Excerpts from a lecture by Dr. Tamer El Zalabany at the Women’s Health and Obesity Risks Symposium, which was hosted by the Media Complex for the Red Sea Governorate and in cooperation between Hurghada Elite Rotary Club and Dr. Tamer El Zalabany Specialised and the National Council for Women. On the occasion of International Women's Day, Egyptian Women's Day, Mother's Day and International Obesity Day.
The activities of a of Women's Health and Obesity Risks Symposium, which was hosted by the Media Complex for the Red Sea Governorate and in cooperation between Hurghada Elite Rotary Club, Dr. Tamer ElZalabany Specialised Clinics, and the National Council for Women. This was on the occasion of International Women's Day, Egyptian Women's Day, Mother's Day and International Obesity Day.
In cooperation with the Hurghada Elite Rotary Club, and the hospitality of the Media Complex in Hurghada, we are honored to invite you to a symposium on women's health and obesity risks, on the occasion of International Women's Day, Mother's Day, and International Obesity Day.
Dr. Tamer ElZalabany
Consultant General, Laparoscopic and obesity Surgery
Lecturer of Surgery at the Royal College of Surgeons in Ireland
Dr. Eman Kamel
Clinical Nutrition Consultant Head of Department
National Research Center
Dr. Mary Hermina
Clinical Nutrition Specialist Higher Institute of Health, Alexandria University
Coach Tamer El Talty
consultant Sports Health and fitness
COO, Fit Island, Abu Dhabi
We will do the examination for free using the InBody device, in cooperation with the Biomed Pharmaceutical Company, to measure the percentage of fats, fluids, muscles and bones in the body, with the distribution of some different drugs under the supervision of our doctors.
We are honored by your presence
Obesity is a complex disease involving an excessive amount of body fat. Obesity isn't just a cosmetic concern. It is a medical problem that increases your risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure and certain cancers.
There are many reasons why some people have difficulty avoiding obesity. Usually, obesity results from a combination of inherited factors, combined with the environment and personal diet and exercise choices.
The good news is that even modest weight loss can improve or prevent the health problems associated with obesity. Dietary changes, increased physical activity and behavior changes can help you lose weight. Prescription medications and weight-loss procedures are additional options for treating obesity.
Obesity is diagnosed when your body mass index (BMI) is 30 or higher. To determine your body mass index, divide your weight in kilograms by your height in meters squared.
For most people, BMI provides a reasonable estimate of body fat. However, BMI doesn't directly measure body fat, so some people, such as muscular athletes, may have a BMI in the obesity category even though they don't have excess body fat.
When to see a doctor
If you're concerned about weight-related health problems, ask your doctor about obesity management. You and your doctor can evaluate your health risks and discuss your weight-loss options.
Although there are genetic, behavioral, metabolic and hormonal influences on body weight, obesity occurs when you take in more calories than you burn through exercise and normal daily activities. Your body stores these excess calories as fat.
Most Americans' diets are too high in calories — often from fast food and high-calorie beverages. People with obesity might eat more calories before feeling full, feel hungry sooner, or eat more due to stress or anxiety.
Obesity usually results from a combination of causes and contributing factors:
Family inheritance and influences
The genes you inherit from your parents may affect the amount of body fat you store, and where that fat is distributed. Genetics may also play a role in how efficiently your body converts food into energy, how your body regulates your appetite and how your body burns calories during exercise.
Obesity tends to run in families. That's not just because of the genes they share. Family members also tend to share similar eating and activity habits.
- Unhealthy diet.A diet that's high in calories, lacking in fruits and vegetables, full of fast food, and laden with high-calorie beverages and oversized portions contributes to weight gain.
- Liquid calories.People can drink many calories without feeling full, especially calories from alcohol. Other high-calorie beverages, such as sugared soft drinks, can contribute to significant weight gain.
- If you have a sedentary lifestyle, you can easily take in more calories every day than you burn through exercise and routine daily activities. Looking at computer, tablet and phone screens is a sedentary activity. The number of hours you spend in front of a screen is highly associated with weight gain.
Certain diseases and medications
In some people, obesity can be traced to a medical cause, such as Prader-Willi syndrome, Cushing syndrome and other conditions. Medical problems, such as arthritis, also can lead to decreased activity, which may result in weight gain.
Some medications can lead to weight gain if you don't compensate through diet or activity. These medications include some antidepressants, anti-seizure medications, diabetes medications, antipsychotic medications, steroids and beta blockers.
Social and economic issues
Social and economic factors are linked to obesity. Avoiding obesity is difficult if you don't have safe areas to walk or exercise. Similarly, you may not have been taught healthy ways of cooking, or you may not have access to healthier foods. In addition, the people you spend time with may influence your weight — you're more likely to develop obesity if you have friends or relatives with obesity.
Obesity can occur at any age, even in young children. But as you age, hormonal changes and a less active lifestyle increase your risk of obesity. In addition, the amount of muscle in your body tends to decrease with age. Generally, lower muscle mass leads to a decrease in metabolism. These changes also reduce calorie needs, and can make it harder to keep off excess weight. If you don't consciously control what you eat and become more physically active as you age, you'll likely gain weight.
- Weight gain is common during pregnancy. Some women find this weight difficult to lose after the baby is born. This weight gain may contribute to the development of obesity in women. Breast-feeding may be the best option to lose the weight gained during pregnancy.
- Quitting smoking.Quitting smoking is often associated with weight gain. And for some, it can lead to enough weight gain to qualify as obesity. Often, this happens as people use food to cope with smoking withdrawal. In the long run, however, quitting smoking is still a greater benefit to your health than is continuing to smoke. Your doctor can help you prevent weight gain after quitting smoking.
- Lack of sleep.Not getting enough sleep or getting too much sleep can cause changes in hormones that increase your appetite. You may also crave foods high in calories and carbohydrates, which can contribute to weight gain.
- Many external factors that affect your mood and well-being may contribute to obesity. People often seek more high-calorie food when experiencing stressful situations.
- Your gut bacteria are affected by what you eat and may contribute to weight gain or difficulty losing weight.
- Previous attempts to lose weight.Previous attempts of weight loss followed by rapid weight regain may contribute to further weight gain. This phenomenon, sometimes called yo-yo dieting, can slow your metabolism.
Even if you have one or more of these risk factors, it doesn't mean that you're destined to develop obesity. You can counteract most risk factors through diet, physical activity and exercise, and behavior changes.
People with obesity are more likely to develop a number of potentially serious health problems, including:
- Heart disease and strokes.Obesity makes you more likely to have high blood pressure and abnormal cholesterol levels, which are risk factors for heart disease and strokes.
- Type 2 diabetes.Obesity can affect the way your body uses insulin to control blood sugar levels. This raises your risk of insulin resistance and diabetes.
- Certain cancers.Obesity may increase your risk of cancer of the uterus, cervix, endometrium, ovary, breast, colon, rectum, esophagus, liver, gallbladder, pancreas, kidney and prostate.
- Digestive problems.Obesity increases the likelihood that you'll develop heartburn, gallbladder disease and liver problems.
- Gynecological and sexual problems.Obesity may cause infertility and irregular periods in women. Obesity also can cause erectile dysfunction in men.
- Sleep apnea.People with obesity are more likely to have sleep apnea, a potentially serious disorder in which breathing repeatedly stops and starts during sleep.
- Obesity increases the stress placed on weight-bearing joints, in addition to promoting inflammation within the body. These factors may lead to complications such as osteoarthritis.
- Severe COVID-19 symptoms.Obesity increases the risk of developing severe symptoms if you become infected with the virus that causes coronavirus disease 2019 (COVID-19). People who have severe cases of COVID-19 may require treatment in intensive care units or even mechanical assistance to breathe.
Quality of life
Obesity can diminish your overall quality of life. You may not be able to do things you used to do, such as participating in enjoyable activities. You may avoid public places. People with obesity may even encounter discrimination.
Other weight-related issues that may affect your quality of life include:
- Sexual problems
- Shame and guilt
- Social isolation
- Lower work achievement
Whether you're at risk of obesity, currently overweight or at a healthy weight, you can take steps to prevent unhealthy weight gain and related health problems. Not surprisingly, the steps to prevent weight gain are the same as the steps to lose weight: daily exercise, a healthy diet, and a long-term commitment to watch what you eat and drink.
- Exercise regularly.You need to get 150 to 300 minutes of moderate-intensity activity a week to prevent weight gain. Moderately intense physical activities include fast walking and swimming.
- Follow a healthy-eating plan.Focus on low-calorie, nutrient-dense foods, such as fruits, vegetables and whole grains. Avoid saturated fat and limit sweets and alcohol. Eat three regular meals a day with limited snacking. You can still enjoy small amounts of high-fat, high-calorie foods as an infrequent treat. Just be sure to choose foods that promote a healthy weight and good health most of the time.
- Know and avoid the food traps that cause you to eat.Identify situations that trigger out-of-control eating. Try keeping a journal and write down what you eat, how much you eat, when you eat, how you're feeling and how hungry you are. After a while, you should see patterns emerge. You can plan ahead and develop strategies for handling these types of situations and stay in control of your eating behaviors.
- Monitor your weight regularly.People who weigh themselves at least once a week are more successful in keeping off excess pounds. Monitoring your weight can tell you whether your efforts are working and can help you detect small weight gains before they become big problems.
- Be consistent.Sticking to your healthy-weight plan during the week, on the weekends, and amidst vacation and holidays as much as possible increases your chances of long-term success.
What is World Cancer Day?
- World Cancer Day every 4 February is the global uniting initiative led by the Union for International Cancer Control(UICC).
- Created in 2000, World Cancer Day has grown into a positive movement for everyone, everywhere to unite under one voice to face one of our greatest challenges in history.
- Each year, hundreds of activities and events take place around the world,
- gathering communities, organisations and individuals
- in schools, businesses, hospitals, marketplaces, parks, community halls, places of worship - in the streets and online –
- acting as a powerful reminder that we all have a role to play in reducing the global impact of cancer.
By raising worldwide awareness, improving education and catalysing personal, collective and government action, we're working together to reimagine a world where millions of preventable cancer deaths are saved and access to life - saving cancer treatment and care is equal for all - no matter who you are or where you live.
“I Am and I Will”
- This year's World Cancer Day's theme.
- It is all about us and our commitment to act.
- Through our positive actions, together we can reach the target of reducing the number of premature deaths from cancer by one third by 2030.
How Cancer affect our world?
- The total economic global cost of cancer is 1.16 USD trillion.
- Every year 9.6 million die from Cancer
- Around 70% of all cancer deaths occur in the least developed parts of the world
By investing 11USD billion in prevention strategies in low- to middle-income countries, this could potentially save 100USD billion in cancer treatment costs.
What can we do?
- As an individual, we can teach ourselves, the people we love and our communities about the common signs and symptoms.
- Healthcare professionals need to understand the signs and symptoms to avoid misdiagnosis and understand and encourage the value of early detection in their patients.
- Policy makers have a critical role to play. Governments can develop strategies to increase awareness and education and integrate early detection and screening into national health systems.
What is cancer ?
- Cancer is a disease which occurs when changes in a group of normal cells within the body lead to uncontrolled, abnormal growth forming a lump called a tumor; this is true of all cancers except leukemia (cancer of the blood).
- If left untreated, tumours can:
- grow and spread into the surrounding normal tissue, or to other parts of the body via the bloodstream and lymphatic systems,
- and can affect the digestive, nervous, skeletal, respiratory and circulatory systems,
- or release hormones that may affect body function.
General risk factors
- Older age.
- A personal or family history of cancer.
- Using tobacco.
- Some types of viral infections.
- Specific chemicals.
- Exposure to radiation, including ultraviolet radiation from the sun.
Smoking is linked to 71% of lung cancer deaths, and accounts for at least 22% of all cancer deaths.
Cancer risk reduction
- Not every type of cancer is preventable but we do know we can prevent many cancers through lifestyle choices alone.
- According to the World Health Organization, at least one third of common cancers are preventable through a healthy diet, maintaining a healthy weight and being physically active.
- What to Do?
- Choose healthy food.
- Quit smoking.
- Cut down on alcohol.
- Be sunsmart and stay away from solariums.
- Avoid pollutants and chemicals (including asbestos, pesticides and containers containing BPA)
- Get Vaccinated. (Human Papilloma Virus, Hepatitis B virus)
- Know the signs and symptoms.
- Know yourself, your family history, and your risks.
- Get regular check-ups and cancer screening tests.
A recent UK study found that for eight common cancers
- malignant melanoma
- testicular cancers
survival is three times higher when diagnosed early
Early detection of cancer
- Early detection is important because when abnormal tissue or cancer is found early, it may be easier to treat.
- By the time symptoms appear, cancer may have begun to spread and be harder to treat.
- Screening tests are used to find cancer before a person has any symptoms.
- Several screening tests have been shown to detect cancer early and to reduce the chance of dying from that cancer.
- Women ages 40 to 44 should have the choice to start annual breast cancer screening with mammograms (x-rays of the breast) if they wish to do so.
- Women age 45 to 54 should get mammograms every year.
- Women 55 and older should switch to mammograms every 2 years or can continue yearly screening.
- Women should also know how their breasts normally look and feel and report any breast changes to a health care provider right away.
- Some women – because of their family history, a genetic tendency, or certain other factors – should be screened with MRIs along with mammograms.
Colon and rectal cancer and polyps
- For people at average risk for colorectal cancer, starting regular screening at age 45.
- This can be done either with a sensitive test that looks for signs of cancer in a person’s stool (a stool-based test) every year,
- or with an exam that looks at the colon and rectum (a visual exam) every 3 to 5 years.
- No matter which test you choose, the most important thing is to get screened.
- People over 85 should no longer get colorectal cancer screening.
- If you choose to be screened with a test other than colonoscopy, any abnormal test result needs to be followed up with a colonoscopy.
- Yearly lung cancer screening is recommended with a low-dose CT scan (LDCT) for certain people at higher risk for lung cancer who meet the following conditions:
- Are aged 55 to 74 years and in fairly good health
- Currently smoke or have quit smoking in the past 15 years
- Have at least a 30 pack-year smoking history. (A pack-year is 1 pack of cigarettes per day per year. One pack per day for 30 years or 2 packs per day for 15 years would both be 30 pack-years.)
Take home message
- Early detection and screening save lives.
- Reaching this goal in our community, will need our maximum effort to spread knowledge and awareness.