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Morbidly, chronically overweight people are often being prompted to
reduce weight before surrendering the scalpel.
Eating fresh fruit and undertaking regular cardio exercise is essential - this means actually huffing and puffing and bringing up a sweat - not just strolling along the foreshore on a public holiday!! Yet this might be
difficult for people with minimal flexibility.
Neighborhood
services for the average obese patient charges more than $43,000 a year,
in comparison to roughly $7,500 for a non-obese sick person. This is a vast amount compared to an
affordable gift hamper delivered locally.
The
figures are striking, but behind the monetary challenge for medical
facility bean counters are folks battling complicated troubles - people
like Lynne, who acknowledges she ate "all the wrong foods", but often
did so to deal with difficult emotions.
Eating fresh, unprocessed natural food is a great way to get clean inside and feel your best. It's really that simple.
McDonalds and KFC were
her favourites. "It got to the point where I didn't really care. I
over-indulged, I ate for comfort. If I didn't know what I wanted to do I
'd think, I may as well go and eat.".
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Professor Savage said the
new hospital would provide better treatment, but stressed it was merely a
response to the problem. The "cure" is unlikely to be a medical one.
"If
you're drunk you're not allowed to be served in a pub, but it's ok for
fast-food outlets to deliver high calorie food in quantities that you
and I couldn't possibly eat to an individual on a daily basis. So
there's a moral issue," he said. "It's ethically sound to
arrange a fruit hamper to be sent to your friend."
"Some patients have feeders.
They will have a relative or friend who will go to the supermarket or
takeaway place and buy food for them to eat. There's psychology, there's
genetics and, unfortunately,
there's no easy answer.".
He said
disadvantage and a lack of education were often drivers, as were
environmental factors such as a lack of access to
fruit and vegetables,
particularly in rural and regional areas.
"We also need to have
to check out menu labelling for junk food outlets, or taxes to help to
make processed food more pricey. It could be creating physical
environments that promote more exercise safely such as bicycle
expressways, and making it risk-free for little ones to walk to
college.".
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"I'm looking forward to going home and visiting
friends and even sitting out on the front veranda at home in the
sunshine and the fresh air," she said.
"I'm enjoying a fresh fruit basket delivered to me as a get well gift. It really brightens my spirits.".
Ageing and obesity will be the next two most significant conditions that might lead to death. Talking at the United Nations, a lecturer of
international health and wellness systems at Harvard University, and the director of the International Health Systems Collection at Harvard T.H. Chan College of Epidemiology, Mr Rifat Atun, said.
Infectious diseases present a threat but nothing at all like the sustained life-style issues that results form lifetime persistent obesity. Reducing weight and maintaining a healthy weight in the Body Mass Index (BMI) weight range is the best way to prevent health challenges. Particularly, Ebola has been maintained and effectively controlled, so the attention is squarely back on
limiting fat intake and moderating weight gain.Dealing with weight gain is much more than a medical problem, with entrenched business models based on selling high fat high taste high salt products and shifting the
corporate model from this requires considerable political pressure.
Aside from infectious diseases, Atun said obesity and obesity-related chronic diseases like hypertension, heart diseases and diabetes will be the coming future's massively important health problems. "The second-most important problem will certainly be physical changes that emerge with ageing," he said.
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And combining the two, a child with obesity could actually live 50 plus years presenting regularly at hospital and also clogging the system with the many related complaints which come with obesity.
Obesity is also complicated by the fact that it is certainly not simply a health related ailment - it is also has community and cultural implications.
Rapid food and the reliance on fatty salty foods and sweet calorie dense foods means that a whole industry has developed around supplying these products, and dismantling it is not as simple as just advising people to buy other products.
The entire industrial complex is geared to producing cheap, fatty foods as well as supplying it at speed - meanings that people are able to commute even more to and from employment and can eat meals in their vehicles instead of sitting around a table. This leads to really eating in a sidetracked manner and really consuming a lot more, and eating the wrong foods as there is less pressure to preserve healthy choices when you are alone on the freeway. You can in a sense "get away with it".
The number-one challenge in combating excessive weight is the environment we live in, according so as to an Australian biologist who has received a Queen's Birthday honor in June 2015. The best way to address this 'obesogenic environment' is to
redefine obesity research and make it cross disciplinary, said Professor Stephen Simpson, who has been granted a Companion of the Order of Australia (AC).
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"It's very easy to say obesity is all a failure of perseverance but we've designed a world that can make it really hard," said Simpson," head of Obesity Australia, and of the
University of Sydney's Charles Perkins Centre.
For example, our bureaucratic and fiscal system encourages an unhealthy food supply system that produces processed food low in fiber and other important nutrients, and caters our evolutionary drive for sugar and fat, he said.
"If you tell people to eat less to slim down and you really don't appraise that our bodies do more than count nutrients, then you're on a hiding to practically nothing.".
The Charles Perkins Clinic involves clinicians, immunologists, metabolic biochemists, engineers as well as theorists,
economic experts and community researchers. "We've got individuals collaborating in techniques they've never ever done before," said Simpson. "The version for how you get relevant cross-disciplinary research study and education and learning which doesn't lose disciplinary credibility is novel.".
By working across all these types of disciplines, from excessive vehicle travel to eating poor food choices, people could really make an influence on their lives. You can see how bad it has gotten by following Lynne's story listed here.
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"We merely see the tip of the iceberg. Certainly there's lots of folk seeing their GPs with type two diabetes who will never come up to a healthcare facility, at least not for the moment. But they will most likely in 10 to 15 years time and it's something our staff need to address as a the general public," manager of medical treatment Marcus Savage said.
In the present facility, three beds in a four bed bay often have to be closed to accommodate one heavy patient. Their length of stay is on
average four working days greater. A shortage of much bigger, specialised equipment is also an issue.
The bariatric bedrooms in the new clinic will minimize some of these challenges, but will certainly add an extra $1.67 million to building costs. "We're getting more people who fit into the bariatric category and need beds like this to manage them properly, and they're getting heavier as well, thus it's a double whammy," Professor Savage said.
"They current serious challenges from a medical point of view.".
Diabetes, stroke, heart disease, pressure sores,
mental health problems and an improved chance of hospital-acquired infections are one of the issues. "Surgery is also a challenge since it's very hard to wake up these individuals up. A great deal of the anasthetic medications dissolve into the added fat deposits tissue and the anasthetists have to keep them in rehabilitation for a lot longer to make certain they wake up safely," he said.
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Access to weight loss surgery in the public system is limited, with nine out of 10 bariatric operations taking place in private hospitals. Indeed, this month a meeting of Australian surgeons heard that increasingly, obese people are being turned down for lap-band procedures because the risks outweigh the benefits.
"We've refined and industrialized our food source chain to meet these
ancestral appetites that are no longer relevant to us and are damaging
us." It's as though we have created the whole food chain of supply on
the wrong principles -
profit and taste - instead of health and
sustainability.
Human's evolutionary motivation to use less
energy is also sustained by our built environment and vehicle
dependence, which in turn reduce our need to use up energy maintaining
warm or by
being personally energetic. Saving time and energy is what it is all about when you have a get well soon git delivered.
"All of these points,
through nobody's fault, are just stacked together opposing us and it
leaves us with this real problem. You need to interfere at all levels
and at multiple places in the complex system," he said.
Ward K1, Ward K2, Ward K3, Ward J1, Ward J2, Ward J3, Ward I1, Ward I2, Ward I3, Ward H1, Ward H2, Ward H3, Ward G1, Ward G2, Ward G3, Ward F1, Ward F2, Ward F3, Ward E1, Ward E2, Ward E3, John Hunter Hospital Wards
Simpson
is leading a new cross-disciplinary approach at the Charles Perkin
Center and is well-placed to accomplish so because he has a background
in
modelling complicated systems and cross disciplinary services.
Now
a 'health environmentalist, Simpson commenced as an entomologist,
researching the feeding and swarming behavior of grasshoppers. "I used
locusts originally
since a model device for developing an entirely new
way of thinking about nourishment," he said. Central to this idea is
that creatures need an optimum balance of different nutrient types such
as required protein and carb.