“Abdominal obesity” .. silent and deadly complications

Doctors and specialists have warned of the danger of abdominal obesity, or what is known as visceral obesity, describing it as “the most dangerous and most connected types of obesity with silent and deadly health complications”, even for people who appear to be a gravity or have a natural body mass indicator.

They told «Emirates Today» that the abdominal obesity is not only an aesthetic problem, but it is a real dangerous indication, and its ignorance may lead to silent chronic diseases and sudden ends, and they emphasized that early detection and nutritional and physical intervention may make the difference in saving life, explaining that these fats accumulate around vital organs, such as the liver and pancreas, and secrete inflammatory substances that raise the severity of chronic inflammation in The body, and leads to main health problems, which include “heart disease, heart systems disorders, sudden heart death, directly related to an increase in the waist circumference, high blood pressure even in people with normal weight, insulin resistance, which pave the way for type 2 diabetes, and hormone balance disorders, such as cortisol, testosterone and estrogen, which leads to complications such as loading of the liver and cyst. Ovaries in women. ”

They stressed that abdominal obesity constitutes a silent threat, as its symptoms may not appear in the early stages, stressing the importance of periodic examination and measuring the waist circumference, and not only relying on the body mass index, to assess health risks, calling for the importance of prevention through regular sport, exercising resistance exercises, and following a balanced diet low sugars and processed fats.

They warned against the existence of what is known as “hidden diabetes” or “pre -diabetes”, which is a common condition in people of normal weight, but with a high waist ocean, as they warned of harsh diets, such as the strict “keto” system for long periods, defining five food reasons that lead to the accumulation of fat in the abdominal area, and includes excessive calories, especially from refined sugars (such as soft drinks and sweets) Simple carbohydrates (such as white bread and pastries), and eating unhealthy fats, such as transformed fats in processed and fried foods, and lack of fiber, as fibers improve satiety and reduce fat absorption, eating large meals before bed or irregular meals, drinking alcohol (even in moderate quantities) causes what is known With “alcoholic rumen”.

Vital

In detail, the cardiac and cardiac catheter consultant, Dr. Hisham Tayel, warned of the danger of abdominal obesity or what is known as visceral obesity, describing it as “the most dangerous and most related types of obesity to heart disease and sudden death”, even in cases where the person’s weight appears normal or the BMI (BMI) within the acceptable limits.

He said that abdominal obesity is not only an aesthetic problem, but it is a dangerous, real and threatening indicator of heart health, and ignoring it may lead to silent chronic diseases and sudden ends, early detection and nutritional and physical intervention may make the difference in saving life.

He explained that the belly fat is concentrated around the vital organs, such as the liver, pancreas and intestine, and active inflammatory compounds, such as “intercin-6”, “tumor necrosis factor” and “leptin”, are secreted, which are compounds that raise the level of chronic inflammation in the body, and lead to insulin resistance, atherosclerosis, cholesterol accumulation in the walls of the vessels, high blood pressure, increased risk Diabetes and coronary heart disease.

Regarding sudden heart death, he stressed that many research have shown that the high level of the waist is directly related to the increased risk of sudden heart death by a rate ranging from two to three times, due to its relationship to increasing the heart rhythm disorders, raising the risk of myocardial infarction, and sudden blockage in the coronary arteries, and the weak heartwear as a result of the unexploited muscle inflation in the heart, indicating that The height of the waist circumference is a strong indicator to increase the possibility of exposure to these sudden heart attacks.

He pointed out that many patients with thinness suffer from dangerous heart disease, due to hidden abdominal obesity, as clinical cases showed that the BMI (BMI) is not sufficient alone to assess heart health, as it was found that patients with a natural weight but with a high waist (more than 102 cm for men and 88 cm for women), they were suffering from chest sacrifices, high blood pressure, and weak heart muscle, or even heart attacks.

He warned that people’s dependence on the scale or the appearance of the body only may be misleading, saying: “Measurement of the waist circumference is very important, because it reveals the real danger that may not appear on the scale.”

He stressed the importance of prevention through regular exercise, such as brisk walking for at least 90 minutes per week, and exercising resistance exercises two to three times a week, as well as a balanced diet low sugars and processed fats, and stay away from hydrogenated oils and fast foods while monitoring the waist circumference regularly.

Hormone balance

The endocrinologist, Dr. Yara Latifa, confirmed that abdominal obesity or visceral obesity not only affects the heart and vessels, but rather it causes a deep imbalance in the hormonal and metabolic system of the body, which makes it one of the most dangerous forms of obesity.

She explained that the accumulation of fat in the abdominal area secretes inflammatory substances that lead to insulin resistance, which paves the way for type II diabetes even in the absence of visible obesity, and that this type of fat is linked to a hormone balance disorder, such as cortisol, testosterone, and estrogen, which explains the occurrence of symptoms, such as the lubrication of the liver, ovarian cyst in women.

She added that the difference between general obesity and abdominal obesity lies in the deep and direct effect of the hormonal-metabolic axis, and that abdominal obesity increases the excessive activity of the adrenal gland, and raises the level of cortisol, which enhances the accumulation of more visceral fats, which is a closed loop of the hormonal imbalance, pointing out that abdominal obesity may slow down from converting the hormones to the gland to its shape Effective, and reduces cell response to them, which contributes to the deterioration of the metabolism and weight gain gradually, even if the gland itself is working within the natural limits.

She warned against what is known as “hidden diabetes” or “pre -diabetes”, which is a common condition in people with a normal weight, but in a high waist ocean, saying: These people do not feel any symptoms, but their analyzes show a rise in diabetic hemoglobin (HBA1C) or fasting blood sugar, which are disturbing marks to start a white imbalance.

She stressed the importance of conducting vital analyzes and indicators that can early this type of dangerous obesity, including the waist circumference, waist to hip, insulin resistance (HOMA -ir), high triglycerides and cholesterol, high blood pressure, cortisol analyzes and thyroid hormones in some cases.

Dietary risk

The therapeutic nutritionist, Tasnim Hamami, has identified a group of food causes that lead to the accumulation of fat in the abdominal area specifically, and includes: excessive calories, especially from refined sugars (such as soft drinks and sweets), and simple carbohydrates (such as white bread and pastries), and eating unhealthy fats, such as transformed fats (trans fats) found in processed foods Maghreb, and the lack of fiber, as the fibers improve satiety and reduce the absorption of fat, eating large meals before bed or irregular meals, and drinking alcohol (even in moderate quantities) causing what is known as “alcoholic rumen”.

She explained that abdominal obesity can be eliminated without losing public weight but partly, as losing fat in one area (Spot Reducation) cannot be isolated, but abdominal fat can be reduced relatively faster than other fats through active food methods by reducing simple sugars and carbohydrates, increased protein, and eating healthy fats, such as olive oil and nuts, and following the fasting system The intermittent, as it shows a special effectiveness in reducing belly fat, controlling the number of calories while improving the quality of food, adding that systems such as the Mediterranean Sea systems rich in healthy fats, vegetables, fish, whole grains, and intermittent fasting, especially a 16: 8 (fasting and eating and eating within eight hours), besides the low -carbohydrate system is effective and safe to reduce vasral fats.

She stressed the importance of choosing foods that help reduce fats without a negative impact in health, such as avocado, olive oil, almonds (unsaturated fats), natural yogurt (supports the balance of beneficial bacteria), oats and legumes (rich in melted fibers), and leafy vegetables (low calories and high nutritional value).

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The risk of atrial fibrillation

Consultant cardiac and cardiac catheterization, Dr. Hisham Tayel, said that research has proven that abdominal obesity raises the risk of atrial fibrillation by up to 40% even when those with high pressure, as it affects the function of the left ventricle, and leads to diastolic heart failure. It affects kidney function and regulating blood pressure, which leads to chronic high blood pressure. ”