Combating Obesity By: Daniels Charles

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New ambulances for fat patients will run on roads from February next year in the Australian state of Victoria. The $3 million funding package will transport patients weighing up to 350 kg and include specialist equipment such as heavy-duty wheelchairs, stretchers and lifters.

The new funding comes as Victoria's obesity crisis worsens with rising numbers of "morbidly obese" people admitted to hospital.

The epidemic is taking its toll on paramedics, who face occupational health and safety risks in lifting obese patients.

State Government statistics show almost half of all Victorian adults are overweight or obese. Childhood obesity is particularly worrying doctors with children as young as four battling weight problems.

Hospitals are spending thousands of dollars on the installation of bariatric equipment. Last year the Royal Melbourne Hospital opened a purpose-built room with extra-wide doorways and bathroom, reinforced toilet, arm rails and beds to hold patients from 350 kg to 500 kg.

In US an estimated 64 percent of adults are either overweight or obese.

As per National Health and Nutrition Examination Survey, U.S. obesity-attributable medical expenditures have crossed $75 billion. The number of obese children in Britain between 11 and 15 has almost doubled over the past 10 years. A study at Escorts Heart Institute and Research Centre puts over half going for executive health check ups in Delhi are overweight, having high blood pressure and high blood fats.

Global scenario is alarming given that obesity promotes many chronic diseases, including type two diabetes, cardiovascular disease, several types of cancer, and gallbladder disease. Latest research says breast cancer and obesity are closely linked. While long term measures like a healthy life style, nutritious diet and regular physical activity are necessary, short term medications to put obesity under control are needed.

Among various medications Xenical and Reductil are popular.

Xenical is a prescription medicine that blocks the action of the fat-digesting lipase enzymes in the intestine. This stops around 30 percent of the fat one takes from being absorbed. It just passes through our digestive system and we lose weight as a result.

In clinical trials, almost twice as many patients who received Xenical, achieved an average weight loss of 10 percent or more of their body weight in one year, compared to those on diet alone.

Reductil is a satiety enhancer. Its active ingredient is sibutramine hydrochloride. Reductil blocks the nerve cells that release and reabsorb serotonin. This enhances feelings of fullness so that we eat less and consequently lose weight. Both Xenical and Reductil should be used in conjunction with a reduced-calorie diet. Taking more exercise is also advisable.

Xenical and Reductil are available online and are cheap.

 
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