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.

Weight Loss After The New Year

weight loss doctorThe new year is here, and for many people, now is a time of a renewed attitude towards weight loss. For years, there have been countless pages of advice written about weight loss and dieting. There are more experts than one could believe, and everyone is willing to dish out advice. As our knowledge has grown more recently, weight gain and loss just seems to have become more complex. The advice used to be simple, calories in vs. calories out, and you could determine weight changes. If life were only so simple.

Weight Loss In Today’s Society

A recent article in the newspaper thankfully sheds more light on weight loss. The best advice may be simple – go see a doctor of medicine that specializes in weight loss. The reason for such advice is there are so many issues that can affect a person’s weight and a comprehensive analysis is often necessary. The more we try to help people with weight loss, the more factors we find that affect weight. No two people are alike. Some people will gain weight on low calorie diets, and we all know people who can eat just about anything and not gain weight. We do know that there are many factors and genes in the body that contribute to our body shape and metabolism.  

Obesity can be caused by many things, and what we eat is just part of the story. Medications from various heart drugs, to antidepressants and even some pain drugs can contribute to weight issues. Medical conditions such as diabetes, thyroid dysfunction, heart and lung disease, as well as abdominal conditions and depression all may affect our weight. Since many medical conditions directly affect our weight as well as the drugs we take, having a medical expert on obesity help design a program to control medical problems associated with obesity is often a first step.

Weight Loss Steps

The next most important step is probably taking a close look at oneself, and trying to understand personal factors that may be contributing to weight. These factors include the obvious, like our diet, especially what we eat, when we eat and how much we eat. Activity level is also a crucial factor. An inactive body does burn some calories, but being more active does increase the amount of energy used. Soft factors also contribute to weight, such as stress, anxiety, and how much we sleep.

Once we identify factors contributing to our weight, we need to make changes that are sustainable. Many diets fall into the category that are unsustainable, since they rely on one eating only packaged food from a special company. Changes do not need to all happen at once, as slow implementation fives the body time to make adjustments. Simple things like getting a good night of sleep, eating regular meals and taking a few minutes to exercise can make a big difference. Also, find a way to be accountable to either oneself or to another person. Being accountable tends to make a person more responsible.

Weight loss is extremely complex. There are many factors that contribute to a person’s weight. It takes a degree of dedication and the ability to understand what is happening in your body to facilitate weight loss. For the lucky, weight control is just a small amount of effort, while for others it often becomes a life long challenge. Seeking good medical advice is beneficial for any person looking to drop a few pounds.