Weight loss doesn’t come easy. Those late-night binge sessions, those unaccounted for cheese burst pizzas, the occasional noodle nights (unless it’s shitaki or buckwheat), those days you consider your cheat day although it ideally is your workout day, does show eventually. However, if you watch your food, fitness routine, sleep cycle, stress, diet, and other activities, you might beat the extra pounds to the curb.

The secret to maintaining an ideal weight is to not skip meals and timing your meals. Consuming decent morsels of protein-rich food every two hours ensures you are satiated and do not delay eating your next meal or overeat a big meal (like a dinner or lunch).

First, to acclimatise your body to a new diet plan, you must gradually introduce it in your plan. Start with breakfast, then lunch, then high tea and then supper. This way, your body will not react to a sudden shift in the diet which is likely to cause discomforts like headaches, indigestion and even constipation in some cases. “A holistic approach is the most important factor for weight loss and I put clients in a new clean eating diet plan. To begin with, acclimatisation is more of a mental approach as opposed to it being a deprivation feeling.

Along with the new diet plan, I ensure one’s body is releasing more happy hormones right from their gut by getting in a sporting activity, focusing on planning the meals with happy yet smart foods. These are key elements that contribute to acclimatising one’s Mind and body towards adapting an integrative diet plan,” says Payal Kothari, integrative nutritionist and gut health coach.

Let’s have a look at the 7-day diet plan for a gradual weight loss routine:

1. First Day
2. Second Day
3. Third Day
4. Fourth Day
5. Fifth Day
6. Sixth Day
7. Seventh Day
8. FAQs: Answered by Payal Kothari, Nutritionist

First Day

Breakfast:

This meal should be the heaviest of the day and should be well rounded in nutrition.

You can start with combining ¾ cups of bran flakes, one banana and a cup of fat-free milk in a bowl. Alongside, you can also have a fruit bowl including the likes of avocado, oranges, apple to give you the required satiety and nutrition.

Lunch:

To start with, you can opt for mini whole wheat pita sandwich with ½ roasted pepper, one teaspoon mayo, mustard, and lettuce. You can also add the meat of your choice or if you’re a vegetarian, you can opt for tofu. Add some kiwis to the sandwich and eat away!

Dinner:

This meal of the day should be the lightest of all meals. Eat boiled chicken with two tomatoes sprinkled with a cup of boiled couscous and steamed broccoli.

Second Day

Breakfast:

Energise your day with a glass of boost. Blend 3-4 frozen berries, ½ banana and low-fat milk to the quantity you usually consume. Throw in some mint leaves. You can also add two boiled eggs on the side however, this can be optional.

Lunch:

Try a variation of the usual daal by switching it to a cup of vegetable soup including pumpkins, tomato, chicken (optional), and broccoli. To add some ethical cheat plan – you can eat a 100 per cent whole-grain toast burger with veggies of your liking with a cup of concorde grapes.

Dinner:

You can either opt for skinless chicken breast with barbecue sauce or you could have a grilled fish (using cold-pressed olive or canola oil) sautéed with vegetables like beans, tomato and low-fat butter (optional). Add some spinach for a hint of green and minerals to your diet.

Third Day

Nutritionist and founder of Eat Fit Repeat, Ruchi Sharma shares a day’s detailed diet plan:

Early morning:

Add one teaspoon of apple cider vinegar, aloe vera juice to 750 ml water and drink it on empty stomach.

Breakfast:

You can have oats idli, upma, poha or ragi dosa with veggies and sprouts.

Lunch:

A bowl of salad with one multigrain roti, ½ cup boiled brown or white rice, vegetables of your liking, ½ cup of daal and yoghurt or buttermilk.

High tea snack:

Keep this light and avoid fried food snacking. A handful of mixed almonds, walnuts and trail mix of seeds (flax, chia) would suffice.

Dinner:

Keep it light with sautéed exotic vegetables using unrefined cooking oils or just a simple Indian style sabzi, soup and moong dal or besan cheela.

P.S:

For all those caffeine fanatics, no more than two small cups of tea or coffee anytime throughout the day is admissible.

Fourth Day

Breakfast:

If you’re not in the mood to whip up high-profile gluten-free breakfast, you can simply microwave a bowl of oats that cook faster, with low-fat milk and stevia or honey (if you want it sweet), and a dash of cinnamon.

Lunch:

Mix in all vegetables you love (don’t forget the greens) and add some chicken to add flavour. Throw in some slivered almonds, a tablespoon of low-fat mayonnaise, and two tablespoons of Greek yoghurt (unsweetened). Mix well. If you don’t feel satiated yet, you can consume either a whole apple or banana.

Dinner:

For all shrimp lovers, you can try this one and give the chicken a little rest. Mix three ounces of shrimp with one baked potato, a tablespoon of Greek yoghurt (unsweetened), and roughly 3-4 cups of steamed spinach. Voila!

While you are busy following a strict diet plan for seven days, here’s a thought on whether following short-term stringent diets are conducive to your physical and mental health. “In the first few days of any extreme diet, a person can experience a substantial loss of water weight which will come back to haunt you sooner than you think. Steady weight loss is more likely to last over dramatic weight changes. If you lose weight too quickly, you will lose muscle, bone and water, and are more likely to gain it back in half the amount of time,” advises Sharma.

“A successful weight loss and keeping it off is accomplished by making positive lifestyle changes. If you want to maintain a healthy weight, lose fat, and build muscle, make realistic lifestyle changes by eating smarter and moving more. This combination will produce lifelong results without feeling like you are dieting all the time. For the most part, the results we’re looking for will rarely come quickly. But they won’t take that long, either for you treats it as a sustainable lifestyle change.”

Fifth Day

Breakfast:

Keep it simple and English. Top a toasted English muffin with ½ sliced apple, and reduced-fat cheese. Microwave it for half a minute. Add it to your regular stock of unsweetened Greek yoghurt and enjoy.

Lunch:

Consume a cup of mixed vegetable salad, a bowl of lentil curry, and one cup of methi rice. If you wish, you could eat a whole apple for satiety but no more than that.

Dinner:

Have your favourite paneer or mushrooms with a bowl of sautéed mixed vegetables preferably (always) containing greens, one roti, and two tablespoons of chutney. You can also treat yourself with a glass of buttermilk.

Sixth Day

Breakfast:

Give yourself a bit of a break (but not so much) because make this your waffle day! Choose 100 per cent whole-grain flour to whip up your favourite waffle. Instead of going with maple or chocolate syrup, you can spread a teaspoon of no-sugar almond or peanut butter as per your preferences.

Lunch:

If you are missing your Chinese just too much. You can make yourself some yummy soba noodles. Simple yet zippy, you’re not going to regret this. Opt for buckwheat soba noodles (preparation same like pasta), add some cilantro or Thai basil, if available; some baked tofu or tempeh, one sliced cucumber, blanched broccoli and stir in some sautéed mushrooms. You’ve made yourself a yummy lunch!

Dinner:

Make a simple under-30 minute salmon chowder using onion, garlic, and fennel. Sautee all the vegetables and boil the potatoes. Add in salmon and low-fat coconut milk and heat until the broth thickens.

Seventh Day

Breakfast:

Have a bowl of light, simple oats milk (skimmed) porridge and some mixed nuts to go along with it.

Lunch:

Add some paneer made out of skimmed milk, a bowl of mixed vegetable salad, roti and carrot – green pea vegetable. If you wish, you can also consume a small bowl of cut fruits of your choice.

Dinner:

Say hello to your seafood shrimp today! Four ounces of shrimp, a cup of steamed carrots, one steamed broccoli, half a cup of brown rice, cooked; two tablespoons of teriyaki sauce and a teaspoon of sesame seeds.

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New Delhi [India], December 24 (ANI/Mediawire): An everyday instrument may help steer many couples struggling with infertility in the right direction, rather than any popular advice – the weighing scale! That is correct. Obesity could be the real reason for many couple’s infertility problems. In both men and women, obesity severely damages fertility.
In women, obesity may cause irregular menstrual cycles , PCOS (Poly-Cystic Ovarian Syndrome), or the way a woman’s body stores sex hormones. Any of these three conditions may cause infertility. To make it worse, many women with obesity may be suffering from more than one of these conditions together.
If a woman with obesity tries to conceive without resolving the weight issue, she may expose herself and the baby to three more pregnancy risks caused by obesity: miscarriage , gestational diabetes and gestational blood pressure . That’s not all. The increased risk of birth defects such as congenital heart disease and host of other serious anomalies in the babies are linked to the mother’s obesity.
In men, a review of 14 studies found that 51% of men with obesity are more likely to have either no or very low sperms in their ejaculate .
Is there a dependable and lasting escape from the obesity trap? Yes, and understanding obesity could be the first important step.
DEFINING OBESITY:
Obesity is not defined by your weight alone. It is calculated by a unit called the Body Mass Index (BMI), that measures your weight in relation to your height to determine obesity and its severity.
World Health Organization (WHO) considers a BMI more than 30 as Class 1 obesity. BMI above 35 is Class II i.e., serious obesity, and BMI above 40 is Class III i.e., severe obesity.
Obesity is not a cosmetic condition. It’s a complex, chronic disease that requires medical attention as declared by the American Medical Association (AMA) in 2013, as a result of three decades of research and developments .
HOW TO TREAT OBESITY?
Will dieting work?
The restrictive diets don’t reduce obesity and majority of the people who diet regain the lost weight plus more according to several research findings.
What about exercise?
A review of several studies reported that clinically significant weight loss is unlikely to occur. Exercise programs actually play a role in weight regain after initial weight loss. Overall, aerobic exercise programs consistent with public health recommendations may promote up to modest weight loss (~2 kg).
Then what is the solution?
If you have tried lifestyle modifications, diet, exercise etc., and not losing much weight or unable to keep off the lost weight for long time, consulting a qualified obesity expert might be an option for you. Minimally invasive bariatric weight-loss surgery might be an option if your BMI is above 32.5 with type 2 Diabetes or any other obesity related co-morbidity; or if your BMI is more than 37.5 without any co-morbidity .
A review of 18 studies published in April 2020 reported that bariatric surgery significantly improved hormonal balance and sexual functions in both males and females, sperm count in males, and pregnancy in females.
Another study revealed that 62.72% infertile women with obesity succeeded in conceiving after bariatric surgery.
Now a days due to COVID 19, many Doctors offer online consultations. One could book an appointment at a center of one’s choice, and discuss the obesity issues with the expert doctor from the convenience of one’s home.
Don’t be a victim of obesity or its stigma. Obesity induced infertility can be treated with lasting results. The time to act against it is NOW!
Disclaimer: This article is sponsored by J&J in public interest. The views and opinions expressed in the article by participating doctors are based on their independent professional judgement. J&J (P) Ltd., BCCL and its group publications disclaim any liability for the accuracy or consequences flowing from adherence to their expert views.
This story is provided by Mediawire. ANI will not be responsible in any way for the content of this article. (ANI/Mediawire)

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Living with diabetes is not easy. It is an existence of a lifetime of pills, jabs and dietary restrictions. Yet the disease is ruthless and continues to increase in severity and complications.

New Delhi: Diabetes and obesity are chronic progressive diseases that are on the rise all over the world. India has the dubious distinction of being the diabetes capital of the world with more than 50 million people who suffer from diabetes. There is evidence to suggest a strong association between obesity and development of type 2 diabetes and back in 1970’s the term “diabesity” was coined to address these two twin diseases together. 

In the last 30 years, India has experienced unprecedented economic growth. There has been a surge in the consumption of high-calorie convenience and junk foods as well as an increasing tendency to be sedentary. Today we eat a lot more and exercise a lot less. Additionally, we are genetically prone to have a higher body fat percentage as compared to the western population. Indians typically have greater fat deposition around their bellies (visceral fat) which makes them more prone to developing diabetes even at lower weight and body mass index. 

Both obesity and type 2 diabetes are linked to insulin resistance. Type 2 diabetes results as a combination of less insulin production from the pancreas and increased insulin resistance. Individuals who have more visceral fat (fat around the belly area) tend to be more insulin resistant. With rapidly rising rates of obesity in India, it is predicted that the number of patients suffering from diabetes will rise to 87 million by the end of 2030.  Diabetes further leads to micro and macrovascular complications. Longstanding diabetes leads to side effects on eyes (retinopathy), nerves (neuropathy), kidneys (nephropathy) and leads to increased risk for heart disease eventually. 

Living with diabetes is not easy. It is an existence of a lifetime of pills, jabs and dietary restrictions. Yet the disease is ruthless and continues to increase in severity and complications over a period of years. Weight management is an integral part of the management of type 2 diabetes. Patients who suffer from type 2 diabetes tend to lose weight slower than those who do not have diabetes. Unfortunately, losing weight can be a frustrating exercise and most patients tend to get demotivated after multiple unsuccessful attempts. 

Weight management must be done as per the grade of obesity to be effective. While diet and lifestyle modification are the cornerstones for all weight loss programs, they work best for patients who are over-weight (BMI= 23.5 – 27.5 Kg/m2) or suffer from grade 1 obesity (BMI= 27.5 – 32.5 Kg/m2). For patients who suffer from grade 2 or 3 obesity (BMI ≥ 32.5 Kg/m2) along with type 2 diabetes, bariatric/metabolic surgery is an effective weight-loss option. Bariatric/metabolic surgery not only leads to weight loss but also leads to remission of type 2 diabetes in many patients. The level of improvement in blood sugar control after bariatric/metabolic surgery depends on the duration of diabetes, age of the patient, body mass index, pancreatic function and whether the patient is on insulin. Generally, it is seen that patients with lesser duration of diabetes and good pancreatic function achieve blood sugar control within days or months of surgery. The need for intake of diabetic medications also goes down drastically after bariatric/metabolic surgery. The onset of diabetes-related micro and macrovascular complications is also delayed, thus adding more healthy years to a patient’s life. Bariatric and metabolic surgery were included as a part of the treatment algorithm of type 2 diabetes by the American Diabetes Association (ADA) in 2009.

In conclusion, obesity and type 2 diabetes are closely related. Weight management is an important part of diabetes management. Bariatric/metabolic surgery has emerged as an effective treatment options treatment of type 2 diabetes in patients suffering from grade 2 and 3 obesity.

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Besides having a quick effect on weight, keto diet is equally popular for being a meal plan that includes all things yummy and appetising.

• Keto diet works the best for the ones looking for quick weight loss
• You get a plethora of healthy and tasty dishes in keto diet
• Desi-style keto-friendly paneer roll is sure to please your palate

Ketogenic diet (also called keto diet) in the recent past has gained a fair share of fan base. It is one fad diet that several celebrities swear by. Here, carbohydrate is eliminated from the diet and substituted by good fat to refuel our body with the lost energy. This reduction of carbohydrate puts the body in the metabolic state of ketosis that further helps burning excess fat in our body. In fact, keto diet works the best for the ones looking to shed some extra kilos in a short span of time.

Besides having a quick effect on weight, this diet is equally popular for being a meal plan that includes all things yummy and appetising. It is one such diet where you don’t have to completely give up on delicious food to lose weight. Instead, you get a plethora of healthy and tasty dishes that satisfy the soul to the fullest.

Keeping this in mind, we bring you a desi-style keto-friendly paneer roll that is sure to offer a burst of flavours to your palate. All you have to do is, prepare spicy tawa paneer for the filling and replace the wheat wrap with cabbage leaves. Let’s find out the complete recipe!

Here’s The Recipe Of Desi-Style Keto Paneer Roll:

Ingredients:

Paneer- 1 cup, cubes

Ginger-garlic paste- 1 teaspoon

Jeera powder- 1 teaspoon

Tandoori masala- 1-2 teaspoon (click here for recipe)

Kashmiri red chilli powder- half teaspoon

Butter- 1 tablespoon

Salt- as per taste

Blanched cabbage leaves- 4

Pudina chutney- 2 teaspoon (click here for recipe)

Lemon juice- if needed

Tomato ketchup

Method:

Step 1. Marinate the paneer cubes with ginger garlic paste, jeera powder, tandoori masala, Kashmiri red chilli powder and salt. Keep it aside for 30 minutes.

Step 2. Heat a tawa and add butter to it.

Step 3. Add the marinated paneer and fry then well.

Step 4. Take the blanched cabbage leaves and roast them till the edges of the leaves get slightly burnt.

Step 5. Now, take a leaf, add some paneer cubes, half teaspoon pudina chutney and some tomato sauce on it. Add some lemon juice if needed.

Step 6. Roll the leaves and relish.

What are you waiting for? Add this dish to your keto meal plan and indulge in some yummy food guilt-free.

About Somdatta SahaExplorer- this is what Somdatta likes to call herself. Be it in terms of food, people or places, all she craves for is to know the unknown. A simple aglio olio pasta or daal-chawal and a good movie can make her day.

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They claim that ditching carbs has helped them to target stubborn areas of fat without having to cut out lots of calories.

However, dietitian Robbie Clark has revealed that going keto could actually make you gain weight – if you’re not following the right steps.

And he says that many dieters make some big mistakes which mean their body doesn’t get into a state of “ketosis” and “burn fat for energy instead of glucose”.

Here, Robbie explains common mistakes people make on a keto diet that could be making you fatter…and how to avoid them.

1. Dramatically cutting carbs

Robbie says one of the most common mistakes he finds in terms of clinical practice is that people are reducing their carbohydrate intake “cold turkey.”

“They’ve gone from a diet that is probably consumed moderate or high amounts of carbs to an extremely low amount, and this is a drastic change for the body,” he told.

“This is when they’re at risk of the keto flu.

“The keto flu is the body adapting to the whole process in a large depletion in glucose.

“And the symptoms can include nausea, headaches, fatigue, insomnia, constipation and reduced exercise tolerance.”

Robbie recommends tapering down carb intake instead of reducing the level at an extreme rate.

2. Not drinking enough water

An important thing to do on a keto diet is to keep drinking enough water.

The drastic decrease in carbs can cause shifts in fluids and electrolyte balance.

“The body is washed-out of a lot of fluid especially when losing fat mass as well,” Robbie says.

“The body flushes out the ketones in the urine which also depletes not just water but sodium, an important electrolyte, from the body.”

According to Robbie, this is something that needs to be replaced.

3. Eating the right veg

Vegetables have carbohydrates and for a lot of people, this means watching how much is actually consumed.

If you’re not careful of the types of carbs on the keto diet, the affect is that people won’t stay in that ketosis state.

Robbie says: “On the other hand, the ketogenic diet is a ‘low carbohydrate diet’ and not a ‘no carbohydrate diet’.

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New Delhi: A new study reveals that people suffering from obesity have a greater risk of death from non-communicable diseases, but the risk of certain diseases differs for men and women. People who carry around unhealthy amounts of weight don’t just have heart disease and diabetes to worry about. Obesity is implicated in two-thirds of the leading causes of death from non-communicable diseases worldwide and the risk of certain diseases differs for men and women.

Cecilia Lindgren of the University of Oxford and colleagues report these findings in a new study published in PLOS Genetics. As rates of obesity continue to grow worldwide, scientists have begun to suspect that excess weight might lead to or exacerbate other causes of death besides heart disease and type 2 diabetes.

To identify additional causes of death made worse by obesity, researchers performed an analysis that explores cause-and-effect relationships using genetic data and three measures of obesity from 228,466 women and 195,041 men in the UK Biobank.’

Their analysis showed that obesity contributes to a laundry list of health problems including coronary artery disease, type 1 and 2 diabetes, stroke, chronic obstructive pulmonary disease, lung cancer, non-alcoholic fatty liver disease, chronic liver disease, and kidney failure. While obesity causes type 2 diabetes in both women and men, women experienced a higher risk of type 2 diabetes as compared to men, while men faced a greater risk of chronic obstructive pulmonary disease and chronic kidney disease.

First author, Jenny Censin, said: “This study shows just how harmful carrying excess weight can be to human health, and that women and men may experience different diseases as a result.” Michael Holmes, who supervised the work together with Cecilia Lindgren, said: “Given the compelling evidence of harm that arises as a consequence of obesity across a broad range of diseases that result in death, our findings highlights the critical need for public health measures to stem the tide of obesity.”

Overall, the study finds that obesity causes or contributes to the majority of the leading causes of death worldwide that are not linked to infectious diseases. The impacts of obesity, however, manifest differently in men and women. The findings have potential implications for the design of public health strategies and suggest that different preventative measures targeted at men and women may be warranted.

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A 163kg nurse, who looks unrecognisable after dropping half her body weight, has revealed exactly how she did it.

Former cake addict Vanessa Brennan, 36, from Las Vegas, shed 82kg in 18 months by cutting out processed food.

She decided to change her ways for good after realising that she’d end up bedbound like her patients if she carried on eating and is now sharing her story to show others they can lose weight naturally too.

“I was addicted to food, I would eat when I was happy and eat when I was sad for comfort, it was a vicious cycle,” Vanessa said.

“I was self-sabotaging; I would eat a cake or two and feel terrible for eating them so then have another two.

“As I got into my twenties, my friends recommended surgery, but I knew it wasn’t the right fix for me, it was the mental aspect that I needed help with.

“Some people are addicted to drugs or alcohol, my addiction was food, but my problem is I need my addiction to live on.

“No tool or surgery will ever fix my mind but myself which is why one day I decided to change my lifestyle.

“I didn’t need a gastric sleeve, I needed myself and a good support system.”

Vanessa started working out and got down to 139kg but when she met her fiancé the weight piled back on.

“I stepped on the scales and promised myself I will never get to size 32 again as I was doing so well and from that day forward my journey truly began.”

Vanessa lost more than 63kg in 18 months by exercising six days a week and eating healthy meals without snacks.

She has since undergone a tummy tuck and an arm reduction in 2014. “I knew the gym would be hard and changing my diet, but I never knew how hard it would be to mentally deal with the trauma my weight had caused me over the years.

“Even after losing all the weight, my mind wasn’t able to adjust to my new body as I was so used to being the ‘fat funny girl with such a pretty face’.

“Previously If I had a bad meal, I would start again on Monday but now if I have one, I jump straight back on it with a healthy meal for the next.

“There is no more putting myself down or saying I ‘can’t do it’ because I know I can so I will continue to maintain a healthy weight.

“I am now off anti-depressants for the first time since I was 16, working out is my new medication.

“My whole entire life has changed, I can now tie my shoes with no problems and walk up a flight of stairs with no problems.

“I have toned down since losing weight, I can be more relaxed and I don’t feel like I have to make everyone aware that I am in the room anymore.”

Vanessa’s food diary
Before
BREAKFAST – Two eggs with two toast and bacon or pancakes.

LUNCH – Large burger and fries with diet coke

DINNER – Pasta with meatballs and Italian sausage with three slices buttered bread.

LATE NIGHT SNACK – Pasta or four slices of bread with butter and desserts such as ice cream, cakes and chocolate.

SNACKS – Crisps, cookies, cupcakes and sweets.

After
BREAKFAST – Egg whites with vegetables and sprinkle of cheese.

LUNCH – Chicken and avocado salad with Greek yogurt.

DINNER – Lean beef or chicken with zucchini noodles and a side vegetable.

SNACKS – Greek yogurt with fruit – lots of lemon water

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Boys with constitutional delay of growth and puberty display hallmark changes in height and body weight during the first 5 years of life that distinguish the condition from other growth disorders, such as hypogonadotropic hypogonadism, according to findings published in Clinical Endocrinology.

Thomas Reinehr
“Constitutional delay of growth and puberty (CDGP) is characterized by height and weight deflection during the first 2 years of life,” Thomas Reinehr, MD, head of the department of pediatric endocrinology, diabetes and nutrition medicine at the Vestische Children and Youth Clinic, University of Witten, Germany, told Endocrine Today. “At adult age, boys with CDGP have a near-target height and a normal weight status. In contrast, hypogonadotropic hypogonadism is characterized by an increase of weight and a deflection of height, not during the first years of life, but at pubertal age.”

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In a retrospective study, Reinehr and colleagues analyzed longitudinal height and weight data in the first 5 years of life in 54 boys with CDGP presenting between 1999 and 2013 at Vestische Children’s and Adolescent Hospital, the University of Witten-Herdecke or at the Children’s Hospital at the University of Tubingen (mean age, 14 years), as well as height and weight data from eight boys with hypogonadotropic hypogonadism (mean age, 14 years).

In boys with CDGP, the researchers observed that height-standard deviation scores (SDS) decreased (mean change, –0.94; P < .001) between birth and age 2 years, as did BMI-SDS (mean change, –0.38; P < 0.001) during the same period. From age 2 to 5 years, boys with CDGP did not experience changes in height-SDS or BMI-SDS; however, between pubertal and adult age, height-SDS increased (mean change, 1.49; P < .001), as did BMI-SDS (mean change, 0.91; P < .001), according to researchers.

In contrast, among boys with hypogonadotropic hypogonadism, height-SDS and BMI-SDS did not change in the first 5 years of life, the researchers wrote. From age 5 years to puberty, height-SDS decreased (mean change, –1.39; P = .018); however, there were no changes observed in BMI-SDS. At pubertal age, BMI-SDS was higher in boys with hypogonadotropic hypogonadism compared with boys with CDGP (P = .001).

“These different patterns of growth and weight are helpful to distinguish CDGP from hypogonadotropic hypogonadism and other diseases with growth disturbances, such as growth hormone deficiency, probably helping to avoid unnecessary test and procedures,” Reinehr said. “Comparing growth in the first years of life of children with other diseases leading to short stature, such as growth hormone deficiency, to the growth patterns of constitutional delay of growth and puberty, will help us to decide which patients need growth hormone stimulation testing.” – by Regina Schaffer

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32 year old woman in Hanoi with the weigh of nearly 90 kilogram admitted that she bumped into difficulties and was ashamed of her weight.
Therefore, she went to the infirmary for treatment of obesity where physicians decided to conduct the bariatric surgery after examination and diagnosis. Military surgeons and their Korean peers performed the difficult surgery because positions of the woman’s organs were reversible; for instance spleen is normally in one’s left but the woman’s spleen in the right whereas liver in the opposite side. Nevertheless, the operation was a success; two months after the operation, she lost 19 kilogram feeling better than before. Surgery Department Deputy President Colonel Nguyen Anh Tuan said that the Department has carried out such kinds of surgeries on six obese patients from March, 2019; one of them weighing 130 kilograms and they were all in good condition after the operation. According to the Ministry of Health, the number of obese people in Vietnam increased substantially in adults and children. As per the National Nutritional Institute’s report, obese people aged from 25 to 64 account for 16.3 percent of the whole country’s population. Worse, the rate of obese people has gone up by ages and more female become fat than male and city dwellers are fatter than their peers in countryside. Factors are attributable to obesity are high-fat diet, eating in fast food, less exercise and alcohol abuse. The obesity epidemic is driving up the burden of several non-communicable diseases (NCDs) such as cancers, heart disease and diabetes. Fat people should take regular exercise and take heed of their diet. In cases that exercise and less fat diet prove no effectiveness, bariatric surgery can help very overweight people who have tried but failed to lose weight and face serious medical problems. Patients undertaking the surgery will be under physicians’ monitor. Globally, obesity is increasing quickly. Statistically, around 1.9 billion overweight people in the world and 609 obese people. It is estimated that 57.8 percent of the world population will be obese by 2030 leading to high medical cost.

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A flabby stomach and in a size 20 dress, fed-up Leanne Wilson wanted a tummy tuck.

But she was shocked when her doctor offered her a gastric band instead.

So distraught at weighing almost 18 stones, it was the light bulb moment the takeaway addict needed to change her eating habits.

And she joined Sliming World to shed her fat.

Now, the proud mum-of-two has lost over six stone by following a healthy eating plan and is in a trim dress size 12 and weighs 11 stone 8.5 lbs.

“After having my second child I was so unhappy with the body I was left with.” said Leanne, of Low Fell, Gateshead.

“I had gained so much weight and had a saggy stomach.

“I booked myself an appointment at my GP’s to see if I was eligible to have a tummy tuck. He said no but I could have a gastric band. I knew I was big but this really shocked me.

“With two young children I knew I couldn’t do it as I would be out of action for a while.

“My sister-in-law’s mother had started Slimming World a few weeks before and she said, ‘why don’t you give it ago, you have nothing to lose but weight’.”

Leanne and her mum started their weight loss journey in March 2018.

Leanne said: “I was so nervous. I felt like everyone was staring it me.

“My consultant Clare was so welcoming. She made me feel at ease. Everyone was there for the same thing – to lose weight.”

Since then Leanne and mum Louise Coates, 52, have lost over eight-and-a-half stone between them.

“My mam has been there for me every step of the way. She started with me just for support but she has also found a new lease of life,” added Leanne, 27, who has children, Ava, five and 19-month-old Lewis.

Leanne, who is married to Richard, would often eat curries, Domino’s pizzas, KFCs and McDonald’s.

And her meals made at home came from ready-made jars.

“Takeaways were my best friend, I would eat them all and I would never cook anything from scratch at home,” said Leanne.

“Now I have lost my weight I have so much more confidence that I went out and got a new job recently as a hair stylists.

“I was quite shy when I was big but I had the confidence to go for the interview and I got the job.”

She added: “In my first week I lost 6lb. I knew I was doing the right thing for myself and my children. My journey hasn’t been easy, I’ve had my ups and downs but I’ve never given up. I attended the group every week.

“Cooking was never really my thing. Now I really enjoy it, even cooking from scratch.

“I can now cook for my family of four instead of making four quick and easy meals to suit everyone. At least I know what I’m giving my children is good for them.”

Leanne is delighted with her new look and is back to the weight she was when a teenager.

“Originally I wanted to loose five stone,” she added.

“I reached that target after 10 months. After a month maintaining that weight I felt I wanted to loose more.

“I lost another seven pound but still felt I wanted to loose more. I am now a target member after loosing 6 stone 2lb. I’m the lightest I’ve been in around 10 years.

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