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Back to Nutrition Center
Weight Reduction Techniques
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Experts agree that the best way to reach a healthy weight is to follow a
sensible eating plan and engage in regular physical activity. |
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Obesity is a chronic medical condition. Successful treatment, defined
as the sustained attainment of normal body weight without producing unacceptable
treatment-induced morbidity.
Experts agree that the best way to reach a healthy weight is to follow
a sensible eating plan and engage in regular physical activity. Weight-loss
programs should encourage healthy behaviors that help you lose weight and
that you can maintain over time.
Behavior Modification
The principles of behavior modification provide the rationale behind
many current programs of weight reduction. Typically, the patient is requested
to monitor and record the circumstances related to eating, and rewards are
designed to modify bad habits. Patients may benefit from counseling offered
in a stable group setting for extended periods of time, including after
weight loss.
Diet Reduction
Caloric intake is the cornerstone of obesity treatment. The fundamental
goal is the sustained reduction of energy intake below that of energy expenditure.
A wide variety of suggested diets exist that are designed to achieve this.
For more on diet reduction click here!
Exercise
Exercise is an important component of the overall approach to treating
obesity. Increased energy expenditure is the most obvious mechanism for
an effect of exercise. Current evidence suggests that exercise should accompany
diet reduction and that exercise alone may not be enough. On the other hand,
exercise appears to be a valuable means to sustain diet therapy. Exercise
has many advantages besides weight loss, especially in the obese individual
for its effects on cardiovascular tone and blood pressure. Because many
obese individuals have not engaged in exercise on a regular basis and may
have cardiovascular risk factors, it should be introduced gradually and
under medical supervision, especially in the most obese individuals.
Drugs
Unfortunately, drug treatment of obesity is rarely efficacious. Despite
short-term benefits, medication-induced weight loss is often associated
with rebound weight gain after the cessation of drug use, side effects from
the medications, and the potential for drug abuse.
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Surgery
Morbid obesity, defined as either 45 kg (100 lb) or 100% above ideal
body weight, is estimated to increase mortality by as much as twelvefold
in men between 25 and 34 years of age and sixfold between 35 and 45 years
of age. Deaths from cardiovascular disease, diabetes, and accidents have
been documented. In response to ineffective treatment using diet, exercise,
and available drugs, surgical approaches have been tried. The potential
benefits of surgery include major weight loss and improvement in hypertension,
diabetes, sleep apnea,CHF, angina, hyperlipidemia, and venous disease.
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