Introduction to Healthy
Weight Loss
The
Balance
The
basic idea behind healthy weight loss is simple. Whenever we eat or
drink, we take in
calories.
Calories are the measure of how much energy is in food. Calories are
also how we measure how much energy our bodies use every day. When your
body has extra calories, it stores them in the form of
fat.
When
you take in less calories than your body burns, you use up some of
those stored calories in the fat. That said, if you take in fewer
calories than you burn, you lose weight. If you take in more
calories than you burn, you gain weight. The easiest and best way to
tip this balance in your favor is to control how many calories you eat
through diet and to increase the amount of calories you burn through
exercise. This is the essence of a healthy weight loss program.
Diets
for healthy weight loss
There are several diets out there. Some work a little
differently than others in different people. Some people have an easier
time staying on one diet verses another. Our
genetics partially influence this ability. Because everyone
is different,
you should discuss these diets with your doctor before starting. In
general, you just need to eat fewer calories than your body burns to
lose weight. There are several
formulas
and online
calculators to determine how many calories a person should
eat.
Pregnant women
have different dietary needs, and radical diet changes or attempts to
lose a good amount of weight should wait until you are past being
pregnant and breastfeeding. There is a good deal of information on nutrition, dieting, and pregnancy
that goes beyond this article.
Exercise
Exercise is good for virtually everyone and essential to a
healthy weight loss plan. However, it is easier said than done. You do
not have to become an Olympic athlete. You just need to kick your
body’s metabolism into gear. You can start with simple walking and
progress from there. People with certain medical conditions may not be
able to participate in certain exercises. You should discuss this with
your doctor before starting an exercise program.
Medicines
All medicines have the risks of side effects. For some people,
these risks are too great to ever use certain drugs. Although it would
be nice, there are no drugs that magically take the weight off quickly
without any effort. In fact, using medicines only gives about a 10 lb
weight loss in 1 year. They act as aids in your healthy weight loss
plan and do help some people. They can also be expensive. The safer and
cheaper strategy of diet and exercise should be tried first. Drug
therapy can be considered if a person’s BMI is more than 30 or more
than 27 and the person has certain medical conditions. (For
more on BMI, see below.)
Surgery
This does seem to be a quick fix, but there are risks and benefits to
any surgery.
Liposuction
is where the fat under the skin is suctioned out surgically. However,
it does not provide all the same health benefits as dieting and
exercise. There is also stomach surgery, or “gastric bypass”. This can
be considered in a person with a BMI more than 40 or a person with a
BMI more than 35 and certain medical conditions. For someone to be
considered, he or she needs to have tried other methods of weight loss
first. By
having the surgery you are basically forced to diet by not
being able to fit as much food in your stomach. Theses surgeries are
part of a healthy weight loss plan for some people, but there are risks
involved. You can also see information about the effects of weight loss
surgery and pregnancy.
Other
Methods
There are
other methods that many people use. Some are based more on medical
science than others. Things like mesotherapy
and hypnosis
are medical weight loss methods that have been scientifically
investigated. Weight
loss supplements and natural weight loss products
are often marketed with exaggerated claims, but several products may
have some theoretical if not actual benefit. These products are not
regulated by the
FDA
and may even be dangerous for some people or in combination with
certain
medicines. Make sure you have a healthy weight loss plan and not one
based on false promises in order to sell you a product.
How to
measure obesity
The Body Mass
Index (BMI) is used to measure how overweight an adult
person is. You can calculate your BMI by taking your weight in
kilograms and dividing it by your height in square meters, or you can
use this online calculator
that will calculate it for you. Once you have your BMI, you find what
class you are in by using the table below. In general, the best BMI to
have is 22.
|
Class:
|
Underweight
|
Normal
|
Overweight
|
Obesity
|
Severe
Obesity
|
|
BMI:
|
Less than 18.5
|
18.5-24.9
|
25-29.9
|
30-30.9
|
More
than 30.9
|
Note:
Obesity is determined differently in children.
A child’s BMI is compared to a previously determined set of national
percentiles. If a child’s BMI is in the 95th percentile or above,
he/she is overweight.
Waist size is
also considered when evaluating how overweight someone
is. If a man’s waist is more than 40 inches (102 cm) or if a woman’s
waist is more than 35 inches (88 cm), then he or she is at an increase
risk of disease or death.
A good BMI and
appropriate waist size should be your goals for healthy weight loss.
Benefits
of Weight Loss
Believe it or not, life
insurance companies were the first to suggest
that losing weight would decrease a person’s risk of disease or death.
While this is certainly true for overweight people, there are other
benefits. By achieving a healthy weight, you would have decreased risk
of
diabetes,
cardiovascular disease,
and
osteoarthritis.
In patients at
higher risk, just a 5-10% weight loss can reduce the risk factors for
diabetes and cardiovascular disease. Even if you try to lose weight but
cannot, your risk of dying is actually decreased for having tried. You
look and feel better if you go from being overweight to a healthy
weight.
Keeping
it off
Healthy weight
loss takes a commitment to a change in lifestyle.
Exercise is absolutely necessary to maintain a healthy weight. All the
fat you used to have was actually burning calories as excess tissue.
With it
gone, there is less of your fat tissue to burn calories. This also
means that the daily calories you eat from now on will have to be less
than what you ate before losing weight. All you really have to do is
continue the changes you made to lose weight in the first place.
Good luck! I
hope the rest of this web site aids you in your efforts to find a
healthier and happier you.
In
addition to losing weight, check out these healthy lifestyle resources.
Return to
Home
Page.
It is important you
discuss any weight loss or exercise plan with your doctor. Only you and
your physician can decide what is best for you. Some people have
certain conditions that prevent them from doing all exercises, and goal
body weights may be different for different people. You need to discuss
all these things with your physician before starting any weight loss or
exercise program.
This
article was written by
John
Vickery, MD.
References
“Overview of therapy for obesity in adults”
Up To Date version 15.3
http://www.nhlbisupport.com/bmi/bmicalc.htm
Ann Intern Med 2005;142:525-531
“Drug therapy of obesity” Up To Date version 15.3

Last updated on 3/15/09
|