Why people having obesity?

Obesity is defined as having an abnormal increase of body fat which is also called adipose tissue mass. An obese person is 20 percent or more above desirable weight. In the last decade obesity has been on the rise in both women and men.

Research points to differences in appetite control and energy expenditure. It is important for obese people not to hold themselves responsible for their condition.

Obese people should be evaluated for medical consequences of their obesity. Motivated persons are encourage to enter medically supervised treatment programs that use a multidisciplinary approach to weight loss.

Fasting diets for weight loss may be right for obese persons who have serious weight-related medical problems. Rapid weight loss is the primary advantage of using these diets. This may be helpful in motivating the individual to continue with the program. This may help to support lifestyle changes which are needed for continued weight loss.

During a binge, 10,000 to 20,000 calories can be consumed throughout the day. Binges usually consist of foods like cookies, candy, chips, ice cream and many other high calorie foods. Binges are often done in secret. After a binge, many of the feelings that caused the binge, like stress, may have subsided only to be replaced with feelings of guilt and lack of self-control.

Binge eating is like bulimia, but does not include purging behaviors. A diagnosis of binge-eating disorder is made when a person binges an average of two days per week over a six month period.

The following guidelines have been developed that may help control binge eating: - Eat only at established meal times. - Avoid keeping foods around that may trigger bingeing. - Avoid fad or very restrictive diets. - Keep a food diary and log to assess what prompted the binge.

Binge eating can be difficult to control because many people turn to food as a way of dealing with their feelings. Keeping a food diary can be beneficial in identifying specifically what feelings are likely to trigger binge eating as well as what types of foods are consumed during a binge. Strategies can then be employed to reduce the urge to binge when the impulse strikes.

Overweight vs. overfat

When the muscle's capacity to store fat is exceeded, excess fat is then stored outside the muscle, around body organs and under the skin. The fat that is now being added to the body results in the person becoming overfat and overweight.

Many people are motivated to diet by wanting to be thin and attractive like the models we see everywhere - on TV and in magazines. What is far more important is that a leaner body reduces the risk for certain diseases.

Studies show that a 20 percent increase in body weight increases the risk for heart disease, high blood pressure and diabetes.

Appetite suppressant medicine

The medications most often used in the management of obesity are commonly known as "appetite suppressant" medications. Appetite suppressant medications promote weight loss by increasing metabolism and by decreasing appetite or increasing the feeling of being full. These medications work by increasing the serotonin and/or catecholamine - two brain chemicals that affect mood, appetite and metabolism.

Brand names of the most effective prescription diet medications on the market today are: Phentermine, Adipex-P, Fastin, Ionamin, Bontril, Plegine, Tenuate, Xenical.

Several appetite suppressant medications are available to treat obesity. In general, these medications are effective, leading to an average weight loss of five to twenty-two lbs. above that expected with non-drug obesity treatments.

Maximum weight loss usually occurs within six months of starting medication treatment. Weight tends to level off or increase during the remainder of treatment. Studies suggest that if a patient does not lose at least four pounds over four weeks on a particular medication, then that medication is unlikely to help the patient achieve significant weight loss.

Most studies of appetite suppressant medications show that a patient's weight tends to level off after four to six months while still on medication treatment. While some patients and physicians may be concerned that this shows tolerance to the medications, the leveling off may mean that the medication has reached its limit of effectiveness. Based on the currently available studies, it is not clear if weight gain with continuing treatment is due to drug tolerance.

However obesity, is more appropriately considered a chronic disease than a lifestyle choice. Other chronic diseases, such as diabetes, and high blood pressure, are managed by long-term drug treatment, even though these diseases also improve with changes in lifestyle, such as diet and exercise. Although this issue may concern physicians and patients, social views on obesity should not prevent patients from seeking medical treatment to prevent health risks that can cause serious illness and death.

Because appetite suppressant medications are used to treat a condition that affects million of people, many of whom are basically healthy, their potential for side effects is of great concern. Most side effects of these medications are mild and usually improve with continued treatment.

Definitions on this page

FDA

• Food and Drug Administration: A government agency that oversees public safety in relation to drugs and medical devices. The FDA gives approval to pharmaceutical companies for commercial marketing of their products.

Fat blocker

• Drugs that block the absorption of fat or calories, and lose substantial weight.

Overweight

• Weighing more than is normal, necessary, or allowed, especially having more body weight than is considered normal or healthy for one's age or build.

Appetite

• An instinctive physical desire, especially one for food or drink. Decreased desire to eat is termed anorexia, while polyphagia (or "hyperphagia") is increased eating. Disregulation of appetite contributes to anorexia nervosa and cachexia, or oppositely, overeating.

Diabetes

• Any of several metabolic disorders marked by excessive discharge of urine and persistent thirst, especially one of the two types of diabetes mellitus.

Diet

• A regulated selection of foods, as for medical reasons or cosmetic weight loss.


• A solutions designed to reduce or suppress the appetite.

Fat

• Any of various soft, solid, or semisolid organic compounds constituting the esters of glycerol and fatty acids and their associated organic groups.

Obesity

• The condition of being obese; increased body weight caused by excessive accumulation of fat.

Stress

• A state of extreme difficulty, pressure, or strain.


• A physical and psychological response that results from being exposed to a demand or pressure.

Suppress

• To curtail or prohibit the activities of.


• To inhibit the expression of (an impulse, for example).


• To bring to an end forcibly as if by imposing a heavy weight.

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