Importance of Simultaneous Treatment of Obesity and Diabetes Mellitus: A Sequelae to the Understanding of Diabesity-A Review.
In the last century obesity has surfaced as the biggest global health problem in view of both, the changes in environment along with changes in society where positive energy balance and thus weight gain has resulted, main changes being consumption of high-calorie foods/high-fat foods, associated with inadequate physical activity, moving towards sedentary lifestyle. As a result obesity prevalence practically doubled since 1980 all over the world, with world health organization (WHO) showing greater than 39% of adults greater than/equal to 18 year were overweight of which 13% were obese.
Additionally, a minimum of 41 million children below 5 years were overweight or obese. Importantly severe obesity, a body mass index (BMI) greater than 35 kg/m2 is becoming a part of this global epidemic, and that has severe bad effects on health, with increase in BMI implying increased mortality risk just like low BMI does.
However, now overweight or obese have become bigger killers in contrast to malnourished or underweight. As per WHO overweight and obesity are the causative factors for 44% of type 2 diabetes mellitus (T2DM), resulting in 23% of ischemic heart disease patients and roughly 7-41% of some cancers. Of these greatest association is of T2DM with obesity, with obesity related T2DM
expected to double to 300 millon by the year 2025. Because of which the word diabesity got coined, suggesting that most patients with T2DM are obese. Exercise is an important part of Life Style interventions. Aerobic exercise remains the best method for getting fat mass reduction. Other advantages an increase in lean mass, reduction in depression by release of endorphins.
Obes Res Open J. 2019; 6(1): 1-10. doi: 10.17140/OROJ-6-136
