Obesity has raised as a worldwideepidemic, Obesity and related consequences have been gained increased attentionin part because of huge financial costs and impact on health, families, andcommunities. These concerns have made it to become the forefront of scientificand mainstream media. All of us are now recognizing the need for more robuststrategies and effective interventions to better assess and treat obesity.
Obesity is the “excess deposition ofadipose tissue to extent that impairs physical and psychosocial health as wellas well-being”. 1 Obesity a global health problem affecting subjectsof all ages. Fighting obesity is one of the 21st century majorchallenges. Falling obese triggers the viciouscycle of obesity-exercise intolerance, the stat in which obese subjects assumesthe sedentary life style. 2Central (abdominal) obesity is strongly correlated withincreased cardiovascular risks and other metabolic disturbances, even more thantotal body adipose mass. 3,4 Obesity-related chronic conditions cause direct and indirecthealth care costs. Increasing BMI is tightly linked to increased medicationuse, visits to hospital emergency departments, and visits to outpatient clinics5, 6 Furthermore; all majorhealth risks are in parallel with increased measures of abdominal obesity. 7Obesity is commonly linked with increased disability risk andhealth-related costs 8,9 Functional performance and physical ability are usually deterioratedin obese subjects 10,11 Developed as well as developing world are all suffering thenegative impact of obesity as a key risk factor for other debilitating disordersas diabetes, cancer, osteoarthritis and cardiovascular events.
The obesity-relateddysfunctions affect not only adults -as was previously seen-; but alsoaffecting young age groups. Childhood and adolescent hood obesity is associatedwith early physical deconditioning as well as later increase in health hazards.12Obesity related medical problemsaffect very huge number which exceed 115 million individuals according to WHOin developing countries. Moreover; these disorders will be the number one ofdeath cause among these population by 2030. 12 Obesity is the fifth leading threat fordeaths worldwide.
Approximately 2.8 million adults die annually because ofbeing obese. 13According to Nugent(2008), nearly a half of deaths number in the developing world aredue to chronic diseases related to obesity that exceeds the 40 % mortality ratefrom communicable disease and 11% percent mortality rate from injury. 14 Middle Eastern countries of Bahrain,Saudi Arabia, Egypt, Jordan, Tunisia, and Lebanon exhibit alarming prevalence levels ofobesity.
15, 16Gulf Cooperation Council (GCC; Saudi Arabia, Bahrain, Qatar, Oman,Kuwait and United Arab Emirates) countries have one of the highest prevalenceof obese adults ranging from 10-60%. Saudi Arabia has the second highestprevalence of obesity (50%) after Kuwait. 17 Obesity becomes one of the most alarmingpublic health problems in in Saudi Arabia. 18, 19Control of obesity is essential toreduce the frequency of other serious disorders. The primary concern in obesitymanagement is reduction of morbidity and mortality risks by improving theunderlying cardiovascular risk factors 15, 20 since the prevalence of obesity issignificantly elevated in patients with various chronic disorders.
21 Obesity treatment should be individuallytailored, comprehensive programs for the treatment of obesity derived fromevidence-based medicine can be only established through multidisciplinary teamwork and availability of collaborating facilities. 22 prevalence of obesity recently growsin an alarming manner in Saudi Arabia, especially in young generations, thesituation that requires larger national studies that should target implementingmore effective preventive and therapeutic strategies required to alleviate theburden of this obesity epidemic. 23Laser based devices are used in a broad array of medical andsurgical applications and their biological effects have been documented forover 20 years. Quiet recently low-level laser therapy (LLLT) has been used tofacilitate tissue repair and healing processes as well as treatment oflocalized (abdominal) obesity. 24 High Level Laser Therapy; a more recent laserapplication modality; had been quiet recently investigated for its efficacy.HLLT can be more effective than LLLT due to its more intense and deeper effects25, 26, 27