TV Interview about obesity

World Obesity Day 2021

 

 

Message from Dr. Marios Pedonomou

March 4, 2021 has been designated as World Obesity Day 2021 with the prospect of reminding the world of the greatest epidemic of our time. Without any underestimation of the pandemic of the coronavirus, March 4 is a day of reflection and reminder of this huge problem, because everyone has the right to a healthier and happier life.

From 1975 until today, obesity statistics have tripled, while for children and teenagers have increased fivefold. The obesity epidemic affects us all, regardless of age, gender, social group, culture or country of origin. And it’s so important because it can trigger dozens of other diseases such as diabetes, high blood pressure, cardiovascular disease, stroke and even some form of cancers.

To make the dimension of the problem a little more understandable, it is indicated that:

  • 800 million people worldwide are currently obese
  • Of those affected by coronavirus disease, obese patients are twice as likely to need inpatient care
  • Childhood obesity is expected to increase by 60% in the next 10 years, affecting more than 250 million people by 2030
  • The medical complications of obesity will exceed the cost of treatment by one trillion dollars in 2025.

In general there is a misinterpretation of the whole problem and unfortunately obese people are stigmatized, targeted, and blamed for their condition. And this because of the  lack of understanding and information.

The root of the problem lies in the interaction of various factors, independent of each other, that lead to the manifestation of the disease: dietary, modern lifestyle, genetic, psychological, socio-cultural, economic and even environmental.

We believe that the time has come to break this chain of prejudice and accusation and to re-evaluate our approach to this issue, both as individuals and as a society. At the institutional level, many can be done, but also  individually . We can avoid giving our children foods and drinks rich in fat, sugar and salt and encourage them having a healthier dietary,  physical activity, such as walking, cycling, etc. It is time of our country, society and municipalities to encourage the appropriate and safe infrastructure for a healthier life style.

 

Marios Paidonomou MD, MSc, PhD, FASMBS

Surgeon

Associate Professor of Surgery

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Aretaeus of Cappadocia

Aretaeus (Greek: Ἀρεταῖος) is one of the most celebrated of the ancient Greek physicians, of whose life, however, few particulars are known. He presumably was a native or at least a citizen of Cappadocia, a Roman province in Asia Minor, and most likely lived around first century CE. He is generally styled “the Cappadocian” (Καππάδοξ).

Aretaeus wrote in Ionic Greek a general treatise on diseases, which is still extant. The valuable book displays great accuracy in the detail of symptoms, and in seizing the diagnostic character of diseases. In his practice he followed for the most part the method of Hippocrates, but he paid less attention to what have been styled “the natural actions” of the system; and, contrary to the practice of the Father of Medicine, he did not hesitate to attempt to counteract them, when they appeared to him to be injurious.

Aretaeus offered clinical descriptions of a number of diseases among which he gave classic accounts of asthmaepilepsypneumoniatetanusuterus cancer and different kinds of insanity. He differentiated nervous diseases and mental disorders and described hysteriaheadachesmania and melancholia. He wrote the first known description of Celiac Disease, naming it disease of the abdomen, koiliakos.

The account which Aretaeus gives of his treatment of various diseases indicates a simple and sagacious system, and one of more energy than that of the professed Methodici. Thus he freely administered active purgatives; he did not object to narcotics; he was much less averse to bleeding; and upon the whole his Materia Medica was both ample and efficient.

It may be asserted generally that there are few of the ancient physicians, since the time of Hippocrates, who appears to have been less biased by attachment to any peculiar set of opinions, and whose account of the phenomena and treatment of disease has better stood the test of subsequent experience. Aretaeus is placed by some writers among the Pneumatici because he maintained the doctrines which are peculiar to this sect; other systematic writers, however, think that he is better entitled to be placed with the Eclectics.

After his death he was entirely forgotten until 1552, when two of his manuscripts, “On the Causes and Indications of Acute and Chronic Diseases” and “On the Treatment of Acute and Chronic Diseases”, both written in the Ionic Greek dialect, were discovered and published in a Latin translation in Venice in AD 1554. These works not only include model descriptions of pleurisy, diphtheriatetanus, pneumonia, asthma, and epilepsy but also show that he was the first to distinguish between spinal and cerebral paralyses. He gave diabetes its name (from the Greek word for “siphon,” indicative of the diabetic’s intense thirst and excessive emission of fluids) and rendered the earliest clear account of that disease now known.

Of diabetes he wrote:

“Diabetes is … not very frequent … being a melting down of the flesh and limbs into urine … for the patients never stop making water, but the flow is incessant, as if from the opening of aqueducts. It consists in the flesh and bones running together into the urine … the illness develop very slowly. The nature of the disease is chronic, and it takes a long period to form; but the patient does not live long once the disease is fully established; for the melting is rapid, the death speedy. Moreover life is disgusting and painful; thirst, unquenchable … and one cannot stop them either from drinking or making water”.

The origin of the name is explained as follows:

“The disease appears to me to have got the name of diabetes, as if from the Greek word διαβήτης (which signifies a siphon) because the fluid does not remain in the body, but uses the man’s body as a ladder (διαβάθρη) whereby to leave it”

Dr Marios Pedonomou MD, MSc, PhD
Surgeon
Laparoscopic and Bariatric Surgery

World Obesity Day 2020

  Message by Dr. Marios Pedonomou The World Obesity Federation predicts that by 2025 over 1 billion people will have obesity and 177 million adults will have severe obesity, but the disease still carries substantial misconceptions and stigma, representing significant barriers to its prevention and treatment. Many still consider obesity a lifestyle choice, often blaming it on a lack of will power or inactivity that is best treated with diet and exercise alone. However, obesity is now recognized by most major medical groups as a complex chronic disease caused by interactions between genetic, behavioral, socioeconomic and environmental factors. The rising global epidemic of obesity demands a global response that breaks down the barriers to effective prevention and treatment. That’s why a coalition of medical organizations that spans the world have come together for a new unified World Obesity Day on March 4, 2020. This year’s theme for World Obesity Day is “the roots of obesity,” focusing on eliminating stigma and improving understanding of obesity so that more patients have greater access to safe and effective treatments. Patients with obesity deserve to feel supported by their healthcare providers with treatments that give them the best chance at improved health outcomes. Michelle Vicari, bariatric surgery patient and advocate, asks healthcare providers to “explain to us the science of obesity, give us understanding and support, help us build a team and provide us with resources.” Many healthcare providers are more willing to address the consequences of obesity rather than the disease of obesity itself, despite the availability of safe and effective treatments. Multiple clinical guidelines recommend involvement of a physician and treatment that goes beyond diet and exercise alone for obesity, and particularly for severe obesity where bariatric surgery is the most effective treatment available, yet is rarely utilized. Research shows 80-90% of people with obesity who lose weight with diet and exercise regain it. For severe obesity, it’s even worse—men only have a 1 in 1,290 chance of reaching a healthy body weight without bariatric surgery while women have a 1 in 677 chance. Despite these realities, obesity patients still face significant challenges to receiving more effective long-term treatments. We are committed to fight the stigma and to improve access to education around bariatric surgery for patients with obesity. Our aim is through a multidimensional approach to help obese or morbidly obese people and demonstrate the benefits of bariatric surgery for those who have the indication for surgery. Marios Pedonomou MD, MSc, PhD, FASMBS Consultant Surgeon Associate Professor of Surgery Aretaeio Hospital Nicosia T +357 22 200 412 | F +357 22 512 372

Honorary participation to a workshop on Bariatric Surgery in Belgium (25-26 Feb. 2020)

Honorary participation to the specialized intensive workshop “Clinical Immersion. Bariatric Re-Do Surgery”, held in AZ Sint-Jan Hospital Bruges, Belgium

Participation to the 6th Pancyprian Annual Congress of the Cyprus Society of Internal Medicine

The scientific activities in the current year ended up with the participation to the 6th Pancyprian Annual Congress of the Cyprus Society of Internal Medicine, which was held in Limassol and has given doctors the opportunity to follow many interesting lectures and presentations coming from the field of Internal Medicine.

Participation to the 16th Panhellenic Endocrine Gland Surgery Congress in Athens (22-24 Nov. 2019 )

Dr. Pedonomou successfully attended the proceedings of the 16th Panhellenic Endocrine Gland Surgery Congress held in Athens and aimed primarily at training physicians on modern diagnostic and therapeutic approaches for patients with thyroid, parathyroid, and adrenal gland diseases, as well as pancreatic metabolic disorders.

Organization of a Roundtable on Obesity Surgery in the framework of the 14th Biannual Hellenic-Cypriot Surgery Congress (15-17 Nov. 2019)

Dr. Pedonomou attended the 14th Biannual Hellenic-Cypriot Surgery Congress in Nicosia and was the organizer of a Roundtable on Obesity Surgery. He developed the lecture “Laparoscopic Sleeve  Gastrectomy: Pros and Contras”.

Participation to the 36th Annual Congress of the American Society of Metabolic and Bariatric Surgery in Las Vegas (03-07 Nov. 2019)

Dr. Pedonomou successfully participated in the Proceeding of the 36th Annual Conference of the American Society for the Metabolic and Bariatric Surgery in the framework of Obesity Week organized jointly with the American Obesity Society in Las Vegas, United States.  In the addition to the official papers of the conference, he also had the opportunity to participate in specialized seminars :

  • Mastery of Revision: A Video Course,
  • Barrett’s Esophagus and Sleeve Gastrectomy,
  • Pediatric Obesity Treatment – The Global Perspective, and
  • The Role of Weight Loss Pharmacotherapy in Obesity Management