Abstract:
Obesity, often misunderstood as a simple lifestyle issue, is a complex, chronic, and relapsing condition influenced by a combination of physiological, psychological, and environmental factors. Despite advancements in diets, pharmacological treatments, and surgical interventions, the failure to address the underlying causes often results in a persistent cycle of weight loss and regain. This presentation will shed light on the intricate mechanisms that contribute to the chronic nature of obesity and its high relapse rates. A central focus of the discussion will be on metabolic adaptation—the body's inherent mechanism to resist weight loss and maintain energy balance—making sustained weight management challenging. Additionally, the presentation will delve into insulin resistance, a common yet underrecognized factor, which creates a metabolic environment that hinders weight loss e?orts and exacerbates weight regain. Behavioral factors also play a crucial role. The presentation will explore how coping mechanisms such as binge eating disorder, emotional eating, and night eating syndrome contribute to the perpetuation of obesity. These behaviors are often rooted in unresolved psychological stressors, anxiety, or adjustment disorders and can undermine even the most robust weight loss interventions. Dr. Manekar will argue that understanding an individual's unique relationship with food is essential to developing e?ective, sustainable weight management strategies. By moving beyond temporary fixes—such as restrictive diets, medications, or surgeries—and addressing the root causes, healthcare providers can improve long-term success rates and minimize relapses.
This session aims to equip clinicians with insights into the multifaceted nature of obesity, emphasizing a comprehensive, individualized approach to care. By understanding the interplay of metabolic, behavioral, and psychological factors, providers can redefine strategies to treat this global health challenge, ultimately improving patient outcomes and fostering lasting change. Through evidence-based discussions and real-world insights, this presentation will empower attendees to approach obesity management with a deeper understanding and a renewed commitment to holistic patient care.