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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PMLA being misused against Oppn, had warned against amendment during UPA govt: Sharad Pawar
Mumbai, May 17 (PTI): NCP (SP) president Sharad Pawar on Saturday said he had warned against a stringent provision being introduced in the Prevention of Money Laundering Act (PMLA) during the UPA regime, and as he predicted, it was later misused when the government changed.
The law must be amended whenever the power at the Centre changes hands again, he said, speaking at the launch of the Marathi book `Narkatla Swarg' (Heaven inside Hell) written by Shiv Sena (UBT) MP Sanjay Raut.
The book is about Raut's experiences in prison after the Enforcement Directorate arrested him in an alleged money laundering case. He later got bail.
When then Union minister P Chidambaram proposed an amendment to the PMLA during the UPA government which put the onus to prove innocence on an arrested person, he, as a cabinet member, warned against it, Pawar said.
"When I read it (Chidambaram's proposal), I told (prime minister) Manmohan Singh it is very dangerous and we should not go ahead with it....I strongly opposed it, saying if the government changes, we will also have to face consequences. But it (the advice) was not heeded," claimed the veteran politician.
"After the government changed, action was taken against Chidambaram and he was arrested. Power was misused," he said, referring to the arrest of the former Union minister by the ED in an alleged money laundering case.
The PMLA is being used by the current BJP-led government to "destroy the entire opposition," said Pawar.
Referring to Raut's book, he said during the UPA regime, nine people (political leaders) were charge sheeted under the PMLA, but none of them was arrested. During the NDA era, action was taken against 19 people, including leaders from Congress, TMC, BJD, undivided Shiv Sena and NCP, RJD, BSP, AAP, TDP, Samajwadi Party, CPI(M), AIADMK, DMK and TRS, Pawar added.
Notably, from Pawar's own Nationalist Congress Party, leaders such as Anil Deshmukh, Chhagan Bhujbal and Nawab Malik were arrested in alleged money laundering cases under the PMLA. All of them are now out on bail.
"Whenever people in Maharashtra or in the country bring in a change (in the government), whatever amendments that have been made have to be changed (reversed)," Pawar further said.
TMC MP Saket Gokhale too highlighted on this occasion that under the PMLA, an accused has to prove innocence rather than the investigating agency proving that he or she is guilty.
Shiv Sena (UBT) chief Uddhav Thackeray said India is a federal country and the Centre and states haves equal rights. If the Centre can use agencies like Enforcement Directorate, CBI and Income Tax and laws like the PMLA, then states too should to be empowered to use them, he said.
When even chief ministers like Arvind Kejriwal (Delhi) and Hemant Soren (Jharkhand) can be arrested by central agencies and top officials like a director general of police and state chief secretary are summoned by the CBI, how can officials function with strings being pulled by the Centre, he asked.
He also criticised the `One Nation One Election' proposal, stating it looks good on the face of it but lacks transparency.
