"Diet and Weight Management"


    Treatment of Obesity?

    The first goal of dieting is to stop further weight gain. The next
    goal is to establish realistic weight loss goals. While the ideal
    weight is a BMI of 20-25, this is difficult to achieve for many
    people. Thus success is higher when a goal is set to lose 10%
    to15% of baseline weight as opposed to 20% to 30% or higher.
    It is also important to remember that any weight reduction in an
    obese person would result in health benefits.

    One effective way to lose weight is to eat fewer calories. One
    pound is equal to 3500 calories. In other words, you have to
    burn 3500 more calories than you take-in to lose one pound.
    Most adults need between 1200- 2800 calories/day-depending
    on body size & activity level to meet the body's energy needs.

    If you skip that bowl of ice cream, then you will be one-seventh
    of the way to losing that pound! Losing one pound per week is
    a safe & reasonable way to get off those extra pounds. The higher
    the initial weight of a person, the more quickly he/she will achieve
    weight loss. This is because for every one-kilogram (2.2 pounds)
    of body weight, approximately 22 calories are required to maintain
    that weight. So for a woman weighing 100 kilograms (220 pounds),
    he or she would require about 2200 calories a day to maintain his
    or her weight while a person weighing 60 kilograms (132 pounds)
    would require only about 1320 calories. If both ate a calorie-
    restricted diet of 1200 calories per day, the heavier person
    would loose weight faster. Age also is a factor in calorie
    expenditure. Metabolic rate tends to slow as we age, so the
    older a person is, the harder it is to lose weight.

    There is controversy in regard to carbohydrates and weight
    loss. When carbohydrates are restricted, people often experience
    rapid initial weight loss within the first two weeks. This weight loss
    is due mainly to fluid loss. When carbohydrates are added back
    to the diet, weight gain often occurs, simply due to a regain of
    the fluid. General diet guidelines for achieving and (as importantly)
    maintaining a healthy weight:

    A safe and effective long-term weight reduction and maintenance diet has to
    contain balanced, nutritious foods to avoid vitamin deficiencies and other
    diseases of malnutrition. Eat more nutritious foods that have "low energy density."
    Low energy dense foods contain relatively few calories per unit weight (fewer
    calories in a large amount of food). Examples of low energy dense foods include
    vegetables, fruits, lean meat, fish, grains, and beans. For example, you can eat
    a large volume of celery or carrots without taking in many calories.

    Eat less "energy dense foods." Energy dense foods are high in fats and simple sugars.
    They generally have a high calorie value in a small amount of food. The United States
    government currently recommends that a healthy diet should have less than 30% fat.
    Fat contains twice as many calories per unit weight than protein or carbohydrates.
    Examples of high-energy dense foods include red meat, egg yolks, fried foods, high
    fat/sugar fast foods, sweets, pastries, butter, and high fat salad dressings. Also cut
    down on foods that provide calories but very little nutrition, such as alcohol, non-diet
    soft drinks and many packaged high calorie snack foods.
    About 55% of calories in the diet should be from complex carbohydrates. Eat more
    complex carbohydrates such as brown rice, whole-grain bread, fruits and vegetables.
    Avoid simple carbohydrates such as table sugars, sweets, doughnuts, cakes, and
    muffins. Cut down on non-diet soft drinks-these sugary soft drinks are loaded with
    simple carbohydrates and calories. Simple carbohydrates cause excessive insulin
    release by the pancreas, and insulin promotes growth of fat tissue.

    Educate yourself in reading food labels, estimating calories and serving sizes.

    Consult your doctor before starting any dietary changes. You doctor should prescribe the
    amount of daily calories in your diet.



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