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Wednesday, November 3, 2010

PREVENTION OF OBESITY

Whether you are at risk of becoming obese, currently overweight or at a healthy weight, you can take steps to prevent unhealthy weight gain and related health problems. Not surprisingly, the steps to prevent weight gain are the same as the steps to lose weight: daily exercise, a healthy diet, a long-term commitment to watch what you eat and drink.
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   Exercise regularly: One of the most important things you can do to prevent weight gain is to exercise regularly. Studies have shown that one need to get minutes of moderate-intensity activity per week to prevent weight gain. Moderately intense physical activities include fast walking and swimming.

§  Eat healthy meals and snacks. Focus on low-calorie, such as fruits, vegetables and whole grains. Avoid saturated fat and limit sweets and alcohol. Remember that no one food offers all the nutrients you need. Choose a variety of foods throughout the day. You can still enjoy small amounts of high-fat, high-calorie foods as an infrequent treat. Just be sure to choose foods that promote a healthy weight and good health more often than you choose foods that don’t.
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  Know and avoid the food traps that cause you to eat. Identify situations that trigger out-of-control eating. Try keeping a journal and write down what you eat, how much you eat, when you eat, how you’re feeling and how hungry you are. After a while, you should see patterns emerge. Stay in cont.rol of what you eat at all time.
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 Monitor your weight regularly. People who weigh themselves at least once a week are more successful in keeping off excess pounds. Monitoring your weight can tell you whether your efforts are working and can help you detect small weight gains before they become big problems.
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   Be consistent. Sticking to your healthy-weight plan during the week, on the weekends, and amidst vacation and holidays as much as possible increases your chances of long-term success.

TREATMENT IN OBESITY


Obesity is best treated by having healthy weight and maintaining that healthy weight.
§  People who are obese are often discouraged because they think they have to lose a lot of weight before any benefits are experienced. This is not true. Any obese person who loses just five to ten per cent of their body weight will have significant improvement in health - this would mean between 12-25 pounds for an obese person who weighs 250 pounds.
§  Is important for patients to realize that a small drop in weight is a good start and a great achievement. Experts have found that obese people who lose weight slowly and constantly, say one or two pounds each week, are more successful in keeping their weight down when they have reached their target weight.
§  To have a permanent weight loss is best achieved as a result of increased physical activity, changing how and when you eat, and modifying your behavior. Some patients may be prescribed medication, while others might undergo weight-loss surgery.
§    The goal of obesity treatment is to achieve and maintain a healthier weight to reduce your risk of serious health problems and enhance your quality of life. You may need to work with a team of health professionals, including a nutritionist, dietitian, therapist or an obesity specialist, to help you understand and make changes in you’re eating and activity habits. Together, you can determine a healthy goal weight and how to achieve it. Your initial goal may be to lose 5 to 10 percent of your body weight within six months. You can start feeling better and seeing improvements in your health with just minor weight loss, though — 5 to 15 percent of your total weight. That means that if you weigh 200 pounds (91 kilograms) and are obese by BMI standards, you would need to lose only about 10 to 30 pounds (4.5 to 13.6 kilograms) to start seeing benefits.

CAUSES OF OBESITY

The equilibrium between calorie intake and energy use determines a person's weight, the bottom line is that obesity occurs when you take in more calories than you burn through exercise and normal daily activities. Your body stores these excess calories as fat. Therefore the most common causes of obesity are overeating and physical inactivity. At present, we know that there are many factors that contribute to obesity, some of which have a genetic component:
§  Genetics: Genetics plays a crucial role in a person’s life. You are likely to develop obesity if one or both parents are obese. Your genes may affect the amount of body fat you store and where that fat is distributed.
§  Overeating:  Overeating leads to weight gain, especially if the diet is high in fat. Foods high in fat or sugar for instance, fast food, fried food, and sweets have high energy density foods that have a lot of calories in a small amount of food. Studies have shown that diets high in fat contribute to weight gain. Unhealthy eating habit, having a diet that’s high in calories, junk food, skipping breakfast, eating most of your calories at night, consuming high-calorie drinks and eating oversized portions all contribute to weight gain.
§  A diet high in simple carbohydrates. The role of carbohydrates in weight gain is not clear. Carbohydrates increase blood glucose levels, which in turn stimulate insulin release by the pancreas, and insulin promotes the growth of fat tissue and can cause weight gain.
§  Prevalence eating. The relationship between prevalence of eating (how often you eat) and weight is somewhat controversial. There are many reports of overweight people eating less often than people with normal weight. Scientists have observed that people who eat small meals four or five times daily, have lower cholesterol levels and lower and/or more stable blood sugar levels than people who eat less frequently (two or three large meals daily). One possible explanation is that small frequent meals produce stable insulin levels, whereas large meals cause large spikes of insulin after meals.
§  Slow metabolism. Women have less muscle than men. Muscle burns (metabolizes) more calories than other tissue. As a result, women have a slower metabolism than men, and hence, have a tendency to put on more weight than men, and weight loss is more difficult for women. As we age, we tend to lose muscle and our metabolism slows; therefore, we tend to gain weight as we get older particularly if we do not reduce our daily caloric intake.
§  Physical inactivity: If you live sedentary lifestyle, if you spend most of your day sitting, watching television or at a desk or in the vehicle-in other words not moving, seldom walk more than 100 meters, a job that keeps you inactive, if you do not do 30 minutes to 45 minutes of exercise at least twice a week it means you are living a sedentary lifestyle.


§  Medical problems: Obesity can sometimes be traced to a medical cause, such as Cushing’s syndrome, polycystic ovary syndrome, and other diseases and conditions. Some medical Problems, such as arthritis, can lead to decreased activity, which may result in weight gain.

§  Emotional factors: For some people, emotions influence eating habits. Many people eat excessively in response to emotions such as boredom, sadness, or anger, stress. While most overweight people have no more psychological disturbances than normal weight people, about 25% percent of the people who seek treatment for serious weight problems have difficulties with binge eating.

§   Medications: Medications associated with weight gain include certain antidepressants fertility drugs, antidepressants.

§  Pregnancy: During pregnancy a woman’s weight necessarily increases. Some women                                        find it difficult to shed weight after the baby is born.


Insomnia: Inability to get eight hours of sleep at night can cause changes in hormones that increase your appetite

PHYSICAL ACTIVITIES

§  To lose a pound of fat you need to burn more .Walking briskly is a good way to start increasing your physical activity if you are obese. Combining increased physical activity with a good diet will significantly increase your chances of losing weight successfully and permanently. The more you move your body the more calories you burn.
§  Discover the activities which you can fit into your daily schedule. Anything that becomes part of your daily life, weaved into your existing lifestyle, is more likely to become a long-term habit. If you use an elevator, try getting off one or two floors before your destination and walking the rest. You could try the same when driving your car or taking any form of public transport – set out early and walk that bit more.
§  If any of your regular shops are within walking distance, try leaving your car at home. You can leave your car at home and walk to the store because most of these stores are close to our where we live.

If you are very obese, check with your doctor before increasing your physical activities.

OVERCOMING OBESITY BY EATING GOOD DIET

Shedding weight swiftly by crash-dieting carries the following risks: you may develop health problems, you will probably experience vitamin deficiencies, and your chances of failure are significantly higher. Be careful not to binge. People who are seriously obese may be prescribed a very low calorie liquid diet. These must be done with a health care professional.

§  Reducing your calorie intake. The key to weight loss is reducing how many calories you consume. You and your doctor can decide how many calories you need to take in each day to achieve weight loss, but a typical amount is 1,000 to 1,600 calories.

§  Feeling full on less. The concept of energy density can help you satisfy your hunger with fewer calories. All foods have a certain number of calories within a given amount (volume). Some foods, such as desserts, candies and processed foods, are high in energy density. This means that a small volume of that food has a large number of calories.

§   Adopting a healthy eating plan. To make your overall diet healthier, eat more plant-based foods, such as fruits, vegetables and whole grains.

§   Following a very low calorie liquid diet if medically recommended. These mainly liquid diets are meant to provide rapid weight loss over the short term. They provide only about 600 to 800 calories a day. Your doctor may recommend a very low calorie diet if you need to lose weight quickly before a medical procedure or if you have serious health problems.

§  Meal replacements. These plans suggest that you replace one or two fatty food for less fatty ones or low calories. And eat healthy snacks, you can replace pastries foe a bowl of fresh fruits.

Health risk of obesity

  •   Blood lipid abnormalities   
  •   heart disease 
  •  type 2 diabete
  •   heart attack
  •   heart failure
  •   high blood pressure
  •   sleep apnea
  •   insulin resistance
  •   Osteoarthritis
  • excessive sweating   
  • always feeling hot   
  • rashes or infection in folds of your skin
  •  feeling out of breath with minor exertion 
  • daytime sleepiness or fatigue and depression 
  • Cancer like breast cancer, ovaries in women, cancer of the rectum colon in both men and women and Prostate cancer in men 
  •  High cholesterol: Obesity is most commonly caused by combination high cholesterol  
  • lack of physical activity
  •  Genetics susceptibility: although a few cases are caused primarily by genes, endocrine disorders. 

OBESITY

Genes may set the stage for obesity but your body weight ultimately is determined by your diet and physical activity. Long term eating excess calories, leading a sedentary lifestyle, or a combination of both leads to obesity. Your hereditary doesn’t mean you are destined to be fat. No matter what you genes say; it is ultimately your choices in nutrition and activities that will ultimately determine your weight.


Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health. It is far more than the mere result of too much eating and or too little exercise. It is a health and social concern which should not be treated with levity.


In some cultures obesity is fashionable and being overweight is just a normal and acceptable part of modern life. Even the children re not left out, prevalence of obesity in children has increased strikingly with about 25%-30 % of children either overweight or obese. 


The weight-loss industry generates millions of dollars as desperate people seek a way to get back to shape. All kinds of drugs are said to solve but most times these drugs create more health problems for the user.  Obesity is not easy to treat, and most people who loss weight do not keep it off.


Obesity is defined as having excessive amount of body fat. In other word, obesity is having abnormal or excessive fat accumulation that presents a risk to health. If you are obese, you are more likely to develop a number of potentially serious health problems.