Treatment FAQ

which of the following terms is treatment for obesity?

by Dr. Julien Mitchell Published 3 years ago Updated 2 years ago
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What is the BMI of obesity?

In adults, obesity is defined as having a BMI of 30.0 or more. Trusted Source.

What type of surgery is used to lose weight?

Types of weight loss surgery include: Gastric bypass surgery. In this procedure, your surgeon creates a small pouch at the top of your stomach that connects directly to your small intestine. Food and liquids go through the pouch and into the intestine, bypassing most of the stomach.

What are the health complications of obesity?

Obesity has been linked to a number of health complications, some of which can be life threatening if not treated: type 2 diabetes. heart disease. high blood pressure. certain cancers ( breast, colon, and endometrial) stroke. gallbladder disease.

Why do people get obese?

Common specific causes of obesity include: genetics, which can affect how your body processes food into energy and how fat is stored. growing older, which can lead to less muscle mass and a slower metabolic rate, making it easier to gain weight.

What does a doctor do to help you lose weight?

Your doctor may also want to work with you as part of a team helping you lose weight. That team might include a dietitian, therapist, or other healthcare staff. Your doctor will work with you on making needed lifestyle changes. Sometimes, they may recommend medications or weight loss surgery as well.

Does obesity cause cancer?

Obesity can lead to more than simple weight gain. Having a high ratio of body fat to muscle puts strain on your bones as well as your internal organs. It also increases inflammation in the body, which is thought to be a risk factor for cancer. Obesity is also a major risk factor for type 2 diabetes.

Does BMI determine body fat?

According to the CDC. Trusted Source. : “Factors such as age, sex, ethnicity, and muscle mass can influence the relationship between BMI and body fat. Also, BMI doesn’t distinguish between excess fat, muscle, or bone mass, nor does it provide any indication of the distribution of fat among individuals.”.

How long does it take for weight loss to stop?

Studies show that patients on drug therapy lose around 10 percent of their excess weight, and that the weight loss plateaus after six to eight months. As patients stop taking the medication, weight gain usually occurs.

What is restrictive surgery?

The most common bariatric surgeries are "restrictive" procedures that reduce the size of the stomach and limit the calories you can consume. Learn more about bariatric surgery, and the advantages and disadvantages of each procedure. UCSF Health medical specialists have reviewed this information.

What is the difference between Orlistat and Alli?

Beta-methyl-phenylethylamine (Fastin) This is a stimulant that increases fat metabolism. Orlistat (Xenical) This drug works by blocking about 30 percent of dieta ry fat from being absorbed . Alli is a lower-dose, over-the-counter formula of the same medication.

What to do after weight loss surgery?

If you plan on having weight-loss surgery, behavior therapy and dieting will be instrumental in helping you maintain your weight loss after surgery. Surgery is a tool to get your body to start losing weight. Diet and behavior modification will determine your ultimate success.

How does the body react to weight loss surgery?

Research shows that when you reduce the number of calories you consume, your body reacts by slowing your metabolism to burn fewer calories, rather than promote weight loss .

How much weight should I be to be a good weight?

Be more than 100 pounds over your ideal, recommended body weight. Have a body mass index (BMI) of 40 or higher (20 to 25 is considered a normal). BMI is a number based on both your height and weight.

Is meridia a weight loss medication?

Sibutramine (Meridia) This is an appetite suppressant approved for long-term use. Medications are an important part of the morbid obesity treatment process but weight-loss drugs can have serious side effects. We recommend that you visit a certified health care professional who can prescribe appropriate medications.

What is the goal of obesity treatment?

The goal of obesity treatment is to reach and stay at a healthy weight. This improves your overall health and lowers your risk of developing complications related to obesity. You may need to work with a team of health professionals — including a dietitian, behavioral counselor or an obesity specialist — to help you understand and make changes in your eating and activity habits.

How to treat obesity?

Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.

What is the best way to talk to your doctor about weight?

Talking to your doctor openly and honestly about your weight concerns is one of the best things you can do for your health. In some cases, you may be referred to an obesity specialist — if one is available in your area. You may also be referred to a behavioral counselor, dietitian or nutrition specialist.

What are some ways to reduce weight?

Mind-body therapies — such as acupuncture, mindfulness meditation and yoga — may complement other obesity treatments. However, these therapies generally haven't been well studied in the treatment of weight loss. Talk to your doctor if you're interested in adding a mind-body therapy to your treatment.

How to get weight loss?

To achieve more-significant weight loss, you may need to exercise 300 minutes or more a week.

What is the BMI of a person who has had weight loss surgery?

Weight-loss surgery for obesity may be considered if you have tried other methods to lose weight that haven't worked and: You have extreme obesity ( BMI of 40 or higher) Your BMI is 35 to 39.9, and you also have a serious weight-related health problem, such as diabetes or high blood pressure.

How much weight can I lose with BMI?

That means that if you weigh 200 pounds (91 kg) and have obesity by BMI standards, you would need to lose only about 10 to 20 pounds (4.5 to 9 kg) for your health to begin to improve.

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Overview

  • Obesity is when your body has too much fat. Obesity can cause a lot of damage to your body. People with severe obesity are more likely to have other diseases. These include type 2 diabetes, high blood pressure, sleep apnea, and many more. Combined with obesity, these diseases may lead people to have a lower quality of health. In some cases, these can lead to disability or early …
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  • Obesity is a common medical condition in the United States, having reached epidemic proportions. Exogenous and endogenous are the two primary categories of obesity. As the prefix suggests, exogenous obesity occurs due to external lifestyle factors, such as eating too much, and endogenous obesity has internal causes. If you or a loved one is obese, it is important to kn…
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Prevention

  • To prevent obesity and maintain a healthy body weight, eat a well-balanced diet and exercise regularly. Preventing obesity is important. Once fat cells form, they remain in your body forever. Although you can reduce the size of fat cells, you cannot get rid of them.
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  • There are several small lifestyle changes that may help to prevent obesity, in yourself and in your family. Reduce your risk of obesity by taking these three steps: You may help keep your weight under control simply by walking 30 minutes a day, five days a week. According to the American Heart Association (AHA), a 150-pound person burns 240 calories per hour by walking. Worried a…
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  • Changing your lifestyle Obesity is managed and treated to decrease the health risks caused by obesity and to improve quality of life. An appropriate weight management program usually combines physical activity, healthy diet, and change in daily habits. Other programs may also involve psychological counselling and, in some cases, drug therapy. Losing weight and keeping i…
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Causes

  • Contrary to popular belief, obesity is rarely caused only by our genes. According to the Harvard School of Public Health (HSPH), the genetic factors linked to obesity comprise only a small part of the overall risk. However, the CDC notes that the variation in how peoples weight responds to the same environment suggests that genes do play a role in the development of obesity. Sometime…
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  • Obesity mainly is a result of changes in diet and physical activity. In the developing world the rise in obesity due to these factors is known as the nutrition transition. Urban areas, being much further along in the transition than rural areas, experience higher rates of obesity. Cities offer a greater range of food, usually at lower prices, and city work often demands less physical exertio…
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  • Obesity occurs when your body consumes more calories than it burns. In the past, many people thought that obesity was simply caused by overeating and under-exercising, resulting from a lack of will power and self-control. Although these are significant contributing factors, doctors recognize that obesity is a complex medical problem that involves genetic, environmental, behav…
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  • At a fundamental level, obesity occurs when people regularly eat and drink more calories than they use. Besides a person's eating behavior, a number of factors can contribute to obesity, including a lack of physical activity, a lack of sleep, genetics and the use of certain medications that can cause weight gain or water retention, such as corticosteroids, antidepressants or some …
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Treatment

  • The goal of obesity treatment is to reach and stay at a healthy weight. This improves your overall health and lowers your risk of developing complications related to obesity. You may need to work with a team of health professionals — including a dietitian, behavioral counselor or an obesity specialist — to help you understand and make changes in your eating and activity habits.The initi…
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  • Weight reduction is achieved by: 1. Consuming fewer calories 2. Increasing activity and exercise Structured approaches and therapies to reduce weight include: 1. A modified diet. A reasonable weight loss goal is 1 to 2 pounds per week. This can usually be achieved by eating 500 to 1,000 fewer calories each day. Whether you concentrate on eating less fat or fewer carbohydrates is u…
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  • To achieve a healthy weight and adopt healthier eating habits, people may need to see several health professionals, including a dietitian, behavioral therapist, exercise physiologist and obesity expert, according to the Mayo Clinic. Working with a diverse team of health experts can help people make long-term changes in their eating and exercise habits and develop strategies to ad…
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  • The goals of obesity treatment are to achieve and then to maintain clinically meaningful weight loss, with the ultimate goal of reducing the risk for or severity of obesity-related diseases, impairments, and functional limitations. Weight losses of 5% to 10% of initial body weight produce health benefits and are deemed by many health care practitioners to represent a clinical succes…
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Diagnosis

  • To diagnose obesity, your doctor will typically perform a physical exam and recommend some tests.These exams and tests generally include: 1. Taking your health history. Your doctor may review your weight history, weight-loss efforts, physical activity and exercise habits, eating patterns and appetite control, what other conditions you've had, medications, stress levels, and o…
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  • Obesity is diagnosed by calculating your BMI. BMI is based on your height and weight. A BMI of 30 or more defines obesity. In general, this means your body weight is 35% to 40% more than your ideal body weight. Your body fat also can be calculated by using skin calipers. Calipers are an instrument that measures the thickness of your skin. Body shape is also important. People who …
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  • Compared to adults with normal weight, adults with a BMI greater than 30 are more likely to be diagnosed with coronary heart disease (CHD), hypertension, stroke, high cholesterol, gout, osteoarthritis, sleep problems, asthma, skin conditions and some types of cancer.
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  • The diagnosis of obesity is usually based on a physical examination and a patient history (i.e., eating and exercise habits). A measurement called the body mass index (BMI) does not directly measure body fat, but it is a useful tool to assess the health risk associated with being overweight or obese. A BMI of 18.5 to 24.9 is considered within the healthy range. The BMI is calculated usi…
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Epidemiology

  • Heart disease kills about 600,000 people every year in the United States. The American Heart Association considers obesity a major risk factor for heart disease. Large studies show that the risk for heart disease increases with obesity(5). People with severe obesity are at a higher risk for coronary artery disease. This means they have a higher risk of a heart attack. People with obesit…
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  • Obesity is widespread, according to the CDC. Using data from the 2011-2012 National Health and Nutrition Examination Survey (NHANES) database, the CDC reported that more than one-third (34.9% or 78.6 million) of US adults have obesity. As of 2013, according to the CDC, not one state had an obesity prevalence of less than 20%and the national goal is 15%. The lowest rates (20-25…
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  • Currently at least 300 million adults worldwide are obese a body mass index (BMI) of over 30 and over one billion are overweight (BMI of more than 27.3 percent for women and 27.8 percent or more for men). The problem affects virtually all ages and socioeconomic groups. Obesity rates have risen at least threefold since 1980 in some areas of North America, the UK, Eastern Europe…
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  • From 2012 figures, 24% of men and 25% of women are obese.This had increased from 13% and 16% respectively since 1993. A further 42% of men and 32% of women were overweight.This means most adults in England are overweight or obese. The health and financial implications of this have triggered government and public health policies to attempt to reduce the trend.This inc…
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Symptoms

  • The primary warning sign of obesity is an above-average body weight. If you are obese, you may also experience: 1. Trouble sleeping 2. Sleep apnea. This is a condition in which breathing is irregular and periodically stops during sleep. 3. Shortness of breath 4. Varicose veins 5. Skin problems caused by moisture that accumulates in the folds of your skin 6. Gallstones 7. Osteoar…
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  • Psychological disorders which obesity may trigger include depression, eating disorders, distorted body image, and low self-esteem.
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Although several classifications and definitions for degrees of obesity are accepted, the most widely accepted classifications are those from the World Health Organization (WHO), based on body mass index (BMI). The WHO designations are as follows: 1. Grade 1 overweight (commonly and simply called …
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Health

  • One independent study of metropolitan areas in the United States revealed that the Provo-Orem, UT area had the lowest incidence of obesity (on a score of 1 to 100, with 1 being the lowest) and the Shreveport-Bossier City, LA area had the highest. The New York metropolitan area is in the middle, with a score of 54.
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  • Overweight and obesity increases the risk of a number of other conditions, including: 1. Coronary heart disease 2. Type 2 diabetes 3. Cancers (endometrial, breast, and colon) 4. High blood pressure 5. Lipid disorders (for example, high total cholesterol or high levels of triglycerides) 6. Stroke 7. Liver and Gallbladder disease 8. Sleep apnea and respiratory problems 9. Osteoarthriti…
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  • The world population is becoming rounder, and each year the situation is worsening. The World Health Organization (WHO) believes that we are in the grip of a global epidemic, and it is estimated by the year 2020 obesity will be the single biggest killer on the planet. Professor Philip James, Chairman of the International Obesity Task Force, said that we now know that the bigges…
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  • Obesity and a lack of exercise often go hand in hand. The more weight a person carries, the more difficult it can be to move and exercise. The health consequences and effects of obesity and lack of exercise are dire. According to the 2010 publication “The Surgeon General’s Vision for a Healthy and Fit Nation,” more than 112,000 Americans die unnecessarily each year from preventable dis…
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Prognosis

  • Some people are successful at losing weight and keeping it off. Others, however, find it difficult to maintain the weight loss for long. Most people return to their pretreatment weight within five years.
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  • For people with severe obesity, the death rate increases for all types of cancer. The death rate is 52 percent higher for men and 62 percent higher for women(9). Obesity has been associated with higher risk of GERD, erosive esophagitis and rarely, esophageal cancer (adenocarcinoma)(11).
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  • The developing world is likely to suffer a greater health burden from obesity. For example, the number of people with diabetes caused by obesity is estimated to double to 300 million between 1998 and 2025 with three-quarters of that growth projected in the developing world. For nations whose economic and social resources are already stretched to the limit, the result could be disa…
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  • Obesity is associated with decreased life expectancy. Excess morality is greater with increasing obesity and with earlier age of onset. For those who are obese, any loss of weight is beneficial and, within reason, the more the better; most of the complications of obesity can be reduced by weight loss. However, the outlook is generally poor traditionally. Many people who have consult…
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Classification

  • In children, obesity is assessed differently. Since a childs body composition varies as he or she ages, it is measured as an age- and sex-specific percentile for BMI. In children and adolescents aged 2 to 19 years, a BMI at or above the 85th, but lower than the 95th, percentile indicates overweight; a child with a BMI at or above the 95th percentile is considered to have obesity.
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  • The most commonly used method today for classifying an individual as overweight or obese is based on body mass index (BMI), a value that is determined by dividing body weight (in kilograms) by the square of height (in meters). In adults, overweight is defined by a BMI of ≥25.0 kg/m2, and obesity is defined by a BMI of ≥30.0 kg/m2, regardless of sex. The World Health Organization dis…
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