Obesity Is a Medical Issue, Not a Style Problem

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Obesity Beyond Appearance: Understanding Health Risks and Treatment

Obesity is not only a question of looks; it is a condition that can pave the way for serious illnesses. Bekhan Khatsiev, who leads the Russian Association of Obesity Surgeons, discusses common myths about obesity in a dialogue with Doctor of Medical Sciences on socialbites.ca. The discussion centers on why obesity should be treated as a medical issue and how misconceptions can hinder effective care.

The first misconception is that obesity is solely the individual’s responsibility and that it can be overcome with willpower and lifestyle changes alone. Studies show a troubling pattern: 80 to 90 percent of people who lose weight through diet and exercise eventually regain it. This suggests a fundamental misalignment with body physiology. Hunger is a powerful signal that is difficult to control. When obesity develops, the body often shifts into a different metabolic state. Restrictive dieting can be interpreted by the body as a sign of resource scarcity, triggering renewed hunger signals and energy conservation. People who try to fight their biology without professional support frequently encounter frustrating cycles of weight regain and discouragement. As Khatsiev explains, this physiological pushback makes self-directed weight loss especially challenging.

Another widespread belief is that obesity is merely an aesthetic issue. Obesity is, in fact, a chronic, multifactorial, and recurrent disease. It increases the likelihood of associated health problems such as cardiovascular disease, joint problems, type 2 diabetes, sleep apnea, and other conditions. Appearance is only the visible tip of the iceberg, while the underlying health risks remain hidden. This disconnect helps explain why many underestimate the seriousness of the condition. The surgeon notes that people often focus on appearance and overlook the deeper health implications, which can lead to delayed or insufficient care.

The third myth is that obesity does not require treatment. If the belief is that the problem lies only in appearance and can be solved with mere willpower, it sounds plausible but is misleading. In reality, obesity is typically more complicated and warrants formal treatment. A multidisciplinary team is often required, including endocrinologists, bariatric surgeons, therapists, and psychologists. The approach involves ongoing monitoring, dietary changes, and sometimes surgical interventions. This process is serious and lengthy, underscoring the need for coordinated care that supports sustained changes in lifestyle and health outcomes.

For individuals with more severe obesity, defined by a body mass index above 35, bariatric surgery is considered a viable option. There are many myths surrounding this procedure. The surgeon notes that bariatric surgery is a relatively safe, low-trauma operation compared with other major surgeries. In operated patients, excess weight is typically reduced by more than 60 percent within a year to eighteen months. Crucially, a substantial proportion of patients achieve a stable remission of type 2 diabetes for five years or longer after the operation. This potential outcome highlights the value of surgical options as part of a comprehensive treatment plan when appropriate and under medical supervision.

To reduce the risk of obesity and its complications, Khatsiev advocates for an active lifestyle and consistent physical activity. This can be as simple as daily walking or engaging in a sport the person enjoys. Alongside activity, a thoughtful approach to diet is essential. The emphasis is on sustainable, balanced changes rather than quick fixes. Keeping movement as a regular part of daily life and adopting healthy eating patterns can significantly influence long-term health outcomes.

Earlier reports from health authorities highlighted the rapid rise of obesity among middle-aged men in the Russian Federation, underscoring the urgency of addressing this growing health issue with informed strategies and medical support. Experts stress that recognizing obesity as a medical condition is the first step toward effective prevention, management, and recovery. This perspective encourages individuals to seek professional assessment and guidance rather than relying on self-directed efforts alone. [citation: Khatsiev, Russian Association of Obesity Surgeons, and health authorities]

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