Dear XXXXXXX
Thanks for writing in.
I am a qualified and certified cardiologist. I read your mail with diligence.
Special significance of fat around waist is that it increases the chances of development of atherosclerosis which ultimately causes coronary artery disease. Somehow, we Indians are genetically prone to this type of fat accumulation. Waist hip ratio more than 1 or waist more than 90 cm in an adult man is the feature I am referring to. You had chosen the category cholesterol. Indeed that is true however you need to get your lipid profile and fasting blood sugar done. If there is abnormality in those, medical treatment will be needed. For central obesity, the correct method is what you are doing. It is not the type of exercise which matters. Any aerobic exercise (Most people prefer brisk walking at the speed of 5 Km/hour for 40 minutes or swimming or jogging) will have the same beneficial effect of burning calories. That will eventually lead to reduction in fat. Abdominal (waist) exercises are good for increasing the tone of abdominal muscles therefore preferred. What is needed extra is proper intake of food. Food is the only source of calories. Which should contain least amount of saturated fats (the oils which are solid at room temperature like vanaspati ghee or butter). Say no to junk food. To give one example one 40 minutes of brisk walk as described earlier will burn around 400 calories and by eating one samosa you are taking 500 calories. That leaves a positive balance of 100 calories. Approximately, 7700 extra calories are stored as fat weighing one kilogram. See how easy to accumulate fat. Take high fiber diet like XXXXXXX vegetables. With diet and exercise you can achieve ideal body weight and loose those balls. Anti-obesity medicines are generally not recommended. Good Luck.
If you have any more query I will be most happy to answer it.
Regards
Dr Anil Grover,
Cardiologist & Internist
M.B.;B.S, M.D. (Internal Medicine) D.M(Cardiology)
http://www/ WWW.WWWW.WW

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Thanks for writing back.
There are three aspects:
1. You will get your lipid profile and fasting blood sugar so that we are not missing any other associated disease.
2. Exercise, you seem to be doing OK on that count. You increase the time devoted for it.
3. You have forgotten about DIET it should be proper less in calories, less fat, less carbohydrates no junk food and not more than 1 Gm per Kg of protein.

With the last two it depends on how much overweight you are. Do not do "YO YO" (the toy : a ball which goes up and down attached to an elastic string) with your weight. Aim for consistent fall at the rate of 1 KG per month (that will reduce your waist by half an inch: you can maintain that reduction with ease and calculate the months it will take.....I do not know your height/weight/waist circumference so I can not give you a time). Good Luck.
Best Wishes


Dr Anil Grover

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Hi,

Well your answers are reassuring. You are only 10% overweight so not even obese. Keep up the good work you are doing with your exercise and diet. Keep that up and you will achieve what you want in time sooner than you think. Then, will begin the tougher task of maintaining. Good Luck.

If you have no further question you may close the query with comments and stars.
It was a pleasure interacting with you.

Regards
Dr Anil Grover

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