Tag: <span>Obesity</span>

It’s now around seven and a half months since my Gastric Bypass surgery, and so far I’ve lost a total of 40.3 kg (6 st 5 lbs).

And as of today, I’ve also dropped down into a new BMI category. My BMI this morning is officially 34.9, so I dropped from being severely obese to only being moderately obese! Or rather, I’ve gone from obese class II to obese class I.

BMICategory
Under 18.5Underweight
18.5 – 24.9Normal healthy weight
25.0 – 29.9Overweight
30.0 – 34.9Obese Class I (Moderately obese)
35.0 – 39.9Obese Class II (Severely obese)
40 and overObese Class III (Very severely obese)

On the day of my surgery my BMI was 46.3, so I was in Obese Class III – so I’ve come a long way since then. And hopefully it’s all improved my health!

My goal is to keep losing weight so that my BMI drops below 30, so that I’ll be in the Overweight category. And to do that, I need to lose about another 20 kg or 3 stones.

Surgery Weight

Obesity has been identified as one of the significant risk factors for people catching the COVID-19 coronavirus.

Here in Ireland, the vaccine rollout is being done in groups, which starts with:

  • Group 1 – People ages 65 years and older who live in long-term care facilities
  • Group 2 – Frontline healthcare workers
  • Group 3 – People aged 70 and older living in the community
  • Group 4 – People aged 16 to 69 who are at very high risk
  • Group 5 – People aged 65 to 69 at high risk
  • Group 6 – Other people aged 65 to 69
  • Group 7 – People aged 16 to 64 who are at high risk

After that, the rest of the population is being vaccinated based upon age group – starting with the oldest people first.

Groups 1-4 are currently receiving their first dose of vaccine, and those in groups 5-7 are expected to start receiving theirs over the next month or so.

The interesting thing for obese people is that:

  • Group 4 includes people who have a BMI over 40
  • Group 7 includes people who have a BMI over 35

According the the HSE, everyone in group 4 should receive their first dose by the end of April 2021, and people in group 7 should start on 3rd May 2021.

Hospitals vaccination lists

I heard today that the bariatric team in my hospital recently submitted a list of all their patients to the HSE – to make sure they’re all included in these earlier vaccine stages. Whether that means people are included in group 4 or 7 I don’t know, but it’s an encouraging sign.

I also heard that the oncology teams have also submitted lists of their current and former patients – which I guess will also include me, because of the Hodgkin’s Lymphoma I had back in 2015/6.

News Surgery

It’s well reported in the media that older people are more at risk from serious complications if they catch COVID-19. However researchers are have also identified that obese people are also a high-risk group.

The reason that obese people are at such a high risk is because they are more likely to have other health concerns such as: asthma, sleep apnoea, heart disease, type 2 diabetes, high blood pressure, and an impaired immune system.

These health conditions make it more difficult to fight the coronavirus, and as such a high number of those admitted to intensive care are obese.

The Irish government have acknowledged this increased risk for overweight people, and it’s reflected in their plans for rolling out the COVID-19 vaccine.

Here’s the current order for vaccine rollout:

The seventh group includes people with a whole range of conditions, which includes obese people with a body mass index of over 40.

That puts morbidly obese people in the queue right after older people and health care workers.

Mental health

In addition to the physical risks from being obese, there’s evidence that obese people have also experienced a negative psychological impact from the COVID-19 virus.

A study has found that obese people during the pandemic have experienced:

  • A negative effect on their diet. When furloughed or working from home, people have found that they eat more and make poorer choices about what to eat – primarily because of the proximity of food.
  • A negative effect on their exercise. With gyms and swimming pools closed, it’s have a big impact upon people’s opportunity to exercise.
  • An increased sense of fear, anxiety and stress. Some obese people are terrified to go outside, as they realise they are at high risk if they catch the virus.

All of these can lead to a poor mental and physical health – as often the two are deeply interconnected.

Sickness Surgery

We are launching a new World Obesity Day on March 4, 2020, to call for a global response to this critical challenge. Obesity is now a global crisis that affects 650 million people worldwide, but is poorly understood. The complexity of the disease, the challenge of developing sustainable solutions and the burden of stigma means we need to work together to address the challenge.

https://www.worldobesityday.org/about

News Surgery