Author name: Dr. Reema Kashiva

Obesity is a complex health condition that goes far beyond body weight or appearance. It is influenced by a combination of lifestyle habits, genetics, metabolism, environment, and emotional well-being. In recent years, urban areas have seen a steady rise in obesity due to sedentary routines, irregular eating patterns, high stress levels, and reduced physical activity. This has led many individuals to seek reliable information from an obesity clinic in Pune to better understand the condition and its long-term impact on health.  What Is Obesity?  Obesity is typically defined as excessive body fat that increases the risk of medical complications. It is commonly assessed using Body Mass Index (BMI), waist circumference, and body fat analysis. However, obesity is not the same for everyone. Two individuals with the same BMI may have very different health risks depending on fat distribution, muscle mass, and metabolic health.  Common Causes of Obesity  Obesity develops gradually and often results from multiple overlapping factors:  Unbalanced diet with high intake of refined carbohydrates, sugars, and processed foods   Physical inactivity due to desk-based work and reduced daily movement   Hormonal imbalances, including thyroid disorders and insulin resistance   Genetic predisposition, which can affect appetite regulation and metabolism   Emotional eating and stress can affect food choices as well as portion sizes   Poor sleep patterns, known to disrupt hunger hormones   Understanding these causes helps individuals move away from self-blame and toward informed health decisions.  Health Risks Associated With Obesity  Obesity is linked to several chronic conditions that can affect quality of life and long-term health outcomes. These include:  Type 2 diabetes and insulin resistance   High blood pressure and cardiovascular disease   Joint pain, osteoarthritis, and mobility issues   Fatty liver disease   Hormonal disturbances and reproductive health concerns   Breathing disorders such as sleep apnea   Early identification and structured medical guidance can help reduce these risks over time.  Why a Structured Medical Approach Matters  Managing obesity is not about short-term dieting or rapid weight loss. Sustainable outcomes often require a medically guided, personalized approach. An obesity clinic in Pune typically focuses on understanding individual health profiles rather than offering generic solutions. This may include:  Detailed medical history and lifestyle assessment   Evaluation of metabolic and hormonal factors   Nutritional education tailored to cultural and daily routines   Gradual physical activity planning based on ability and health status   Long-term monitoring and adjustments   Such an approach supports consistency and realistic progress.  Role of Medical Expertise  Medical professionals play an important role in identifying underlying contributors to weight gain that may not be obvious. For example, guidance from specialists such as Dr. Reema Kashiva emphasizes the importance of looking at obesity as a metabolic condition rather than a cosmetic concern. Clinical experience highlights how early intervention can help prevent future complications.  Institutions like Noble Hospital are known for integrating medical evaluation with lifestyle-based management, helping patients understand their condition in a structured and evidence-based manner.  Lifestyle Changes That Support Long-Term Health  While medical guidance is important, daily habits remain central to obesity management. Small, consistent changes often have a greater impact than extreme measures:  Eating balanced meals with adequate protein, fiber, and healthy fats   Practicing mindful eating and recognizing hunger cues   Incorporating regular movement, even low-intensity activities   Managing stress through relaxation techniques   Maintaining regular sleep schedules   These habits support metabolic health and improve overall well-being.  Breaking Common Myths About Obesity  Several misconceptions can delay effective care:  Myth: Obesity is only caused by overeating Reality: Hormones, genetics, and metabolism play major roles   Myth: Rapid weight loss is the best solution Reality: Gradual, sustained changes are more effective long term   Myth: Obesity only affects older adults Reality: It can impact all age groups, including young adults   Correct information helps individuals make informed health choices.  When to Seek Professional Guidance  If weight gain is persistent despite lifestyle efforts, or if obesity-related health conditions are present, seeking structured medical advice can be helpful. An obesity clinic in Pune can provide clarity, realistic goal-setting, and ongoing support based on individual health needs.  Conclusion  Obesity is a multifactorial condition that requires understanding, patience, and a comprehensive approach. Moving away from stigma and focusing on health-based care allows individuals to make sustainable improvements. With the right information, medical guidance, and lifestyle support, long-term health outcomes can be positively influenced. 

मधुमेह व्यवस्थापनामध्ये वैयक्तिकृत दृष्टीकोन महत्त्वाचा : तज्ञ पुणे,12 नोव्हेंबर 2025 : औषधोपचाराच्या बाबतीतच नव्हे तर मधुमेह व्यवस्थापनामध्ये आहार आणि व्यायामाच्या बाबतीत देखील वैयक्तिकृत दृष्टीकोन महत्त्वाचा असल्याचे मत नोबल हॉस्पिटल येथील सेंटर ऑफ एक्सलन्स फॉर डायबेटिस ॲन्ड ओबेसिटी विभागाच्या संचालिका डॉ.रीमा काशिवा यांनी व्यक्त केले. अधिकाधिक तरुण लोक टाईप 2 मधुमेहाने ग्रस्त होत असताना त्याचे व्यवस्थापन नीट न केल्यास दीर्घकालीन गुंतागुंतीची जोखीम वाढू शकते.डॉ.काशिवा म्हणाल्या की,यात सर्वांत महत्त्वाची बाब म्हणजे लवकर मधुमेहाचे निदान करून लगेचच त्याचे व्यवस्थापन सुरू करणे.उदा.एखाद्याची एचबीए1सीची पातळी 6.5 ते 7.5 दरम्यान असेल आणि बीएमआय 35 असेल तर ते खाली आणण्याची ही योग्य वेळ असून त्यासाठी तज्ञांच्या सल्ल्याने योग्य व्यवस्थापन सुरू केले पाहिजे. आपला आहार आणि व्यायाम कसा आहे,अशा साध्या साध्या गोष्टींकडे नीट लक्ष दिल्यास त्याचा फायदा होऊ शकतो.कधीकधी तोचतोच व्यायाम उपयुक्त ठरत नाही आणि म्हणूनच त्यात काही बदल आवश्यक असतात.याचा प्रभाव मधुमेहाची जोखीम वाढविणाऱ्या सर्वांत महत्त्वाच्या घटकांपैकी एक म्हणजे आपल्या वजनावर पडू शकतो. आजकाल लहान मुले,किशोरवयीन व तरूण प्रौढांमध्ये टाईप 2 मधुमेहासाठी वजन ही एक मोठी जोखीम आहे.इतर जोखीमकारक घटकांमध्ये कामामुळे येणारा तणाव,मुलांमध्ये कामगिरीचा तणाव इत्यादींचा समावेश असून याबाबत शाळेतच जागरूकता निर्माण झाली पाहिजे.या जोखीमकारक घटकांमध्ये वाढणारा स्क्रीन टाईम, कमी होत चाललेले मैदानी खेळ व कमी होत चाललेल्या एकमेकांच्या प्रत्यक्ष भेटी-गाठी भर घालत आहेत. ग्रामीण भागातील मधुमेहींना टेलिमेडिसिनची मदत होऊ शकते. फक्त शहरी भागात नाही तर ग्रामीण भागात देखील मधुमेह झपाट्याने वाढत आहे.कोविड काळात व्यापकपणे वापरले गेलेले टेलिमेडिसिन येथे महत्त्वाची भूमिका बजावू शकते.प्राथमिक केंद्रांमधील चिकित्सकांना योग्य माहिती व प्रशिक्षण आणि ग्रामीण भागातील मधुमेहींना एकत्रितपणे समुपदेशन हे टेलिमेडिसिनद्वारे होऊ शकते.यात जोखीमकारक घटक,लक्षणे आणि मधुमेहाच्या इतर पैलूंबाबत माहिती दिली जाऊ शकते.गरज पडल्यास त्यांना टर्शरी केअर युनिटसमध्ये उपचारासाठी आपण पाठवू शकतो. डॉ.रीमा काशिवा म्हणाल्या की,यावर्षीची संकल्पना डायबेटिस ॲन्ड वेलबिंग असून फक्त शारीरिकच नव्हे तर मानसिक,सामाजिक व आर्थिक अशा संपूर्ण कल्याणाबाबत महत्त्व अधोरेखित करते.माझ्या मते,गेल्या अनेक वर्षातील ही सर्वोत्कृष्ट संकल्पना आहे.