just over 250,000 participants. Normal-weight people (BMI 20 to 25) and Grade 1 obese people both had the same death rates (BMI 30 to 35). However, after the BMI exceeded 35 in this trial, the chance of death increased by 88%.

When compared to those of normal weight and those with Grade 1 obesity, deaths among overweight adults were 6% lower, according to a very large meta-analysis of 2.9 million participants from 97 trials.

The advantages are much more obvious in hypertension individuals, who have a 23% decrease in death, heart attack, and stroke compared to overweight patients, and a remarkable 32% reduction in Grade 1 obesity and a 24% reduction in higher grades of obesity.

An additional Indian study that followed patients for seven years found that individuals with a BMI between 27.5 and 30 had a 41% lower death rate.

The majority of people who want to reduce weight are utterly unsuccessful, despite the fact that doctors constantly advise their patients to do so. Although I firmly believe that it is crucial for us to maintain healthy weights, it appears that a healthy weight before the age of 50 and over the age of 50 differs significantly.

It is much harder to keep the fat down once your hormones start acting up, whether you’re a man or a woman, as anyone over the age of 50 reading this post will fully understand. This is especially true for your belly fat. The statistics may have been distorted by the earlier deaths of obese patients with significant abdominal obesity and visceral fat as opposed to those with less dangerous lower body obesity. Interestingly, the average rise in visceral fat is 52% in the age range 35 to 45, compared to 7% for those between 55 and 65 and 11% for those above 65.

Do any of these arguments adequately explain this “obesity paradox”? What we refer to as reverse causality is the first and most obvious answer. It is a known truth that sicker individuals typically lose more weight than those with milder illnesses. Thus, weight reduction that results from a more serious condition rather than obesity is what is safeguarding people. Second, persons with existing illnesses including type II diabetes, cancer, osteoporosis, and cardiovascular disease who are underweight typically have a larger hereditary vulnerability to the condition. Could it be that a sickness that is more genetically based impacts the body more severely than a condition that is related to a particular lifestyle

Another explanation is that although smokers typically have more serious ailments, they also tend to be thinner than non-smokers.

This is a chronic inflammatory state that is connected to protein energy loss in the specific situation of chronic kidney disease. In this situation, there is a paradoxical link between established risk factors and cardiovascular illness, and weight reduction may be a sign of a more serious condition.

Additionally, waist size is a better indicator of abdominal fat than BMI, and it’s possible that people with higher BMIs have more muscle mass, which is perceived as being protective. There is also the possibility of being overweight but fit, which may result in enhanced cardiovascular and muscular strength.

I firmly believe that everyone should make an effort to maintain a healthy weight, but after the age of 50, you should strive for a BMI between 25 and 30, with a waist circumference of 90 to 95 for men and 75 to 80 for women. I recommend to all of my patients over the age of 50 to concentrate more on healthy eating, which is essential to eat less and more organically, and to maintain 3 to 5 hours of challenging activity each week, with two-thirds cardio and a third resistance training. Rather than worrying constantly about your weight, do this instead.




Weight loss surgery, often known as bariatric surgery, has the potential to transform a person’s life. There are frequently several indicators that someone might benefit from bariatric surgery.

Certified bariatric surgeon Dr. Siva Sankar Nunna practices at the Advanced Bariatric Clinic in Hyderabad. He takes great pride in using weight loss surgery to assist individuals to live better lifestyles. Dr. Siva Sankar Nunna explains five red flags that indicate your body and health are prepared for bariatric surgery in this article.


Patients with obesity may benefit from having bariatric surgery. Bariatric surgery comes in a variety of forms, such as gastric bypass, lap band, and gastric sleeve. You should discuss your surgical choices with your surgeon if you are a candidate for bariatric surgery. For indications that you might be a candidate for bariatric surgery, keep reading.


Most people believe that a person’s body mass index (BMI) is an accurate predictor of how obese they are. Using a person’s height and weight, the BMI is computed. Obesity is classified as a weight status with a BMI of 30 or higher. If a person has a BMI of 40 or higher, they may be extremely obese. A person may be ready for bariatric surgery if their BMI is one of several cautionary signals.


If a patient has a serious medical condition in addition to a reduced BMI, they may also be a candidate for bariatric surgery. Have you reached a BMI of 30 or more? Do you have type 2 diabetes, sleep problems, high blood pressure, or any other recurring medical issues? If the answer to both questions was “yes,” you might be ready for bariatric surgery if that is the case.

3. Other weight loss strategies haven't worked.

Conventional weight loss procedures don’t work for everyone. You might be a candidate for bariatric surgery if you have a history of trying to lose weight unsuccessfully through dietary modifications or prescription drugs.


Bariatric surgery is not a miracle cure for obesity. Patients still need to make substantial lifestyle adjustments. You could be ready for bariatric surgery if you are exhibiting any of the above red flags and are willing to make significant lifestyle adjustments.

5. You have discussed bariatric surgery with your doctors.

You should consult with other doctors as well before having bariatric surgery in addition to your surgeon. Additionally, if you are being treated by any other medical professionals, you should speak with them. Perhaps you should consult a dietitian and a mental health expert as well.

Read more : The Benefits of Bariatric Surgery: How it can Improve Your Health and Quality of Life

Speak with Dr. Siva Sankar Nunna about Bariatric surgery.

If you recognize any of the above red flags, bariatric surgery might be beneficial for you. Call 7674827032 to speak with Dr. Siva Sankar Nunna at about weight reduction surgery and how it might improve your body and health.

Best PCOS Nutrition & Weight Loss Guidelines

Best PCOS Nutrition & Weight Loss Guidelines

Best PCOS Nutrition & Weight Loss Guidelines

PCOS is a hormonal imbalance in women that causes irregular menstruation, problems with fertility, and ovarian cysts. One in ten women globally are impacted. It is a complicated disorder in which the ovaries create too much testosterone and other androgens (male hormones).

Normally, these hormones are only found in low amounts in females, but their levels are alarmingly high in PCOSPCOS, their levels are alarmingly high.

One of the perplexing aspects of PCOS is that weight gain can both cause and be caused by it. The ideal diet for PCOS weight loss must also be found if the condition is to be managed.

PCOS Symptoms

The following are typical signs of this condition: irregular periods; lack of ovulation; obesity/weight gain; acne; hirsutism; and loss of hair on the scalp.

1. Low GI foods, like oatmeal and whole grains, are low and slow carbs.

The ideal diet for PCOS weight loss focuses and aids in the reduction of inflammation.

(The body’defensece mechanism, inflammation, flares up when it senses something is wrong.)

On the one hand, inflammation helps your body defend itself against infection and injury, but it may also be harmful. An ongoing or chronic state of inflammation can result in weight gain and disease.

2. Omega 3 Fatty Acids

Omega 3 fatty acids are necessary for developing and maintaining a healthy body; since the body cannot produce them, we must get them from the foods we eat.

Omega-3 fatty acids are a superfood and a blessing for PCOS-afflicted women since they increase fertility, manage hirsutism or excessive facial hair growth, balance insulin sensitivity, and regulate hormones.

Omega-3 fatty acids are a crucial component of the ideal diet for PCOS weight loss.

Walnuts, flax seeds, chia seeds, and avocados are a few examples of plant sources where you can find them. If you’re not a vegetarian, you can take supplements or choose fatty seafood like mackerel, sardines, and salmon.

Read more : Why Advance Bariatric Clinic is the Best Choice for Weight Loss in Hyderabad

3. Vitamin B

Vitamin B is a crucial nutrient that aids in the body’s detoxification process. The liver processes and metabolizes hormones, toxins, and other substances. Vitamin B aids the liver in doing this task.

4. Zinc

If you want to design the optimal diet for PCOS weight loss for yourself, zinc is a necessity. help control fertility and the menstrual cycle.

It aids in treating PCOS symptoms like acne, weight gain, and irregular ovulation.

Additionally, it lessens the side effects of excess testosterone, such as hirsutism and hair loss.

You can take zinc nitrate, zinc gluconate, zinc sulfate, zinc citrate, or zinc monomethine as a supplement if your zinc levels are low. (Avoid zinc oxide and zinc picolinate, which the body does not absorb efficiently.)

Bajra, amaranth or rajgira, pumpkin seeds, sunflower seeds, cashews, almonds, and whole grains are some of the best natural sources of zinc.

5. Dairy

The optimal diet for PCOS weight loss may be dairy-free.

The explanation is that the hormones in milk, especially if you drink low-fat, skimmed, or toned milk, tend to raise insulin and androgen levels. Reduce your intake of dairy totally if you have high levels of endogens and testosterone.

If you must consume dairy because of where you live, choose A2 cow milk instead of bottled milk.

6. Coffee

Our lives now revolve mostly around caffeine. It provides us a boost, awakens us, and improves our focus (or so we feel). However, consuming too much coffee, particularly while you’re under stress, can exacerbate your PCOS symptoms.

Choose from chamomile tea, green tea, or matcha.

You can even use them to manage anxiety and stabilize sleep patterns, but no more than two cups each day. The optimal diet for PCOS weight loss typically contains little to no caffeine.

7. Fat There are two types of fat: good fats and bad fats.

The healthiest types of fat are monounsaturated and polyunsaturated, while trans and saturated fats should be avoided. While unhealthy fats increase your bad cholesterol levels, healthy fats lower your levels of “bad” (LDL) cholesterol and increase your levels of “good” (HDL) cholesterol. Unhealthy fats may exacerbate PCOS.

With our PCOS diet plans, you can find a long-term solution if you’re trying to reverse your PCOS and lose the weight you’ve put on as a result.

Our PCOS and PCOD management program aids in the reversal of the illness through dietary and lifestyle changes.

By recommending a diet that will increase the effectiveness of your existing medicine in addition to helping you lose weight, we get to the bottom of the issue and assist in balancing your endocrine system.

We make an attempt to research your main PCOS issues, and the foods that cause them and come up with a treatment plan.

For the best PCOS weight reduction diet, contact us.