"Diet and Weight Management"


    What Can Be Done About Obesity?

    All too often, obesity prompts a strenuous diet in the hopes of
    reaching the "ideal body weight." Some amount of weight loss
    may be accomplished, but the lost weight usually quickly returns.
    More than 95% of the people who lose weight regain the weight
    within five years. It is clear that a more effective, long-lasting
    treatment for obesity must be found, lest obesity lead to oblivion.

    We need to learn more about the causes of obesity, and then
    we need to change the ways we treat it. When obesity is
    accepted as a chronic disease, it will be treated like other
    chronic diseases such as diabetes and high blood pressure.
    The treatment of obesity cannot be a short-term "fix," but has
    to be an ongoing life-long process.

    Instead of staring nearsightedly at the goal of attaining an
    "ideal weight," obesity treatment must acknowledge that
    even modest weight loss can be beneficial. For example,
    a modest weight loss of 5 to 10% of the initial weight, and
    long-term maintenance of that weight loss can bring significant
    health gains, including:

    Lowered blood pressure
    Reduced blood levels of cholesterol
    Reduced risk of type 2 (adult-onset) diabetes. In the
    Nurses Health Study, women who lost 5 kilograms (11 pounds)
    of weight reduced their risk of diabetes by 50% or more.
    Decreased chance of stroke Decreased complications
    of heart disease
    Decreased overall mortality

    It is not necessary to achieve an "ideal weight" to derive health
    benefits from obesity treatment. Instead, the goal of treatment
    should be to reach and hold to a "healthier weight" (for more,
    please read the "Aim for a Healthy Weight" article). The emphasis
    of treatment should be to commit to the process of life-long healthy
    living including eating more wisely and increasing physical activity.

    In sum, the goal in dealing with obesity is to achieve and maintain a "healthier weight."



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