Defining Obesity and Its Health Implications
Obesity is a metabolic disorder characterised by excessive body fat, typically measured using Body Mass Index (BMI). BMI is calculated based on a person’s weight in kilograms divided by the square of height in meters. Singapore uses the following BMI classification system, which differs slightly from international standards to account for the higher risks of obesity-related diseases in Asian populations:
Besides a BMI of 27.5 kg/m2, another indicator of obesity is a waistline exceeding 80cm for women and 90cm for men. Abdominal fat, particularly visceral fat, is especially harmful because it surrounds vital organs and is metabolically active, increasing the risk of serious health conditions. This type of fat is linked to insulin resistance, glucose intolerance, type 2 diabetes, heart disease, and liver problems.
When a person is overweight or obese, the individual will suffer from a heightened risk of developing diabetes, cardiovascular disease, certain forms of cancer, as well as other medical problems. Therefore, effective weight management is critical for them as it helps to prevent a multitude of health conditions, improve overall health and boost quality of life.
Timely intervention can prevent “healthy” obese from developing above “unhealthy“ complications.
Photo credit: Singapore Heart Foundation
Signs You May Need to See an Endocrinologist for Obesity Weight Management
There are specific signs that suggest you might benefit from seeing an Endocrinologist for obesity weight management:
- Persistent Weight Gain Despite Efforts: If you struggle to lose weight despite making significant lifestyle changes such as dieting and exercising.
- Symptoms of Hormonal Imbalances: Signs that may indicate hormonal issues, such as fatigue, excessive hunger, or unexplained weight changes, often linked to thyroid problems or insulin resistance.
- History of Endocrine Disorders: If you have a personal or family history of endocrine disorders, including diabetes, thyroid diseases, or polycystic ovary syndrome (PCOS), which can all impact weight.
- Metabolic Syndrome Components: Presence of conditions that are part of metabolic syndrome, such as high blood pressure, high cholesterol, or high blood sugar levels.
Seeing an Endocrinologist (a medical doctor specialising in hormonal disorders) for obesity weight management offers several distinct advantages, particularly for individuals struggling with weight issues that are linked to hormonal or metabolic problems:
- Expertise in Hormonal Factors: Endocrinologists specialise in the endocrine system, which regulates hormones. They have deep insights into how hormones affect metabolism, appetite, and fat distribution, which are crucial in managing obesity.
- Metabolic Testing: Undergo comprehensive assessments to analyse metabolic rate, nutrient absorption, and other factors influencing weight gain, which can help you get to the root cause of your obesity.
- Medication Management: Weight-loss medications may be prescribed for patients who do not achieve significant weight loss through lifestyle modifications alone.
- Management of Related Conditions: Obesity often comes with comorbidities such as type 2 diabetes, polycystic ovary syndrome (PCOS), hypothyroidism, excess of cortisol hormone and metabolic syndrome. An Endocrinologist can treat these underlying conditions alongside obesity, improving overall health outcomes.
Harmony Thyroid, Endocrinology, and Diabetes Centre’s weight management consultations focus on achieving and maintaining a healthy weight through various strategies tailored to each patient’s needs.
Medical Treatments for Obesity in Singapore
- Medications: Several Health Sciences Authority (HSA) Singapore and FDA approved for obesity can help control appetite, thus reducing cravings due to hunger. Rest assured, our endocrinologist will monitor the prescribed medicines closely.
- Hormonal Therapy: We can target hormonal imbalances contributing to weight gain, like thyroid disorders or insulin resistance.
Lifestyle Modifications for Obesity Weight Management
Effective obesity weight management encompasses various components, each tailored to the individual patient’s unique health profile and needs. At Harmony Thyroid, Endocrinology, and Diabetes Centre, we offer lifestyle counselling. Our experienced Endocrinologist will provide tailored advice to sustain weight management over the long term.
Diet Plan
Reduced-calorie diets are essential; however, every individual has different dietary habits. Based on these and daily physical activity, Dr Vikram will suggest a diet that stays true to your personal needs and promotes sustainable weight loss. Dr Vikram will help you plan a diet that can help develop healthier habits and address emotional or behavioural factors related to overeating.
- Caloric Reduction: The cornerstone of weight management is reducing calorie intake while maintaining a nutritionally balanced diet.
- Nutrition Education: It is crucial to understand which foods to eat and which to avoid. Diets rich in fruits, vegetables, lean proteins, and whole grains are typically recommended.
- Structured Diet Plans: Sometimes, specific diet plans, such as the Mediterranean diet, low-carb diets, or meal replacement plans, may be recommended.
Workout Routine
Dr Vikram will also provide guidance on incorporating regular physical activity based on practical physical ability.
Stress Management and Behavioural Tips
Besides the points above, Dr Vikram is also well-versed in teaching the following:
- Stress Management: Techniques like mindfulness and relaxation exercises can help manage stress, often a precursor to overeating.
- Set Realistic Goals: Create small, achievable weight-loss goals to build confidence and momentum.
Monitoring and Follow-Up
- Regular Check-Ups: Regular visits with a doctor are necessary to monitor health indicators and adjust the weight management plan as needed.
- Progress Tracking: Keeping a diary of food intake, exercise, and weight can help individuals and their Endocrinologists track progress and make necessary adjustments.
If you or your loved ones struggle to manage obesity, you can schedule an appointment with our Medical Director and Senior Consultant Endocrinologist, Dr Vikram Sonawane, from Harmony Thyroid, Endocrinology, and Diabetes Centre.
Learn more about our specialist clinic’s Obesity & Metabolic Risk Screening Package from here to effectively take charge of your weight.
References:
- Endocrinologists and Weight Loss: Treatments, Next Steps. Healthline. Published January 5, 2023. https://www.healthline.com/health/Endocrinologist-weight-loss
- Obesity – Symptoms and causes. Mayo Clinic. https://mayoclinic.org/diseases-conditions/obesity/symptoms-causes/syc-20375742
- Singapore Heart Foundation. BMI Calculator | Singapore Heart Foundation. www.myheart.org.sg. Published 2022. https://www.myheart.org.sg/tools-resources/bmi-calculator
