SUNDAY, SEPTEMBER 14, 2014 (PAGE-4)

MOVIE REVIEW HEALTHLINES Finding Fanny Obesity, Fertility and Life Style Dr Richa Sharma Obesity is a major public health problem throughout the world and most difficult and frustrating disorders to manage successfully Incidence-India in the forefront of an obesity epi- demic. Statistics point to an increase in overweight or obese citizens by 20% between 1998 and 2005. Presently, one in 6 women and one in 5 men are over- weight in India. Initiation and maintenance of reproductive functions are related to an optimal body weight in women. Underweight [body mass index (BMI) <18.5 kg/m2], as well as over- weight (BMI ?25 kg/m2) and ry dysfunction, Sleep apnoea, reflux esophagitis, obesity (BMI ?30 kg/m2) are associated with an increased osteoarthritis. Increased breast cancer, uterine risk of anovulatory infertility cancer,ovarian cancer ,colon cancer, renal and esopha- What is obesity? gial cancer. Pocolim, a quaint, fictitious village in symbolizes [Arjun ] post making love, that "there'll be many more Obesity means accumulation of excess fat, which may Preventive measures- Prevention is better than cure what FINDING FANNY is all about. Far away from the mad- times and he could get better ..." For someone who has have many serious long-term consequences on 1st line treatment is lifestyle modification-diet and exer- dening crowd, unhurried languid pace, the meaning of 'com- never 'experienced' sex before, to tell the man that he could health.Overweight is body weight in excess of ideal cise petition' doesn't exist in their dictionary and the inhabitants get 'better', sounds presumptuous. Arjun displays his angst- weight - includes all components of body composition are kings/queens of their own sweet-sordid world. It won't and-anger. as Ferdie, like a chameleon, (muscle, bone, water and fat) be fair to judge FINDING FANNY with the same barome- turns a different colour. His unsure composure, incorrigible BMI is a measure of your weight relative to your height ter as the regular commercial fare doled out by Bollywood. romanticism and the propensity to exaggerate his own afflic- (wt(Kg)/ht(m)2) Most of obese women are Writer-Director has dared to break all con- tion is captivating. BMI < 27 = Normal weight ventional rules and manages to serve an absorbing and Background music score [Mathias Duplessy] is an intrin- BMI 27 - 30 = Overweight entertaining story that keeps you interested all of 93 min- sic character in itself. Like the film, it doesn't have a con- BMI 31 - 39 = Obese not infertile. Infertility utes of the run time. It will surely appeal to the target group ventional sound. The moody mind bursts into songs that BMI > 39 = Morbidly Obese of a discerning audience that values sensible entertainment. the heart sings wafting away in the collective memory of Obesity is said to be present when body mass index in obese women is due Yet, one can't deny that it has a very limited appeal as the viewers for posterity. 'Shake Your Bootiya' [Sachin-Jigar] is - BMI > 30. idea of film entertainment for most people in India isn't intel- the only so-called commercial element in the film and that Increase in incidence of obesity by 2.3 to 3.3 fold lectual artistry. too has been done in a classy manner. The music video of in last 15 years in adults and 2.5 fold in last 20 years in to ovulatory dysfunction. Homi Adajania and Kersi Khambatta's writing is atten- 'Shake Your Bootiya' has been put together highly creative- children tion grabbing. The dialogues (in English, with a smattering ly. Masterly camera work [Anil Mehta] is stunning. There is Causes of obesity - Multifactorial - females have more tendency to gain weight than males,pregnancy, Fecundity is lower in obese of a Goan dialect) are intelligent, ironic and very funny. You'd nothing dramatic about the shot taking. It seems the cam- emotions, environmental factors, genes,medications, love to read them again and again once the novel (from era is enjoying sneaking into the lives of crazy souls cap- which the screenplay has been culled) will release next year. eating disorders,endocrine factors ovulatory women as well. turing their odd moments from several angles. Editing Affect on Fertility- Even though the duration of the film is one and a half hours, [Sreekar Prasad] is spot on. It's a taut film leaving no scope the narrative is never hurried. There's no eagerness to reach Most of obese women are not infertile .Infertility in for undue details. Sound design [Nakul Kamte] makes this obese women is due to ovulatory dysfunction.Fecundity anywhere, it's the eventful journey that takes you for a joy- journey come alive. You hear what you must hear and super- ous ride. Love can be gloriously, subtle and enriching is lower in obese ovulatory women as well. Weight loss and Lifestyle modifications is the crux fluousness doesn't exist. whether you are or aren't looking for it. Lust is always fas- In case of IVF,Such patients may need higher dosage Weight management can be by-Exercises Regularly FINDING FANNY is Homi Adajania's baby all the way. cinating. No two ways about it. The search for Stephanie of medicines to form eggs with increased cycle cancella- Monitors weight Regularly (Daily even) He, along with Kersi Khambatta believed in the idiosyncrat- Fernandes has its share of adventure, conflict, rediscover- tion rates,low oocyte Eats low fat and reduced-carbohydrate diet ic world of Pocolim giving birth to odd characters each ing love, germination of 'Art' and the redundancy of the 'sub- Affect on pregnancy-Adverse pregnancy outcomes Monitors fat intake periodically - Food diary ject' post 'climax'. aching to narrate their respective stories. Homi never com- with increased risk of- Takes medication on regular basis if required Pankaj Kapur's [Pedro] delicious lecherousness is the promises on giving vent to his crazy vision. 'Cocktail' was- * Pregnancy loss and reduced LBR esp. with BMI >=30 Behavior Modification big highlight of FINDING FANNY. He is a magician of an n't a film he must have been totally satisfied with, but FIND- * Pre-eclampsia Dietary therapy should be individualized to the per- actor. You don't want to miss anything he says or does. He ING FANNY is almost exactly what he must have visual- * Gestational diabetes mellitus sons. * Caesarean section rates has some of the best lines in the film. When he addresses ized. The five odd characters offer lots of intelligent enter- 10% reduction in body weight over a period of 4 - 6 * Birth defects-due to undiagnosed diabetes; hyper- Ferdie [Naseeruddin Shah] as 'Casanova of Konkan', and tainment but again, the characterization and the reasons months is reasonable glycemia; elevated insulin levels . the manner in which he says it, one bursts out laughing. He for their actions may seem bizarre to a wide section of the Conclusion--Young women better to reduce weight * "FETAL ORIGIN OF ADULT DISEASE" before pregnancy.With increasing age there is risk of shamelessly woos Rosie [] making no cine going public in India. The attempt to tie lose ends at Effect of obesity on male reproduction- Decreased declining fertility.Increasing age should be balanced with bones about the reason for his 'interest' in her. Dimple looks the end doesn't augur well for a film that revels in taking risks. count and motility of sperms-risk increases twice in over- benefits of postponing pregnancy to reduce weight.Obe- stunning for her age (though the much hyped prosthetic weight and thrice in obese. sity decreases fecundity in ovulatory women.Increased On the whole, it is commendable on the part of Fox and bum doesn't add any visual value, it rather hinders her Medical consequences- risk of obstetric and neonatal complications.Adversely to have diligently backed this project. With a movement to an extent). She brings the house down at sev- Risk of CVS disease increases 4 fold for women with affects male fertility; abnormal semen parameters. eral occasions with her straight faced rejoinders or one-lin- big name like getting associated with BMI more than 32kg/m2.IncreasedHTN,DM,Hypercho- Lifestyle modifications in the form of diet and exercise is ers. The scene where Pedro makes a portrait of Rosie is a this film and then (scoring well at the Box lesterolemia,hyperinsulinemia, dyslipidaemia, respirato- the lifeline to overcome this health issue laugh-riot. Pankaj Kapur, take a bow sir! Office) bringing in eye balls too, FINDING FANNY has (The author is IVF Consultant Delhi NCR) Deepika Padukone [Angie] looks exceedingly pretty and enough curiosity around it. If you're tired of the nonsensical effortlessly merges with the brilliant trio of Naseer, Pankaj fare doled out by Bollywood week after week and have a and Dimple. It's criminal to imagine her as a widow. After palate for Unusual-Entertainment, then FINDING FANNY the much publicized ping-pong with the Censor Board, the will fill your heart with joy. Exercise and Bone Health 'virgin' element doesn't make sense when Angie tells Savio http://www.bollywoodhungama.com Dr Sumit Mahajan NATURE Exercise is the stimulus that makes bones stronger. As your muscles and strength grows in response to exercise; your bone behaves similarly. Stressing bone through activ- ities and exercises increase its calcium content and become Pyometra in dogs denser. Bone health follows the adjective, "Use it or lose it."Inactivity leads to decreased bone mass. Exercises can Dr Varun Bassessar whether she has bred or not, and whether it is her 1st or help you maintain bone mass and reduce age-related bone 10th heat (although it becomes more common as the loss .Exercise decreases the risk of osteoporosis. It also Pyometra is an infection of the uterus in dogs and dog gets older). The main risk period for a female is for improves muscle strength, balance and coordination, which cats. It is relatively common, affecting approximately eight weeks after her peak standing heat (or estrous help to prevent falls and bone fractures. 25% of unspayed female dogs and cats. It is a serious cycle) has ended. Normally during this period, the cervix, Who should exercise? condition which results in a veriety of clinical and patho- which was open during her heat, begins to close, and It is important for people of all ages to exercise. During logical signs requiring emergency surgery to remove the childhood and adolescence, the bone is rapidly building den- infected uterus. While medical treatment is sometimes the inner lining begins to adapt back to normal. Howev- er, cystic hyperplasia of the endometrium (inner lining of sity and strength. Exercise helps to maximize one's bone attempted for this condition, it is often ineffective, and mass and may therefore prevent poor bone health in later can be dangerous. the uterus)- known as cystic endometrial hyperplasia (CEH)- may occur at this time for some animals, as an years. Exercise has its greatest effects in adults who have Pyometra is an important disease to be aware of for been inactive. Since bone naturally becomes weaker with any dog owner because of the sudden nature of the dis- inappropriate response toprogesterone. Under these circumstance, bacteria (especially E coli) age, it is vital that men and women of all ages exercise. ease and the deadly consequences if left untreated. It What are the benefits of exercise for people with has been compared to acute appendicitis in humans, that have migrated from the vagina into the uterus find the environment favorable to growth, especially since osteoporosis (weak bones)? because both are essentially empyemas within an A person with osteoporosis can improve their health with abdorminal organ. progestone also causes mucus secretion, closes the cervix (preventing uterine drainage), exercise in valuable ways: and decreases uterine contractility. * Reduction of bone loss * Conservation of remaining bone tissue The condition of the cervix is a major * Improved physical fitness factor in the severity of the condition. * Improved muscle strength * If the cervix is open, the infected * Improved reaction time material can leave the body, and this * Increased mobility is far easier and safer to treat. This is *Better sense of balance and coordination known as open pyometra. * Reduced risk of bone fractures caused by falls * If the cervix is fully closed, there is no discharge from the vulva, and like * Your current medications in appendicitis, the uterus may rupture * Your fitness and ability and pus escapes into the abdomen, "USE IT OR LOSE IT." causing peritonitis and possible rapid * Other medical conditions such as cardiovascular death. This is known as closed pyome- INACTIVITY LEADS TO (heart), pulmonary disease (lungs), arthritis (joints), or neu- tra. rological problems Treatment DECREASED BONE MASS. * Whether improving bone density or preventing falls is The most important aspect of treat- the main aim of your exercise program. ment of pyometra is quick action to pro- EXERCISES CAN HELP YOU A combination of weight-bearing aerobic and muscle- vide supportive care. Female dogs are building (resistance) exercises is best, together with specif- Symptoms often septic and in shock. Intravenous fluids and antibi- The most obvious symptom of open pyometra is dis- otics should be given immediately. Once the female dog MAINTAIN BONE MASS AND ic balance exercises. charge of pus from the vulva in a Female that has recent- has been stabilized, then the treatment of choice is an What kind of Exercises people with osteoporosis ly been in heat. However, symptoms of closed pyome- emergency spay. REDUCE AGE-RELATED BONE should avoid? tra are less obvious. Symptoms of both types include Surgical treatment vomiting, loss of appetite, depression, and increased A person with osteoporosis has weakened bones that Spaying (ovariohysterectomy) completely and drinking and urinating. Fever is seen in less than a third LOSS . EXERCISE DECREASES are prone to fracture. They should avoid activities such as: promptly removes the infection, prevents uterine rupture of female dogs with pyometra. Closed pyometra is a * Exercises that involve loaded forward flexion of the and peritonitis, and of course prevents recurrence, in more serious condition than open pyometra not only THE RISK OF OSTEOPOROSIS. spine such as abdominal sit-ups because there is no outlet for the infection but also most cases. Spayed animals do very rarely develop pyometra in the uterine stump. Even so, ovariohysterec- * Exercises that increase the risk of falling because a diagnosis of closed pyometra can easily be * Exercises that require sudden, forceful movement, missed due to its insidious nature. Bloodwork may show tomy is currently considered the most effective and * Reduced pain unless introduced gradually as part of a progressive pro- dehydration and/or increased white blood cell count. X- safest treatment. * Better mood and vitality. rays will show an enlarged uterus, and ultrasoud will con- To conclude, E coli are the major bacterium leading How to decide an exercise program? gram firm the presence of a fluid filled uterus. to pyometra in canines but other organisms are equally Always consult your doctor before you decide on an exer- * Exercise that requires a forceful twisting motion, such Cause important. Gentamicin should be the drug of choice and cise program. Factors that need to be considered include: as a golf swing, unless the person is accustomed to such Pyometra is a result of hormonal and structural canine pyometra cases should be handled carefully as * Your age movements. changes in the uterus lining. This can happen at any age, the E coli also represents a potential risk to human. * The severity of your osteoporosis (weakness of bone) (The author is Consultant, Max Mohali)