Silent killer stalking Goans

Silent killer stalking Goans
Preetu Nair | TNN

Panaji: Goan adults are far more overweight than other Indians and this is causing a serious concern among health professionals. And when it comes to being obese, Goan women outdo the men.
The percentage of women who are overweight or obese is 27, much higher than the all India figure of 14.8%. The men are not far behind though, with 20.8% of Goan men being obese or overweight, again higher than the all India percentage of 12.1. This has been revealed by the Health Intelligence Bureau report, 2007, of the Directorate of Health Services.
The year of reference for the data is 2005-06 and it reveals the nutritional status of adults (age 15 to 49).
“Obesity is a growing disease among Goans. It is a silent killer,” said Dr Digambar Naik from Vrundavan Hospital, Mapusa. Naik added that 60% of the patients above the age of 40 who come to the hospital are obese, with a body mass index (BMI) of more than 30.
“Abdominal obesity is a problem in Goa and about one-third of the adult population is obese,” said Dr Rufino Monteiro from Vintage Hospital, Panaji.
A person with a BMI between 25 and 35 is deemed obese or overweight and those with BMI of 35 and above are considered to be morbidly obese.
“The socio-economic status in Goa being the highest in the country, we have the additional burden of non-communicable diseases such as diabetes, cardiovascular ailments and cancer, which are linked to sedentary lifestyles that lead to obesity,” said Goa Medical College’s preventive and social medicine associate professor Dr Jagdish Cacodcar.

Sedentary lifestyle causing obesity

Panaji: Goans are more obese than other Indians, a study by the directorate of health services has revealed.
The problem lies in the lifestyle of the people. “We have a sedentary lifestyle, with not much physical activity. Besides, we are increasingly eating junk food that is adding to the problem,” said Dr Wiseman Pinto, head of the Pathology department, GMC.
Doctors said that obesity has to be controlled in childhood or it leads to pyscho-social problems, cardiovascular problems, endochrinal diseases, pulmonary, gastro-intestinal, muscular skeletal problems and even cancer in adulthood.
“With morbid obesity, majority of the organs collapse,” said Panaji based physician Dr Oscar Rebello. However, there has been no specific study in the state to show that obese people are more susceptible to hypertension, diabetes, heart attack, stroke and arthritis than healthy people.
Leading heart specialist Dr Uday Khanolkar, who daily sees about four new patients with heart ailments, said that though obesity is an independent risk factor for heart ailments, there are also other common risk factors such as age, diabetes, hypertension, smoking, genetic predisposition and consumption of cholesterol rich foods.
However, there is some good news. “Some 70% of overweight persons can return to normal weight with exercise and diet. However, the other 30% move from being obese to morbid obesity and develop complications related to obesity” said Dr Rajkumar Palaniappan, bariatic surgeon at Apollo Victor hospital, Margao.

June 26, 2008, The Times of India , Goa edition