Morbid obesity icd 10

Introduction:

The English term obesity is derived from the Latin word obesites, which literally means fat accumulation in the body. In other words, excessive fat accumulation in the body and abnormal shedding obesity.

When the ideal body weight exceeds 20% of body fat or more than that then it will be called obesity. It is actually a type of nutritional abnormality. The imbalance between energy i.e. calorie intake and calorie expenditure is the main cause of this kind of condition.

In the experimental-based research, it has shown that consumption of every extra 9.3 calories are the cause of 1 gram of fat accumulation.

An obese person burns. Obesity is one of the maximum brilliant fitness issues in human life.  Between the long time of 30-forty years, excessive weight advantage is commonly determined, and weight gain peaks in middle age. Weight remains stable when the body's increased metabolic demand and energy intake are balanced. Once gained, weight does not come off easily before the age of 65. Body mass index or BMI is the main index to be measured for obesity worldwide.

The cost obtained by way of dividing someone's overall weight (kilograms) via his top (meters) is called body mass index or BMI (frame Mass Index). BMI can be calculated with the help of the following components.

This is, BMI = Kilograms/meters (BMI= Kilograms/meters). Body Weight (Kg) frame height (m)

For that reason, someone with a top of 1.25 m (a hundred twenty five cm) and a weight of 655 kg has a BMI of approximately 35.20.

An ordinary person's BMI level is from 25 to 29. If this is 30 or greater, he is considered overweight or 413:04.

The standard guidelines for BMI are presented:

BMI	Class of people
˂18.5 kg/m2	Underweight
18.5 -24.9kg/m2	Normal weight
25-29.9 kg/m2	Overweight
30-34.9 kg/m2	Class 1 obesity
35-39kg/m2	Class 2 obesity
˃40 kg/m2	Class 3 obesity

 

Also, if this value is below 18.5, he is considered underweight. But if the level is 50-100, this obesity is called morbid obesity or morbid obesity. World Health Organization (World Health Organization WHO) published standard guidelines for BMI in 2000 that can easily determine people's height.

Obesity can lead to various complications. As a result, a branch of medicine has also been created in terms of this. The branch of medicine that deals with the causes, prevention, treatment and surgery of obesity. The discussion is called bariatrics.

Causes of obesity:

1. Behavioral factors:

Currently, the main cause of obesity in developing countries is lack of activity. Apart from this, consuming excessive fatty foods, consuming energetic food and drinks, drinking alcohol, etc. are the causes of weight gain.

2. Genetic factors:

Errors caused by a single genetic defect are seen in a few cases. These include melanocortin-receptor mutations, Proder-Willi syndrome (a genetic disorder characterized by an abnormal gait, marked obesity, mental retardation, etc.), and leptin (a type of hormone that control body weight) gene mutations. Children of obese parents are obese in about 80% of cases. (anti-anxiety drugs), birth control pills, etc., often lead to physical obesity. Moreover, appear In addition to Cushing syndrome (Cushing syndrome), hyperthyroidism (Hyperthyroidism).

3. Certain medications:

Corticosteroids, antidepressants, insulin, and a few anti-diabetic drugs also motive obesity.

4. Sickness:

Obesity in women in the case of polycystic ovary syndrome may cause obesity.

5. Pregnancy:

A woman naturally gains weight during pregnancy; But even after birth, many women can't lose that extra weight, leading to obesity.

6. Genetic cause:

Consistency of obesity among members of different breeds of the same family. Even twin siblings do not vary. Because the similarity that can be observed between them is controlled by genes.

7. Psychological issues and trauma:

Many times obesity is also caused due to psychological issues and trauma.

8. Family Lifestyle:

The prevalence of obesity depends a lot on the lifestyle of the family. Eating habits run in families. Eating fatty fast food (burgers, pizza, etc.), not eating fruits, vegetables, and unrefined carbohydrates (red rice), drinking alcoholic beverages, eating appetizers before eating at expensive restaurants, and eating fatty and sugary desserts after meals.

9. Emotions:

Depression, hopelessness, anger, boredom, boredom, overeating for other reasons can lead to obesity. Small thinking (inferiority) or 10. Workplace: In the case of employees, working continuously while sitting and eating fast food or such food under the pressure of colleagues. After work, return home by car instead of walking or cycling.

11. Relaxation:

Sitting at home watching remote-controlled cable TV, browsing the internet, or while relaxing

Obesity is caused by a lack of physical activity due to playing computer games.

12. By gender:

On average, guys have more muscle mass than women. Due to the fact, muscle uses greater energy than different tissues (even at relaxation), guys use extra energy than girls, so girls are much more likely to shop for fats even when men and women eat an equal amount.

13. Insomnia:

If you sleep less than 6-7 hours at night, hormonal changes occur in the body, resulting in increased hunger consuming too much food causes obesity. 

14. Lack of Education: 

Lack of awareness about good health, lack of knowledge about a balanced diet, and harmful effects of obesity. Obesity occurs due to ignorance of the effects etc. 

15. Other causes: 

Sitting in front of a television or computer for a long term, and reliable for long-term running, or the use of a car in preference to walking is one of the causes of weight gain or obesity.

Various problems due to weight gain: 

Weight gain can cause the following symptoms: Diabetes mellitus (kind-2), high blood strain (hypertension), stroke (stroke), coronary heart sickness, gallstone, increased occurrence of cancer (colon and breast cancers, and so on.), liver and gallbladder ailment, sleep apnea (suffocation at some stage in sleep), asthma (breathing disease), hernia, varicose veins, darkening of the pores and skin, menstrual irregularities, infertility, uterine cysts, gout or osteoarthritis (joint inflammation), etc. Obesity often increases the risk of death. The most important thing is that if the body weight exceeds the height level, there is no such thing as physical beauty.

Ways to Get Rid of Obesity:

An overweight character should be under the supervision of a skilled healthcare issuer to take away obesity. The health care provider or dietitian will put together a controlled meal list keeping in mind the weight, gender, and age of the patient, which should be strictly accompanied. A moderate meal with 600 Kcal less than energy expenditure is usually prescribed. Apart from that, the things that need to be paid attention to personally are-

1. By changing the way of life i.e. physical work should be increased.

2. Sitting in front of a TV or computer for a long time and doing official work for a long time is not allowed.

3. Tempting foods like black and sweet should be avoided. Alcohol intake should be completely stopped.

4. Regular exercise should be done. Daily 30 minutes of continuous walking is required, which reduces weight by 1 kg per month.

5. According to the doctor's advice, using drugs like Orlistat (Xenical), Suprenza (Phentermine), Lorcaserin (Belvic), etc. gives good results in getting rid of obesity.

6. If weight problems aren't decreased with the aid of changing the eating regimen or remedy, if important, a bariatric surgical operation which includes laparoscopy, pass surgery, gastric sleeve, and so forth., can cast off gastric obesity.

Frequently ask questions:

(i)                  Excessive food intake is not the only cause of the increase in BMI – Explain.

(ii)                Physical problems-It can be controlled by following hygiene rules regularly – explain.

(iii)               Lipid foods should be avoided – explain.