Obesity, Doctors and Diets

rethink obesityEveryone knows how hard it is to be obese and lose weight. I recently was sent through one of my many websites that I watch an article first published by Huffpost on obesity.  It was a long article on how society views and treats obesity. I am not sure about the goal of the overall message, but it did bring up some interesting ideas.

For the person who is obese or wants more insight into a different perspective on obesity, this is a good article. As a physician, I am always trying to learn something new, and medical resources are not always the most interesting. Finding a layperson’s view on the subject is often enlightening, and that’s what I found in this article.

Obesity is a major factor in society. It can affect physical and emotional health. The above article talks mostly about the psychological and emotional impacts of obesity. It barely touches on why there are so many people who are obese and struggle with weight loss. There are a few messages about our diets and how many of us view food buried in the article. The majority of the article is about our attitudes about obesity. The message overall is maybe many of us need to rethink our understanding of the struggles of obesity.

Rethinking Obesity

If you’re overweight or obese, the prospect of losing weight is likely on your mind, but it an be intimidating to even take those first few steps towards a healthy lifestyle. Aside from societal pressures, most people lead busy, active lives that don’t always allow us to put our health first. Long hours at the office, driving the kids to and from practices and running errands throughout the week doesn’t always leave us time to get our exercise or cook healthy meals. There are a number of factors working against our ability to lose weight.

That can make the prospect of losing weight seem daunting, so much so that we’re afraid to take the first step. But we need to understand that losing weight isn’t about ALWAYS making the right dietary and exercise choices, it’s about making more right choices than we did in the past. We need to come to grips with the fact that we’re not going to lose 20 pounds in a week. But if we can make small changes – changes that aren’t life altering and are thus, sustainable long term – we can lose half a pound or a pound a week. This will eventually become a new normal, and although your weight loss journey may take longer than initially expected, you’re more likely to end up with sustained results.

Too many people dive headfirst into a diet routine that is simply unsustainable. They start by dramatically cutting calories and exercising hours each day, and while that may lead to five or more pounds of weigh loss in the first week, it’s highly unlikely that you’ll be able to sustain that. Slowly you’re going to start eating worse and working out less, and eventually you’re going to be back to square one because you’re gradually making poorer health choices instead of making smaller, more sustainable choices.

For example, small steps can simply be something like avoiding snacking after 7 p.m., or subbing out your afternoon soda with water. Make small, sustainable changes right away, even if it doesn’t immediately lead to you having a calorie deficit for the day. It’s much more likely that you can stick with these changes and keep moving the needle in the right direction instead of believing you can exercise for two hours daily and cut your calorie intake in half.

We need to rethink obesity and how we tackle the issue if we want to be successful in our weight loss journey.

Obesity and Pain – How are they Related?

obesityMany people who have pain are also obese.  A common question in these cases is which came first – the obesity or the pain? Additionally, will solving one issue make the other go away?

The answer is not simple, but both of these subjects are much related.  Obesity is a severe problem in developed countries like the USA.  Obese people stress the body, and develop pain in areas like the back and leg joints.  Having pain in the low back, or joints, and being obese does not mean that losing weight will resolve the problem since permanent injury may already be present.

Problems Associated with Obesity

Obesity is a primary problem affecting a large segment of society.  Treatment is varied – one single strategy will not work for everyone. Obesity can lead to many health problems that cause pain like:

Treating obesity before these problems occur is important.  Once permanent damage to the body is done, reversing the injury is often impossible and treatment can only be aimed at symptom management.  If you are obese, work with medical professionals to bring your weight under control to prevent permanent side effects.

Obesity & Low Back Pain

Having low back pain and obesity often makes symptoms worse.  Being overweight by 50 pounds is like constantly carrying 5 one-gallon jugs of water with you 24 hours a day without ever having a break. However, low back pain is often related to permanent changes in the lumbar region including the joints, discs, and bones.  Losing weight will not reverse the permanent changes present but may allow easier pain management.

Joint pain, especially degeneration of the knees and hips occurs with obesity.  Increased weight is a common factor that promotes increased wear and tear on the knees and hips.  Once the damage has occurred, the changes are usually permanent.  Weight loss will make the symptoms more manageable, but will often not cure degeneration that has occurred.

Obesity is a major health issue.  If it were easy to solve, then we would not be facing such challenges in society today.  Treating obesity early helps reduce secondary problems such as pain.  But solving obesity will often not solve a pain problem.  Keeping healthy, strong, and mobile will make many things better, and hopefully decrease obesity and pain.