1st IMPA Conclave

BY THE - FOR THE - OF THE PHYSICIANS -
Welcome to IMPA

A professional organisation that focuses on obesity awareness, education and research

Research and education in India is a very nascent stage and lot needs to be done in terms of teaching, training and imparting necessary skills to physicans to help patients reach their goals. IMPA aims to focus on these core aspects. Simultaenously sensitise patents on the issue of obesity and spread awareness, Research on Obesity will be foremost on the agenda.

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Let's join hands to defeat metabolic diseases and make a meaningful difference in the life of obese patient

Recently asked questions

If you have any questions please contact us at

[email protected]

What is the relationship between obesity and heart health?

Obesity is known to have adverse effects on cardiovascular health. As the body mass index (BMI) increases, the incidence of various cardiovascular events such as hypertension (HT), left ventricular failure (LVF), congestive heart failure (CCF), dyslipidemia, obstructive sleep apnea (OSA), peripheral vascular diseases and deep vein thrombosis (DVT), dilated cardiomyopathy, ischemic heart disease (IHD), pulmonary embolism and pulmonary hypertension increases as well.

"It is worth practicing as an obesity specialist"?

Yes, it is definitely worth considering becoming an obesity specialist. Obesity is linked to over 66 diseases and the list is constantly growing. This "tree of diseases" has many branches, such as ischemic heart disease, osteoarthritis, cerebrovascular accidents, hernias, diabetes mellitus, and cholecystitis, among others. However, current medical practices are often limited to treating individual branches of this tree rather than addressing the root cause - obesity. Bariatric medicine, which focuses on weight loss as a means of reducing the morbidity and mortality associated with these diseases, is an emerging field with a bright future. By treating obesity, a bariatric physician can potentially provide a "one-stop cure" for a patient against multiple ailments, rather than the patient having to visit numerous specialists. In conclusion, becoming an obesity specialist can be a promising career path given the growing awareness of the importance of weight management in overall health.

Management of Obesity with different comorbidities

Obesity is linked to numerous comorbidities, including mechanical and cardio-metabolic complications. For patients with mechanical complications, weight loss is often necessary but may require impetus beyond exercise due to pains and stiffness. In these cases, diet and physiotherapy may be recommended. Patients with cardio-metabolic complications, on the other hand, typically require a combination of dietary changes and medications for managing conditions such as diabetes, hypertension, and dyslipidemia. Step-down diets are often preferred in these scenarios, and exercise is also recommended under the supervision of an exercise physician. Prior to starting a weight loss program, a thorough assessment should be conducted to rule out any hidden cardiovascular or mechanical issues. Eating disorders and stress eating should be addressed by a clinical psychologist, while sleep apnea should be diagnosed and treated alongside lifestyle changes and medications. In cases where fibrosis and cirrhosis are a concern, fibro scans and MR elastography may be required to tailor treatment accordingly. Overall, a comprehensive and personalized approach is needed to manage obesity effectively with various comorbidities.

Can yoga help in the treatment of obesity?

Yes, in addition to diet, exercise, and medicines, yoga can be a helpful tool in managing obesity. Practicing yoga, pranayama, and chakra-based micronutrient management can improve compliance and perseverance, which are often major hurdles in obesity treatment. Yoga asanas can also aid in injury prevention during exercise and improve outcomes. Overall, incorporating yoga into an obesity management plan can improve the quality and effectiveness of treatment.

What are the special considerations for obesity in acute settings?

  • Intubation prior to surgery is a challenge because of high mallampati score.

  • Anesthetic drug doses tend to be higher with resultant side effects.

  • Post op extubation is difficult.
  • Blood Sugar, BP, triglycerides, Lipase, and uric acid tends to be high.
  • Acid reflux rates are higher than normal weight people.
  • Pancreatitis rates are higher.
  • Wound repair is slower.
  • Thrombophlebitis incidence is higher.
  • Chances of detrusor instability post catheter removal are higher.
  • Bed sores are a problem.
  • Atelectasis causing low SPO2 and respiratory insufficiency is a serious possibility.