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Sanjay Borude - Generation XL: Tackling and Preventing Childhood Obesity in India

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Sanjay Borude Generation XL: Tackling and Preventing Childhood Obesity in India
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    Generation XL: Tackling and Preventing Childhood Obesity in India
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India has a paradox of malnourishment as well as morbid obesity. While children have fewer weight-related health and medical problems than adults, overweight children are at high risk of becoming overweight adolescents and adults, placing them at risk of developing chronic diseases such as heart disease and diabetes later in life. They are also more prone to develop stress, sadness, and low self-esteem.The contributing factors could be many, besides genetic makeup and medical factors like hypothyroidism and Cushings Syndrome. Children today spend far more time on screens than playing games outdoors, more so in the wake of the Covid-19 pandemic. Energy-dense foods and drinks are more readily available now than before. Psychological factors like stress also lead to overeating and increase the risk for obesity in childhood. The book is a comprehensive roadmap for prevention and management of childhood obesity by one of Indias top bariatric surgeons. With real life case studies and examples, the book helps parents and children chart a roadmap to recovery and a fitter, healthier life. Without corrective action, there could be serious implications for future generations.

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Contents
EBURY PRESS GENERATION XL Dr Sanjay Borude is a pioneering surgeon in obesity - photo 1
EBURY PRESS GENERATION XL Dr Sanjay Borude is a pioneering surgeon in obesity - photo 2
EBURY PRESS GENERATION XL Dr Sanjay Borude is a pioneering surgeon in obesity - photo 3
EBURY PRESS
GENERATION XL

Dr Sanjay Borude is a pioneering surgeon in obesity surgery in India. He had the privilege of learning about obesity surgery at renowned centres in the US, Belgium and Spain. He began his practice in 1989 as a general surgeon and later, from 2000, started conducting bariatric surgeries in India at Breach Candy Hospital, Mumbai. Today, Dr Borude is a super specialist in this field, specializing in lap-band, sleeve gastrectomy and gastric bypass surgeries. He has successfully treated more than 8000 morbidly obese patients to date. Dr Borude entered the Limca Book of Records for performing bariatric surgery on an 11-month-old baby. He also holds the distinction of having performed Asias first Google Eye bariatric surgery with the Google team. He is professor emeritus at Sion Municipal Hospital and other BMC Hospitals. This is his first book.

ADVANCE PRAISE FOR THE BOOK

Obesity is not only a health hazard but a huge setback emotionally and mentally. To deal with such a sensitive issue that can have damaging outcomes requires a relentless journey of expertise, an in-depth balance and grasp to sensitively handle the patients distress and educate the family towards an environment conducive to promoting a healthy childhood. This book highlights that we should not take weight gain as a sign of a happy child; do not encourage it as a benchmark for a healthy child. We need to break these shackles and emerge as responsible parents. Dr Sanjay Borude, a dynamic, driven surgeon and an authority on this subject has come out with a book which will be etched as a guiding light for eternity. The book touches upon all the issues that a child faces, and how the family can prevent them and help the future generation overcome these hurdles. I stand eternally grateful to Dr Sanjay Borude for dedicating his life to this issue, and I look forward to a healthy society. Our children are the future of our nation; we need to set the standards today!Raj Thackeray, politician and chairperson of the Maharashtra Navnirman Sena (MNS)

Generation XL expertly tackles the sensitive subject of obesity, in a reader-friendly, informative style. A must-read for allnot just people dealing with weight issues. Parents of young children dealing with weight gain and related health problems will benefit greatly from Dr Sanjay Borudes well-researched book, in which he describes obesity as a time bombShobhaa De, novelist and columnist

When Dr Sanjay Borude came to meet me, he told me he was a fan of mine. But after we met, I turned into a fan of his! He sings and hes an artiste, so when he does his surgeries, I have no doubts he must be doing it artistically. He has been a doctor for the past thirty years. Initially he used to perform surgeries on cancer patients. Later, he realized he could serve humanity even better by tackling the issue of child obesity. I can say this from my own experience. I was overweight and would feel dejected and upset because of that. I had a lot of difficulty losing weight. Children who are either born obese or those who turn obese because of what their parents feed them face difficulties all their lives. Dr Sanjay Borude has done tremendous work in this area. Consider this: he has even carried out a surgery on an 11-month-old infant, and she is now a healthy 12-year-old. When I look around, I see parents giving their children all sorts to things to eatthree to four ice creams at a time, sandwiches with thick layers of cheese and what not. If, instead of that, children ate the satvik, native foods our parents gave us and if they ate only so much as would fit into a palm, it would be sufficient. Thats what Dr Borude says, and I too am saying this, because Dr Borude is a splendid doctor, and he sings nicely as well. In my view, Dr Sanjay Borude is the best doctor in the world. Hes also a very good human being. Where needed, he works for free and saves peoples lives. Can there be a greater thing than saving lives? We cannot see God but we can see doctors, and for me, Dr Sanjay Borude is God!Asha Bhosle, playback singer

The book discusses the genesis and management of childhood obesity with all the relevant details. Obesity in children is a preventable problem with very few exceptions. Prevention should start from birth with exclusive breastfeeding for the first six months followed by complementary feeds from the family pot, while breastfeeding is continued for at least another six months. Of course, it must be subsequently maintained with a good lifestyle. This can happen only if health is monitored by a growth chart so that mild weight gain can be picked up and corrected. It is not only the weight but also height and BMI. This is a health card similar to a progress card in school. Indian Academy of Pediatrics has published growth charts for Indian boys and girls, and the chart is modified in a simple way to give BMI on the same chart that depicts weight and height, and it can show whether the child is underweight, overweight or obese. These charts can be downloaded for free from IAPs websiteDr Yeshwant K. Amdekar, paediatrician

Dr Sanjay Borude
Generation XL
Tackling and Preventing Childhood Obesity in India
ONE OF INDIAS LEADING BARIATRIC SURGEONS
Generation XL Tackling and Preventing Childhood Obesity in India - image 4

To Zoya Khan

Prologue

If a list of the most commonly used words is compiled under the spectrum of health and wellness, weight would definitely figure prominently on it. Almost everyone, irrespective of their gender or age, frets about the calories they consume or the inches they could add to their waistline with a single meal. And, if not about their own weight, there is always the worry of a parent, spouse or child gaining kilograms they shouldnt. It wouldnt be wrong to say that weight is perhaps one of the most stress-inducing words of our times.

Unfortunately, most people obsess about their weight for cosmetic reasons. In Indian society, parents fear that their daughter wont get that coveted alliance if she is overweight. Many youngsters believe being successful and being overweight are mutually exclusive. They ignore the fact that some of the worlds highest earning entertainers, such as Oprah Winfrey, have struggled with those extra kilos.

Its important to get scientific about weight and its associated problems. Modern medicine hasin the last few decadesproved beyond a doubt that weight is not inversely proportional to looks but to overall health. There is enough research to indicate that being overweight or obese is akin to issuing an open invitation to ill-health. It is a risk factor for diseases such as hypertension, diabetes, stroke, coronary artery diseases and cancer, among many others.

As a bariatric surgeon who has counselled and treated a spectrum of patients with weight issues including people from varying socio-economic groups over the last two decades, I have noticed an emerging dimension in the obesity problem. Children today weigh more than those from the previous generations. A cursory look at the playgrounds of most schools in urban areas would reveal children looking a tad bit heavier than they should be for their age. Research has shown how students in the 1316 age group from suburban Mumbai took nearly 2000 steps less than their counterparts in the UK.

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