Obesity & weight Loss

Obesity and weight loss are one of the most common health concerns affecting Americans today. Although women of all sizes can be healthy, an excess of body fat is correlated with an increased risk of many chronic diseases, including diabetes, heart disease, and hypertension.

When making a commitment to lose weight, many women have an ideal weight in mind. Setting goals can help you stay motivated, but studies show that losing even a little weight can have a positive impact on your health.

BMI evaluation:

Your BMI is calculated by dividing your mass in kilograms by your height in meters squared.

  • Under 18.5 – Underweight
  • 18.5-24.9 – Normal weight
  • 24.9-29.9 – Overweight
  • 29.9-34.9 – Obese (class I)
  • 34.9-39.9 – Obese (class II)
  • 40 and above – Morbidly obese / Extreme obesity (class III)

Physical findings:

  • Blood pressure, heart rate, and body temperature.
  • Measuring the circumference of the waist. Women with a waist greater than 35” and men with a waist greater than 40” have increased health risks.
  • Blood Tests: cholesterol levels, liver function, thyroid function, and blood sugar.
  • Causes of Obesity:
  • Diet and eating habits: Excessive eating and high-calorie foods and beverages.
  • Sedentary lifestyle
  • Genetics
  • Other diseases or conditions: Thyroid disease & Cushings disease
  • Medications: antidepressants, antipsychotic medications, anti-seizure medications, and steroids.
  • Age
  • Sleep disorders
  • Quitting smoking
  • Pregnancy
  • Culture & socioeconomic reasons
  • Obesity health disorders & risks:
  • High cholesterol
  • Type II diabetes
  • High blood pressure (hypertension)
  • Stroke
  • Heart disease
  • Metabolic syndrome
  • Sleep apnea and other respiratory disorders
  • Cancer, especially breast, cervical, ovarian, endometrial, and uterine cancers. Risk of rectum, colon, liver, pancreatic, kidney, and gallbladder cancer is increased as well.
  • Infertility
  • Irregular periods
  • Gallbladder disease
  • Osteoarthritis
  • Nonalcoholic fatty liver disease – inflammation of the liver due to an excess of fat
  • Treating Obesity

Behavioral:

  • Tracking and reducing calorie intake
  • Replacing high-calorie foods with healthy options, such as fruits and vegetables
  • Choosing plant-based foods and lean proteins
  • Limiting the intake of added sugars, high-carbohydrate, and full-fatty foods
  • Making exercise a part of your normal routine
  • Medication:
  • Xenical, Belviq, Contrave, and Saxenda are among the more popular weight loss drugs. For patients who have:
  • A BMI of 30 or greater
  • A BMI of 27 or greater, plus an additional diagnosis of an obesity-related condition, such as high blood pressure or diabetes.
  • Weight loss surgery

If the patient has:

  • A BMI of 40 or greater
  • A BMI of 35 or greater, plus an additional diagnosis of an obesity-related condition
  • Committed to making drastic diet and lifestyle changes
  • Maintaining a Healthy Weight after Weight Loss
  • Unfortunately, it can be extremely difficult to keep excess weight off once it is lost. It’s very common for patients to regain weight after a few months of successful weight loss. This is why it is important to commit to lifestyle changes and forming new, healthy habits for the rest of your life.
  • Regular exercise is one of the best ways to maintain a healthy weight. Try to get at least an hour a day of aerobic exercise. This can be as simple as taking daily walks or playing outside with your children or grandchildren. Enlist the support of your family and friends to help you make healthy choices and encourage you in your weight loss goals.