dr de silva

Dr de Silva has an empathetic holistic approach in her practice and works on a collaborative model with her patients. more


Obesity is when a person is carrying too much body fat for their height and sex A person is  said to be obese if their body mass index (weight in kg divided by the height in metres squared) is over 30 The fat generally accumulates either around the hips (pear shaped) or  around the stomach (apple shaped).

About one in 3 women and one in 4 men are obese. The number of obese men with stomach obesity is rising and it is estimated that by 2025 nearly half of men will be obese.  About one third of children between the ages of 5-15 are either overweight or obese and this number is rising

The obese person particularly those with stomach obesity are at a higher risk of having certain illnesses like heart disease, diabetes, strokes and high blood pressure. All these illnesses can shorten a personís life. Obesity can also affect a personís quality of life. Psychologically self esteem is damaged and this can give rise to social anxiety and depression and can also affect relationships. Physically obesity can cause difficulty in breathing, sleep problems, joint pains, and difficulty in walking.

Todayís way of life is less physically active than it used to be, people spend more time sitting down at a desk and less time walking. We are also exposed to a large array of high calorific food. Some people are more likely to become obese, because genetic factors can affect appetite food preferences and the rate at which we burn off energy.

Managing obesity is not easy. Most people initially try to lose weight by altering their diet and increasing their level of exercise. However maintaining weight loss is difficult. Some people suffer from eating disorders like bulimia and binge eating disorder and tend to very quickly put the weight back on. Others have emotional problems that lead to grazing and snacking which lead to weight regain. Those who are severely obese with a BMI of over 40 usually need medical treatment either medication or surgery, it is important to prepare yourself for surgery and have good professional back up after surgery.

Different people need different treatment options therefore it is very important to have a comprehensive assessment of your needs should be carried by a specialist like Dr de Silva before embarking on a treatment programme which needs to be tailor made for you. Dr de Silva has access to specialist teams who will be able to provide a care plan to fulfil all your needs. To maintain weight loss life style changes need to be made and for some people professional back up needs to continue.

Anxiety, Addictions, Bi polar disorder, Depression, Eating Disorders, Obesity, Stress, Womenís mental health

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