08/20/2006Obesity: The New Epidemic

“If I had a simple cure for obesity, I would be a millionaire!”

Obesity is defined as the condition of being very overweight and having a body mass index, or BMI, or 30 or higher.

This very difficult medical condition is gaining more and more attention all over the world, and in the US specifically, affecting all age groups, young and old.   It is clearly recognized that obesity is reaching epidemic proportions in all segments of our society.  Even among older adults and children under 12, the rate of obesity has risen dramatically over the past 20 years.  It is linked to a variety of chronic medical problems, including diabetes mellitus, hyperlipidemia, coronary artery disease, metabolic syndrome, hypertension, sleep apnea, venous stasis, and osteoarthritis of the lower extremities, particularly of the knee.  Eating fewer calories and being more active is the key to a lower, more controlled weight.  The diet should provide fewer calories but is healthy and allows a person to lose weight safely at about 1—2 pounds a week.  Many diets and weight-loss programs are available and been tried.  Regular exercise and persistence are the keys to approaching weight loss in addition to having realistic expectations of the plan.  Most people who are obese have had the problem most of their life, and no plan on earth will dissolve those pounds overnight.  Here are some useful hints:

• Physical activity is a very important part of a successful weight-loss program.  Once you reach a lower weight, at least 30 minutes of physical activity on most days of the week helps you stay at that weight.
• Learn how to prepare healthy meals.
• Keep a daily record of the foods you eat and drink.  Write everything down.  Keep a daily record of your exercise.  Find a friend to exercise with you.
• Avoid alcohol.
• Join a weight-loss support group and stay in environments that keep you motivated.
• Avoid fasting, fad diets, or drugs that curb the appetite.
• Learn to use relaxation techniques such as deep breathing to help you deal with stress.
• Beware of ads that promise the moon.  They are expensive, sporadic and rarely based on clinical experience.
• Never quit trying.

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