Need to recognise obesity as chronic disease: Experts
Mumbai (PTI): There is a disconnect between awareness, understanding and management of obesity and recognising it as a chronic disease will be the first step towards obesity management, experts have said.
A recent report by global healthcare company Novo Nordisk, that involved more than 2,000 people living with obesity (PwO) and 300 healthcare professionals in India, underlined the need for an integrated, long-term approach to the treatment of obesity.
PwO face immense difficulties in maintaining weight loss and more than half of those surveyed said they reverted to old eating habits despite their efforts to change.
More than 44 per cent regain lost weight within six months, the report said, emphasising the need for more sustainable, long-term solutions that go beyond just lifestyle adjustments.
"The first step towards obesity management is to understand that it is a chronic disease. We need to support People with Obesity (PwO) with tools that not only help them lose weight but also maintain that loss over time," Novo Nordisk India Vice President Clinical, Medical, Regulatory Dr Maya Sharma told reporters on Wednesday.
A successful obesity management strategy must combine lifestyle changes, behavioural interventions, medication, and surgery where necessary, said Dr A G Unnikrishnan from Chellaram Diabetes Institute, Pune.
"Only through such integration can PwO achieve their weight loss goals and maintain long-term health improvements," Unnikrishnan said.
Obesity is also closely linked to other chronic diseases like high blood pressure, high cholesterol, eating disorders and cardiovascular diseases among others.
According to the report, every two in five PwO suffer from conditions such as hypertension, high cholesterol and diabetes.
The healthcare professionals say that many PwO have anywhere between one and four co-morbidities, such as high blood pressure (32 per cent), high cholesterol (27 per cent), eating disorder (23 per cent) and cardiovascular diseases (19 per cent), reinforcing that obesity is a chronic disease requiring medical intervention.
"Even a 5 per cent weight loss can bring significant health benefits, and it's important that PwO understands that small, sustainable changes are key. We as healthcare professionals have to overcome any inhibitions in discussing the condition with our patients on a regular basis and support them in their weight-loss journeys," Dr Rishma Pai from Mumbai said.
Despite the availability of prescription weight-loss medications, PwO remains hesitant and only one in seven PwO believe such medications would be helpful, with concerns about side-effects and safety being the primary deterrents, said the report.
Despite the growing awareness, there are still significant misconceptions and hurdles that need to be addressed. Hence, involvement by the government is crucial in addressing the growing obesity challenge in India, Novo Nordisk India Corporate Vice President Vikrant Shrotriya said.
Obesity is not just an individual issue but a significant public health concern that impacts healthcare resources, economic productivity, and the overall well-being of our society, he said.
"A multifaceted approach that includes policy interventions, awareness programs, and accessible healthcare solutions is essential to address this complex issue effectively," Shrotriya added.
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India, Ethiopia elevate ties to strategic partnership as PM Modi holds talks with his counterpart
Addis Ababa (PTI): India and Ethiopia on Tuesday elevated their historical ties to a strategic partnership, as Prime Minister Narendra Modi held wide-ranging talks with his Ethiopian counterpart Abiy Ahmed Ali during which they discussed issues of bilateral and mutual interest.
Modi, who arrived here from Jordan on his maiden bilateral visit, was accorded a ceremonial welcome at the National Palace ahead of the bilateral talks, reflecting the vibrant India-Ethiopia relations rooted in shared history and a promising future.
"We are elevating India and Ethiopia relations to a strategic partnership. This step will provide new energy, new momentum and new depth to our ties," Prime Minister Modi said during the delegation-level talks.
He thanked PM Ali for his support in India's fight against terrorism. "The support of friendly countries in this struggle against terrorism holds great significance," Modi said.
"Today, we got the opportunity to deliberate on the key aspects of our cooperation, such as economy, innovation, technology, defence, health, capacity-building and multilateral cooperation. I am pleased that today, we have decided to double the student scholarship for Ethiopia in India," Modi said.
Modi said that India and Ethiopia have shared contact, dialogue, and exchange for thousands of years. The two countries, which are rich in languages and traditions, are symbols of unity in diversity, he added.
"Both countries are democratic powers committed to peace and the welfare of humanity. We are co-travellers and partners of the Global South. On international platforms, we have stood shoulder-to-shoulder," he said.
The two sides signed eight MoUs/agreements, including upgrading ties to 'Strategic Partnership', customs cooperation, establishing data center at the Ethiopian Foreign Ministry, UN Peacekeeping training cooperation, debt restructuring under G20, more ICCR scholarships and AI short courses for Ethiopians, and support for maternal and neonatal healthcare.
Modi said the African Union's headquarters in Ethiopia makes the country a meeting point of African diplomacy. "Inspired by the common vision of an inclusive world, in 2023, India ensured that the African Union became a G20 member," he said.
In 2023, during India’s G20 Presidency, the African Union was admitted as a permanent member of the G20.
Modi said that though this is his first visit, he felt a deep sense of belonging and warmth, reflecting the thousands of years of connection between the two countries.
On his part, Prime Minister Ali said the two countries share over thousands of years of connection through trade, diplomacy, education, culture and even in our food and traditions. "These ties continue to shape a deep friendship, collaboration and mutual respect between our people," he said.
"We also appreciate your consistent message that Africa's priorities must lead the partnership. These kinds of dignified, respectful messages for Africa are very important. Mr Prime Minister, keep pushing. That is the type of message we are expecting from all our trusted friends," Ali said.
He said this aligned fully with Ethiopia's development plan - African-owned, African-led, and African-defined.
"Today, we meet with a clear focus to shape a modern partnership, grounded in sovereignty, self-reliance and practical cooperation. Our cooperation is rooted in equality and South-South solidarity," he said.
"Our economy is performing strongly. Last year, we grew 9.2% and this year we are expecting 10.3% GDP growth. Besides GDP growth, our FDI inflow is also rising big time. India is the leading source for our FDI," he said.
"We have more than 615 Indian companies which are investing in Ethiopia. This all gives our cooperation a strong foundation of trust. I think our decision today that we elevate our historic relationship to a strategic relationship is the right decision," he added.
Ethiopia also conferred its highest award - The Great Honour Nishan of Ethiopia - on PM Modi. He is the first global head of state to receive this award.
Prime Minister Modi also went to the Friendship Park and Friendship Square in Addis Ababa with PM Ali.
In a warm and special gesture, PM Modi was earlier received by his Ethiopian counterpart at the airport and accorded a warm and colourful welcome.
"Ethiopia is a nation with great history and vibrant culture," Modi said.
PM Ali informed his Indian counterpart about the varieties of Ethiopian coffee during informal talks.
"At Addis Ababa airport, took part in a traditional Coffee Ceremony with Prime Minister Abiy Ahmed Ali. The ceremony beautifully highlights Ethiopia’s rich heritage," Modi said.
In a unique gesture, the Ethiopian Prime Minister drove Modi to the hotel.
On the way, he took a special initiative of taking PM Modi to the Science Museum and Friendship Park, which was not in the itinerary.
"Gratitude to Prime Minister Abiy Ahmed Ali for showing me glimpses of Ethiopian history and culture at the National Palace Museum in Addis Ababa. It was a powerful reminder of Ethiopia’s rich traditions," Modi said in a post on X.
The Nobel Peace Prize-winning Ethiopian PM’s special gestures show remarkable respect for Modi, sources said.
"Thank you Ethiopia for a welcome that was unforgettable. The Indian community showed remarkable warmth and affection. India-Ethiopia friendship is going to get even more robust in the times to come," Modi said.
When Modi arrived at the hotel, he was warmly welcomed by the members of the Indian community. Local artists performed dances. Some of them danced on the theme of the popular Hindi song 'Aisa Des Hai Mera' to welcome him.
On Wednesday, Modi will address the Joint Session of Parliament and share his thoughts on India's journey as the "Mother of Democracy" and the value that the India-Ethiopia partnership can bring to the Global South.
PM Modi arrived in Ethiopia from Jordan, where he held a one-on-one meeting with King Abdullah II at the Husseiniya Palace on Monday before the delegation-level talks.
India and Jordan also inked MoUs in the fields of culture, renewable energy, water management, digital public infrastructure and twinning arrangement between Petra and Ellora, aimed at giving a major boost to bilateral ties and friendship.
From Ethiopia, Modi will visit Oman on the final leg of this three-nation tour.
