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Journal of Obesity & Weight loss Therapy | ISSN: 2165-7904 | Volume 8
June 06-07, 2018 | Philadelphia, USA
International Conference on
Obesity & Fitness Expo
Challenges in combating obesity and importance of counseling for good dietary compliance among
patients
Chaya P Mishra
Consultant Nutritionist & Clinical Dietitian, India
A
successful case study of transformation of a morbidly obese (BMI-53kg/m2) to obesity Gr-III (BMI-37kg/m2) with total
reduction of 43kg (94.6lbs) achieved in a span of 10 months with dietary approach and minimal activity (5 to 40 minutes
of walk) in ten months, thus majorly attributable to diet therapy and successful counseling. An individual male aged 27 yrs,
height-170cms, weight-149.7kg (329.3lbs) BMI 53 kg/m2, abdominal girth 142 cms with hypertension (on medication since
two years Telmesarten 80) with a history of several episodes of yo-yo effect of weight loss and poor self esteem. He was
explained about diet therapy and the time required for achieving weight reduction of 80 kg (176 lbs) with emphasis on regular
follow ups. In each follow up different types of 10 days menu plans were prescribed (high protein-low fat-adequate CHO,
complex CHO adequate protein and high fiber diets) according to the likings of the patient for better compliance. With each
follow up body weight and abdominal girth were measured which showed a reducing trend motivating him further to adhere
to the diet. With every follow up challenges like, over enthusiasm to shed more weight, urge to work out more, inadequate
compliance to diet, social and emotional binging, greedy diet, lack of interest due to unsatisfactory weight reduction were all
dealt with appropriate counseling and involving the family and friends for support. By the end of eight months his hypertensive
drugs were totally withdrawn by the consultant physician after tapering and the parameters like VLDL and Triglycerides were
well within normal limits with satisfactory general well being.
Biography
Chaya P Mishra, BSC Medical Technology in Radio diagnosis with distinction from Bangalore University, MSc Dietetics & Nutritional Sciences with distinction from
Allahabad University, NET qualified for Assistant Professor in 2013.Formerly served in scientific posts for Indian Council of Agriculture Research- Nainital and
Bhabha Atomic research centre Hospital- Mumbai. Presently Consultant Nutritionist and Clinical Dietitian at Allahabad, India.
chayamishra@yahoo.comChaya P Mishra, J Obes Weight Loss Ther 2018, Volulme: 8
DOI: 10.4172/2165-7904-C2-060