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Health Risks Of Obesity

Posted on: by Susannah 1 Comment

What is Obesity

In an adult the diagnosis of obesity is most commonly made using BMI levels. These provide a measure to be viewed in parallel with the health risks of obesity. BMI is calculated as weight in kilograms (kg) divided by height in metres squared (m2). Ideal BMI is 18.5 to 24.9 kg/m2. The following classification is advised by NICE:

  • A BMI of 25-29.9 kg/m2 is overweight.
  • A BMI of 30-34.9 kg/m2 is obese (Grade I).
  • A BMI of 35-39.9 kg/m2 is obese (Grade II).
  • A BMI of ≥40 kg/m2 is obese (Grade III) or morbidly obese, meaning that weight is a real and imminent threat to health.

Waist circumference in men:

  • <94 cm is defined as low risk.
  • 94 to 102 cm is defined as high risk.
  • >102 cm is defined as very high risk.

Waist circumference in women:

  • <80 cm is defined as low risk.
  • 80 to 88 cm is defined as high risk.
  • >88cm is defined as high risk.

Waist circumference is used in combination with BMI to assess your health risk of obesity       [tweetthis]Waist circumference is used in combination with #BMI to assess #health risk of #obesity[/tweetthis]

Obesity and Genetics

Obesity is the result of a complex pathophysiological pathway involving many factors that control adipose tissue metabolism. Cytokines, free fatty acids and insulin all play a part and genetic defects are likely to have a significant effect on the fine balance of this process. Nam H, Ferguson BS, Stephens JM, et al; Impact of obesity on IL-12 family gene expression  in insulin responsive tissues. Biochim Biophys Acta. 2013 Jan;1832(1):11-9. 

Obesity and Health

Obesity and Health

KRS2 is one gene that has recently been identified as being implicated in obesity and metabolic rate. DNA sequencing in over 2,000 obese individuals identified multiple mutations of the KRS2 gene, and mutation carriers exhibited severe insulin resistance and a reduced metabolic rate. It may be that modulation of KSR2-mediated effects may have the potential to have therapeutic implications for obesity.
Pearce LR, Atanassova N, Banton MC, et al; KSR2 mutations are associated with obesity, insulin resistance, and impaired cellular fuel oxidation. Cell. 2013 Nov 7;155(4):765-77.

Find Out More…

Living with morbid obesity means living at risk for serious health conditions for both men and women combined where applicable. For example, the health risks of obesity are – in terms of the following diseases:-

Type 2 Diabetes
Hypertension
Myocardial Infarction
Colon Cancer
Angina Pectoris
Gall Bladder Disease
Ovarian cancer
Osteoarthritis
Stroke

Obesity and Health

Obesity increases the risk of breast cancer. It also increases the risk of carcinoma of the endometrium. Polycystic Ovary Syndrome PCOS is usually associated with obesity, as is stress incontinence. Obesity impairs fertility in males and females. Obesity increases the risk of fatty liver, along with other features of the metabolic syndrome. Obesity is an important risk factor in the development of chronic respiratory disorders such as COPD, asthma, obesity hypoventilation syndrome, obstructive sleep apnoea. If the person develops a surgical condition, diagnosis is more difficult and almost every postoperative complication is more frequent, including deep vein thrombosis DVT chest infection and wound dehiscence. Not only is osteoarthritis  more common but treatments such as total hip replacements are more likely to be problematical in obesity.

Stress Benefits

Posted on: by Susannah

Stress benefits

Can stress be a good thing? What’s the best stress management? Stressed out has negative connotations in every language.

Being stressed, however, is arguably the most universally acceptable response to modern day living and some may even say stress benefits them.

Can stress ever be a good thing?

Stress can help you:

…Under the right conditions & as long as you’re careful to differentiate between the good and the bad.

 GOOD STRESS VS BAD STRESS

Let’s look at the Research

In studies on rats, they found that significant, but brief stressful events caused stem cells in their brains to proliferate into new nerve cells that, when mature two weeks later, improved the rats’ mental performance. Berkeley researchers noted: “You always think about stress as a really bad thing, but it’s not,” said Daniela Kaufer, associate professor of integrative biology at the University of California, Berkeley. “Some amounts of stress are good to push you just to the level of optimal alertness, behavioural and cognitive performance.”

Key points about Good Stress: 

  •  Good stress, “eustress,” from the Latin prefix “eu-” meaning “good” or “beneficial.”
  • It is proven that these short periods of stress may help improve brain function and learning as they trigger the “fight or flight” response ingrained in all humans that allows us to learn, grow and achieve more quickly
  • This type of stress isn’t associated with the type of damage that long-term periods of negative stress can do
  • “Good” stress tends to occur in short-term bursts of motivation that challenge one to achieve more expansive goals
  • Unable to control the outcome of negative situations? This is when good stress can help one accomplish their goals, whether  facing a tight deadline at work, getting ready for a test or preparing for a speech.
  • Even if one’s stressors are things to be excited about, they may still experience temporary periods of acute stress that help propel them forward and enable them to overcome obstacles.

BAD STRESS HAS A NEGATIVE IMPACT ON YOUR HEALTH

 How Do You Know When Stress is “Good” or “Bad”?

lab

  • Bad Stress is a chronic state
  • Short-term stressors provoke the mind and body to positive action whilst Chronic Stress or Bad Stress is so damaging is that, when you trigger the “fight or flight” mode mentioned above – your body undergoes a host of physiological changes
  • Physiological changes occur to your:
  • Immune system
  • Reproductive system
  • Excretory and digestive systems  – all of which are **designed to help you respond to short-term stress

As a Naturopath Susannah sees the active consequences of stress a lot in practice because Naturopathic medicine is a distinct health care profession. We emphasise prevention, management and optimal health through the use of therapeutic methods and naturally occurring substances that encourage our unique inherent self-healing process.  The naturopathic ethos underpins osteopathy thus. The practice of naturopathic medicine includes modern and traditional, scientific and empirical methods.

At Susannah Makram Clinics we can carry out the Adrenal Stress Test  to correctly identify between the “good” stress and the “bad” stress. Your Functional nutrition is as unique as your DNA. What does that mean exactly?

Lifestyle Nutrition

Whether stress benefits us depends HUGELY on our nutrition and our environment. We can’t always change the latter but we can certainly change the former.

The easier we make this transition for you the more likely you are to follow it and achieve your goals for healthy:

(i) weight loss (ii) skin and hair (iii) body that performs optimally

We can use functional testingz to identify trends in health. So we can optimise health and deliver care pathways. We offer our clients choices, involving you in every step of their health journey.

Find out if you have stress benefits. Or could you be suffering from a chronic stress related illness?  Take our stress questionnaire  here

6 Reasons: Osteopathy, Nutrition and health

Posted on: by Susannah

Functional Osteopathy

Knightsbridge and Chelsea Osteopath Susannah helps optimise professional performance. HOW? Physical therapy techniques unique to osteopathy. Functional osteopathy treats the body as a whole.
How we move is our dynamic posture. Osteopathic techniques with a focus at Susannah Makram Clinics enhance two things: form and function.  We do this to capitalise on our body’s unique inherent strength.
We do this to optimise health. PRO-TIP: Don’t ignore warning signs.

SAFE. CLINICAL. PRACTICAL. EFFECTIVE. Does it always include functional nutrition? 

In London our modern lifestyle means chronic back pain and chronic health concerns recur. —->>>  Why?

Is it stress? What makes us tired all the time? Get stubborn belly fat, skin conditions and poor hair health?
Can  functional nutrition boost performance by a notch after osteopathy?

OSTEOPATHY, NUTRITION CONT’D

When’s the best time to have osteopathy?

“Health is more than the absence of disease. Health is about jobs and employment, education, the environment, and all of those things that go into making us healthy.”

Posture and Health

What does being healthy mean to you? Total body wellness or simply feeling balanced? Form and function. The best way to visualise these two things is via our posture. Our posture and health are interconnected.

Are you fatigued at work? Bloated or experiencing gastrointestinal symptoms of stress and anxiety? Chest pains? Feel like you cannot breath properly, you have aches in your joints? Poor posture can lead to an impairment to blood flow through the chest. This strains the blood vessels below the chest to produce a weakness in blood flow to the brain and cause fatigue (Orthostatic intolerance).

Nutrition and health

An internal chemical and hormonal imbalance sets us up for illness. One example can be seen in this study linking Low Immune Function and Intestinal Bacterial Imbalance to the Etiology of Rheumatoid Arthritis. There’s a case for diet and lifestyle alone to be a potential cause of non specific chronic lower back pain. Osteopaths look to treat the cause of pain or disease. Our training includes studying the pathophysiology of disease. Inflammation must exist for a reason. Pain, therefore, must exist for a reason. Put simply, poor posture from lower back pain or an injury we are accommodating for leads to our disrupted patterns of healthy:

(i) breathing (ii) digestion (iii) sleep (iv) responses to nutrition  (v) respones to stress

osteopathy, nutrition

osteopathy, nutrition

Osteopaths are highly competent healthcare professionals, recognised by the NHS. Osteopathy is a way of detecting, treating and preventing health problems. Osteopathy, nutrition and lifestyle change support is health optimisation. How are you feeling?

Osteopathy, Nutrition

The Missing Link In Functional Care. A clinical background in Osteopathy Matters. 6 Reasons – Osteopathy, Nutrition.

  1. Osteopathy seeks to find dysfunction. All the while we’re examining and treating the body as a whole.
  2. Using our understanding of disease pathophysiology and pain pathways are the greatest diagnostic tools of the osteopath.
  3. Correctly identify the cause or causes linked to why you are seeking nutritional therapy to begin with are the only way to deliver the correct therapy or therapy as treatment.
  4. “You can have inflammation without pain, but there is no pain without inflammation”. One cause of pain is metabolic. A type or stage of inflammation indicates a homeostatic imbalance. Both osteopathy and naturopathy adhere to the principle of helping to create the right environment. This is for optimal homeostatis (balance). It means the body will heal itself, as it does in nature. We help this bodily process to happen to the best of its ability.
  5. Clinically, common tests to diagnose inflammation are erythrocyte sedimentation rate (ESR), white blood cell count, albumin levels (and other biomarkers). These tests are nonspecific. So, an abnormal result might be from a condition unrelated to inflammation. With osteopathy, nutrition and lifestyle as a means of optimising health, it’s important to know about this. Recognising signs and symptoms of acute, sub-acute and chronic inflammatory process, for example. Also, being able to interpret laboratory reports thus, is unique and invaluable for healthy weight loss results, unexplained fatigue etc.
  6. Our hormones have a complicated relationship with our Central Nervous System as well as our Cardiovascular Systems.

Functional testing in osteopathy, nutrition

Conventional medical testing will usually produce a result only when you’ve developed a disease. Often you may feel ill long before there is a “measurable pathology” – you know something is wrong but your tests keep coming back clear. Sound familiar? 

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