Wednesday, 16 October 2019

Can Treating Sleep Apnea Cause Weight Loss?

        The perils of leading a dissolute life tend to manifest at a later stage especially in the form of obesity. Very often people grapple with this health condition and find themselves at a loss as to how to trim those extra pounds. To further exacerbate the issue of weight gain there are a host of other ailments that thrive in this condition and often converge to make life miserable for the unsuspecting individual. Hypertension, Type 2 diabetes and Sleep apnea are the potentially dangerous maladies that have the potential to significantly disrupt one's quality of life.

Sleep Apnea requires special mention since it's one of those conditions that usually gets overlooked leading to fatal consequences. It's often considered to be a corollary of obesity and weight gain is checked Sleep Apnea is naturally taken care of. Obesity leads to the accumulation of fat in almost all areas including the neck. This tends to constrict the airway and restrict air flow when the person is asleep. One of the most prevalent medical procedures to cure Sleep Apnea is that of CPAP (Continuous Positive Airway Pressure).
While studies have been conducted to ascertain whether the treatment of Sleep Apnea via CPAP could potentially lead to a reduction in Body Mass Index and thus facilitate weight loss, the findings have been inconclusive. The objective was to find out whether consistent CPAP administration could regulate leptin levels by way of increased physical activity. However the results of multiple tests conducted on men and women have yielded inconsistent results.

 However it's almost conclusively proven that CPAP in itself isn't a major contributor to weight loss. It's the resultant spurt in physical activity that addresses a host of issues that are an outcome of obesity and eventually shaves off the extra flab thus rejuvenating the body. Sleep disruption unsettles the body, rendering the individual lethargic and shorn of energy. Once the sleeping pattern is reinstated the person finds the vigor and vitality to go about his daily routine, pursue weight reduction programs and as a consequence acquire a well-toned and balanced physique.

To conclude, medication is never the means to address the root cause of Sleep Apnea. It could at best revitalize your system and the metabolism levels and perhaps indirectly induce weight loss. However it's in the best interest of everyone to not let things spiral out of control by leading a balanced life which has moderation as its ethos.
Blog reviewed by: Dr.Nikhil Agnihotri
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Monday, 26 August 2019

Why Are Children Also Getting Affected With Diabetes ?

Diabetes is one of the biggest global healthcare crisis of the 21st century, with approximately 72 million cases recorded in India. Every 1 out of 10 children in India is prone to diabetes that is expected to double by 2025. While November 14th is celebrated prominently as children's day in India, Interestingly, it is also the same day when 'World Diabetes Day' is observed. The attribute which can be linked strongly to the alarming rise of type 2 diabetes among children is OBESITY. Studies indicate that nearly 5.74%-8.84% of school children in India are obese, and 66.11% of children have abnormal sugar levels in their bodies.

The rising prevalence of diabetes in children is closely associated with economic growth and modernization as they are opening wide the entry point for the globalized marketing of unhealthy foods and beverages high in sugar levels and fats. The children of today are eating about 20% more fat and 40% more sugar than they did six decades ago while burning lesser calories.

Around 85% of children with type 2 diabetes are either obese or overweight due to their sedentary, inactive lifestyle which primarily revolves around watching TV, playing video games and internet gazing rather than getting involved in any physical activity or outdoor sports. The improving standard of living has replaced the traditional micronutrient-rich foods with the readily available, unhealthy, high-calorie junk food which deprives children of getting proper nutrition.

Children with an apple-shaped body who carry the majority of their excess body weight around their abdomen are at high risk of developing diabetes in contrast to children with a pear-shaped body who carry most of their weight in the hips and thighs.

Apart from obesity inactivity, family history of diabetes, adolescent age, low birth weight, and mother with gestational diabetes are the other factors that increase the risk of developing childhood diabetes.


 Type 2 diabetes in children may develop gradually and may manifest symptoms such as
1.     Increased thirst and frequent urination
2.     Fatigue
3.     Blurred vision
4.     Slow healing of wounds
5.     Dry mouth


Children with type 2 diabetes are at the risk of developing potentially dangerous conditions that can nearly affect every major organ in the child's body. Complications may be disabling or life-threatening if the disease is not well controlled. Complications may include and not limited to

2.     Kidney disease
3.     Heart and blood vessel disease
4.     Eye problem or Diabetic retinopathy
5.     High cholesterol level

Diabetes screening is recommended for all children who are overweight or obese. For early diagnosis and effective treatment of the disease visit Max Hospital. One of the best hospitals in New Delhi headed by Dr. Nikhil Agnihotri, who is a pioneer in treating conditions related to childhood  DIABESITY.

Blog reviewed by: Dr.Nikhil Agnihotri
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Saturday, 30 March 2019

Who All Are The Eligible Candidates For Bariatric Surgery?

A person who has a BMI (Body Mass Index) above 30 is considered to be obese. Obesity is the 2nd most common lifestyle disease after cancer. A recent study shows that almost 60 percent of the overall population in urban society is overweight. This is mainly because of poor lifestyle choices.

Eating too much fast food and not burning those toxic calories out through exercise leads to the accumulation of excessive fat cells in the body. In such a case the doctor first recommends the patient to strictly maintain a healthy diet and engage in a daily exercise routine. But when the changes fail to help the person in losing weight, bariatric surgery is recommended.

What is the aim of bariatric surgery?

Bariatric surgery is a surgery that is conducted for weight loss. The process aims at reducing the capacity of the stomach so that the overall food consumption of the patient reduces. When the stomach is restricted it causes malabsorption of nutrients. This surgery causes hormonal changes in the body which results in drastic weight loss. Most of the bariatric procedures are conducted through a minimally invasive technique known as laparoscopic surgery.

Who should opt for bariatric surgery?

Bariatric surgery is not for everyone. It is only applicable to:
  • Patients who have a BMI rate more than or equal to 37.5.
  • Patients with a BMI of more than 32.5 with significant co-morbidities.
  • People on whom non-surgical methods like diet, supplements, medicines or exercise have failed.
Also, it should be noted that people who are medically fragile and does not have a supportive immunity system to undergo surgery, should not opt for this. Some people with psychiatric issues like eating disorders should even not go for bariatric surgery.

Best obesity treatment in New Delhi

The bariatric department in Max Super Speciality Hospital headed by Dr. Nikhil Agnihotri, Bariatric surgeon, is famous for its effective Obesity treatment in New Delhi. The hospital offers advanced laparoscopic-assisted bariatric surgery in New Delhi. With a highly efficient team, the hospital completely devotes itself to provide quality healthcare service to the patients.

So if you are planning for a weight loss surgery in New Delhi, consult Max Super Speciality Hospital.
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Friday, 29 March 2019

How Does Obesity Affect The Body Systems?

One of the deadliest and widely spread lifestyle diseases is obesity. A person is considered to be obese if he has a BMI (Body Mass Index) over 30. In a recent study, it has been found that almost 60% of the total population globally is obese or overweight. Among which 38% are men and 40% are women. Sadly enough even children below the age of 5 are also suffering from obesity due consumption of unhealthy and junk food.

There was a time when people used to eat mainly freshly cooked home food. But today due to the fast lifestyles people mostly have readymade or processed food instead of home cooked food. Having too much of fat storage in the body and then not burning them out with proper workouts lead to obesity. Obesity also comes along with a lot of other diseases such as heart diseases, blood pressure issue and diabetes. 90% of people who suffer from obesity also suffers from diabetes.

What are the risk factors related to obesity?

This one disease increases the risk of multiple other health problems. Some of the common diseases may include:
  • Cancer (Endometrial, colon and breast)- After smoking, obesity is the next biggest cause for cancer.
  • Liver and gallbladder problems- Obesity is one of the greatest reasons behind the growth of stones and blockages in the ducts.
  • Infertility- Obesity reduces the quality of eggs produced in a female body. Similarly, it also reduces the quality and quantity of sperm produced in a male body. Most obese women have higher chances of having PCOS (Polycystic Ovarian Syndrome).
  • Osteoarthritis- Obesity stresses the joints and thus obese people often suffer with arthritis.
  • Coronary heart disease and stroke - Patients with too much fat has higher chances of heart attack and stroke. Because of excessive fat, inflammation is likely to occur. It causes poor blood flow and potential blockages.
  • Respiratory issues- Obesity affects both the nervous and the respiratory systems. Being overweight hinders your ability to breathe. More amounts of fat mean the body needs more oxygen.

Max Hospital is one such healthcare provider which is well known for its advanced Bariatric Department. Starting from obesity to other linked diseases, here you can find solutions for all your health issues. This is by far the most reliable bariatric surgery centre in New Delhi.

Headed by Dr. Nikhil Agnihotri (Bariatric Surgeon), the hospital offers the most effective obesity treatment in New Delhi.

Book an appointment now itself!
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Saturday, 22 December 2018

Obesity - How It Affects Your Fertility?

The often overlooked role of Obesity in Infertility

The prevalence of obesity and overweight are alarming and has become an epidemic worldwide. Obesity has harmful influences on all systems, including reproductive health. The prevalence of obesity in infertile women is high and now it is acknowledged that obesity is evidently one of the most common causes of infertility and miscarriage. It is a proven fact that women who are above a healthy weight tend to undergo perturbations of the ‘hypothalamic pituitary ovarian axis’ and suffer from hormonal imbalances, missed periods,alterations in the ovulation cycle and Polycystic ovarian disease all of which are linked to infertility and miscarriages. They are also more susceptible to cancer of the ovaries, breast, cervix and uterus.

The links between infertility and female obesity are well established, but recent studies have suggested that a prospective father’s weight may also have a considerable impact on a couple’s ability to conceive. There may be numerous ways that surplus body fat impacts male fertility, and in many cases more than one may have a say to the problem at the same time such as lower levels of testosterone, higher levels of the female hormone estrogen, increased testicular heat, low sperm count, low libido and erectile dysfunction.

How does weight affect Fertility in women?

There are numerous ways obesity can affect fertility and several theories are floating to explain the pathophysiology of infertility due to obesity. Scientists speculate that Obesity affects ovulation by causing mayhem among the reproductive hormones as the excess body fat disrupts the menstrual cycle and hampers ovulation via the elevated levels of insulin. This leads to a decrease in the synthesis of sex hormone-binding globulins (SHBG) which in turn can cause a surge in the level of free sex steroids such as testosterone. The hormone oestrogen is produced mostly by the ovaries and in less important amounts by the adrenal glands and adipose tissue (fat cells). Therefore, if a woman has excessive body fat, there will be an abundance of oestrogen.

Women’s body needs a fine balance of hormones to ovulate properly, and having too much estrogen can throw off that balance. The high levels of oestrogen and/or free sex steroids signal the brain to stop stimulating the development of follicles needed for the eggs to mature and develop; consequently, ovulation does not occur. No ovulation… no pregnancy.

Insulin resistance is a common feature in patients who are obese or type 2 diabetes or who have metabolic syndrome. Insulin resistance can also have a negative impact on fertility. Essentially, insulin’s job is to shift glucose from the bloodstream to the cells. But in cases of insulin resistance, cells “disregard” to insulin’s request to move glucose into the cells. When there is lots of glucose in the blood, consequently, in an effort to help out, the pancreas pumps out more and more insulin. And here it affects fertility: Having a high level of insulin in your blood can cause metabolic disturbances that can affect ovulation.

Obesity and ART (assisted reproductive technology)

A review published in the Journal of Human Reproductive Sciences in 2010 stated that women with a higher BMI don't respond as well to fertility treatments like in vitro fertilization.  Meanwhile, Australian researchers confirmed that, compared to obese women, those with a BMI between 20 -24.9kg/m2 had a 60% greater chance of a successful assisted reproduction treatment.

Is there an ideal weight for getting pregnant?

Consult with a healthcare provider. They will consider all factors, including your age and any other infertility factors, before making a recommendation about whether you should try to lose weight first.  If losing weight seems like a significant challenge, talk to your doctor to find out what next steps would be most beneficial for you.   And keep in mind; "weight loss quickly" schemes are just ‘schemes’. Anything that promises fast weight loss through cleanses, supplements, miracle cure or too-good-to-be-true fixes usually is not your best bet, and could even be dangerous.

The healthiest way to start trying to conceive is having a normal-range body mass index (BMI) of 18.5-24.9, although not all women who are overweight or obese experience infertility. If you're concerned about your weight, know that you don't need to pull off a coup to improve your fertility and health. Research shows that losing as little as 5-10 percent of your body weight (For instance, 3 to 7 kilogram for someone who weighs 72 kilogram) can be enough to help rebalance hormones to enhance your odds of conceiving.

When overweight or obese women become pregnant, it's important to stay on track with prenatal appointments.

The Laparoscopic and Bariatric Surgery Department at Max Super Specialty Hospital, New Delhi is one of the obesity and infertility treatment New Delhi, India.  Dr. Nikhil Agnihotri (Bariatric Surgeon ) who is a highly qualified, accomplished Weight Loss Surgeon for Minimal Access, Metabolic and Bariatric Surgery is the head of this best Obesity Treatment Centre in New Delhi. Dr. Nikhil has over 11 years of experience in the field of Weight Loss Treatment in New Delhi.

Dr. Nikhil Agnihotri (Bariatric Specialist) has been actively involved in promoting, improving and teaching the science of Minimal Access Bariatric Surgery, Hormonal imbalance New Delhi treatments to aspiring surgeons across the nation and has participated in numerous national and international conferences.

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Monday, 26 November 2018

Living In A Consumer Driven World

The tendency to accumulate excessive body fat around the stomach and waist area or to put on excessive weight is a glaring symptom of unhealthy lifestyle. Giving into the consumer driven world of convenience where you don’t have to lift a muscle to get some work done. Just press a button a remote, seated in your couch and lo and behold, the job is done!!

But sometimes the outcome may not be a direct consequence of averseness to physical activity or due to overeating. Often the tendency to accumulate body fat may be a medical condition beyond the concerned individual’s control. In either case, the pronounced state of the above mentioned symptoms is referred to as a medical condition called obesity. For individuals suffering from obesity, it does not have any direct impact on health apart from making the affected extremely prone to putting on weight or fat and sometimes both.  However it does give birth to series of related complications in the body.

Distinguishing Facts From Fiction – A Bariatric Surgeon’s Expert Speak

With every passing day, a close look at the rising nature and trend of disease and ailments, not just within the country but on a global scale, will reveal that while human beings have evolved to terminate susceptibility to virus and bacterial infection, the bubonic plague of this generation is mental health issues and overweight problems. While obesity constantly ever more on the rise, what with the growing popularity of synthetic fast food, it has surely reached a stage where it is no longer a question of ridicule for the person concerned but requiring serious medical attention for its ability to grow fatal.  The greatest problem in tackling the issue of rising obesity is ignorance and lack of awareness amongst general masses regarding its medical implications. Bariatric surgery is a life saver for such people, suffering from obesity beyond their control, as it gives them a second chance and a fresh lease to start life on a healthy note with a clean slate to start all over again. However, ignorance and dearth of awareness regarding these lifesaving procedures, misconceptions about  Lap sleeve gastrectomy, scepticism regarding Lap gastric bypass and Mini gastric bypass surgeries create an invisible barrier from people from pursuing them — all of which are permanent cures for effective weight loss and treatment of obesity.

Some general misconceptions doing the rounds regarding these bariatric procedures are discussed below. They are supplemented by facts, straight from the horse’s mouth, from none other than an expert and renowned bariatric surgeon with vast years of experience and success to their credit.

1. Misconception: Surgery for obesity is not customized. It doesn’t matter which surgery you go for treatment of obesity.
Fact: .
  • An obese person suffering from severe diabetes would be advised to undergo a gastric bypass surgery, which reduces the size of the stomach and the small intestine is connected to this small stomach pouch so food    reaches the intestine quickly, bypassing major part of stomach.
  • For patients with BMIs up to 50, but not suffering from any additional implications apart from impaired activity and discomfort, sleeve gastrectomy is prescribed as it removes all but a banana sized portion of the stomach
  • Mini anastamosis gastric bypass is usually chosen when BMI is beyond 50, a super obese or more without reflux on Endoscopy..
2. Misconception: Willpower plus good diet and exercise regimens work just as well as surgery.

Fact: For someone who is 50 pounds overweight and still in their teens, the above statement might still be applicable. While common perception associates overweight people with laziness, overeating and aversion to physical activity, obesity is an established medical condition which may lead to serious mental health complications such as depression. For such a person, no matter how little they eat or how much of physical activity they indulge in, piling on weight is beyond their control. Moreover an obese person is severely overweight with a BMI exceeding 50. For such a person, especially if they are out of their growing years, bariatric surgery is a boon as it allows them another shot at normal life like everyone else by cutting down any excess weight and inducing effective weight loss permanently. 

3. Misconception: Surgery is a waste because you just regain the weight.

Fact: Research has unearthed statistical data which proves and establishes that bariatric surgery is a permanently effective procedure for weight loss and getting rid of associated diseases. However, it has to be understood, surgery is not a miracle. It is a second chance at normal life. Reverting to unhealthy lifestyle again for any person who has undergone bariatric surgery may start increase in weight and that is completely their individual prerogative and a singular case.

4. Misconception: Bariatric surgery is cosmetic, so it’s not covered by insurance.

Fact: Plastic surgery to change one’s appearance or botox sessions to improve the appearance of one’s skin can be labelled ideally as cosmetic procedures as they are not lifesaving procedures. However bariatric surgery although involves substantial weight loss, is more often than not a lifesaving procedure as it is the last resort for the affected individuals to get their life on track. Moreover its effects are not limited to external appearance. It relieves the concerned person of a lot of previous health problems and their normal body functions are expedited.

As a result most insurance companies follow the recommended guidelines for bariatric surgery to determine coverage. When obesity results in aggravated implications such as blood pressure and diabetes, it is only more likely that insurance will completely cover the treatment procedure.

5. Misconception: You will need plastic surgery after bariatric surgery.

Fact: This myth stems from the fact that common knowledge associates major knife scars to remove the excess weight from the concerned individual opting for bariatric surgery. Hence, in order to make amends to the natural contour of the body, plastic surgery in inevitable.

Whereas fact is, most weight loss surgeries involve laparoscopic procedures which comprise of minute or negligible incisions leaving none or almost minimal scars.

In addition, not every individual opting for bariatric surgery ends up with large amounts of excess skin, flapping around their stomachs as misconstrued by media and celluloid portrayals. In reality almost less than 10% people have to opt for skin reconstruction procedures post bariatric surgeries.

6. Misconception: You can be too heavy for bariatric surgery.

Fact: The fact that discussing measures to regain a normal life for those suffering from chronic obesity is a near possibility often makes it easier said than done. Like any other surgeries, bariatric surgery too is an extremely critical procedure requiring intense focus and subject matter expertise. It is generally all the more critical because of comorbidities existing in the patient which means that two or more diseases originating from obesity coexist simultaneously within their body. However taking in all the considerations and implications, bariatric surgery is always possible no matter how overweight you are. It is the existence of other complications in the body stemming from obesity that make bariatric surgery more risky than usual owing to its delicate borderline nature.

7. Misconception: Bariatric surgery isn't safe for older adults.

Fact: We have to understand surgery is not a divine miracle or an assured solution. Surgery is a medical procedure or an attempt to bridge the gap with a solution. Like all procedures, bariatric surgery too is an equally critical process and does not have any assured guarantees. Like weight and its implications have been discussed in the earlier point above, age too can be a factor influencing the choice and success of the procedure. However very rarely do people over the age of 80 opt for a bariatric procedure. Patients above 50 or 60 can easily opt for bariatric surgery with assured success and similar risk factors as someone younger. However age starts taking a toll when it has associated implications in the form of other health complications that need to be taken into consideration before operating upon.

8. Misconception: You still need to take insulin and blood pressure medication after surgery.

Fact: As a matter of fact, on the contrary, apart from reducing your weight, bariatric surgery also transforms the dynamics and mechanics of the new body.

After bypass surgery, 80 percent of patients with diabetes and 60 percent of patients with high blood pressure go into remission — and that means no more medication. Additionally, almost close to 70 percent suffering from sleep apnea previously, no longer required their CPAP machines at night after weight loss surgery. So that’s a remission rate of almost 3 people out of every four opting for surgery and that is a healthy assurance, if my opinion counts.

9. Misconception: Surgery is risky and has a long recovery time.

Fact: Morbid obesity is more likely to kill a person living with it lifelong, sooner than bariatric surgery ever will. So conversely, for most, the risk for bariatric surgery is low, but as a matter of fact, it may be more dangerous to not opt for surgery. The recovery period usually requires the patient to remain under observation for two days post op after which they can revert to normal life with dietary guidance.

10. Misconception: You can't get pregnant if you have this surgery.

Fact:As a matter of fact again, obesity is more likely to cause infertility in men or women and thereby impair or interfere with their ability to conceive. Bariatric surgery is a life saver and maybe a fresh lease of life for obese males or females looking to start a family.  Hence losing weight is an important step forward towards having a baby.

However, it is advisable for patients to wait for a year before they plan to conceive just to keep it safe.

If you plan to have children, be sure to work with an ob/gyn who has expertise in this area.

The laparoscopic and bariatric surgery department in Max Super Specialty Hospital is headed by the best bariatric surgeon in New Delhi, Dr. Nikhil Agnihotri. You can get the best gastric bypass surgery in New Delhi, India from him.

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Tuesday, 9 October 2018


Weight management is essential in everyday life because weighing too heavy is not at all good for health. Being overweight will definitely increases the risk of health conditions like heart problems, high blood pressure, type 2 diabetes, and even cancer. Here comes the term diabesity which is a combination of diabetes and obesity, where the people have fluctuation in blood sugar levels and also overweight; both leads to higher risk of complications in the long run.
weight management in delhi

Due to our work pattern, most of us are not maintaining healthy weight now. Reasons may differ from one to another, but the final point is most of the people are either overweight or underweight. Very less people are in correct or in exact weight. Here, the basic point we insist is that one has to maintain good body weight according to their height and has to do some physical activities as much as possible.


Body mass index (BMI) is a general measure of overweight and obesity. Maintaining and reaching this BMI is important for overall health. If a person is just above the BMI level, he can reduce his weight within a specified period of time. But if a person is overweight or obese or severely obese, he needs special medical attention from the doctors.

So, for severe obesity, we have medical weight loss treatment. That means to find out the root cause of the severe obesity and if necessary we can do surgery, Roux – En – Y (pronounced as roo-and-y) gastric bypass surgery. When you compare the dietary weight loss, surgical method has yielded desired result within the time frame and can go smoothly for a long period of time. By which, we can reduce time and achieve the ideal weight. It will be a permanent solution to the weight gain issues.


The Roux-en-Y means an end-to-side surgical method to give a cross-connection between tubes, blood vessels, and parts of the intestine. Here, the surgeon cuts the stomach into 2 parts to create a pouch out of the stomach and attaching it to the small intestine called Roux limb; this will look like "Y" shape. The food would bypass the large part of the stomach and the duodenum. So, after the surgery, the stomach feels full quickly and eats less.

It is very much effective for diabetes people.
Excellent result over time.
Risk of complications is very less or negligible.
Result is fast and quick.
The after effect of weight loss surgery includes significant improvement in long-term weight loss, lower risk of death, and other obesity related disorders. It improves overall quality of life.


Most of the hospitals in India provide affordable weight loss surgery at reasonable prices. All the hospitals would have good equipments with the latest technology. In Delhi, we have many such good hospitals, one of which is Max Super Speciality Hospital, New Delhi which is headed by Dr. Nikhil Agnihotri, bariatric specialist, who is an accomplished, highly qualified weight loss surgeon, who has over 11 years of great experience in the field of medical science and has been doing bariatric surgeries with good care and has an excellent team of doctors under him.


Previously, gastric bypass was considered to be a cosmetic surgery, after so many case studies, insurance companies now provide coverage either as part or full depending on the terms and conditions of the company.Indian insurance companies like Star Health Insurance, United India Assurance, Bajaj Allianz, and ICICI Lombard are now giving medical insurance and reimbursement to this surgery.

Dr. Nikhil Agnihotri is one of the leading weight loss surgeons in New Delhi who has been successfully performing various bariatric surgeries. He is the well-known surgeon for performing  Roux-en-Y Gastric Bypass in New Delhi.

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Can Treating Sleep Apnea Cause Weight Loss?

        The perils of leading a dissolute life tend to manifest at a later stage especially in the form of obesity . Very often people gra...