Obesity is defined as the accumulation of unspent power in the form of fat as a result of taking too much food into the body. Those with a body mass index above 30 are called obese, those in the middle of 30-35 are classified as class 1, those in the middle of 35-40 are classified as class 2, and individuals with a body mass index above 40 are called morbidly obese.
prof. Dr. Günal made evaluations about obesity surgery, the factors that cause obesity to become an important public health problem in Turkey, and the steps to be followed in the effort.
‘STRESS’ IS THE MOST VALUABLE FACTOR
Günal stated that in order to reduce the incidence of obesity in Turkey, it is necessary to stay away from refined, packaged and additive foods, as well as to stay away from the tiring pace of urban life and the stress factor that triggers overeating.
prof. Dr. Ömer Günal stated that in addition to patients with a body mass index above 40, they also operated on those who are in the middle of 35-40 and have type 2 diabetes, hypertension, hyperlipidemia (high cholesterol), obstructive sleep apnea syndrome or joint , back and low back pain. conveyed
to WHO, Turkey’s ranking in obesity in Europe is expensive, Günal pointed out that obesity is common in Western According to societies, that is, in industrialized societies.
CHANGE EATING HABITS TRIGGER OBESITY
Connecting this situation in Turkey to the changing eating habits and lifestyle with the increase in industrialization, Günal said:
“The increase in supermarkets and the fact that the products sold here are industrial, that is, refined, foods that can quickly enter the blood play a valuable role in this. Because the sooner a food enters the blood or raises the blood sugar level, the faster the insulin level increases. The increased insulin level in the body. “In this way, people get fat and turn into obese individuals. Urbanization and stressful life conditions, changes in eating habits in the form of unsystematic nutrition, and frequent consumption of snack foods can be considered as the most important causes of obesity.”
OBESITY IS MORE FREQUENCY IN WOMEN THAN MEN
Mentioning the prevalence of obesity in the world, Günal stated that 65 percent of the US population is overweight, and approximately 7 to 15 percent of the total population is obese.
Pointing out that 45 percent of Western Europeans are obese, Günal said, “The numbers in our country are very similar to these numbers. There are no clear numbers, but there are no exact numbers, but there is a cluster of obese patients, which is almost close to the American society, and around 17 percent of us are obese. 17 percent is quite a large number.”
HOW CAN THE OBESITY RATE IN TURKEY BE REDUCED?
prof. Dr. Ömer Günal listed the proposals he thinks should be made to prevent obesity in Turkey as follows:
“We need to direct people to natural nutrition. I don’t know how this will happen. Because 99 percent of the foods in supermarkets are refined, packaged, processed and have additives. It is necessary to save people from the exhausting and spiritually exhausting pace of city life. People come to big cities for their own benefit and make efforts. Tension is one of the factors that feed people. Stopping migration to big cities, increasing welfare, increasing urbanization and job opportunities in other regions should be the first element . It sounds like it is very unrelated to nutrition, but it is directly related. The decrease in industrial foods also means that people have the opportunity to produce their own food. This will happen with government policy.”
“THE MOST VALUABLE FACTOR FOR SURGERY PATIENT’S COMPLIANCE”
prof. Dr. Ömer Günal explained that in line with the circular published by the Ministry of Health in 1998, the general surgery, internal medicine, physical therapy, cardiology and psychiatry branches of the patients who will undergo bariatric surgery evaluate their mental and physical conditions and their suitability for surgery, and that the operation is decided after a period of 12 months.
Emphasizing that obesity surgery is applied to patients who cannot benefit from other ways to lose weight, it is necessary to determine which patients can benefit from it. Dr. Gunal said:
“The most valuable factor is the patient’s harmony. We call the patient’s ability to know, understand and apply what is asked of him. For example, ‘You have to eat 6 meals a day. You need to eat four spoons of solids and five spoons of liquid.’ When you say, ‘You have to walk for 1 hour a day.’ You say, ‘The patient thinks, ‘I have had surgery, I can’t eat anymore, in any case, I’m weak, I don’t need to make these changes.’ In this situation, the patient needs to be fed very differently, otherwise vitamin deficiencies occur. Patients with these vitamin deficiencies can come to the hospital with numbness in the hands and feet, paralysis from the waist down, memory disorders, various visual disorders and fainting . These increase our workload, the patient’s It can be interpreted as not benefiting from the surgery.”
THE FACT IS NOT SURGERY, IT IS CHANGEING LIFE STYLE AND EATING HABITS
prof. Dr. Ömer Günal mentioned that there are risks in obesity surgery, such as bleeding, entering heavy care, and losing the patient, as in every surgery, and said that these risks should be explained to the patient, even though they are described at low rates.
Günal said, “Obesity surgery is a dangerous and risky surgery. Our patients who are willing to take this job should know that the basis of the job is not surgery, but changing their lifestyles and eating habits. First, they should make this decision in their brains. After that, they should come to surgery with peace of mind.”
“These surgeries are not 100 percent beneficial. One in five patients will regain weight or not lose weight at all.”
prof. Dr. Ömer Günal stated that obesity is a growing disease and is more dangerous than Covid-19, adding that efforts should always be made on this issue together.
OVER WEIGHT CAUSES DIABETES
Esra Gür, 35, morbidly obese, who applied to the hospital’s bariatric surgery and was observed to have an operation after the 8-week program, stated that her hip was broken in a traffic accident in 2008, she was confined to bed for 2 months and gained weight because she could not move.
Stating that his excess weight causes diabetes, Gür also said that he has difficulty walking, feels a load on his knees and has trouble breathing, and that he has asthma.
Esra Gür said, “I decided to have the surgery on the basis of my wife. He said, ‘Get back to health.’ “I will not have pain. I have a child. I will have more fun with my child and we will have a more comfortable time,” he said.
30-year-old Zehra Arslan, who will undergo surgery, also mentioned that she has had weight problems for 9 years due to unsystematic and unhealthy nutrition. Explaining that his feet hurt a lot due to the weight problem and he had shortness of breath while lying down, Arslan said, “I am 120 kilos, I have to drop to 62 kilos.”
Arslan noted that when he loses weight after the operation, he will live more comfortably and his breathing will be more appropriate.