Obesity Indicators and Health-related Quality of Life – Insights from a Cohort of Morbidly Obese, Middle-aged South Indian Women

Ramasamy, Shobana; Joseph, Mary; SA, Jiwanmall; Kattula, Dheeraj; Nandyal, Munaf Babajan; Abraham,; Samarasam, Inian; Paravathareddy, Sandhiya; Tv, Paul; Rajaratnam, Shantha M W; Nicolaï, Thomas; Kapoor, Nitin

doi:10.17925/ee.2020.16.2.148

Cited by 13 publications

(12 citation statements)

References 28 publications

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“…In addition to hormone dependent malignancies, gender differences with respect to other obesity related comorbidities including type 2 diabetes mellitus, nonalcoholic fatty liver disease, obesity hypoventilation syndrome, pulmonary functions, psychological disorders and health related quality of life also affect women more often than men (QoL). [ 24 25 26 27 28 29 ]…”

Section: E Tiopathogenesis and P Resentationmentioning

confidence: 99%

Gender disparities in people living with obesity - An unchartered territory

2021

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Gender is an important risk factor for the development of obesity. Female gender is associated with twice the risk of being overweight or having obesity. Women are also at higher risk for developing obesity-related physical and psychological comorbidities and have a twofold higher mortality risk than overweight men. Several risk factors have been described to explain the gender bias associated with an obese phenotype and these disparities have far-reaching implications on the medical, psychosocial, and the economical impact of an individual. Despite extensive awareness about gender differences related to obesity, this is still considered as an unchartered territory in obesity medicine. This is probably because of the complex multiple dimensions involved with the understanding of subject coupled with the lack of composite outcomes measures that could assist in the study of these factors. In this scoping review, we share the existing literature regarding the magnitude of gender disparities and gender discrimination in people living with obesity. We describe key factors leading to this gender bias and the impact of this discrimination on the psychological, social, and metabolic health of a given individual with obesity. We also discuss the possible implications of gender disparities on treatment of obesity which may help reduce the current mortality gap between overweight women and men.

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Section: E Tiopathogenesis and P Resentationmentioning

confidence: 99%

Gender disparities in people living with obesity - An unchartered territory

2021

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“…The health-related quality of life in severe obesity is worse in comparison to non-obese counterparts[ 264 ]. The psychiatric comorbidities in these patients are also high[ 265 ].…”

Section: Psychological Assessmentmentioning

confidence: 99%

Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

Bhattacharya¹,

Kalra²,

Kapoor³

et al. 2021

WJD

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Diabetes mellitus (DM) and obesity are interrelated in a complex manner, and their coexistence predisposes patients to a plethora of medical problems. Metabolic surgery has evolved as a promising therapeutic option for both conditions. It is recommended that patients, particularly those of Asian origin, maintain a lower body mass index threshold in the presence of uncontrolled DM. However, several comorbidities often accompany these chronic diseases and need to be addressed for successful surgical outcome. Laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) are the most commonly used bariatric procedures worldwide. The bariatric benefits of RYGB and LSG are similar, but emerging evidence indicates that RYGB is more effective than LSG in improving glycemic control and induces higher rates of long-term DM remission. Several scoring systems have been formulated that are utilized to predict the chances of remission. A glycemic target of glycated hemoglobin < 7% is a reasonable goal before surgery. Cardiovascular, pulmonary, gastrointestinal, hepatic, renal, endocrine, nutritional, and psychological optimization of surgical candidates improves perioperative and long-term outcomes. Various guidelines for preoperative care of individuals with obesity have been formulated, but very few specifically focus on the concerns arising from the presence of concomitant DM. It is hoped that this statement will lead to the standardization of presurgical management of individuals with DM undergoing metabolic surgery.

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“…The emotional, social, or biophysical (such as limitation of exercise capacity, or in locomotion) challenges faced by the patient allow the obesity care provider to craft a meaningful plan of management for him or her. [ 12 ]…”

Section: B Arophenotypic P Ersonalitymentioning

confidence: 99%

Barophenotypic characterization – the key to person centric management of obesity

Kapoor¹,

Kalra²,

Das³

et al. 2021

Indian J Endocr Metab

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Obesity is now recognized as a chronic disease by many international medical societies. However, its comprehensive assessment is still a challenge in most clinical settings. This paper describes a novel practical approach to assess the barophenotype of a given individual. The word barophenotype is a portmanteau of “baro,” which means weight, and phenotype, which reflects an external expression of a trait. This can be easily assessed using an ABCDE framework, encompassing the Adipose topography, Barophenotypic Behavior, Comorbidity assessment, Dysfunctionality, and Expectations. Furthermore, the utility of this framework in determining an appropriate person-centric therapeutic plan has also been described.

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Obesity Indicators and Health-related Quality of Life – Insights from a Cohort of Morbidly Obese, Middle-aged South Indian Women

Cited by 13 publications

References 28 publications

Gender disparities in people living with obesity - An unchartered territory

Gender disparities in people living with obesity - An unchartered territory

Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

Barophenotypic characterization – the key to person centric management of obesity

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