Obesity is rapidly becoming an epidemic among Indian women, and it is particularly clear in urban areas, where lifestyle changes, high stressed environment and sitting-working routines are promoting worrying trends. Supported by the Indian Society of Assisted Reproduction, in a recently published paper published in the Indian Journal of Obstructions and Gynecology ResearchSouth Asian women have highlighted excessive prevalence of obesity.
About 50% of Indian women between 35 and 49 years of age are now suffering from overweight or obesity. This is highlighting the growing public health concern over their breeding years. It has also been observed that the rate of sensitivity to health risks related to obesity in women aged 18-30 is higher than that of men of the same age, which highlights the issue of a generational crisis
What do figures say?
According to NFHS-5 data 33.5% urban women and 19.7% rural women in India suffer from obesity and lifestyle changes, stress and passive habits are responsible for this increase. The report highlights the relationship between poor food habits, lack of physical activities, and increasing rates of metabolic disorders such as PCOS and gestational diabetes, and it has been found that 23.1% of obese women develop pregnant diabetes during pregnancy, which threatens both mother and child, and children are more likely to face newborn ICUs and children are more likely to face newborn ICUs. Is. The risk of abortion also increases in women with more than 30 kg/m2 BMI.
expert opinion
Dr. Nandita Palashetkar, Medical Director of Bloom IVF Lilavati Hospital and former Chairman of FOGSI Said, “Overcoming obesity during breeding years is about improving fertility and avoiding lifelong complications. By curing obesity quickly, ideally before pregnancy, we can make significant improvements in reproductive results and reduce the risk during pregnancy. Our goal is to help women to change small, durable lifestyle which will help in protecting mother, fetus and child in a long time.”
Obesity problem
Dr. Piya Ballani Thakkar, an advisor endocrinologist and expert in diabetes and metabolic disorders “Obesity needs to be addressed in different ways in every stage of a woman. Lifestyle changes are the most important for obese women who want to get pregnant and should stop taking anti-obesity drugs before getting pregnant.”
Weight gain should be monitored during pregnancy and personally preparation should be done according to BMI categories. In addition, postpartum weight management should include structured programs that aim to lose weight 0.5 kg/week. Breastfeeding should be encouraged and anti-obesity drugs should be considered only after stopping breastfeeding. “It is important for women to assess muscles, bone health and examine metabolic disorders before starting a weight management diet, for women, after starting a weight management diet.”
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What to do?
The encouraging thing is that such a first phase algorithm has been prepared for OBG, so that they can forecast obesity to Indian women and treat it. The paper also states that along with a simple reduction of 5-10% in body weight, light exercise and high fiber per day can be improved in the overall quality of life, by supporting drugs, by drugs, and by bariatric surgery in selected matters, in selected matters.
Reference:
- Palashetkar N. IJOGR, 28 August 2024, section 11, Issue 3, page 330 – 344
- Chaudhary, Monica et al. Lancet Regional Health – Southeast Asia, section 14, 100208
- Shapeera N. E.M.P.A.J. 2013 January 12; 4 (1): 1
- Broton DE, Mole K.H. Fertil steril. 2017 April; 107 (4): 840-847
- NFHS 5
