2023-07-07 07:43:00
Definition, what is gynoid obesity?
According to the definition of the Academy of Medicine, gynoid obesity corresponds to “an excess of adipose tissue adopting a female type distribution, that is, predominant on the lower segment of the body, pelvis, hips, buttocks and thighs. » The fats are then distributed over thee body, pear-shaped ; narrow upper body, wide pelvis and strong thighs and calves. In other words, it is also called the “saddlebags”.
Gynoid obesity compared to other types of obesity
The WHO (World Health Organization) distinguishes three types of obesity, depending on the Body Mass Index (BMI) of individuals. (source 1). The BMI is calculated by dividing the weight (expressed in kilos) by the height squared (expressed in meters) either by the formula:
BMI between 30 to 34.9 kg/m²we speak of moderate obesity,BMI between 35 and 39.9 kg/m²we will talk about severe obesity,BMI above 40 kg/m²we will speak of morbid obesity.
So-called gynoid obesity characterized by an excess of adipose tissue in the lower body can be integrated into one of these different types of obesity.
Gynoid obesity or android obesity, what are the differences?
“Unlike gynoid obesity, android obesity, also known as “abdominal obesity”, concerns excess fat located mainly inside the belly and particularly affects men,” notes Dr. Sabine Mala-Herbau, nutritionist.
How to diagnose gynoid obesity?
To find out if you have gynoid obesity, you will need to calculate your Waist/Hip (T/H) ratio. This is calculated by dividing your waist circumference by your hip circumference. Indicators for men and women distinguish: lObesity will be called “gynoid” in men for a T/H ratio > 0.95, and in women for a T/H ratio
Origins and causes of gynoid obesity?
Like any obesity, gynoid obesity can be multifactorial and can be explained for example by:
Hereditary factors (if one or both of your parents are obese, you multiply the risks) Dietary factors (general increase in portions, consumption of fast-food…)Urban factors (use of the bus or metro rather than walking or cycling, etc.)Cultural factors ( , modification of our relationship to the body)Sedentary lifestyleStress at workQuitting unaccompanied smokingPsychological problems such as depressionA daily caloric intake greater than the person’s needs: “Excess energy is therefore stored by the body in the form of fat” explains Dr. Sabine Mala-Herbau.The location of fat, in the thighs and buttocks, is strongly influenced by hormones, especially sex hormones (estrogen for women and testosterone for men)” explains Dr. Sabine Mala-Herbau. It will therefore be possible to find gynoid-type obesity also in men who are lacking in testosterone.
Gynoid obesity: what consequences and complications on health?
Although patients with gynoid obesity would be exposed to lower risks than other forms of obesity, since excess fat is much more dangerous when it is in the abdomen than on the thighs or buttocks, it must still be treated in a way serious in order to limit certain complications:
The symptoms of gynoid obesity must therefore be taken care of by a medical team in order to prevent this disease from progressing and altering the quality of life of patients.
Treatment: how to fight gynoid obesity?
Let us first recall that gynoid obesity is a chronic disease and complex and which therefore will require comprehensive medical care and regular medical follow-up, installed over time. “Health professionals are first and foremost there to listen and not make the patient feel guilty. They will help him regain a quality of life and self-esteem,” insists Dr. Sabine Mala-Herbau.
In addition to addressing the impact of obesity on the patient’s health, the general practitioner or other (midwife, gynecologist, etc.) can also advise on food (by calling on a dietician if necessary), recommend suitable physical activity (with the help of a sports educator) and advise follow-up psychological or psychiatric (in case of eating disorder for example).
Projects such as “Management of health pathways in obesity” (GPSO) also allow patients with obesity to benefit from additional support.
Are there medications and surgery indicated to treat gynoid obesity?
As with any excess weight, medical treatment or bariatric surgery will depend on the grade of obesity. The same criteria apply as in the case of moderate obesity. Namely, bariatric surgery will only concern patients with a body mass index (BMI) greater than 40 kg/m², or a BMI greater than 35 kg/m² plus at least one comorbidity: diabetes, heart failure.
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