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Methods to loss weight - family history of obesity - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Weight Loss
Answered by

General & Family Physician
Practicing since : 2009
Answered : 638 Questions
Doctor :   Hi
Doctor :  
How can i helpful
User :   Regarding weight
Doctor :  
Please proceed with your query
User :   pls advice how to reduce weight
Doctor :  
ok
Doctor :  
i will help you in this
Doctor :  
can i ask few Q
User :  
pls ask
Doctor :  
wats your age
User :  
29 y
Doctor :   ok
Doctor :  
wats your ht and wt
User :  
5'6" n 80 kgs
Doctor :  
ok
Doctor :  
is there any family history of obesity
User :  
yes - Dad is having
Doctor :  
ok
Doctor :  
do yu have any medical illness
User :  
no
Doctor :  
ok
Doctor :  
did you check your cholesterol levels
User :  
no. not checked
Doctor :   ok
Doctor :  
its better to get the cholesterol levels checked
Doctor :  
as this can be the common cause of obesity
User :  
ok
Doctor :  
its should be Fasting lipid profile
Doctor :  
not to have anything after 10 pm, then go for early morning lipid profile or cholesterol check up
User :   ok

Doctor :  
as per your ht and wt
Doctor :  
the body mass index is >25
Doctor :  
which says its obesity
Doctor :  
the ideal wt for your ht is 62- 66 kgs
Doctor :  
so there is a need to reduce almost 10 - 12 kgs
User :  
ok. can u advice any methods to reduce the wg
Doctor :  
as you dont have any medical illness
Doctor :  
need to concentrate on 2 important things
Doctor :  
1. Diet
Doctor :  
2. Exercise
User :  
Diet : compare to others i feel more hungry
Doctor :   let me ask few Q ?
Doctor :  
ok
Doctor :   do yu feel more thirsty
User :  
No. Normal
Doctor :  
how many times do you pass urine per day
User :  
5-6 times
Doctor :   how many times do yu pass urine in the nite
User :  
one time
Doctor :  
do yu have any family histroy of hypertension
Doctor :  
diabetes or heart disease
User :   Heart disease and BP
Doctor :  
ok
Doctor :  
did you check your blood sugar levels ?
User :  
checked : Normal
Doctor :  
thats good
Doctor :  
as you are obese
User :  
means
Doctor :  
there is family history of hypertenion and heart disease
Doctor :  
you have high risk for
Doctor :  
1. Hypertension
Doctor :  
2. High cholesterol
Doctor :  
3. Diabetes
Doctor :  
4 Heart disease
Doctor :  
and acidity
Doctor :  
so its the ideal time for you to shed the wt
User :  
ok
Doctor :  
so diet changes
Doctor :   are yu vegetarian or mixed diet
User :  
veg
Doctor :  
north indian or south indian diet ?
User :  
south
Doctor :  
do yu prefer more spicy, oily, junk and fatty foods
User :  
yes
Doctor :  
ok
Doctor :   this is one important factor yu need to cut
Doctor :  
diet advice includes
Doctor :  
Total fat- Less than 30% of calories
Doctor :  
Saturated fat- Less than 7% of calories
Doctor :  
Polyunsaturated fat- Less than or equal to 10% of calories
Doctor :  
Carbohydrates (complex) - 50-60% of calories
Doctor :   Foods to avoid : Doctor :   Fatty (saturated) foods- butter, cheese, curd, ghee and others
Doctor :   Junk foods (oily and spicy foods) and carbonated drinks
Doctor :   are yu there
User :  
y
User :  
yes
Doctor :   ok
Doctor :  
foods to be consumed: Doctor :  
Green leafy vegetables and others (carrot, pumpkin, garlic, and others
Doctor :   Fat free skimmed milk
Doctor :   Low fat or non fat yogurt
Doctor :   Fresh fruits
Doctor :   Whole wheat bread, corn, cereals, whole grain
Doctor :   do yu consume milk ?
User :  
regularly morning with soya powder
Doctor :  
ok
Doctor :  
is it a skimmed fat free milk
User :  
no
Doctor :  
its better to go for skimmed milk
User :  
ok
Doctor :  
as its available in market
Doctor :  
it contains less fat
Doctor :  
do yu have curd ?
User :  
very little
Doctor :  
ok
Doctor :  
it should be low fat yogurt
Doctor :  
in diluted form like lassi not in thick form
User :  
ok
Doctor :  
wat oil do yu use for cooking ?
User :  
sun flower oil
Doctor :  
ok
Doctor :  
sunflower oil is good
Doctor :  
but Olive and canola oil are better than sunflower oil
Doctor :   you dont have egg ?
User :  
no
User :  
stopped taking from last 6 years
Doctor :  
ok
Doctor :   white portion of egg contains proteins its good
Doctor :  
but the yellow portion contains high cholesterol
Doctor :  
how many lts of water u consume per day
User :  
normally 3-4 lts
Doctor :  
ok
Doctor :  
as per your ht and wt i willl prepare a ideal diet chart
User :   ok
Doctor :  
and send it to your e mail ID
Doctor :  
please mention the e mail D
User :   YYYY@YYYY
Doctor :  
ok
User :  
thanks doctor
Doctor :   do yu have any doubts regarding diet
User :  
no. after recieving the diet chart i will get back to your if any queries are there.
Doctor :  
ok
Doctor :  
next is exercise
Doctor :  
are you doing any exercise
User :  
No. Weekly twice
Doctor :  
wat exercise ?
User :   Walking and normal health exercise

Doctor :   ok

Doctor :  
1. Cardio exercises - done in gym
Doctor :  
2. Aerobic exercises done in house or home
Doctor :  
which one do you prefer
User :  
AEROBIC
Doctor :  
ok
Doctor :  
Aerobic exercises includes
Doctor :  
Brisk walk, swimming, jogging and others
Doctor :  
for you brisk walking is ideal for you
Doctor :  
do yu know wats brisk walking
User :  
ok
Doctor :  
?
User :  
yes
Doctor :  
let me explain the criteria for brisk walk
Doctor :  
a) walking speed less than jogging and more than normal walk
Doctor :  
b) with free movements of shoulders and arms
Doctor :  
c) atelast 35- 45 min per day
Doctor :  
d) 5 days in a week
Doctor :  
e) only on a plain surface no ups and downs
Doctor :  
is that fine
User :  
ok
Doctor :  
there are 2 advantages of this exercise
Doctor :  
1. reduces the bad cholestrol
Doctor :  
and increases the good cholestrol
Doctor :  
2. it release homone like substance called ENDORPHINS
Doctor :  
which reduced the stress and tension levels
Doctor :   ok
User :  
ok
Doctor :  
you also need to maintain the diet book
Doctor :  
wat you eat in morning, afternoon, nite
User :  
Breat fast in the morning
Doctor :  
and even the chats that you taek
User :  
Rice with dal or curry in afternoon
Doctor :  
need to enter the details on daily basis in the diet book
User :  
dinner in the night.
User :  
often take chat outside
Doctor :  
so if you take more or extra food on one day, need to see that and get motivated
Doctor :  
and to have a control on diet for next time
Doctor :  
okie
User :   ok

Doctor :  
Now be relaxed \
Doctor :   not to worry
Doctor :  
concentrate on diet and exercise
User :  
sure doctor
Doctor :  
you will reduce the wt
Doctor :  
but it will take time, sure you will reduce
Doctor :  
Is there any thing else i can help you with ?
User :  
no doctor. Everything is given
Doctor :  
Please fill the feed back form and comment box
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Doctor :   ok
Doctor :  
take care bye for now
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