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Obesity

Most practitioners use the following BMI ranges as indications that a person is overweight or obese:

  • BMI 25 to 29.9 (overweight)
  • BMI 30 to 39.9 (moderately obese)
  • BMI 40 or above (extremely obese)

A high waist to hip ratio increases the risk for developing serious, even life-threatening conditions associated with obesity. Physicians consider a very high waist circumference to be greater than 102 cm for men and greater than 88 cm for women.

Conditions that may accompany obesity include:

  • High cholesterol (including high triglyceride levels)
  • Diabetes
  • High blood pressure
  • Sleep apnea (episodes when a person stops breathing while asleep)
  • Osteoarthritis
  • Gallstones
  • Stress incontinence (inability to control urine; small amounts of urine are released when a person laughs, coughs, or moves abruptly)

Do’s and Don’ts

  • Regular exercise
  • Healthy diet
  • Avoidance of high-fat diet
  • Maintaining daily records of both fat and calorie intake as well as exercise habits
  • Develop coping skills for stress, which causes overeating

Advice from your doctor

  • Primary goal is to reduce overall body weight and maintain the lower weight
  • Involves a combination of diet, exercise, and other lifestyle modifications, but the specific method of treatment depends on the severity of obesity.
  • General health and motivation to lose weight are important.
  • Medications may be prescribed in addition to an exercise program and a low-calorie diet.
  • Mind/body medicine, including psychotherapy, hypnosis, and meditation, may reduce the stress that so often leads to overeating.
  • In severe cases, gastrointestinal surgery may be considered.

Written by: Healthplus24 team
Date last update: November 10, 2011

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