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Objectives
Describe the roles of weight reduction strategies in
management of obesity
• Dietary control
• Behavorial modifications
• Drug therapy
• Surgical management
• Acting on both serotoninergic and non adrenergic
pathway. Eg sibutramine
• Cannabinoid 1 receptor blockers; rimonabant
• Inhibitor of pancreatic and gastric lipase-orlistat
• Glucagon like peptide 1
• Indicated when BMI >35kg/m2
• Surgical procedures:
i) Restrictive procedures(adjustable gastric
banding, vertical banded gastroplasty & sleeve
gastroplasty)
ii) Malabsorptive procedures(biliopancreatic
diversion and Roux-en-Y gastric bipass)
Constituent of diet for weight loss:
• Total energy intake: 1000Kcal/day composed of >50g
protein,100gm carbohydrate, 40 g fat
• Carbohydrates should be in the form of complex
carbohydrates such as vegetables or fruits than simple
sugars
• Alcohol should be discouraged
• Group counseling
• Changes in eating pattern
Roles of weight reduction in PCOS
• To lower insulin resistance
• To lower serum androgen levels
• To increase Sex Hormone Binding
Globulin(SHBG)
• To restore fertility
• To prevent further complications
References
• Jeffcoate’s Principle of Gynaecology,8th edition, 2014,
Page no. 364
• Davidson’s Principles and Practise of Medicine,21st
edition,2010, Page no. 761

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Describe the roles of weight reduction strategies in management of obesity in pcos

  • 1. Objectives Describe the roles of weight reduction strategies in management of obesity
  • 2. • Dietary control • Behavorial modifications • Drug therapy • Surgical management
  • 3. • Acting on both serotoninergic and non adrenergic pathway. Eg sibutramine • Cannabinoid 1 receptor blockers; rimonabant • Inhibitor of pancreatic and gastric lipase-orlistat • Glucagon like peptide 1
  • 4. • Indicated when BMI >35kg/m2 • Surgical procedures: i) Restrictive procedures(adjustable gastric banding, vertical banded gastroplasty & sleeve gastroplasty) ii) Malabsorptive procedures(biliopancreatic diversion and Roux-en-Y gastric bipass)
  • 5. Constituent of diet for weight loss: • Total energy intake: 1000Kcal/day composed of >50g protein,100gm carbohydrate, 40 g fat • Carbohydrates should be in the form of complex carbohydrates such as vegetables or fruits than simple sugars • Alcohol should be discouraged
  • 6. • Group counseling • Changes in eating pattern
  • 7. Roles of weight reduction in PCOS • To lower insulin resistance • To lower serum androgen levels • To increase Sex Hormone Binding Globulin(SHBG) • To restore fertility • To prevent further complications
  • 8. References • Jeffcoate’s Principle of Gynaecology,8th edition, 2014, Page no. 364 • Davidson’s Principles and Practise of Medicine,21st edition,2010, Page no. 761