
Over the years, most Sri Lankans, both men
and women, like in most other affluent countries, have gained
excessive weight in adulthood, well exemplified by the
protuberant abdomens, nicknamed - Pot-bellies. During the Second
World War such problems were not common, may be due to the
scarcity of food, more walking, and harder work, during those
stressful times.
Today, better living standards,
air-conditioning, and improved life styles, more accessibility
to convenient hot foods, pastry shops, regular eating out in
restaurants, and sedentary lifestyles, all have contributed to
this problem. These hot foods affect their ability to maintain
weight.
High fat foods contain more calories per serving
than other foods and may increase the likelihood of weight gain.
However, even when people eat less high-fat food, they still can
gain weight from eating too-much of foods high in starch, and
sugars, or proteins.
We as a nation are dependant on foods cooked
with rice and wheat flour, in addition to eating rice per se. It
is an observation, those foods acquire dependency with time,
with a tendency to serve more and more at each meal, one of the
factors that push your belly forward.
The main concern on being over weight or obese,
is the increased risks for high blood pressure, heart disease,
stroke, diabetes, certain types of cancer, arthritis,
dermatitis, breathing problems, other illnesses, and the
inconvenience of performing day to day activities.. Obesity is
considered a disease- not a moral failing. According to a 1995
report from the Institute of Medicine in US, "obesity is a
heterogeneous disease in which genetic, environmental,
psychological, and other factors are involved. Therefore, most
adults should not gain weight. If you are overweight and have
one of these problems, you should try to lose weight, or at
least not gain weight.
Pot bellies among men and women have become the
normal contour today. Such people are not concerned, or not
shameful about their abnormal shapes anymore, as that seem to be
the trend, and gluttony has overcome health consciousness. They
are ignorant of the health risks, especially co relation between
heart disease and increase in belly size. In men, the ratio
between the girths at the umbilical level and the hips should be
0.95:1, whilst women it should be 0.8:1. Every inch you add on
at the waist-line, doubles the risk of heart disease.
How could those shapely flat stomachs of
teenagers become gradually protuberant and unshapely with age?
Men, invariably ends up with an orange shaped belly whilst women
end up with a pear shape belly.
One factor is over-eating. The other important
factor is the lack of time, or not finding time daily for
exercise. If these could be overcome, the rest falls in line.
Religious significance and aesthetic acceptance
Is there a religious or spiritual significance in depicting
deities and others with pot-bellies? For instance, the son of
Shiva, Ganesha, with face like that of an elephant, is
represented as a pot-bellied deity.
He was appointed chief of the ganas (attendants)
or lord of hosts by his father Lord Shiva.
The legend relates that Parvati created him from
the scurf of her body, so that he could act as her
door-guardian. When Shiva tried to enter the room, when Parvati
had gone to take her bath clad in single clothing, Ganesha or
Ganapati prevented him from doing so. Enraged at this
obstruction, Shiva cut off his head, but in order to placate
Parvati, he offered to replace it with that of an elephant. He
(Shiva) also gave him a pot-belly to make him ugly. To those who
explain his appearance symbolically, his pot belly contains the
whole universe.
In Egyptian mythology, Atenhaten, is portrayed
as an odd looking, eccentric pharaoh‘ who is suppose to have
erected statues of himself all around the kingdom.
The images of Atenhaten show a thin –boned male
with a huge, protuberant belly, soft flesh, and a full lipped
sensuous face.
Let’s take a look at our own Sigiri Upsaras,
painted on the west-wall of the rock. These frescoes too,
demonstrate aesthetically pleasing minor protuberant bellies.
So, spiritually and aesthetically pot bellied
figures were considered norm of the day, though it is shunned by
modern societies. Once taken to be a sign of health and
prosperity, a large stomach is now seen as a symbol of laziness,
gluttony and a lack of self control. As said before, a large
stomach always is the result of overindulgence and lack of
exercise. Or are there other things you need to know if you’re
going to win the battle of the bulge?
Contrary to popular opinion, a large belly does
not necessarily come from an excess of fat. An overabundance of
air, intestinal gas, a hollow back, a hypertrophied organ, or
even the process of aging itself are just as often to blame. So,
before embarking on your own battle of the bulge, you have to
know your enemy.
Anatomical differences
Let’s discuss the anatomical variations of the
fat distribution in the two sexes. Knowledge of this is
important from a therapeutic point of view.
As mentioned earlier, the "pot-belly" in man is
in the shape of an orange, and that of a pear in a woman.
Figure 1 shows the profile view of the male
abdomen. You will notice that most of the fat collection is in
the omentum, which is an apron-like structure attached to the
greater curvature of the stomach, whilst the fat distribution
under the skin, which is normally removable through "lipo-suction"
procedure, is minimal. This condition is referred to as ‘omental
lipo-dystrophy’.
These subjects are not suitable for liposuction,
or any other form of elective procedure. Crash course dieting,
abstaining from alcohol, and regular exercise are the only
options for these unfortunates.
Figure 2 reveals the diagrammatic profile of
the female belly. Luck is with them, as the excessive fat
distribution is directly under the skin. (Sub dermal lipo-dystrophy),
and can be comfortably removed by lipo-suction, or by
abdomino-plasty elective procedure (tummy tuck)
In most women gluttony is not the main reason
for the bulging belly, but due to repeated pregnancies causing
excessive stretching of the skin, and di-varication of the recti
abdominis muscles.
These are two symmetrical muscles giving
frontline protection to the belly, extending from the rib margin
above, to the pubis below. Weakening of these muscles opens the
belly into a large ventral bulge, referred to as a hernia.
Surgical intervention is required for such cases. The most
suitable procedure would be ‘abdominoplasty’ operation.
Age is also a major concern in developing a pot
belly. However cautious one is the rectus muscles and other
abdominal wall muscles tend to bulge forward due to shortening,
or approximation of the costal (rib) and iliac (hip) margins.
Dehydration of the spinal discs and osteoporosis of the
vertebrae are the conditions that produce the shortening of the
spine, resulting in this specific reduction of the gap.
Balance the food you eat with physical activity.
In order to stay at the same body weight, people
must balance the amount of calories in the foods and drinks they
consume with the amount of calories the body uses. Physical
activity is an important way to use food energy. Most Sri
Lankans spend much of their working day in activities that
require little energy. In addition the younger generation now
spends a lot of leisure time each day being inactive, for
example, watching television or working at a computer.
Another scourge for the young generation today
is the time spent in getting private tuition in almost all
subjects in private homes of teachers, or in their own
respective homes, time they should be engaged in sports
activities. Also these unfortunate students travel in vans to
attend the so called better schools in the bigger cities,
spending most of their precious time in traveling. Most kids
survive during the school going days on oven baked hot food from
Pastry Shops. These foods are browned, and the acryl amide
content is high. FDA in US, has warned the public, about the
dangers of eating these foods. Acryl amide is a chemical
produced when carbohydrates are cooked at high temperatures for
long periods.
Trials on animal studies have proved that this
chemical is carcinogenic- meaning liable to cause cancer.
Abdominal exercises.
There are currently over 200 different abdominal
exercises. These exercises can make a real difference to the way
you look Ensure when you do ab exercise that you support your
back as much as possible throughout. There is no easy route to a
firm stomach- you are going to have to work.
A series of exercises are shown with diagrams,
for the beginners to tighten the abdominal muscles. Each
exercise must be performed slowly with 10 repeats. For more
exercise programs, please surf internet website;
www.netfit.co.uk
These programs must be done daily, quite
seriously to attain that dream torso.
Surgical Intervention-tummy tucks
If ladies have a problem of performing these
exercises, there is a short cut. The hanging protuberant fat
belly can be completely removed surgically, with the excess of
stretched skin. Also the surgeon will tighten your muscles, and
relocate your naval to the correct level.
Excess fat in the belly and loins can also be
removed through liposuction. This procedure will suit those
ladies not having a stretched over hanging skin, and the muscles
are not too flaccid.
Remember – increasing in size of the belly due
to obesity increases the risk of heart disease, diabetes and
hypertension.
So why wait, get up and start exercising.
Cosmetic Surgeon, Oasis PVT Hospital, Colombo