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Wednesday, November 17, 2010

How To Prevent Obesity

How To Prevent Obesity

Be Active
 
Simple activities, such as climbing the stairs instead of using lifts, morning and evening walk in the park and swimming, can bring about tremendous changes in your lifestyle. Such activities will not only help you burn excess fat, but also help you stay active. Start doing light to moderate exercises for thirty minutes, five times a week. Switch over to the tough exercises, once you have gained stamina and strength. You may also join a health club or gym and socialize with like-minded individuals.
 
Keep A Check On Your Weight
 
Monitor your weight regularly. Weigh yourself at least once a week. This will help you figure out how much extra flab you have lost by doing simple activities or workout. In case you are being inactive and not eating healthy, you will be aware of the weight gain at an early stage. This will prevent your weight gain from being too much to get off.
 
Drink Plenty Of Water
Drinking lots of water will help your body detoxify all the impurities present in the system. Doctors recommend that you to drink at least 8-10 glasses of water a day. Having a glass of warm water in the morning, with half a lemon squeezed in it, is also a good idea. Remember, water cleanses and rejuvenates your skin as well.
 
Stay Away From Junk Food
 
One of the prerequisites of staying healthy is avoiding junk foods. The smart way to stay away from junk food is not to buy them at all! Avoid frequenting the fast food chains. Keep junk food out of your house as well. If you really like stuff like pizza and burgers, indulge in them not more than once or twice a month.
 
Eat Slowly & Only When You Are Hungry
 
Do not cut any of the three meals per day. Rather, divide them into small meals, stretched over a gap of 2-3 hours. At the same time, cut off high-calorie snacks in between the meals. Eat small portions of food and do not gulp them down. Do not stuff yourself with food when you are not hungry. Eat only when your body signals you to have food. Eat slowly because the stomach takes some time to feel ‘full’.
 
Diet
 
Your diet should be balanced, with fruits, vegetables and whole grains included in it. An obese adult should have at least five servings of low-sugar fruits and vegetables on a day. A vegetable serving shall include one cup of raw or one and half cup of cooked vegetables. One piece of fresh fruit and one and half cup of canned fruit are included in a serving of fruit. You should avoid fruits and vegetables that are high in calories, like mango.

The health risks associated with obesity

The health risks associated with obesity

Obesity is not just a cosmetic consideration; it is a dire health dilemma directly harmful to one's health. In the United States, roughly 300,000 deaths per year are directly related to obesity, and more than 80% of these deaths are in patients with a BMI (body mass index, which will be discussed later in this article) over 30. For patients with a BMI over 40, life expectancy is reduces significantly (as much as 20 years for men and 5 years for women ). Obesity also increases the risk of developing a number of chronic diseases including:
  • Insulin Resistance. Insulin is necessary for the transport of blood glucose (sugar) into the cells of muscle and fat (which is then used for energy). By transporting glucose into cells, insulin keeps the blood glucose levels in the normal range. Insulin resistance (IR) is the condition whereby the effectiveness of insulin in transporting glucose (sugar) into cells is diminished. Fat cells are more insulin resistant than muscle cells; therefore, one important cause of insulin resistance is obesity. The pancreas initially responds to insulin resistance by producing more insulin. As long as the pancreas can produce enough insulin to overcome this resistance, blood glucose levels remain normal. This insulin resistance state (characterized by normal blood glucose levels and high insulin levels) can last for years. Once the pancreas can no longer keep up with producing high levels of insulin, blood glucose levels begin to rise, resulting in type 2 diabetes, thus insulin resistance is a pre-diabetes condition. In fact scientists now believe that the atherosclerosis (hardening of the arteries) associated with diabetes likely develops during this insulin resistance period.
  • Type 2 (adult-onset) diabetes. The risk of type 2 diabetes increases with the degree and duration of obesity. Type 2 diabetes is associated with central obesity; a person with central obesity has excess fat around his/her waist, so that the body is shaped like an apple.
  • High blood pressure (hypertension). Hypertension is common among obese adults. A Norwegian study showed that weight gain tended to increase blood pressure in women more significantly than in men. The risk of developing high blood pressure is also higher in obese people who are apple shaped (central obesity) than in people who are pear shaped (fat distribution mainly in hips and thighs).
  • High cholesterol (hypercholesterolemia)
  • Stroke (cerebrovascular accident or CVA)
  • Heart attack. A prospective study found that the risk of developing coronary artery disease increased three to four times in women who had a BMI greater than 29. A Finnish study showed that for every one kilogram (2.2 pounds) increase in body weight, the risk of death from coronary artery disease increased by one percent. In patients who have already had a heart attack, obesity is associated with an increased likelihood of a second heart attack.
  • Congestive heart failure
  • Cancer. While not conclusively proven, some observational studies have linked obesity to cancer of the colon in men and women, cancer of the rectum and prostate in men, and cancer of the gallbladder and uterus in women. Obesity may also be associated with breast cancer, particularly in postmenopausal women. Fat tissue is important in the production of estrogen, and prolonged exposure to high levels of estrogen increases the risk of breast cancer.
  • Gallstones
  • Gout and gouty arthritis
  • Osteoarthritis (degenerative arthritis) of the knees, hips, and the lower back
  • Sleep apnea

 

What Causes Obesity?

What Causes Obesity?

The balance between calorie intake and energy expenditure determines a person's weight. If a person eats more calories than he or she burns (metabolizes), the person gains weight (the body will store the excess energy as fat). If a person eats fewer calories than he or she metabolizes, he or she will lose weight. 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. A person is more likely to develop obesity if one or both parents are obese. Genetics also affect hormones involved in fat regulation. For example, one genetic cause of obesity is leptin deficiency. Leptin is a hormone produced in fat cells, and also in the placenta. Leptin controls weight by signaling the brain to eat less when body fat stores are too high. If, for some reason the body cannot produce enough leptin, or leptin cannot signal the brain to eat less, this control is lost, and obesity occurs. The role of leptin replacement as a treatment for obesity is currently being explored.
  • Overeating. Overeating leads to weight gain, especially if the diet is high in fat. Foods high in fat or sugar (for example, fast food, fried food, and sweets) have high energy density (foods that have a lot of calories in a small amount of food). Epidemiologic studies have shown that diets high in fat 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. Some scientists believe that simple carbohydrates (sugars, fructose, desserts, soft drinks, beer, wine, etc.) contribute to weight gain because they are more rapidly absorbed into the blood-stream than complex carbohydrates (pasta, brown rice, grains, vegetables, raw fruits, etc.) and thus cause a more pronounced insulin release after meals than complex carbohydrates. This higher insulin release, some scientists believe, contributes to weight gain.
  • Frequency of eating. The relationship between frequency 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 (which includes fat). 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. Sedentary people burn fewer calories than people who are active. The National Health and Nutrition Examination Survey (NHANES) showed that physical inactivity was strongly correlated with weight gain in both sexes.
  • Medications. Medications associated with weight gain include certain antidepressants (medications used in treating depression), anti-convulsants [medications used in controlling seizures such as carbamazepine (Tegretol, Tegretol XR , Equetro, Carbatrol) and valproate], diabetes medications (medications used in lowering blood sugar such as insulin, sulfonylureas and thiazolidinediones), certain hormones such as oral contraceptives and most corticosteroids such as Prednisone. Weight gain may also be seen with some high blood pressure medications and antihistamines.
  • Psychological factors. For some people, emotions influence eating habits. Many people eat excessively in response to emotions such as boredom, sadness, stress or anger. While most overweight people have no more psychological disturbances than normal weight people, about 30 percent of the people who seek treatment for serious weight problems have difficulties with binge eating.
  • Diseases such as hypothyroidism, insulin resistance, polycystic ovary syndrome and Cushing's syndrome, are also contributors to obesity.

 

What is obesity?

What is obesity?

The definition of obesity varies depending on what one reads, but in general, it is a chronic condition defined by an excess amount body fat. A certain amount of body fat is necessary for storing energy, heat insulation, shock absorption, and other functions. The normal amount of body fat (expressed as percentage of body fat) is between 25%-30% in women and 18%-23% in men. Women with over 30% body fat and men with over 25% body fat are considered obese.
The calculation of body mass index (BMI) has also been used in the definition of obesity. The body mass index (BMI) equals a person's weight in kilograms (kg) divided by their height in meters (m) squared. Since BMI describes body weight relative to height, it is strongly correlated with total body fat content in adults. "Obesity" is defined as a BMI of 30 and above.