Name: 肥胖症：從奮鬥到力量 | 健康觀察 (Obesity: From Struggle to Strength | Wellness Watch)
Uploaded: 2025-03-30T14:12:27.000Z
Duration: 27 min 24 s

副詞型分詞構句

Hello and welcome to wellness watch a show that explores the nuances and the burden of illnesses and diseases on mankind and how We in India are dealing with it very recently Prime Minister Modi pointed to the impending obesity crisis in India He called obesity the root cause of many diseases and urged people to fight the chronic health condition Now according to who also obesity is one of today's most blatantly visible yet Neglected public health problems globally in 2022 one in eight people lived with obesity with adult obesity nearing double doubling and adolescent obesity Quadrupling since 1990 today in wellness watch we discuss obesity the slow epidemic that stares at the world I'm your host In 2022 2.5 billion adults were overweight and 890 million were living with obesity Now these staggering figures point to an alarming global health crisis that affects people across all age groups From children to adults in his hundred and nineteenth episode of monkey bath Prime Minister Narendra Modi emphasized on the growing threat of obesity Urging citizens to cut down on edible oil consumption by 10% and raising concerns about the rising rate of obesity in children But what's driving this widespread epidemic and what can be done to combat it and what are the causes?

你好，歡迎收看《健康觀察》節目，該節目探討了疾病和病痛對人類造成的細微差別和負擔，以及我們印度人是如何應對這些問題的。最近，印度總理莫迪指出了印度迫在眉睫的肥胖危機，他稱肥胖是許多疾病的根源，並敦促人們與慢性病作鬥爭。肥胖症是當今最明顯但卻最容易被忽視的公共衛生問題之一。2022 年，全球每八人中就有一人患有肥胖症，成人肥胖率自 1990 年以來翻了近一番，青少年肥胖率則翻了四番。這些驚人的數字表明，全球健康危機令人擔憂，從兒童到成人，所有年齡段的人都受到影響。在第 199 期 "猴浴 "節目中，印度總理

Consequences and potential solutions to this alarming trend up next we get you all this in Harshita Oberoi's report Obesity a chronic complex disease marked by excessive fat deposits has become a global health emergency Today one in eight people worldwide are living with obesity in 2022 2.5 billion adults or 43% of the adult population are classified as Overweight of these 890 million are living with obesity representing 16% of adults worldwide The situation among children is equally concerning Over 390 million children and adolescents between the ages of 5 and 19 are overweight and 160 million are living with obesity Even the youngest are not immune with 37 million children under 5 classified as overweight The health consequences of obesity are severe It's a gateway to diseases like type 2 diabetes heart disease stroke and several types of cancer Obesity also impacts daily life affecting mobility sleep quality and overall well-being Unfortunately, the cause of this epidemic is multifaceted and understanding.

肥胖症是一種以脂肪沉積過多為特徵的慢性複雜疾病，已成為全球健康的一個緊急問題。兒童的情況同樣令人擔憂，超過 3.9 億 5 至 19 歲的兒童和青少年體重超標，1.6 億人患有肥胖症，即使是最年幼的兒童也不能倖免，有 3700 萬 5 歲以下兒童體重超標、造成這種流行病的原因是多方面的，也是可以理解的。

It is key to reversing the trend So what causes obesity?

the answer lies in both our environment and lifestyle unbalanced diets lack of physical activity and sedentary behaviors have created an environment that fosters weight gain and People age physical activity tends to decrease while calorie intake remains the same Leading to excess calories being stored as fat Combined with slower metabolism and the constant availability of calorie dense food It's easy to see why obesity is becoming so widespread But the root causes go beyond diet and exercise Hormonal imbalances genetics and certain medical conditions such as thyroid disorders can also play a role Poor eating habits like consuming too many fatty processed foods and sugary drinks contribute to the problem Furthermore the rise in screen time and decreased outdoor activity Especially among children has made it even harder to combat obesity from an early age Well, the reality is that obesity starts young when children are fed unhealthy calorie-dense food The foundations of obesity are often laid early on This has serious consequences as children who are obese tend to suffer from low self-esteem and they are more likely to develop depression So, how can we prevent and manage this growing crisis the answer lies in lifestyle changes?

答案在於我們的環境和生活方式 不均衡的飲食、缺乏體育鍛煉和久坐不動的行為造成了一種助長體重增加的環境，而隨著年齡的增長，體育鍛煉往往會減少，而熱量攝入卻保持不變，導致多餘的熱量儲存為脂肪。此外，螢幕時間的增加和戶外活動的減少，尤其是兒童的戶外活動的減少，使得從幼年開始消除肥胖變得更加困難、肥胖的基礎往往很早就已經打下，這造成了嚴重的後果，因為肥胖的兒童往往缺乏自尊，他們更容易患上抑鬱症。

It's crucial to limit screen time and promote physical activity healthy eating habits and proper sleep Parents must also play a role by instilling healthy eating habits in their children early on In fact studies show the proper nutrition and physical activity during childhood can help prevent obesity later in life Well when prevention isn't enough medical interventions come into play for adults with a BMI greater than 23.5 Lifestyle changes such as improved diet and exercise are recommended for those with a BMI over 27.5 and associated health issues weight loss medications may be prescribed, but these may be closely monitored For more severe cases bariatric surgery may be necessary bariatric procedures like gastric bypass or vasoliposuction Help patients lose weight by either restricting food intake or causing malabsorption of nutrients These surgeries have become increasingly effective for patients who have struggled with obesity through other means Vasoliposuction for example is a minimally invasive technique that precisely targets and removes unwanted body fat without harming the surrounding tissues In India the government has recognized the urgent need to address obesity and launched several initiatives to tackle this crisis Programs like the Fit India movement and Eat Right India aim to encourage healthy eating habits and promote physical activity across the country Ultimately the key to tackling obesity lies in prevention awareness and intervention through better nutrition physical activity and timely medical treatment We can reverse the trend and help people lead healthier longer lives Harshita Oberoi, Wellness Watch, TD India All right So nearly 3 billion people worldwide are living with Overweight are living by being overweight or with obesity such is the threat of obesity That is spreading like an epidemic that it is being referred to as globesity Obesity is also one side of the double burden of malnutrition and today more people are obese than Underweight in every region except the South East Asia region once considered a problem only in high-income countries Today some middle-income countries have among the highest prevalence of overweight and obesity worldwide Obesity a chronic disease poses significant health risks and is linked to conditions like cardiovascular diseases Type 2 diabetes and certain cancers it is often defined as having a body mass index of 30 or higher Today we look for the following answers on Wellness Watch.

事實上，研究表明，兒童時期適當的營養和體育鍛煉有助於預防日後的肥胖症。當預防措施還不夠時，就需要對體重指數超過 23.5 的成年人採取醫療干預措施。5和相關健康問題的人，可處方減肥藥物、對於更嚴重的病例，可能需要進行減肥手術 胃旁路手術或血管脂肪抽吸術等減肥手術 通過限制食物攝入量或導致營養吸收不良來幫助患者減輕體重 這些手術對於通過其他方法與肥胖作鬥爭的患者越來越有效 例如，血管脂肪抽吸術是一種微創技術，它能精確地針對並去除多餘的體脂，而不會對周圍組織造成傷害在印度，政府已經認識到解決肥胖問題的緊迫性，

What is the difference in being obese or overweight?

What causes obesity What are the types of obesity We also delve upon health risks associated with obesity Can obesity be cured And what medical advancements are available in India with regard to treatment of obesity All right recognising obesity as a critical public health concern the government of India has launched comprehensive Multi-pronged initiatives to prevent manage and reduce obesity at all levels fit India movement I use fast eogena to promote I use interventions in community health care Potion of yarn aim to encourage holistic nutrition the eat right India movement now These are some of the initiatives by the government of India to encourage overall well-being and upper on your screens now We will have the hospitals which specifically treat the menace of obesity All India Institute of Medical Sciences Delhi Rama, Nohal Lohia Hospital, Delhi To discuss obesity and help us understand it better.

肥胖症的原因 肥胖症有哪些類型 我們還深入探討了與肥胖症相關的健康風險 肥胖症可以治癒嗎 印度在治療肥胖症方面有哪些醫學進展？印度政府已採取多管齊下的綜合措施，在各個層面預防、管理和減少肥胖症的發生、德里諾哈爾-洛希亞醫院 討論肥胖問題，幫助我們更好地瞭解肥胖。

We're joined in by guests We're joined in by dr. Sunil M.

我們請到的嘉賓是 Sunil M. 博士。

Raheja director internal medicine Moolchand Hospital, Delhi and former DGHS and MS GB Panth Hospital He is joining us in the studio and dr. Sunil Kumar Mishra director department of endocrinology and diabetes Graphic era Institute of Medical Science, Dehradun is joining us virtually Thank you so much both of you for joining us this afternoon on wellness watch to begin with dr. Raheja I would want you to explain to our viewers though We've shown a detailed report telling us about the threat and the menace of obesity But in simple easy terms, I want you to explain to our viewers.

拉赫賈（Raheja）博士是德里 Moolchand 醫院的內科主任，也是前 DGHS 和 MS GB Panth 醫院的主任。我想請您向我們的觀眾解釋一下，雖然我們已經播放了一份詳細的報告，告訴我們肥胖症的威脅和危害，但我想請您用簡單明瞭的語言向我們的觀眾解釋一下。

What is obesity is being overweight same as being obese Yes, if you see if a person Physically looks obese He or she is obese by definition if we see we take weight in kg divided by height in meter squares And this is called the body mass index for Indian if it is less than 23 it is normal more than 23 is Overweight and more than 25 is obese But for the other countries like Western part less than 25 is taken as underweight and more than 30 is taken as obese and Beside this you can calculate height in centimeters Minus weight in kgs.

什麼是肥胖？超重和肥胖是一樣的嗎？是的，如果一個人看起來很肥胖，根據定義，他或她就是肥胖的，如果我們用體重（公斤）除以身高（米），這就是印度人的體重指數，如果小於 23，就是正常的，大於 23 就是超重，大於 25 就是肥胖。

So you will know if a person is like 5 feet 4 inch So the height in centimeter becomes 160 centimeter So if the weight is 60 kg, then I mean then you can see the difference.

如果一個人的身高是 5 英尺 4 英寸，那麼以釐米為組織、部門的身高就會變成 160 釐米。

Yes minus 100 So height in centimeter minus 100.

是的，減去 100，所以高度（釐米）減去 100。

That is the ideal weight for the person like If 160 centimeters height, yes, then minus 100 the weight should be around 60 plus minus 2 and for female It should be plus minus 4.

這是一個人的理想體重，比如身高 160 釐米，是的，那麼體重減去 100 應該是 60 加減 2 左右，女性應該是加減 4。

So another is for Indian is very important to have a West-hip ratio that is if you take the best circumference at the Maximum minimum area and then you take the hip circumference at the maximum area and for males mens It should be less than 0.85 for women.

是以，對於印度人來說，西臀比是非常重要的。西臀比是指在最大最小面積處取最佳周長，然後在最大面積處取臀圍，男性的西臀比應小於 0.85，女性的臀圍應小於 0.85。

So for overall the best circumference should be less than 90 centimeter for men's and less than 80 centimeter for women because this is called the Centripetal obesity or the peer shape obesity This is even more dangerous than the generalized obesity because the fat in the abdomen is metabolically more active to cause the cardiac disease hypertension diabetes metabolic syndrome stroke So all these things are more in Indians right now and even if you see diabetes and heart disease in Indian It's it is early onset because of this centripetal obesity even the person may be normal weight so the most important is as you have told the Obesity is the gateway to many diseases like hypertension, coronary artery disease, heart attack, stroke cancers, low esteem Decreased physical activity and the person gets you know tired very fast.

是以，就整體而言，男性的最佳圍度應小於 90 釐米，女性應小於 80 釐米，因為這被稱為向心性肥胖或同形肥胖，這比全身性肥胖更危險，因為腹部的脂肪代謝更活躍，更容易導致心臟病、高血壓、糖尿病、代謝綜合徵和中風。是以，最重要的是，正如你所說，肥胖是導致高血壓等多種疾病的門戶、冠狀動脈疾病、心臟病、中風 癌症、自卑 體力活動減少，人很快就會感到疲勞。

So all these things make you a Mockery of your body.

是以，所有這些事情都會讓你的身體成為一個笑柄。

So managing obesity from the very beginning the most important is now then Obesity has increased in school children in Delhi if you find more than 20% Students are overweight or obese.

是以，從一開始就控制肥胖，最重要的是現在，如果你發現德里有超過 20% 的學生超重或肥胖，那麼肥胖在學齡兒童中的比例就會增加。

So we need to work from the very beginning and it is seen if the child is obese in The school they are likely to stay obese throughout their life.

是以，我們需要從一開始就努力，如果孩子在學校就肥胖，那麼他們很可能終生肥胖。

Dr. Mishra Sir explained to us what is obese and what is overweight, but I want you to tell us Does obesity affect any particular organs of the body when you talk of the human body then?

米什拉博士向我們解釋了什麼是肥胖，什麼是超重，但我想請您告訴我們，當您談論人體時，肥胖是否會影響身體的任何特定器官？

Which parts of the body are more prone to being obese one and what are the types of obesity?

So obesity means abnormal fat deposition Minimal amount of the fat is required to be deposited in the body for the optimal functioning of the body and Providing the nutrition and the calorie at the odd time what is obesity is that the abnormal fat deposition beyond the normal limit and Dr. Sunil was also talking about That abdominal fat it means the fat deposition in the abdomen and visceral organ is more Dangerous compared to fat deposited into the non-visceral fat now in obesity the type of the obesity Different type because people will have generalized obesity Some people will have generalized obesity means they have fat deposition in all over the body Then there are the people who will have the particularly fat deposition in the belly fat, right?

是以，肥胖意味著脂肪沉積異常。為了使身體達到最佳功能，體內需要沉積極少量的脂肪，並在適當的時候提供營養和熱量。蘇尼爾博士也提到了腹部脂肪，這意味著沉積在腹部和內臟器官的脂肪比沉積在非內臟器官的脂肪更危險，肥胖的類型也不同，因為有些人會有全身性肥胖，有些人會有全身性肥胖，這意味著他們的脂肪沉積在全身各處。

So they have abdominal obesity otherwise Classify them in terms of the body mass index You may find them in the upper end of the normal BMI or even overweight But sometime the classification wise they may not fall into the category of the obesity.

是以，他們有腹部肥胖症，否則，根據體重指數對他們進行分類，你可能會發現他們的體重指數在正常值的上限，甚至超重，但有時從分類角度來看，他們可能不屬於肥胖症。

Although obesity is the definition for the excess fat in the body, so There is one wonderful paper in the Lancet by Dr. Yagnik and Dr. Yudkin Dr. Yagnik is an endocrinologist at Maine and Dr. Yudkin is an endocrinologist in Europe So one day they did their body mass index calculation and they found that the both are having the same BMI of 22.5 but while doing the body fat composition and analysis by bone density test The next step is to measure the fat Dr. Yagnik is having a fat percentage of 22% and Dr. Yudkin is only 9% So the race clearly we are more prone for the fat deposition and more fat deposition in the belly region because of the abnormal fat deposition in that particular region Dr. Raheja, we have talked of You know how lifestyle changes can be made to ensure you remain healthy Eating right is a very important aspect doing physical exercises To what extent both of these contribute in preventing obesity and also a lot of focus Today in today's times has been given to what we eat and how much we eat or really do we skip eating?

雅尼克博士是緬因州的內分泌學家，而尤德金博士是歐洲的內分泌學家。有一天，他們進行了體重指數計算，發現兩人的體重指數都是 22.5，但在進行身體脂肪組成和骨密度測試分析時，下一步是測量脂肪，雅尼克博士的脂肪百分比是 22%，而尤德金博士只有 9%。拉赫賈博士，我們已經討論過如何改變生活方式來確保您保持健康 正確飲食是一個非常重要的方面，進行體育鍛煉 這兩點在多大程度上有助於預防肥胖？

I would want you to explain to us the concept of eating and obesity together Skipping meals or for that matter miracle diets put all this together help us understand to what is the role of eating When you talk of obesity very nicely asked as our Honorable Prime Minister has Discussed in the Man Ki Baat, eating right.

我希望您能向我們解釋一下飲食和肥胖的概念。 當您談到肥胖時，您會非常友好地詢問，正如我們尊敬的總理在 Man Ki Baat 中討論的那樣，正確飲食的作用是什麼。

Yes, Abhiyan I think this is the key to success as we are finding increase in the number of obesity People which is a gateway to many diseases as we discussed eating right is the key Eating right our traditional meals Mota Anaj, Millets as our Honorable Prime Minister has been saying Millets, Ragi, Bajra then Gold rice, whole wheat Which has got brand and the food which is rich in diet Fiber like fruits and vegetable eating right eat directly from the nature I always say avoid eating hurry curry worry Outside curry foods Particularly as you are saying this Chola Bhatura and the curry which you are getting eating outside in the restaurant it contains 40 to 50 percent fat and that too it is rich in trans fat because of the Palm oil used and even the oil used for Bhatura here is repeatedly heated up It breaks down oxidizes into trans fatty acids, which are more dangerous to up for our health Now the disaster is that we are adopting to the Western eating culture like pizza, burger Chowmein, which is a white maida.

是的，Abhiyan，我認為這是成功的關鍵，因為我們發現肥胖人數正在增加，而肥胖是許多疾病的誘因，正如我們所討論的，正確飲食是關鍵、我總是說，要避免匆忙吃咖喱，擔心外面的咖喱食品，特別是你說的這種喬拉咖喱（Chola Bhatura）和你在外面餐館吃到的咖喱，含有 40%至 50%的脂肪，而且還含有豐富的反式脂肪，因為使用的是棕櫚油，甚至這裡的咖喱用油也是反覆加熱的，它會分解氧化成反式脂肪酸、反式脂肪酸對我們的健康危害更大 現在的災難是，我們正在接受西方飲食文化 比如披薩、漢堡 Chowmein，這是一種

I always say all these increase the glycemic index and deposition of fat in the body because Already we used to eat that Paratha, puri and all that on top of it the trash food or fast food which has come over the Decades has made the things worse than the sedentary lifestyle Second is important thing is right exercise.

我總是說，所有這些都會增加血糖指數和體內脂肪的沉積，因為我們已經習慣於吃 Paratha、puri 和所有這些食物，而幾十年來出現的垃圾食品或快餐比久坐不動的生活方式更糟糕。

I always tell please spare one hour for your physical activity Maybe you play some sports do some yoga do walking jogging swimming Badminton cricket hockey football and I request all the parents to tell their children.

我總是告訴大家，請抽出一個小時的時間進行體育鍛煉，也許你會做一些運動，做一些瑜伽，散步，慢跑，游泳，羽毛球，板球，曲棍球，足球，我要求所有的家長告訴他們的孩子。

Please go out and play I repeat go out and play don't play your Cricket and football on computers or laptops what I see these days I am really feel I feel very disappointed and low when I find them So, please go out and play do cycling do swimming do your jogging any kind of physical activity you like dancing for that matter So whatever you like Please do physical activity of one hour and yoga is one of the best exercises for all age groups Starting from five years to 50 years plus 60 years plus any age group can do yoga So it has to be a combination of exercises Yes, it's like I say when you eat different kind of food always adopt to the exercise which suits you best And of course if you are having chronic disease like heart disease diabetes osteoarthritis backache Then you must or respiratory diseases then you must consult your physician or doctor how much exercise you can take?

請出去玩吧，我重複一遍，出去玩吧，不要在電腦或筆記本電腦上玩板球和足球、當然，如果你患有慢性疾病，如心臟病、糖尿病、骨關節炎、背痛等，那麼你就必須做這些運動；如果你患有呼吸系統疾病，那麼你就必須諮詢你的醫生，你能做多少運動？

So all these are so scientifically designed eat well sleep well and Drink well, don't drink that sugary drinks Pepsi colas and all that sort of things which are very rich in food and Stay stress-free because even stress will lead like, you know forces you to eat more sweets and fatty meals if you see All right, and that's a wide sedentary life live natural be natural sleep natural This is what take home a very a very wholesome answer given by our doctor here.

是以，所有這些都是經過科學設計的，吃得好睡得好，喝得好，不喝含糖飲料百事可樂和所有那些食物中含量非常豐富的東西，保持無壓力，因為即使壓力也會導致像，你知道迫使你吃更多的甜食和脂肪餐，如果你看到 好吧，這就是一個廣泛的久坐不動的生活自然生活是自然的睡眠自然這是什麼帶回家一個非常非常健康的答案，我們的醫生在這裡給了。

Dr. Mishra I would want you to tell us more on Is how can genetic obesity be avoided one and secondly are men more prone to obesity?

米什拉博士，我想請您詳細介紹一下，一是如何避免遺傳性肥胖，二是男性是否更容易患肥胖症？

Okay, so you have asked two question number.

So there is no way to avoid the genetic obesity because genetic obesity usually presents a pretty early age of the life So there you will see the peers Siblings the parents will have the obesity and that obesity present in multiple family members a pretty early age hardly, there can be any treatment options available for genetic kind of obese But the bigger answer here is a more important answer is yes Then the way the obesity has increased Rampantly increase and no socio-economic strata.

是以，遺傳性肥胖是沒有辦法避免的，因為遺傳性肥胖通常出現在生命的早期，所以你會看到同齡人、兄弟姐妹、父母都會有肥胖症，而且這種肥胖症出現在多個家庭成員中，幾乎沒有任何治療遺傳性肥胖的方法，但這裡更重要的答案是肯定的。

No creed No gender is devoid of the obesity is not because of the genetic obesity is because of the lifestyle changes Physical activity has suddenly changed all of a sudden we have been Doing less physical activity Mobility has gone down the township and cities are not built through the physical activity, right?

沒有信仰 沒有性別 肥胖不是因為遺傳 肥胖是因為生活方式的改變 體力活動突然發生了變化 我們的體力活動減少了 流動性下降了 鄉鎮和城市不是通過體力活動建立起來的，對嗎？

It is very very problematic the motorized transportation Yes, so these are the factors that have contributed to the rise in obesity over the decades But yes, the second part of my question was sir are men more at a risk of obesity Men I would not say Only the risk of the west even the women are also equally increase the risk of the obesity, right?

是的，所以這些都是幾十年來導致肥胖率上升的因素。 但是，是的，我的問題的第二部分是，先生，男性患肥胖症的風險更大嗎？ 我不會說只有西方國家才有這種風險，即使是女性也同樣會增加患肥胖症的風險，對嗎？

So probably we may neglect their health more and in any obese individual when I see a single obese individual from a family I tell everybody must be obese in the family because I will tell you things very simple analogy you will buy a sweet from a store for you by some sort of the Excess calorie food from store.

是以，我們可能會更多地忽視他們的健康。當我看到一個家庭中有一個肥胖者時，我會告訴他們，這個家庭中的每個人都一定是肥胖者，因為我會告訴你一個非常簡單的比喻，你會從商店裡買到某種熱量超標的甜食。

You can buy in some amount like 250 grams half kg 1 kg But that particular food when it will reach home There is a responsibility for members to finish their food and that analogy food will has to be finished because in the store You can throw after the expiry date, but at home people will consume it, right?

您可以購買一定量的食品，如 250 克半公斤 1 公斤，但這些食品到家後，會員有責任吃完，而且類比食品必須吃完，因為在商店裡，過了保質期您可以扔掉，但在家裡，人們會吃掉它，對嗎？

Continuous and ladies are very very More food for obesity because they will not like to waste the food material which they have been.

連續性肥胖和女士肥胖的食物非常多，因為她們不喜歡浪費自己的食物材料。

Yes And for any obesity control my first target is the female member of the family the whole because Family is the smallest unit of the society and that society makes the country as well Right, if you have to target obesity, you cannot individualize that particular.

是的，要控制肥胖，我的首要目標是整個家庭的女性成員，因為家庭是社會的最小組織、部門，而社會也是國家的最小組織、部門。

Oh, no, no, no, you will eat different and the rest of the family Yes, yes All right, a very important point put forth by you dr. Mishra dr. Raheja I would want you to apprise us of the medical advancements that have been made in India with regard to tackling obesity Now we've seen the magnitude of this threat of this epidemic that is slowly spreading Get us more as to what is being done in India when we talk of obesity.

哦，不，不，不，你會吃不同的東西，家裡其他人也會吃不同的東西 是的，是的 好吧，你提出的這一點非常重要，米什拉博士。米什拉醫生我想請您向我們介紹一下印度在應對肥胖症方面所取得的醫學進展，我們已經看到了這種正在慢慢蔓延的流行病所造成的威脅的嚴重性。

Yeah, basically, you know as our Honorable Prime Minister has Said the eating right?

是的，基本上，你知道我們尊敬的首相已經說過吃的問題，對嗎？

This is the first step Which will go forward and this must start at the school level like in school We wish that this school canteen should serve the healthy meals Like not chola, bhatura, samosa and that tikki fried item should be out the school Canteen should serve the fruit salads or sprouts, you know healthy meals So also the parent should ensure what they are packing try to give the healthy homemade food options food in the morning when they are going to school and even people those who are going to office should carry their lunch box with healthy meals around and whenever like We are eating we must eat a lot of salads green leafy vegetables Fruits and vegetable.

這是向前邁出的第一步，必須從學校層面開始，比如在學校裡，我們希望學校食堂提供健康餐食，而不是chola、bhatura、samosa 和油炸食品，學校食堂應該提供水果沙拉或芽苗菜、是以，家長也應確保他們的食品包裝儘量選擇健康的自制食品，早上上學時，甚至去辦公室的人也應隨身攜帶裝有健康食品的飯盒，無論何時，就像我們吃飯一樣，我們必須吃大量的沙拉、綠葉蔬菜、水果和蔬菜。

I always say different colors of fruits and vegetables Particularly seasonal fruits and vegetables and Mota-anaj Unrefined no, no maida like, you know, which which can cause the increase in the high glycemic Index the if there should be less sugar.

我總是說，不同顏色的水果和蔬菜，特別是時令水果和蔬菜，還有莫塔-阿納伊（Mota-anaj），沒有精製的，沒有麥達（maida）之類的，你知道，這會導致高升糖指數增加，如果應該少放糖的話。

Yes, whatever your jaggery is still contains less this thing Sucrose amount and avoid even you know white things, whatever white flour white Chini and white salt should be restricted and food rich in calorie dense should be avoided So I again repeat we be healthy stay healthy eat right sleep, right?

是的，無論你吃的是什麼瓊脂，蔗糖的含量都要少，而且要避免吃白色的東西，不管是白麵粉、白奇尼還是白鹽，都要限制攝入量，還要避免吃富含高熱量的食物，所以我再重複一遍，我們要健康，保持健康，吃得健康，睡得健康，對嗎？

eat natural Stay stress-free and feel good esteem Yes, we can beat it if you work as a team and with public awareness and with the initiatives of the government I always say every government movement has to be supported by the public.

我總是說，政府的每項運動都必須得到公眾的支持。

It is the government public involvement Yes, bhaji dhari what we say at the ground level It is we we have to follow it and we have to train our children and our spouse our friends Even teacher should spread that message parent should also go out and play so that children follow their parents So that is an extensive.

是的，bhaji dhari，我們在基層所說的話，我們必須遵守它，我們必須培訓我們的孩子和我們的配偶，我們的朋友，甚至老師也應該傳播這一資訊，父母也應該出去玩，這樣孩子們就會跟隨他們的父母。

Yes, it's a long way, but we will definitely make it through Alright, so that was today.

是的，雖然路途遙遠，但我們一定會成功的。

We had a whole sub extensive discussion on obesity and both the doctors helped us understand it better Very quickly.

我們就肥胖問題進行了廣泛的討論，兩位醫生很快就幫助我們更好地理解了這個問題。

We will have a quick rapid-fire question round myth busters.

我們將進行一輪快速提問，打破神話。

I would want you to answer that just in one word Answers for our viewers to get more clarity.

我希望您能用一個詞來回答，讓我們的觀眾更清楚。

Dr. Mishra obesity is dangerous only if you are severely overweight.

米什拉醫生 肥胖只有在嚴重超重的情況下才會有危險。

Yes, obesity is dangerous because it invites so many problem in the body Shorten the lifespan people with the obesity live 5 years lesser than their counterpart or even more Right and once they develop other health conditions, they will certainly the lifespan will be shortened.

是的，肥胖是危險的，因為它會給身體帶來很多問題 縮短壽命 肥胖症患者比同齡人少活 5 年，甚至更多，一旦他們出現其他健康問題，壽命肯定會縮短。

Dr. Reda There are magic solutions or diets to lose weight quickly.

Reda 博士 快速減肥有神奇的方法或飲食。

I think be natural stay natural avoid crash dieting or Intermittent fasting sort of experiments must eat the right meal at the right Moment in a right way with the right mental approach Eat good food with a good mind and eat at the right time and get enough sleep Dr. Mishra successful weight management is measured by weight loss.

我認為要順應自然，保持自然，避免節食或間歇性禁食之類的實驗，必須在正確的時間、以正確的方式、用正確的心態吃正確的食物。

Both ways not only the weight loss, but it helps with the people should also improve the muscle mass overall fitness wellness Well-being should also be improved because they have been trials clinical trials when the Medication even the bariatric surgery is successfully reduce the weight But if overall holistic approach is not given people to regain weight and that's the problematic in long run.

這兩種方法不僅能減肥，還能幫助人們改善肌肉品質，提高整體健康水準，因為在臨床試驗中，藥物治療甚至減肥手術都能成功減輕體重，但如果不採取整體的綜合方法，人們就會重新發胖，從長遠來看這是個問題。

All right, doctor Yes Dr. Reda a fat person will always eat more true or false He is fat because he is eating more and because of that the stomach they gets gets gets dilated it becomes balloon So every time you eat more and more the stomach will be expanding more and more and you will need more Means to eat that is where the bariatric surgery is being done for Morbid obesity cases, but that should be the last resort I must say because that comes with lot of complications and other issues later on so avoid that situation Please work in time.

好的，醫生，是的，Reda 博士，一個胖子總是會吃得更多，這是真的還是假的，他之所以胖，是因為他吃得更多，而正因為如此，他的胃才會得到擴張，變成氣球，所以每次你吃得越來越多，胃就會擴張得越來越大，你就需要更多的量來進食，這就是減肥手術正在為病態肥胖病例所做的地方，但我必須說，這應該是最後的手段，因為這會帶來很多併發症和其他問題，所以要避免這種情況，請及時工作。

You can make it Step-by-step and I will always say healthy lifestyle is a lifelong habit.

你可以循序漸進，我總是說健康的生活方式是一種終身習慣。

It can't be done over a single night or a all right On that note single day.

這不是一個晚上就能完成的，也不是一天就能完成的。

We lend this discussion here Thank you so much both of you for joining us this afternoon on wellness notch and helping us understand the threat and the menace of obesity better So through our doctors we did understand that obesity is a complex disease Not a simple matter of willpower or lifestyle choice influenced by genetics environment and socio-economic factors requires a multifaceted approach for management people who are very obese and those having health problems should begin exercising only after medical advice and Take control of their lives Remember obesity is an old story Rewrite it with a narrative of strength resilience and self-love on that note.

非常感謝兩位今天下午參加我們的健康講座，幫助我們更好地瞭解肥胖的威脅和危害。通過我們的醫生，我們確實瞭解到肥胖是一種複雜的疾病，不是簡單的意志力或生活方式的選擇問題，受遺傳、環境和社會經濟因素的影響。是以，通過我們的醫生，我們確實瞭解到肥胖症是一種複雜的疾病，並不是簡單的意志力或生活方式的選擇問題，它受到遺傳、環境和社會經濟因素的影響，需要採取多方面的管理方法。

We'll end this edition of wellness watch here.