By Dr. Shruthi Thennati
MBBS, MD Medicine | PgDip Endocrinology (UK) | DipIBLM
General Physician | Metabolic Physician | Lifestyle Medicine Practitioner

For many years, obesity was viewed simply as the result of overeating or a lack of exercise. Today, medical science recognizes obesity as a complex, chronic disease influenced by biological, environmental, behavioral, and metabolic factors.
This shift is important because it changes how obesity should be treated. Rather than blaming individuals, healthcare professionals now focus on understanding the underlying causes and providing evidence-based, personalized care.
At Kayakalpa Clinic, Vadodara, obesity is approached as a medical condition that deserves comprehensive evaluation and long-term management — not quick fixes.
Obesity is defined as excessive body fat that increases the risk of health problems. While Body Mass Index (BMI) is commonly used as a screening tool, it does not tell the whole story.
Two people with the same BMI may have very different levels of:
That is why body composition and overall health assessment are equally important.
Weight gain is rarely caused by a single factor. It often results from several interacting influences, including:
Some individuals are genetically more likely to gain weight or store fat.
Hormones such as insulin, leptin, ghrelin, and thyroid hormones play a major role in appetite, metabolism, and fat storage.
Insulin resistance can increase fat storage, particularly around the abdomen, making weight loss more difficult.
Poor sleep and chronic stress can alter hunger hormones, increase cravings, and reduce energy levels.
Sedentary habits, highly processed foods, and irregular meal patterns also contribute to weight gain.
Obesity is closely linked with several health conditions, including:
Reducing excess body fat can significantly improve overall health and lower the risk of these complications.
The location of body fat matters.
Visceral fat — fat stored around the abdominal organs — is more strongly associated with metabolic disease than fat stored under the skin.
This is why reducing waist circumference and improving metabolic markers are often more meaningful than focusing only on the number on the scale.
Lifestyle Medicine forms the foundation of sustainable obesity treatment.
This includes:
Eating patterns that are balanced, practical, and sustainable.
A combination of aerobic exercise and strength training to improve metabolic health.
Restoring healthy sleep to support hormone regulation.
Reducing chronic stress to improve overall wellbeing.
Building routines that support long-term success rather than short-term restriction.
For many individuals, yes.
A personalized, physician-supervised program that includes lifestyle modification and appropriate medical treatment can help improve health without surgery.
Treatment plans vary based on each person’s health profile, goals, and medical needs.
At Kayakalpa Clinic, obesity care begins with understanding the whole person.
A comprehensive assessment may include:
Based on these findings, an individualized plan is developed to support sustainable weight management and improve metabolic health.
Consider consulting a physician if:
Early intervention can reduce the risk of future complications.
If you’re searching for:
Dr. Shruthi Thennati and the team at Kayakalpa Clinic provide evidence-based care designed to help patients improve their metabolic health and achieve sustainable weight management.
Yes. Major medical organizations recognize obesity as a chronic disease influenced by genetics, hormones, metabolism, environment, and lifestyle.
Many people can improve their metabolic health and reduce body fat through personalized lifestyle changes, medical guidance, and long-term follow-up.
No. BMI is a useful screening tool, but body composition, waist circumference, and metabolic health provide a more complete picture.