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Family and Wellness Medicine

 

 

 

Losing Weight

 

What does being obese mean?

 

If your weight is substantially above what is healthy for a person with your body composition, genetic background, and overall health status (based on other risk factors you might have), you may be considered obese. Being obese means you are at increased risk for heart diseases, stroke, high blood pressure, diabetes, arthritis, cancer, and other disorders.

 

Your health care provider can give you a good sense of whether your weight puts you in the category of being obese.

It is important to consider body composition. If you are muscular and athletic, you may weigh more than a sedentary person of the same height and frame size, yet you may be trim, while your sedentary counterpart may be overweight. If your weight comes from muscle, you may fall technically into the overweight category yet not be fat. In general, however, as you approach 20% or more above your desirable weight, your excess weight usually comes from fat.

 

If you want to lose weight, you can begin with a safe, healthy, well-balanced diet to lose weight. However, the most effective weight management program is not a diet at all, but a gradual change in your lifestyle, including your eating and physical activity habits, which you can continue for the rest of your life.

 

How do I lose weight?

 

A plan for weight reduction should include good nutrition, fewer calories, and physical activity. The best sources for a safe, healthy, effective weight reduction program are dietitians and health care providers.

 

Behavior modification involves learning more about health, nutritious eating habits, food preparation, and physical activity. You use what you learn to change the behaviors that affect your weight and health.

 

A good weight loss plan includes:

 

•   a healthy diet

•   physical activity

•   understanding the emotions behind your eating patterns.

 

To start your program for losing weight:

 

•   Determine your ideal weight or your weight goal.

•   Learn how many calories you need each day to maintain your ideal weight.

•   Discuss with a dietitian or health care provider how to choose foods to get those calories.

•   Find ways to increase your physical activity.

•   Learn how you use food besides for nutrition. For example, do you eat when you are bored or stressed? Do you reward yourself with food? Make changes to prevent

 

these behaviors. For example, allow yourself to eat only at certain places, such as the cafeteria or break room at work and the kitchen or dining table at home. Do not eat fast food in the car.

 

What are calories?

 

A calorie is a measurement of the energy value of food. Your body burns calories for body functions and activities. Proteins, carbohydrates, and fats contain calories and produce energy. To lose weight, you should reduce the number of calories in your diet without sacrificing nutrition. You should also use or burn more calories through physical activity.

 

The average man needs 2500 to 3000 calories a day. The average woman needs 1800 to 2300 calories a day. Most weight reduction diets suggest 1500 to 1800 calories a day for men and 1200 to 1500 calories a day for women. Eating 500 calories a day less than you need to maintain your weight can result in a loss of 1 pound a week.

 

The rate at which you can lose weight depends on your body’s metabolism. This is the rate at which you use energy, or calories, for basic functions such as eating, sleeping, walking, etc. You may increase your body’s rate of metabolism by engaging in physical activity on a regular basis. Weight loss may occur more quickly at the beginning of a diet because the body releases extra water that was retained.

 

What can I do to lose weight?

 

In general, follow these guidelines:

 

•   Write down everything you eat and drink. This lets you see if you are eating a good variety of foods. Also, it allows you to count your daily calories, if you choose.

•   Drink at least six 8-ounce glasses of water each day.

•   Choose unlimited amounts of vegetables and salads, but limit the amount of butter, dressings, and sauces you eat with these foods.

•   Choose:

o  lean meats, poultry, and fish

o  baked or broiled meat, fish, and poultry

o  salad dressing containing little or no oil.

•   Daily include the following foods in your diet but in limited amounts:

o  nonfat dairy products

o  legumes (lentils, peas, and beans)

o  unrefined carbohydrates (whole wheat bread, whole grain cereals without sugar)

o  raw fruits and canned fruits in their own juices, water, or light syrup.

•   Limit how much you eat of the following:

o  refined carbohydrates (sugar) and foods containing sugar

o  refined grain products such as white rice and white flour.

•   Limit:saturated fats such as butter, margarine, and fat on meats other foods that contain fats, such as pastries, cakes, and cheese fried foods processed meats

 

o  alcoholic beverages.

•   To have a balanced diet, be sure to choose a variety of foods from the basic food groups:

o  dairy

o  meat and other protein

o  vegetables

o  fruit

o  whole-grain breads, cereal, and pasta.

•   Sit down and relax while you eat your meals. Avoid distractions such as the phone and TV. Chewing your food thoroughly helps digestion. Eating small, frequent meals instead of three full meals is helpful. You should eat every 4 to 5 hours. This keeps your blood sugar at a constant level and helps keep you from feeling hungry. Finish your meals with a piece of fruit instead of a sweet dessert.

•   Physical activity helps you lose weight because it burns extra calories. It also raises your metabolism so that you burn more calories daily. It has other benefits as well:

It improves muscle tone and makes you feel more energetic, and it lowers your blood pressure, cholesterol level, and blood sugar level. Don’t overdo it at first. Moderate walking 30 minutes 3 to 6 times a week is enough to start. Check with your health care provider before starting an exercise program.

•   For those who compulsively overeat, Overeaters Anonymous may help. The program is free. Write or call:

 

Overeaters Anonymous

World Service Office

4025 Spencer Street #203

Torrance, CA 90503

 

Phone:            1-213-542-8363

 

 

Developed by McKesson Clinical Reference Systems

Published by McKesson Clinical Reference Systems.

This content is reviewed periodically and is subject to change as new health information becomes available.

The information is intended to inform and educate and is not a replacement for medical evaluation, advice,

diagnosis or treatment by a healthcare professional.

Behavioral Health Advisor 2002.2 Adult Topics Index

Behavioral Health Advisor 2002.2 Credits

Copyright © 1995-2002 McKesson Health Solutions LLC. All rights reserved.

 

 

 

 

 

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Last modified: September 19, 2005

Copyright 2005 Canyons Medical Center. All rights reserved. We are not responsible for content on this website or accuracy of information. The information contained should not substitute a professional medical evaluation.