Obesity Determinants Of Health, How many people in the United States are overweight or obese? Among U.S. women twenty years and older, over sixty-four million are overweight and over thirty-four million are obese.
How do I know if I 9 m overweight or obese?
Obesity is measured with a body mass index (BMI), a measure of body fat based on height and weight. Individuals with a BMI of 25 to 29.9 are considered overweight, while individuals with a BMI of 30 or more are considered obese.
An unhealthy diet and physical inactivity are contributing factors to becoming overweight or obese. Overweight and obesity are problems that continue to get worse in the United States. Bigger portion sizes, little time to exercise or cook healthy meals, and relying on cars to get around are just a few reasons for this increase.
An unhealthy diet and physical inactivity can increase your chances of getting heart disease, cancer, stroke, type 2 diabetes, high blood pressure, breathing problems, arthritis, gallbladder disease, and osteoarthritis.
But body weight isn’t the only problem. The places where you store your body fat also affect your health. Women with a “pear” shape tend to store fat in their hips and buttocks. Women with an “apple” shape store fat around their waists.
For most women, carrying extra weight around their waists (larger than 35 inches) raises health risks like heart disease, diabetes, or cancer more than carrying extra weight around the hips or thighs. Obesity can also affect medical care. Too much fat can obscure imaging tests, like x-rays, computed tomography (CT) seans, ultrasound, and magnetic resonance imaging (MRI). For example, in an ultrasound, the beam may not be able to get through layers of fat to get an image ofa person’s appendix, gallbladder, or kidneys. Too much body fat can make it harder for a doctor to make a medical diagnosis and treat a patient.
How do I find out what the best way is for me to lose weight?
Experts agree that the best way to lose weight is to follow a sensible eating plan and engage in regular physical activity. If you’re interested in a weight-loss program, it should encourage healthy behaviors that help you lose weight that you can maintain over time. Before you start a weight-loss program, talk to your doctor.
Safe and effective weight-loss programs should include these components:
- Healthy eating plans that reduce calories but do not nıle out specific foods or food groups
- Regular physical activity and/or exercise instruction
- Tips on healthy behavior changes that also consider your cultural needs
- Slow and steady weight loss of about 0.75 to 2 pounds per week and not more than 3 pounds per week (weight loss may be faster at the start ofa program)
- Medical care if you are planning to lose weight by following a special form ula diet, such as a very-low-calorie diet
- A plan to keep the weight off after you have lost it
What steps can I take to have a healthier diet?
Follow these tips on healthy eating.
Focus on fruits: Eat a variety of fruits-whether fresh, frozen, canned, or dried-rather than fruit juice for most of
your fruit choices. For a 2,000-calorie diet, you will need two cups of fruit each day- like one small banana, one large orange, and one-quarter cup of dried apricots or peaches.
Vary your veggies: Eat more dark green veggies, such as broccoli, kale, and other dark leafy greens; orange veggies, such as carrots, sweet potatoes, pumpkin, and winter squash; and beans and peas, such as pinto beans, kidney beans, black beans, garbanzo beans, split peas, and lentils.
Get your calcium-rich foods: Get three cups of low-fat or fat-free milk-or an equivalent amount of low-fat yogurt and/or low-fat cheese (1.5 ounces of cheese equals 1 cup of milk)-every day. If you don’t or can’t consume milk, choose lactose-free milk products and/or calcium-fortified foods and drinks.
Obesity Determinants Of Health
Make half your grains whole: Eat at least three ounces of whole-grain cereals, breads, crackers, rice, or pasta everyday. One ounce is about one slice of bread, one cup of breakfast cereal, or one-half cup of cooked rice or pasta. Look to see that grains such as wheat, rice, oats, or corn are referred to as “whole” in the list of ingredients.
Go lean with protein: Choose lean meats and poultry. Bake it, broil it, or gril! it. Vary your protein choices with more fish, beans, peas, nuts, and seeds.
Limit saturated fats: Get less than 10 percent of calories from saturated fatty acids. Most fats should come from sources of polyunsaturated and monounsaturated fatty acids, such as fish, nuts, and vegetable oils. When selecting and preparing meat, poultry, dry beans, and milk or milk products, make choices that are lean, low-fat, or fat-free.
Ok. Limit salt: Get less than 2,300 mg of sodium (approximately i teaspoon of salt) each day.
How can physical activity help?
An active lifestyle can help every woman. You don’t have to be as fit asa professional athlete to benefit from physical activity. in fact, thirty minutes of moderate physical activity on most days of the week can greatly improve your health. Most people can get greater health benefits by engaging in physical activity of more vigorous intensity or longer duration.
To help manage body weight and prevent gradual, unhealthy body weight gain, get about sixty minutes of moderate- to vigorous-intensity activity on most days of the week, while not exceeding caloric intake requirements. To keep weight loss off, get at least sixty to ninety minutes of daily moderate-intensity physical activity while not exceeding caloric intake requirements.
Obesity Determinants Of Health
Some people may need to consult with their doctor before participating in this !eve! of activity. Achieve physical fitness by including cardiovascular conditioning, stretching exercises for flexibility, and resistance exercises or calisthenics for muscle strength and endurance. Physical activity has these benefits:
- Reduces your risk of dying from heart disease or stroke
- Lowers your risk of getting heart disease, stroke, high blood pressure, colon cancer, and diabetes
- So lowers high blood pressure
- Helps keep your bones, muscles, and joints healthy
- Reduces anxiety and depression and improves your mood
- Helps you handle stress and helps control your weight
- Protects against falling and bone fractures in older adults
- May help protect against breast cancer
- Helps control joint swelling and pain from arthritis
- Ten. Helps you feel more energetic and helps you sleep betler
What drugs approved by the U.S. Department of Agriculture (USDA) are available for long-term treatment of obesity?
Sibutramine: Also called Meridia, it is used together with a reduced-calorie diet to help you lose weight and keep the lost weight from returning. This medicine is approved for people whose initial body mass index (BM!) is at least 30. Patients with other risk factors, such as high blood pressure or diabetes, can be treated with the drug
Increase your physical change what you do everyday!
If you normally …
- park as close as possible to the store
- let the dog out back
- take the elevator
- have lunch delivered
- relax while the kids play
- activity by taking small steps to
- Then try this instead!
- park farther away
- you take the dog for a walk
- and take the stairs
- walk to pick up lunch
- get involved in their activity
if their BM! is 27 or higher. it can cause an increase in pulse and blood pressure. While you are taking sibutramine, your doctor will check your blood pressure and heart rate at regular visits.
People with uncontrolled high blood pressure should not take sibutramine. Other side effects include dry mouth, headache, constipation, insomnia, anxiety, irritability or unusual impatience, nervousness, stuffy or runny nose, or trouble in sleeping.
Orlistat: Also called Xenical, it prevents the body from absorbing some of the fat in food. it also prevents the body from absorbing some vitamins and beta carotene. Patients should take a vitamin supplement that contains fat-soluble (A, D, E, and K) vitamins and beta carotene. The most common side effects of orlistat are gas with discharge, fecal urgency, fatty/oily stools, and frequent bowel movements.
Vertical banded gastroplasty (VBG): Surgical staples are used to divitle the stomach into two parts. The upper part is sınan, which limits space for food. Food empties from the upper pouch into the lower pouch through a sınan opening. A band is put around this opening so it doesn’t stretch. Risks of VBG include wearing away of the band and breakdown of the staple line. in a sınan number of cases, stomach juices may leak into the abdomen or infection or death from complications may occur.
Laparoscopic gastric banding (Lap-Band): An inflatable band is placed around the upper stomach to create a sınan pouch and narrow passage into the remainder of the stomach. This limits food consumption and creates an earlier feeling of fullness. Once the band is in place, it is inflated with saline. The band is adjusted over time by increasing or decreasing the amount of salt solution to change the size of the passage.
Obesity Determinants Of Health
The band is intended for severely obese people-those at least one hundred pounds overweight or who are at least twice their ideal body weight-who have failed to lose weight by other methods such asa supervised diet and exercise. The band is intended to remain in place permanently, but it can be removed if necessary. People who get the band will need to diet and exercise in order to maintain their weight loss. Complications may include nausea and vomiting, heartburn, abdominal pain, band slippage, or pouch enlargement.
Roux-en-Y gastric bypass (RGB): The surgeon makes the stomach smaller by using surgical staples to create a small stomach pouch.
The pouch is attached to the middle part of the small intestine. Food bypasses the upper part of the small intestine and stomach and goes into the middle part of the small intestine through a small opening. Bypassing the stomach limits the amount of food a person can eat. By bypassing part of the intestine, the amount of calories and nutrients the body absorbs is reduced.
Obesity Determinants Of Health
The small opening slows down the rate food leaves the pouch. One risk for patients is “dumping syndrome:’ This happens when the stomach contents move too rapidly through the small intestine. Symptoms may include nausea, weakness, sweating, faintness, and diarrhea after eating. Side effects include infection, leaking, pulmonary embolism (sudden blockage in a lung artery), gallstones, and nutritional deficiency.
Biliopancreatic diversion (BPD): This procedure is not commonly used in the United States. A large part of the stomach is removed. The amount of food is restricted, in addition to stomach acid production. The small pouch that remains is connected directly to the final segment of the small intestine, completely bypassing other parts of the small intestine. A common channel remains in which bile and pancreatic digestive juices mix prior to entering the colon.
Obesity Determinants Of Health
Weight loss occurs since most of the calories and nutrients are routed into the colon, where they are not absorbed. This procedure is less frequently used than other types of surgery because of the high risk for nutritional deficiencies. A variation of BPD includes a “duodenal switch;’ which eaves a larger portion of the stomach intacı, including the pyloric valve that regulates the release of stomach contents into the small intestine. it also keeps a small part of the duodenum.
Liposuction is a procedure for shaping the body and is not recommended for weight loss. it is a surgical procedure in which fat is removed from under the skin with the use ofa vacuum-suction cannula (a hollow pen-like instrument) or using an ultrasonic probe that breaks up the fat into small pieces and then removes it with suction.
Persons with localized fat may decide to have liposuction to remove fat from that area. it doesn’t guarantee permanent weight loss. To avoid weight gain after liposuction, people need to eat right and be physically active.
Complications from liposuction may include infection, embolism (fat gets trapped in the blood vessels, gathers in the lungs, or travels to the brain), puncturing of organs, seroma, pain or numbness, swelling, burns, skin problems, and reactions to the anesthesia.