5 Ways to Prevent Childhood Obesity

Childhood obesity has more serious future health implications than most parents think.

Studies from University of Surrey, UK found increased arterial damage in obese children. The arterial damage aggravates the chances of that child suffering from cardiovascular disease in its adult life.

Researchers have established that obese children are more likely to develop type 2 diabetes in adulthood. Childhood BMI is also a predictor of adult hypertension, asthma, hepatic steatosis, sleep apnea and arthritis.

Whereas the popular perception in Indian families is that plump child is a healthy child. Which is incorrect. Childhood obesity is something that we need to address an protect the child from unhealthy adult life with life threatening consequences.

How can we do it?

These tips may help you prevent weight gain while your child enjoys its food and eating time.

  1. Respect your child’s appetite. Human bodies right from infancy are tuned to recognise when they are full. So children do not have to finish everything on their plate, or finish the entire bottle.
  2. Do not reward completion of meals with sweet desserts. This will subconsciously script a child’s mind into believing that eating is hard work but you are rewarded for finishing it, in the end.
  3. Make his or her favourite food healthier. You don’t have to ask your child to avoid his or her favorite food. That will induce craving. Instead, the recipes that your family enjoys, with just a few changes, can be healthier and just as satisfying.

For instance, if your child loves Biryani, no point in asking him or her not to eat it because Rice makes you put on weight if eaten in large quantities. Just replace the rice with dalia or broken wheat. This tastes good and is much healthier.

  1. Enjoy physical activities as a family, such as walking, swimming and playing outdoor games. Pre-school to primary school children should do three hours exercise a day once they can walk. Five to 18 year olds are encouraged to do an hour to several hours a day of moderate to vigorous intensity physical activity. Three days a week this should include vigorous intensity activities to strengthen muscle and bone.
  2. Reduce Sedentary Time: The American Academy of Pediatrics (AAP) does not recommend television viewing for children age 2 or younger. In fact TV is bad for all ages.

Although quiet time for reading and homework is fine, limit the time your children watch television, play video games, or surf the web to no more than 1 hour per day.

If you want to learn more about healthy diet for your child and family, you may please ask for an appointment with our Dietitian. Call us at  +91 22 2888 6666.

4 Most Frequently Asked Questions About Bariatric Surgery

4 Most Frequently Asked Questions About Bariatric Surgery

Dr Abhay Agrawal from Mumbai India is one of the foremost leaders of Laparoscopic and Bariatric Surgery . He took up Bariatric Surgery in its nascent days and has played a significant role in growing this specialty it to the level it is at today. In 2002, Dr. Agrawal was one of the first in Mumbai to perform Sleeve Gastrectomy, which is one of the popular type of Bariatric Surgeries today.

With 4000 Laparoscopic Bariatric procedures under his belt, as of 2017, Dr. Agrawal ranks amongst the top 5 individual surgeons in India terms of total number of Bariatric Surgeries performed. Dr Agrawal is a  world-class expert in all types of Bariatric surgeries: Mini Gastric Bypass, Roux- en- y Gastric Bypass, Sleeve Gastrectomy and Ileal Transposition (Diabetes Surgery).

Dr Agrawal is one of the first and amongst the few surgeons in the world to be conferred with the distinguished status of International Surgeon of Excellence from the US-based non-profit accreditation organization, Surgical Review Corporation (SRC) . This accreditation certificate was awarded to him after a stringent audit of his center that included checking the patient data of the previous 5 years for safety, efficacy, of complication incidences, re-operation etc..

The following are the 4 most common questions Dr Agrawal gets from his international patients and below each question are his answers for you to make an informed decision about Bariatric Surgery. Hope you find them useful:

Why should I choose Bariatric Surgery when I have options like Liposuction, Diet, Exercise etc.?

Liposuction neither reduces significant body-weight nor resolves a co-morbidity like Diabetes. It sucks some fat from target areas to improve cosmetic shape.

With diet and exercise plans many don’t lose weight in-spite of diligence; or you succeed first and quickly regain all lost weight and more. Your willpower may not be at fault. There could be an underlying medical condition. Unless we treat it, excess weight doesn’t go or stay away.

This is where Bariatric Surgery scores high as the most successful and scientifically proven method for long-term excess weight loss and resolution of about 60 co-morbidities including diabetes and hypertension.

Who can undergo Bariatric Surgery?

According to American Society of Metabolic and Bariatric Surgeons:

Patients with BMI ≥ 40.

BMI ≥35 and at least one or more obesity-related co-morbidities such as type II diabetes

Those unable to achieve healthy and sustained weight loss with non-surgical efforts.

You can easily calculate your BMI at our website obesitysurgeryindia.net

Is Bariatric Surgery Safe?

In experienced hands, risk of dying from Bariatric surgery is about 0% (99.9% survival rates). Morbid obesity sufferers are 85% more likely to die over any 5 year period than Bariatric surgery patients.

Why Choose Center for Obesity and Diabetes Control (CODC)?

Founded in 2002, we are among the most respected Bariatric Centers of Asia with 4000+ procedures’ cumulative experience. Our expertise in Diabetes Surgery for low BMI patients is unparalleled. We are one of the few accredited centers of excellence by Surgical Review Corporation USA based on our patient safety, minimal complications, high patient satisfaction and reduced costs.

Located in Mumbai that has the best non-stop connections from all UAE destinations, Dr Agrawal is also attached to four other leading hospitals- widening your venue choice for treatment.

You will also enjoy significant cost savings compared to UAE and many Indian centers with no compromise in treatment and care with us.

For more details and discussions, write to Dr Abhay Agrawal at drabhay@gmail.com

The Heart of the Matter: Obesity Can Kill

Ask a child what the most vital organ of the human body is. Child will tell you it is the Heart.

Ask a mother when she first felt the gush of life within her womb. She will tell you it is when she first sensed her baby’s heartbeat.

Ask a spurned lover what the most painful experience of all is. He will tell you it is the pangs of a heart ache.

Anatomically, Physiogically, Emotionally – the Heart is the core of our being.

It is not that we don’t know it. But often we ignore it.

So, while we do well to feed our stomachs with delicious food and feed our senses with interesting stimulants, we forget to give our heart what it needs to remain healthy.

Did you know that India is set to soon become the Global Capital of Heart Disease?

Nearly two million people are dying each year in India due to heart problems and a large number of them are youngsters.

Obesity and lifestyle choices are proven to be the underlying cause of a large number of those cases of heart disease.

Obesity is not just the weight on your body. It is also the weight on your Heart. Increased fat around the waist increases the risk of Cardiovascular ailments.

Obesity is determined by calculating the BMI or Body Mass Index of the person.

Eg :  if one’s height is 175 cm and weight is 70 kg, the BMI would be calculated as follows :-

BMI = 70 / (1.75 * 1.75) = 22.86


When one’s BMI is 30 or more, one is said to be Obese.

And when BMI is more than 37.5, patients qualify for Bariatric surgery subject to certain conditions.

There are many ways to lose weight but there is only one sceintifically validated way to sustain weight loss over long term. It is Bariatric Surgery.

Bariatric Surgery is a scientifically proven, tried and tested treatment for obesity. Known also as Weight Loss or Obesity Surgery, it is a procedure to induce long term weight loss particularly amongst those for whom other weight loss measures have not worked.

Bariatric surgery involves reducing the actve size of the patient’s stomach with the help of a gastric band also known as a lap-band. Alternatively, a part of the stomach is surgically removed. In one more type of surgery, food pathway is rerouted.

All these three options in Bariatric surgery result in reduction of food intake or less absortpition of fat and sugars or both, to help long term weight loss. Your Doctor will advise which of these three options are best for you.

Post the bariatric procedure, one is required to have small frequent meals. As the stomach size is reduced, one tends to feel full with smaller quantities. The food intake will thereby reduce on its own.

The impact of bariatric surgery becomes apparent within the first few weeks of surgery.

The procedure is performed through laparoscopy i.e. through the key-hole method. This involves minitature incisions. As a result, there will be no major scars of surgery and recovery is painless and quick compared to open surgery.

Bariatric Surgery involves risk just like any other surgery. But it is important to understand that as with any other surgery, the surgeon’s skill and expertise reduce the risk involved.

The success of a surgery and the patient’s experience depends mostly on the experience, skill and expertise of the surgeon. It is therefore necessary that one approaches a top bariatric centre with vast experience in performing batiatric and laparoscopic surgeries.

Apart from Heart Disease, Obesity is associated with increased risk of several physical health disorders including diabetes, high blood pressure, stroke, cancer, arthritis, infertility, sleep apnea and thyroid amongst others.

It is also a major cause of mental and psychological problems like Depression, Anxiety, etc. caused due to social seclusion and isolation.

Bariatric Surgery may be the answer to end your battle with Obesity and the multifarious problems that come along with it.

My Inspiration: Dr Kelvin Higa

The man who inspired me to start Gastric Bypass Surgery for morbidly obese patients is Dr Kelvin Higa from California US who is one of the most prominent Bariatric Surgeons of the world.

Our center was one of the first in India in 2004 to offer Gastric Bypass to deserving patients and has a successful series of more than 1000 happy patients today.

Gastric Bypass is an excellent surgical option for those who gain weight in spite of eating less. Normally its a good option for very high BMI (40 and above) patients. Certain lifestyle changes such as taking supplements lifelong is needed after surgery. But taking supplements life long is much better than taking diabetes and blood pressure medications everyday for instance. Isn’t it?

Gastric Bypass

Dr Kelvin Higa, the current president of American Society of Metabolic and Bariatric Surgeons has a large role in getting me started with gastric by pass where we bypass a large portion of stomach and intestine and make food mix with digestive juices a little late down the digestive tract. The delay helps in reducing calorie absorption and solves the excess digestion of food that takes place in some patients which is the root cause for stubborn excess weight.

It was a great pleasure to connect back with him recently in Goa at Asia Pacific IFSO convention.

Obesity may cause Infertility. Bariatric Surgery may solve both.

Each time you see a baby, does your heart ache instead of rejoicing? The internal turmoil of the one who is unable to conceive is deeply personal and painful.

But we are fortunate to live in the modern era when medical science can assist couples facing infertility issues to conceive and experience the joy of raising a child.

There are a number of causes for the problem of Infertility. One among them is Obesity.  World Health Organisation defines Obesity as having a BMI (Body Mass Index) of 30 or more.

Obesity and Infertility are directly and closely related.

Obese women are three times more likely to suffer infertility than women with a normal body mass index as documented in a research study published in 1994 in American Journal of Obstetrics and Gynecology.

In order to tackle the problem of Infertility, it is necessary to first tackle the problem of Obesity.

An obese woman is more likely to experience irregular menstrual cycles.

Obesity has also been found to be associated with PCOS or Polycystic Ovary Syndrome which involves the presence of cysts on the ovaries.

Even in cases of assisted reproduction methods like IVF, IUI etc., the prognosis is poorer in case of obese patients and pregnancy rates are only about half for women with a BMI of more than 35.

Moreover, obese women need to take higher doses of gonadotropins injections for stimulating follicle growth during the process.

Further, those with obesity face an increased risk of miscarriage, complications during labour, foetal loss and still birth.

Obesity is also associated with a substantial increase in medical complications during pregnancy like hyper tension, gestational diabetes and eclampsia.Eclampsia  is a rare but serious condition that causes seizures during pregnancy risking the health of both mother and baby.

Male infertility too is linked with Obesity. Obese men are more likely to have a lower sperm count, sperm of lower quality and lower levels of testosterone. ­

While a lifestyle and diet change are absolutely imperative for weight loss, Bariatric Surgery has been found to be the most effective long term solution for dealing with Obesity.

Bariatric surgery involves reducing the size of the patient’s stomach with the help of a gastric band also known as a lap-band. Alternatively, a part of the stomach can be removed with a procedure called Sleeve Gastrectomy. A third option is to create a new digestion path bypassing the stomach with help from a procedure called Gastric bypass.

Your Surgeon will suggest which of these options is best suited for you.

All these procedures cause safe reduction of food intake and long term weight loss.


The procedures are performed through laparoscopy i.e. through the key-hole method. This involves a few miniature incisions or a single incision. As a result, compared to an open surgery, there will be no pain from incisions, shorter stay in hospital, less chances of infection and much quicker recovery. Also there will be no major scars of surgery.

The impact of Bariatric surgery becomes apparent within the first few weeks of surgery with patient losing considerable weight.

Studies show that with every unit BMI drop, your chances of conception dramatically increase.

Bariatric Surgery involves risk just like any other surgery. It is important to understand that as with any other surgery, the surgeon’s skill and expertise reduce the risk involved.

The success of a surgery and the patient’s experience depends mostly on the vast experience and skill of the surgeon along with his team. It is therefore necessary that one approaches a top Bariatric Centre with vast experience in performing laparoscopic surgery.

In summary, Bariatric Surgery could be the One Solution to your Many Problems.