Tag Archives: obesity


Colon cancer risk factors

Colon cancer risk factors: History of inflammatory bowel disease

Colon cancer risk factors

Colon cancer risk factors are many and include being obese or overweight

Colon cancer risk factors become evident when polyps are detected during a colonoscopy irrespective of whether those polyps had been removed. When one is over the age of 50, it is advisable that careful consideration should be taken because the diagnosis is common at this age. According to the experts at AWAREmed health and wellness resource center under the leadership of doctor Dalal Akoury MD, factors that increase the risk of colon cancer are many may include:

  • Smoking. Cigarette smokers may have an increased risk of colon cancer.
  • Radiation therapy for cancer. When radiation therapy is directed at the abdomen to treat previous cancers, this may increase the risk of colon and rectal cancer.
  • Older age. The great majority of people diagnosed with colon cancer are older than 50. Colon cancer can occur in younger people, but it’s common with old age.
  • Obesity. Being obese increases the risk of colon cancer. Many patients with unhealthy weight have an increased death rate of colon cancer compared with people considered to have normal weight.
  • Low-fiber, high-fat diet. Colon cancer and rectal cancer may be associated with a diet low in fiber and high in fat and calories. Some studies have found an increased risk of colon cancer in people who eat diets high in red meat and processed meat.
  • Inherited syndromes that increase colon cancer risk. Genetic syndromes passed through generations of your family can increase the risk of colon cancer. Syndromes like familial adenomatous polyposis and hereditary non-polyposis colorectal cancer.
  • Inflammatory intestinal conditions. Chronic inflammatory diseases of the colon like ulcerative colitis and Crohn’s disease can increase the risk of colon cancer.
  • The family history of colon cancer. One is more likely to develop colon cancer if a loved one had suffered the disease before. If more than one family member has colon cancer or rectal cancer, your risk becomes greater.
  • Diabetes. People with diabetes and insulin resistance have an increased risk of colon cancer.
  • Alcohol. Heavy use of alcohol increases your risk of colon cancer.
  • African-American race. African-Americans have a greater risk of colon cancer than people of other races.
  • A sedentary lifestyle. If you’re inactive, you’re more likely to develop colon cancer. Getting regular physical activity may reduce your risk of colon cancer.
  • A personal history of colorectal cancer or polyps. If you’ve already had colon cancer or adenomatous polyps, you have a greater risk of colon cancer in the future.

Colon cancer risk factors: Staging colon cancer

Immediately after being diagnosed with colon cancer, the next action point is to determine the level of cancer. This is essential for the determination of the appropriate treatment. This can be done using various tests like imaging procedures like abdominal, pelvic and chest CT scans. The stages of colon cancer are:

Stage I. at this level, cancer may have grown within the superficial lining (mucosa) of the colon or rectum but hasn’t spread beyond the colon wall or rectum.

Stage II. Here, cancer has grown into or through the wall of the colon or rectum but hasn’t spread to nearby lymph nodes.

Stage III. The cancer is now attacking the nearby lymph nodes but isn’t affecting other parts of your body yet.

Stage IV. Cancer has spread to distant sites, such as other organs like the liver or lung. Colon cancer spreading to this stage brings a painful experience to both the patient and loved ones. To help you go through this, you can call us at (843) 2131480 or contact Dr. Dalal Akoury on Facebook, LinkedIn and your pains will be addressed professionally.

Colon cancer risk factors: History of inflammatory bowel disease


Healthy family walking on beach

Stigmatizing obese people

Stigmatizing obese people

Stigmatizing obese people is a tool that derails weight loss progress and must be discouraged

Stigmatizing obese people: How it affects both men and women

It is regrettable that at this point in time people are still living under certain siege of discrimination because of avoidable health conditions like overweight and obesity. Discriminating or stigmatizing obese people is a common illegality the world over with the US taking lead. I will be discussing some effects of this habit and offer solutions so that you can live your life freely by avoiding being discriminated upon. According to the experts from the AWAREmed health and wellness resource center under the leadership of Doctor Dalal Akoury MD, people who are affected by excess weight or obesity experience discrimination across a wide variety of settings, including healthcare, employment, schools, public transport sector, social amenities joints and interpersonal relationships.

Stigmatizing obese people: Social discrimination

Let us consider the employment settings, job seekers who are affected by excess weight are often less likely to secure job opportunities or even be recommended for promotion compared to their slimmer colleagues and in the very extreme they are also faced with lower remunerations and increased risk of job insecurity based on their weight alone.

In healthcare settings, obese patients often experience prejudice, apathy and lower quality of care from medical professionals, which may result in patients choosing to delay or forgo crucial preventative care to avoid additional humiliation.

Students also face weight-based victimization in the educational sector from their peers, teachers and even parents, which may interfere with social support and educational achievement.

Weight stigma is even present in interpersonal relationships with friends, family and romantic partners, such that negative judgment invades almost all areas of the lives of people affected by obesity.

Stigmatizing obese people: Gender differences in weight gain stigma

Although both men and women are vulnerable to weight discrimination, their experiences may differ with respect to how much discrimination they are exposed to and the forms that it takes. Most notably, women seem to experience higher levels of weight stigmatization than men, even at lower levels of excess weight. Research suggests that women, especially those who are middle-aged or with lower levels of education, experience weight discrimination at significantly higher rates than male peers. Moreover, women report weight discrimination at lower levels of excess weight than men. For example, men tend to report considerable stigmatization at a Body Mass Index (BMI) of 35 or higher, whereas women report experiencing notable increases in weight discrimination at a lower BMI of only 27.

North American ideals of physical attractiveness, which emphasize thinness as central to feminine beauty, may account for some of these differences. Women whose bodies deviate, even slightly, from physical beauty standards may be vulnerable to weight stigmatization. Given that thinness ideals have become deeply ingrained into our society and are heavily promoted by the mass media, diet industry and fashion industry, it’s not surprising to see widespread weight stigmatization toward women, even if they are not “obese.” For women, weight discrimination has been associated with poorer body image, low self-esteem, depression, anxiety, and a range of unhealthy eating behaviors, including binge eating. We must get out of this madness and schedule an appointment with AWAREmed health center should be the starting point to getting a leaner body weight.

Stigmatizing obese people: How it affects both men and women


Obesity an addiction

Obesity physical health impacts

Obesity physical health

Obesity physical health impacts can be felt across the globe

Obesity physical health impacts: The damages caused overweight

Every human being must have some reasonable weight. When the normal healthy weight is exceeded, one is said to be obese or overweight. This state comes with some negative effects. That is why we want to focus on obesity physical health problems as we progress into this discussion. According to the experts at AWAREmed health and wellness resource center under the leadership of doctor Dalal Akoury, MD the bodily harms caused overweight can be very devastating if not treated. Such problems may include:

  • From a metabolic standpoint, obesity contributes to diabetes by affecting the way the body processes sugar.
  • Additionally, obese people tend to have high cholesterol and are more vulnerable to hypertension and heart disease as had been indicated above.
  • From a quality-of-life standpoint, obesity contributes to sleep disturbances, snoring and, in severe cases, sleep apnea, all of which can lead to daytime fatigue and depression.
  • Obese people may also experience excessive sweating, overheating and frequent rashes in the folds of the skin.
  • Excess weight also puts a strain on the joints and may lead to knee, ankle and back pain.
  • Obesity also increases the risk of some cancers, gall bladder disease, and stroke.

Obesity physical health impacts: Obesity effects on erectile dysfunctions

Obesity can directly affect erectile dysfunction by lowering testosterone levels. Testosterone are the primary sex hormone in men facilitating efficiency in both libido and sexual function. Indirectly, it increases the risk of contracting other diseases, like hypertension. The penis needs a sufficient supply of blood for a firm erection. Once engorged, the vessels need to close in order to maintain the erection. Hypertension, diabetes, high cholesterol and heart disease all contribute to erectile dysfunction by adversely damaging and constricting blood vessels and affecting the way blood flows in and out of the penis. All these problems can be reversed for a better living naturally using good diet, exercise, and drug intervention. Therefore, if you are struggling with weight management, you can call doctor Akoury now to help you professionally get your life back on track.

Obesity physical health impacts: Lifestyle and Psychological effects

Lifestyle choices that impair blood circulation can contribute to ED. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis particularly vulnerable to ED. Being overweight and getting too little exercise also contributes to ED.  Studies indicate that men who exercise regularly have a lower risk of ED.

ED usually has something physical behind it, particularly in older men. But psychological factors can be a factor in many cases of ED. Stress, depression, poor self-esteem and performance anxiety can short circuit the process and leads to an erection. These factors can also worsen the problem in men whose ED stems from something physical. Finally, the impact of obesity and overweight in sexual life is real and when it happen, we must not shy away from it. The sooner we are able to face it the better for everyone whether in marriage or in an active relationship. When you visit AWAREmed Health and Wellness Resource Center, doctor Dalal Akoury will be there to help you get out of the twin conditions of being obese and erectile dysfunction in the most efficient and professional way. Remember that confidentiality is one of our strength so you need not worry about anything.

Obesity physical health impacts: The damages caused overweight






Overweight solution

Weight gain dangers before pregnancy

Weight gain dangers

Weight gain dangers before pregnancy are real and must be taken seriously

Weight gain dangers before pregnancy: Taking remedial action

I remember when the maker first created the earth, before the man he made available healthy food to help the man in developing the land for more production. That assignment of producing more has been done to the disadvantage of human life. All the healthy fresh healthy fruits and vegetables are now being passed through chemicals all in the name of adding value to them. The concept of value addition to our food items today is not working well for humanity. In fact, all the processed foods are categorized as unhealthy food. This is not what the maker intended for his creation. With our own hands, we have succeeded in creating for us more problems. It is no wonder our obese mothers continue to give birth to obese children with high risk of being obese in future in oblivious of weight gain dangers. There is always a great joy for parents to bring forth healthy children. And because of our actions, we have to make a certain adjustment when planning to get pregnant if this joy is to become a reality. We are obligated into understanding the effects of obesity before pregnancy for us to bring forth healthy children.

Obesity the serious global health problem

We are aware that the issue of weight gain is developing at a very high speed to the point that all the world health organizations are getting concern of the emerging trend of weight gain. Recently the world health organization (WHO) listed obesity as one of the serious global health problems in the twenty-first century. This confirms the magnitude of the problem at hand and it means that time has come for us to be very aggressive and bring this problem to manageable levels. Obesity is a health condition in which an accumulation of excessive body fat work to impair health and increase morbidity and mortality.

The most commonly use method of measuring obesity is body mass index (BMI) where an individual will be considered to be overweight if their BMI is between 25 and 30 kg/m2 while those with more than 30 kg/m2 are considered to be obese. The effects of obesity can be very frustrating not just to the victim, but also to the people close to them. It is therefore very important that we have this problem addressed in good time so that our mothers and unborn children can be safe from all the health complications associated with being overweight or obese.

According to WHO the prevalence of obesity in pregnancy cut across 1.8 to 25.3% with effects of obesity before and during pregnancy constituting a major risk factor for both maternal and fetal complications. While appreciating that children born of obese mothers may become obese in their childhood and develops metabolic syndrome in their adulthood, it is possible to address some of the issues at this time since mothers will be willing to accept certain changes in their lifestyle like a well-balanced diet and bit of physical activities. Achieving this may be difficult but with guidance and help from the experts at AWAREmed Health and Wellness Resource Center this won’t be a problem. You can schedule an appointment today and your life and that of the unborn child will be safe not just during the pregnancy period but even in their lifetime.

Weight gain dangers before pregnancy: Taking remedial action


faster weight loss

Respiratory impairment and obesity

Respiratory impairment

Respiratory impairment and obesity are very common especially when one is not active and does not live a healthy lifestyle

Respiratory impairment and obesity: The inclination of obesity with other diseases

Obesity is a worldwide public health problem, and it is even a bigger concern in the US with more than half of adults in the United States are believed to be overweight or obese. Like I have indicated earlier obesity is inclined with numerous medical diseases, including diabetes mellitus, hypertension, respiratory impairment, cardiovascular disease, stroke, dyslipidemia, osteoarthritis, cancer, obstructive sleep apnea, and gallbladder disease. It is also associated with several abnormalities of respiratory function. Obesity is characterized by altered respiratory system mechanics, resulting in decreased lung volumes. This is related to decreased chest wall compliance from an elastic load on the chest and abdomen as well as decreased lung compliance resulting from the closure of dependent airways.

Because of these abnormalities, a greater negative pleural pressure is needed to initiate airflow. Obese patients may also have reduced respiratory muscle strength. Respiratory system resistance is increased as a result of smaller airway caliber associated with decreased lung volumes. The resistance in the larger airways is typically normal. Some people with obesity may be hypoxemic, resulting from ventilation–perfusion mismatching, especially in the poorly expanded lung bases.

Obesity is a major cause of dyspnea, exercise intolerance, functional limitation, disability, and impaired quality of life. The following physiological conditions impair exercise tolerance:

  • Pulmonary function and gas exchange derangements
  • Increased metabolic rate relative to lean body mass
  • High metabolic (oxygen) cost to perform modest exercise
  • Exaggerated cardiorespiratory response to exercise
  • Circulatory impairment (claudication, microvascular disease, or both)
  • Cardiac impairment as a result of myocardial ischemia; pulmonary or systemic hypertension
  • Reduced respiratory muscle strength
  • Anxiety
  • Mechanical inefficiency
  • Musculoskeletal disturbances

Regular exercise is a crucial component of weight loss intervention programs. Exercise training, more so when put together with calorie restriction, can lead to decreased body weight and fat, increased fat-free mass, improved strength and endurance, and improved aerobic fitness. However, traditional weight loss programs are generally not configured to meet the needs of morbidly obese people or obese patients with gas exchange impairments or respiratory failure. Comprehensive pulmonary rehabilitation is better suited to meet these complex needs, utilizing its components of exercise training (including recommendations for long-term adherence), collaborative self-management education, nutrition counseling, and psychological support for anxiety and depression while closely monitoring the patient’s respiratory status. Pulmonary rehabilitation can lead to lower body weight and improved functional status and health status in obese patients.

Respiratory diseases and being obese: Pulmonary rehabilitation

Goals of pulmonary rehabilitation for obese people with respiratory impairment include the following:

  • Increased exercise tolerance
  • Weight loss
  • Increased self-efficacy
  • Decreased disability and return to ADLs, hobbies, and work
  • Acclimatization to or optimization of use of CPAP or BiPAP
  • Optimal utilization of assistive equipment (related to mobility, self-care, and hygiene), home care services, and outpatient resources

Additional special considerations apply to the rehabilitation of people with morbid obesity and people with severe obesity with concomitant lower-extremity musculoskeletal disturbances. In general, such rehabilitation requires special equipment that can accommodate people of extreme weight. Morbidly obese people may not be able to use standard exercise equipment such as cycle ergometers and treadmills. Staff members must be familiar with the weight limits of the equipment in their programs. Walking, low-impact aerobics and water-based activities are suitable forms of aerobic exercise for these patients. Experts’ at AWAREmed health and wellness resource center are highly trained to help get your health back if only you can schedule an appointment with doctor Dalal Akoury today.

Respiratory diseases and being obese: The inclination of obesity with other diseases