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Understanding Obesity

    Obesity is one of the most common health problems in the United States today. It is also one of the most misunderstood. Obesity is a multifactor condition that is not easily overcome.
     Research from Harvard Medical University, American Heart Association and many other organizations has been compiled in this article to bring understanding of the social, biological and nutritional factors that surround obesity.
     The terms “overweight” and obesity” refer to a person’s overall body weight and where the extra weight comes from. Overweight is having extra body weight from muscle, bone, fat, and/or water. Obesity is having a high amount of extra body fat. The  most useful measure of overweight and obesity is the body mass index ( BMI). BMI is based on height and weight and is used for adults, children, and teens. When determining your overall health, it’s important to consider your percentage of body fat in proportion to muscle mass. A person with 50 pounds of fat has only 150 pounds of lean mass to carry that weight, whereas the person with 20 pounds of fat has 180 pounds of lean mass to sustain it. That factor alone will have a dramatic impact on energy level, joint stress and mobility.

 

 
 Risk of being Obese
 
Obesity accounts for 400,000 deaths per year in the United States according to the American Medical Association. Approximately 60% of Americans are overweight or obese, of that, about 4.7 million (about 11 percent) of American children aged 6 to 17 are obese, a percentage that has doubled since the 1960s. Obesity can shorten your life and put you at risk of developing a number of conditions, such as high blood pressure, diabetes, heart disease and some forms of cancer.
 
Misconceptions of Obesity
Some common, negative misconceptions about obesity is that it’s caused by constant overeating and that that person is lazy or doesn’t care about themselves. This type of negative thinking is devastating to someone that struggles with their weight, especially children. Teasing and getting made fun of, getting picked last in a sport, being an outcast to the “cool crowd” are some of the things children have to deal with. Even in today’s adult world, a bill was presented to Mississippi Legislature to ban obese people from eating in a restaurant. You can view this story on MSNBC @ http://www.msnbc.msn.com/id/22997073/. This type of thinking can cause stress and depression which makes the problem worse not better.
 
True causes of Obesity
     Genes and Family History has a strong impact. It can determine where and how much fat is retained from foods. Sometimes medications or hormone problems can cause someone to be overweight and obese. Emotional factors can play a roll such as some people eat more than usual when they are bored, angry, or stressed. Food can also  comforting in times of depression. Over time, overeating will lead to weight gain and  may cause overweight or obesity. Some people gain weight when they stop smoking. However, smoking is a serious health risk, and quitting is more important than possible weight gain. Metabolism slows down as we get older and menopause can cause some weight gain as well. Studies find that the less people sleep, the more likely they are to be overweight or obese. Hormones that are released during sleep control appetite and the body’s use of  energy. For most people, erweight and obesity are caused by not having energy balance. Weight is balanced by the amount of energy or calories you get from food and drinks equaling the energy your body uses for things like breathing, digesting, and being physically active. Energy balance means that your energy in equals your energy out. To maintain a healthy weight, your energy in and out don’t have to balance exactly every day. It’s the balance over time that helps you maintain a healthy weight. The same amount of energy in and energy out over time = weight stays the same.
More IN than OUT over time = weight gain,
more OUT than IN over time = weight loss.
 
Over coming Obesity

     Successful treatments for weight loss include setting goals and making lifestyle changes such as eating fewer calories and being more physically active. Drug therapy and weight loss surgery are also options for some people if lifestyle changes don’t work. Ask your doctor to find the best plan for you.

Set Realistic (“Do-able”) Goals. Getting the right weight loss goals is an important first step to losing and maintaining weight. Moderate-intensity physical activity includes jogging, speed walking, dancing, bicycling, gardening, and Swimming. Changing your behaviors or habits around food and physical activity is important for losing weight.
Reward your success for meeting your weight loss goals or Other achievements with something you would like to do, not with food. Choose rewards that you'll enjoy, such as a movie, music CD, an afternoon off from work, a massage, or personal time. Use small short term goals and rewards and have that ultimate long term goal and reward in mind. Weight loss medicines approved by the Food and Drug Administration (FDA) may be an option for some people. If you're not successful at losing 1 pound a week after 6 months of lifestyle changes, prescription medication may help. Always talk to your doctor before the use of weight loss products. Weight loss medication should be used only as part of a program that includes diet, physical activity, and behavioral changes.  Weight loss surgery may be an option for people with extreme obesity ( BMI of 40 or greater) when other treatments have failed.

Weight Loss Maintenance

Maintaining your weight loss over time can be a challenge. For adults, weight loss is a success if you lose at least 10 percent of your initial weight and you don’t regain more than 6 or 7 pounds in 2 years and your waist is smaller than before the lifestyle change. For additional weight loss, reduce intake and increase exercise.

Try the Body Mass Index (BMI) calculator from the CDC.

 
References

American Medical Association 2004 @ www.ama-assn.org

Harvard University@ http://hms.harvard.edu/public/disease/obesity/obesity.html

American Heart Association

@ http://www.americanheart.org/presenter.jhtml?identifier=494#obesity

Life-Span Development third edition by John W. Santrock.

Psychological Aspects of Obesity by Benjamin B. Wolman, Ph.D.

MSNBC @ http://www.msnbc.msn.com/id/22997073/.