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    Multidisciplinary Approach to The Super Obese Patient Presenting with Respiratory Distress: A Case of Losing 100 Kilos in a Year
    (Eurasian Society of Family Medicine, 2024) Kaya, A.; Gamsizkan, Z.; Onmez, A.; Oner, E.; Kucukdag, H.N.
    In this article, a super morbid obese case with severe comorbidity is presented to lose 100 kg without surgery with a multidisciplinary approach. It has been observed that losing weight in obese patients also corrects many dysfunctions. It has been discussed that preoperative counseling, frequent follow-up and a multidisciplinary approach can be effective in weight loss. © 2024, Eurasian Society of Family Medicine. All rights reserved.
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    The Relationship of Body Fat Ratio to Anthropometric and Metabolic Parameters in Normal Weight and Overweight Women; The Concept of Normal Weight Obesity
    (Eurasian Society of Family Medicine, 2023) Kucukdag, H.N.; Sonmez, C.I.
    Aim: We aimed to underline the importance of “normal weight obesity concept”, prevent the overlooking of Normal Weight Obesity patients, administrate their treatments and explain them the risks regarding their future lives along with making emphasis on the necessity of change in polyclinical practices about the subject. Methods: We selected 200 female patients that were either normal or overweighted for this study. Patients have been divided into 4 groups with respect to their body mass index and body fat percent values. Differences of bioelectrical impedance analysis measurements between the groups, relation of the anthropometric and metabolic parameters and those parameters’ inner correlations have been inspected. Results: Serum levels of fasting plasma glucose, insulin, HOMA-IR, total cholesterol, LDL, triglyceride and TSH were higher in “Normal Weight Obesity” subjects than “Normal Weight Lean” subjects. The mean LDL levels were found to be higher in the Normal Weight Obesity group compared to the other groups and it was found to be statistically significant. Body fat percent was positively correlated to insulin, HOMA-IR, visceral fat rating, waist – hip circumferences, waist to height – hip to height ratios. Conclusion: The importance of measurement of body fat percent and not to overlook the Normal Weight Obesity patients should be emphasized once more. Therefore, in the primary care, during public screening and polyclinical assessment states, patients should be checked for obesity with not only measuring their weights and heights, but also detection of their detailed body composition. © 2023, Eurasian Society of Family Medicine. All rights reserved.