*Waist circumference for men: Low < 94 cm High 94–102 cm Very High >102 cm
* Waist circumference for women: Low < 80 cm High 80–88 cm Very High > 88 cm
** This includes insulin resistance and type 2 diabetes mellitus, hypertension, dyslipidemia, cardiovascular disease, stroke, sleep apnea, gallbladder disease, hyperuricemia and gout, osteoarthritis, and certain cancers associated with obesity.
Category 1: Lifestyle Changes
Here, your weight is at a healthy level, but it’s possible your food choices could be improved. As part of our Nutrition and Diet Support Clinic in Dubai, we can help you make the healthiest choices for the lifestyle.
Category 2: Diet Planning and Motivational Interviewing: 3- or 6-month program
If your waist circumference and/or BMI go beyond healthy levels, you should consult our dietitian for a personalized eating plan.
Category 3: Multidisciplinary intervention, Possible Endoscopic Procedures – 6-month program
Category 3 starts with a BMI of 27 alongside co-morbidities (weight-related conditions such as diabetes, sleep apnea, etc). At this level, our team of specialists will work together to start health screening and structuring the most appropriate weight-loss management solution for you. They will look at weight history, eating habits, behaviors and other factors that are assessed by our clinical dietitian and clinical psychologist.
They will help you decide between following a weight-loss diet as described in category 2, or whether to see our gastroenterologist to assess your suitability for endoscopic procedures for weight loss. An example of this type of treatment is a gastric balloon, which is a non-surgical intervention.
Depending on your health, you might also be referred to a pulmonologist (for sleep apnea), endocrinologist (for management of diabetes) or a cardiologist.
You will undergo a six-month period of medical, nutritional and psychological surveillance and management. This is the cornerstone of the success of this treatment.
Category 4: Multidisciplinary intervention, Possible Pharmacotherapy – 6-month program
If your BMI exceeds 30 and you have comorbidities (eg, diabetes, sleep apnea, hypertension, etc), and if the bariatric multidisciplinary team do not advise category 2 or 3 approach, we can consider pharmacotherapy (medication).
The decision to start pharmacotherapy and choosing the type and dose of medication relies on several parameters, all considered during a doctor’s assessment.
Similar to category 3, category 4 programs rely on a minimum of 6 months’ lifestyle modification realized by the multidisciplinary bariatric team, hand-in-hand with our patients.
Category 5: Multidisciplinary intervention, Possible Bariatric surgery – 12-month program
If you have either a BMI of 40, or a BMI of 35 with 2 co-morbidities (eg, diabetes, sleep apnea, hypertension, etc), bariatric surgery will probably be recommended by our multidisciplinary team. This is particularly the case in patients who have failed to lose weight through all other means.
With our highly experienced bariatric surgeon working with a multidisciplinary team to prepare patients for surgery and to follow-up for nine months post-surgery, we are sure of the best outcome for the patients’ over-all health.