ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

The Doctor’s Prescription: The Health Importance And Clinical Significance Of An Ideal Weight Control

Updated on February 23, 2014

The Ideal Weight Control System

Source

Ideal Weight Control

The presence of overweight or obesity in a patient is of medical concern because it increases the risk of several diseases such as cardiovascular diseases, hypertension, diabetes mellitus and high cholesterol. Too much body fat is toxic to the heart’s muscle cells. Obese people’s heart undergoes physical changes that could promote heart failure.

Effective treatment:

Dietary theory: There is no magic formula for weight loss. You must eat fewer calories than you burn. A safe diet should include all the recommended daily allowances for vitamins, minerals and proteins. The weight loss diet should be low in calories (energy) only, not in essential vitamins or minerals.

Facts about Calories: You need enough calories to maintain energy level, but do not take in more than you can burn off. This is called an energy balance.

  1. If you take more calories than you burn, you gain weight.
  2. If you take in fewer calories than you can burn, you lose weight
  3. If you balance the two, you maintain your weight.

The number of calories you need depends primarily on age, gender and activity level. Slow and steady weight loss programs are ideal and so you will need a doctor counselor, dietitian and exercise physiologist. They will determine and set your weight goals. Adopting DASH Diet will be helpful.

Engaging In Physical Activities

Source

Physical Activites

  1. Moderately contribute to weight loss
  2. May decrease abnormal fat
  3. Increases cardio respiratory fitness
  4. May help with maintenance of weight loss

Aerobic exercise results in modest weight loss, reduces abdominal mass and increase cardio respiratory fitness.

Combines therapy (Diet and Exercise): This combination produces greater weight loss, greater reduction in abdominal mass and improves cardio respiratory fitness than diet alone or physical activity alone.

Behaviour Therapy: This provides additional benefit in assisting patient to lose weight. This is to reinforce changes in diet and physical activity. Specific behavioural strategies include the following:

  1. Self monitoring of both eating habits and physical activity
  2. Stress management
  3. Stimulus control of learning to shop carefully for healthy foods
  4. Problem solving- This refers to the self correction of problem areas related to eating and physical activity.
  5. Contingency management- use of rewards for specific actions
  6. Cognitive restructuring- modification to help change self-defeating thoughts and feelings that undermine weight loss efforts
  7. Social support.

Family members, friends or colleague can assist an individual in maintaining motivation and providing positive reinforcement.

Pharmacotherapy: This involves use of drugs, but drugs should never be used without concomitant lifestyle modification. Most of the available weight- loss medication are “appetite suppressants” and can be obtained only by doctor’s prescriptions.

Analyzing BMI

Source

Determination Of Overweight And Obesity

Two key measures are used to determine if someone is overweight or obese. These are: the body mass index (BMI) and waist circumference.

Body Mass Index: The BMI, which describes relative weight for height, is significantly correlated with total body fat content. It is not applicable to pregnant women. Calculation of BMI:

  • Measure your weight in Kilogram (Kg) e.g 85 Kg. This is your “weight number
  • Measures your height in meters square. For example, your height is 180cm, to meters it will be 1.8m and its square would now be 1.8m X 1.8m = 3.24m2. This is your “height number”.

BMI = Weight number/height number = 85/3.24 = 26.23 Kg/m2

Classification of BMI: BMI results are classified as follows

Classification
BMI (Kg/m2)
Risk Of Comorbidity
Underweight
< 18.5
low
Normal
18.5 to 24.9
Average
Overweight
> 25
 
Pre-obese
25 to 29.9
Increased
Obesity Class I
30 to 34.9
Moderate
Obesity Class II
35 to 39.9
severe
Extreme Obesity, Class III
> 40
very severe

So, from our previous example, the person is pre-obese with increased risk of morbidity. BMI gives an assessment of how much of your body is composed of fat. It is also used to assess overweight and obesity and to monitor changes in body weight. BMI is easy to calculate and you can easily monitor your weight control, provided you have a weight and height scales.

Checking The Waist Circumference

Source

Waist Circumference

Waist Circumference: The presence of excess fat in the abdomen out of proportion to total body fat is an independent predictor of risk factors and morbidity. Waist circumference is positively correlated with abdominal fat content. The specific cut off points that indicate health risks are as tabulated below.

Health Risk In Relation To Waist Circumference

 
Normal
Increased Risk
Substantially Increased risk
Men
< 94cm (37 ins)
94 to 102cm (37 to 40 ins)
> 102cm (>4o ins)
Women
< 80cm (31.5 ins)
80 to 88cm (31.5 to 35 ins)
> 88cm (>35 ins)

Conclusion

In conclusion, weight loss therapy is not appropriate for pregnant or lactating women, those with serious psychiatric illness and in patients who have a variety of serious illness in whom calories restriction will exacerbate the illness.

© 2014 Funom Theophilus Makama

Comments

    0 of 8192 characters used
    Post Comment

    No comments yet.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)