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Obesity | Weight Loss Pills | Social Treatment

What considered overweight?

Obesity | Weight Loss Pills | Social Treatment

Being overweight or fat is having more body fat than is optimally healthy. Being overweight is especially common where food supplies are plentiful and lifestyles are sedentary. As of 2003, excess weight reached epidemic proportions globally, with more than 1 billion adults being either overweight or obese.

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A BMI of 25 to 29.9 is considered overweight. A BMI of 30 and above is considered obese. Individuals who fall into the BMI range of 25 to 34.9, and have a waist size of over 40 inches for men and 35 inches for women, are considered to be at especially high risk for health problems.

تابع معدل الاحتراق دوما

 

What Are BMI and BMR?

 

The abbreviations BMI and BMR sound similar, but they stand for two separate things. Your BMI, or body mass index, is a number calculated from your height and weight which is then used to assess your body composition. Your BMR, or basal metabolic rate, is the number of calories you burn when your body is at rest.

 

What is the normal BMR?

Normal BMR percentage ranges from negative 15% to positive 5%. Most of the hyperthyroid patients hold a BMR percent of positive 20% or more and hypothyroid patients have a BMR of negative 20% or less.

 

What is included in BMR?

Basal metabolic rate (BMR) is the total number of calories that your body needs to perform basic, life-sustaining functions. These basal functions include circulation, breathing, cell production, nutrient processing, protein synthesis, and ion transport.

 

To understand how to calculate Your Basal Metabolic Rate to Lose Weight, there is a slight difference in the definition of BMR and the definition of RMR that is helpful to understand.

  • Basal metabolic rate is a measurement of the number of calories needed to perform your body’s most basic (basal) functions, like breathing, circulation and cell production. BMR is most accurately measured in a lab setting under very restrictive conditions. 
  • Resting metabolic rate is a measurement of the number of calories that your body burns at rest. Resting metabolic rate is usually measured in the morning before you eat or exercise and after a full night of restful sleep. 

Equation to Calculate Your BMR

The Harris-Benedict Equation is often used to estimate basal metabolic rate.

  • Men: BMR = 88.362 + (13.397 x weight in kg) + (4.799 x height in cm) – (5.677 x age in years)
  • Women: BMR = 447.593 + (9.247 x weight in kg) + (3.098 x height in cm) – (4.330 x age in years)

<script type=”text/javascript” async id=”bmr-calculator” data-type=”verywell-tool” data-vertical=”verywellfit” src=”https://www.verywellfit.com/static/4.179.0/components/tools/calculators/iframe-embed/embed.min.js?id=bmr-calculator”></script>

Daily Calorie Burn

When researchers evaluate the total number of calories you burn, they refer to the number as your total energy expenditure (TEE) or total daily energy expenditure (TDEE). TEE (or TDEE) is a combination of these different factors:2

  • Resting Metabolic Rate (RMR): Your RMR is the amount of energy your body needs to maintain basic functions like breathing, circulating blood and building cells. Things like age, body size and gender affect your resting metabolic rate. Your RMR accounts for 60% to 75% of the total number of calories you burn each day.
  • Non-Exercise Activity Thermogenesis (NEAT): This is the amount of energy that your body uses to do daily activities like washing dishes, typing on your computer, or walking around your office. The number of calories you burn from NEAT varies greatly based on your activity level.
  • Calories Burned During Exercise: The actual number of calories you burn during your workouts will depend on the intensity and duration of each session. Calories burned through exercise and non-exercise physical activity account for roughly 15% to 30% of your TEE.
  • Thermic Effect of Food (TEF): Your body burns calories to chew, digest, and store food. Each type of food (macronutrient) has a different TEF. Eating protein burns the most calories by a small margin. TEF accounts for about 10% of the total number of calories

What is overweight and obesity?

Overweight and obesity are defined as ”abnormal or excessive fat accumulation that presents a risk to health”. Measuring overweight and obesity.

Diagnosis

Obesity | Weight Loss Pills | Social Treatment

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To diagnose obesity, your doctor usually performs a physical examination and recommends some tests. These tests and tests generally include the following: Taking your health history. Your doctor may review your weight history, weight-loss efforts, physical activity and exercise habits, eating patterns and appetite control, other conditions you’ve been experiencing, medications, stress levels, and other issues related to your health. Your doctor may also review your family’s health history to see if you are prone to certain conditions. A general physical examination. This includes measuring your height. Checking vital signs, such as heart rate, blood pressure, and temperature; Listen to your heart and lungs. And examine your belly. Calculate your BMI. Your doctor will check your body mass index (BMI). A BMI of 30 or higher is considered obese.

Numbers over 30 increase the health risks even further. Your BMI should be checked at least once a year because it can help identify general health risks and which treatments may be appropriate. Measure your waist. The fat stored around your waist, sometimes called visceral fat or belly fat, may increase your risk of heart disease and diabetes. Women whose waist measures more than 35 inches (89 cm) and men whose waist measures more than 40 inches (102 cm) may have more health risks than people with smaller waist measurements. Like measuring BMI, your waist circumference should be checked at least once a year. Check for other health problems. If you suffer from health problems, Your doctor will evaluate it. Your doctor will also check for other potential health problems, such as high blood pressure and diabetes. Your doctor may also recommend certain heart tests, such as an electrocardiogram. Blood tests. The tests you undergo depend on your health, risk factors, and any current symptoms you may have. Blood tests may include a cholesterol test, liver function tests, a fasting glucose, thyroid test and others. Gathering all this information helps you and your doctor determine how much weight you need to lose and what health conditions or risks you really have. This will guide treatment decisions.

Treatment

Obesity | Weight Loss Pills | Social Treatment

السمنة احيانا تسبب مشكلة في الحركة وممارسة الروتين اليومي

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The goal of obesity treatment is to reach and maintain a healthy weight. This improves your overall health and reduces the risk of obesity-related complications. You may need to work with a team of health professionals – including a dietitian, behavioral counselor or obesity specialist – to help you understand your eating and activity habits and make changes to them. The primary treatment goal is usually modest weight loss – 5% to 10% of your total weight. This means that if your weight is (91 kg) and you are obese according to the BMI criteria, you will only need to lose about (4.5 to 9 kg).

Until your health begins to improve. However, the more weight you gain, the greater the benefits. All weight-loss programs require changes in your eating habits and an increase in your physical activity. The treatments that are right for you depend on your severity of obesity, your overall health, and your willingness to participate in your weight-loss plan.

Dietary changes

Obesity | Weight Loss Pills | Social Treatment

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Reducing calories and practicing healthy eating habits is vital to overcoming obesity. Although you may lose weight quickly at first, steady weight loss in the long term is considered the safest way to lose weight and the best way to maintain it permanently. Avoid drastic and unrealistic diet changes, such as harsh diets, as they are unlikely to help you shed excess weight in the long term. Plan to participate in a comprehensive weight-loss program for at least six months and in the maintenance phase of the program for at least a year to increase your odds of success in losing weight.

There is no better diet for weight loss. Choose one with healthy foods that you feel will work for you. Dietary changes to treat obesity include:

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Cut calories. The key to losing weight is reducing the number of calories you eat. The first step is to review your usual eating and drinking habits to see how many calories you normally consume and where you can cut back. You and your doctor can determine the number of calories you need to eat each day to lose weight, but a typical amount is 1200 to 1500 calories for women and 1500 to 1800 for men. Feeling full when eating less. Some foods – such as sweets and sweets, contain fats and processed foods

A large amount of calories for a small portion. In contrast, fruits and vegetables provide more portion size with fewer calories. By eating more foods with fewer calories, you reduce hunger pangs, take in fewer calories and feel better about your meal, which contributes to how satisfied you feel overall. Make healthy choices. To make your overall diet healthier, eat more plant-based foods, such as fruits, vegetables, and whole grain carbohydrates.

Also, focus on lean sources – such as beans, lentils, and soybeans – and lean meats. If you like fish, try to include the fish twice a week. Cut back on salt and added sugar. Eat small amounts of fats, and make sure they come from heart-healthy sources, such as olive, canola, and nut oils

Restricting certain foods. Certain diets limit the amount of a specific food group, such as high-carbohydrate or full-fat foods. Ask your doctor which diet plans have found effective and which may be helpful for you. Drinking sugar-sweetened beverages is a surefire way to consume more calories than you intended, and limiting or eliminating these drinks is a good place to start cutting calories. Meal substitutes

These plans suggest swapping one or two meals with their products – such as low-calorie shakes or meal bars – and have healthy snacks and a healthy, balanced third meal low in fat and calories. In the short term, this type of diet can help you lose weight.

Keep in mind that these diets will likely not teach you how to change your lifestyle in general, so you may have to keep up with this if you want to maintain your weight. Be wary of quick fixes. You might be tempted by fad diets that promise quick and easy weight loss. But the truth is, there are no magic foods or quick fixes. Cliched diets may help in the short term, but long-term results do not appear to be better than other diets.

Likewise, you may lose weight on the drastic diet, but you will likely regain it when you stop the diet. To lose weight – and maintain it – you need to follow healthy eating habits that you can maintain over time.

Exercise and activity

Obesity | Weight Loss Pills | Social Treatment

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Increasing physical activity or exercising is an essential part of treating obesity. Most people who are able to maintain their lost weight for more than a year get regular exercise, even just walking.

Boost your activity level

Obesity | Weight Loss Pills | Social Treatment

Playing sports. Obese people need at least 150 minutes of moderate-intensity physical activity a week to prevent weight gain or maintain a modest amount of weight loss. To achieve greater weight loss, you may need to exercise for 300 minutes or more per week. You may need to gradually increase the amount of exercise you get as your endurance and fitness improve.

Keep moving. Although regular aerobic exercise is the most effective way to burn calories and shed excess weight, any extra movement helps burn calories. Making simple changes throughout the day can add up to big benefits. Park your car far from the entrances of shops

Speed ​​up your chores, coordinate your garden yourself, stand up and move around periodically, and wear a pedometer to track how many steps you actually take throughout the day. The recommended sweet goal is to try to reach 10,000 steps per day. Gradually increase the amount of steps to reach this goal.

Lifestyle change and behavior change

Obesity | Weight Loss Pills | Social Treatment

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A behavior modification program can help you make and maintain lifestyle changes and lose weight. Steps to take include examining your current habits to find out what factors, stresses, or situations may have contributed to your obesity. Everyone is different and has different obstacles to managing weight, such as lack of time to exercise or eat late at night. Adapt your behavioral changes to address your individual fears.

Behavior modification, sometimes called behavioral therapy, can include,

Counseling. Talking with a mental health professional can help you address emotional and behavioral problems with eating. Therapy can help you understand the cause of overeating and learn healthy ways to deal with anxiety. You can also learn how to monitor your diet and activity, understand eating triggers, and deal with food cravings. Counseling can be individual or group counseling. More intense programs – those that involve 12 to 26 sessions per year – may be most helpful in achieving your weight-loss goals

Support groups. You can find camaraderie and understanding in support groups where others share similar challenges with obesity. Consult your doctor, local hospitals or commercial weight-loss programs for support groups in your area

Prescription weight-loss medication

Obesity | Weight Loss Pills | Social Treatment

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Losing weight requires eating a healthy diet and getting regular exercise. But in certain cases, prescription weight-loss medications may help. Keep in mind, however, that weight loss medication is meant to be used in conjunction with diet, exercise, and behavior changes, not in place of them. The main purpose of weight loss drugs, also known as anti-obesity drugs, is to help you stick to a low-calorie diet by stopping the hunger and lack of satiety signals that appear when trying to lose weight.

Your doctor may recommend weight-loss medication if other diet and exercise programs haven’t worked and you meet one of the following criteria:

Your body mass index (BMI) is 30 or more if your BMI is greater than 27, and you also have medical complications of obesity, such as diabetes, high blood pressure, or sleep apnea. Before choosing a medication for you, your doctor will look at your health history, as well as the effects. Potential side. Some weight-loss drugs cannot be used by women who are pregnant, or people who take certain medications or have chronic health conditions.

The FDA-approved anti-obesity medications include,

Obesity | Weight Loss Pills | Social Treatment

 

  • Orlistat (Alli, Xenical)
  • Phentermine and topiramate (Qsymia)
  • Bupropion and naltrexone (Contrave)
  • Liraglutide (Saxenda, Victoza)

The most popular sports and activities for adults are:

  • Walking (recreational)
  • Fitness or gym.
  • Running or athletics.
  • swimming.
  • Cycling.
  • Walking and walking sports.
  • Football or soccer.
  • Yoga.

You will need close medical monitoring while taking a prescription weight-loss medication. Also, keep in mind that weight-loss medication may not work for everyone, and its effects may wane over time. When you stop taking weight-loss medication, you may regain much or all of the weight lost.

Endoscopic procedures for weight loss

These types of procedures do not require any incisions in your skin. After you receive the anesthesia, flexible tubes and instruments are inserted through your mouth and down your throat and into your stomach. There are several different types of endoscopic procedures used to lose weight. One procedure involves placing stitches in your stomach to reduce the size and amount of food you can comfortably eat. In another laparoscopic procedure, doctors insert a small balloon into your stomach. The balloon is filled with water to reduce the space in your stomach. This helps you feel full faster. These procedures are usually approved for people with a BMI of 30 or more when diet and exercise alone are not working. The expected weight loss varies between procedures from 5% to 20% of total body weight loss.

Weight loss surgery

 

Obesity | Weight Loss Pills | Social Treatment

Surgical operation for obesity in Egypt | Worldwide

 

Weight-loss surgery, also called bariatric surgery, is an option for some people. Weight-loss surgery limits the amount of food you can comfortably eat, reduces food and calorie absorption, or does both

While weight-loss surgery offers the best chance of losing the most weight, it can also pose serious risks. Weight-loss surgery for obesity may be considered if you have tried other methods of losing weight that have not worked You are obese (BMI 40 or higher) Your BMI ranges from 35 to 39.9, and you also have a serious weight-related health problem, such as diabetes or high blood pressure You are committed to making the lifestyle changes necessary to have surgery that helps surgery Weight loss 

Some people lose up to 35% or more of their excess body weight. But weight-loss surgery isn’t a panacea for obesity. It does not guarantee that you will lose all of the extra weight or that you will maintain it in the long term. Weight-loss success after surgery depends on your commitment to making lifelong changes in your eating and exercise habits.

Common weight-loss surgeries include:

Obesity | Weight Loss Pills | Social Treatment

  • Gastric bypass surgery

In gastric bypass, the surgeon creates a small pouch in the upper part of the stomach. The small intestine is then cut a short distance below the main stomach and connected to the new pocket. Food and liquid flow directly from the pocket into this part of the intestine, bypassing most of your stomach.

  • Gastric bypass surgery.In gastric bypass (Roux-en-Y gastric bypass), the surgeon creates a small pouch at the top of your stomach. The small intestine is then cut a short distance below the main stomach and connected to the new pouch. Food and liquid flow directly from the pouch into this part of the intestine, bypassing most of your stomach.
  • Adjustable gastric banding.In this procedure, your stomach is separated into two pouches with an inflatable band. Pulling the band tight, like a belt, the surgeon creates a tiny channel between the two pouches. The band keeps the opening from expanding and is generally designed to stay in place permanently.
  • Biliopancreatic diversion with duodenal switch.This procedure begins with the surgeon removing a large part of the stomach. The surgeon leaves the valve that releases food to the small intestine and the first part of the small intestine (duodenum). Then the surgeon closes off the middle section of the intestine and attaches the last part directly to the duodenum. The separated section of the intestine is reattached to the end of the intestine to allow bile and digestive juices to flow into this part of the intestine.
  • Gastric sleeve.In this procedure, part of the stomach is removed, creating a smaller reservoir for food. It’s a less complicated surgery than gastric bypass or biliopancreatic diversion with duodenal switch.

Other treatments

Vagal nerve blockade is another treatment for obesity. It involves implanting a device under the skin of the abdomen that sends intermittent electrical pulses to the abdominal vagus nerve, which tells the brain when the stomach feels empty or full. This new technology received FDA approval in 2014 for use by adults who have not been able to lose weight with a weight-loss program and who have a BMI of 35 to 45 with at least one obesity-related condition, such as type 2 diabetes.

Preventing weight regain after obesity treatment

Unfortunately, it’s common to regain weight no matter what obesity treatment methods you try. If you take weight-loss medications, you’ll probably regain weight when you stop taking them. You might even regain weight after weight-loss surgery if you continue to overeat or overindulge in high-calorie foods or high-calorie beverages.

One of the best ways to prevent regaining the weight you’ve lost is to get regular physical activity. Aim for 45 to 60 minutes a day.

Keep track of your physical activity if it helps you stay motivated and on course. As you lose weight and gain better health, talk to your doctor about what additional activities you might be able to do and, if appropriate, how to give your activity and exercise a boost.

You may always have to remain vigilant about your weight. Combining a healthier diet and more activity in a practical and sustainable manner is the best way to keep the weight you lost off for the long term.

Take your weight loss and weight maintenance one day at a time and surround yourself with supportive resources to help ensure your success. Find a healthier way of living that you can stick with for the long term.

Lifestyle and home remedies

Obesity | Weight Loss Pills | Social Treatment

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Your effort to overcome obesity is more likely to be successful if you follow strategies at home in addition to your formal treatment plan. These can include:

  • Learning about your condition.Education about obesity can help you learn more about why you developed obesity and what you can do about it. You may feel more empowered to take control and stick to your treatment plan. Read reputable self-help books and consider talking about them with your doctor or therapist.
  • Setting realistic goals.When you have to lose a significant amount of weight, you may set goals that are unrealistic, such as trying to lose too much too fast. Don’t set yourself up for failure. Set daily or weekly goals for exercise and weight loss. Make small changes in your diet instead of attempting drastic changes that you’re not likely to stick with for the long haul.
  • Sticking to your treatment plan.Changing a lifestyle you may have lived with for many years can be difficult. Be honest with your doctor, therapist or other health care professionals if you find your activity or eating goals slipping. You can work together to come up with new ideas or new approaches.
  • Enlisting support.Get your family and friends on board with your weight-loss goals. Surround yourself with people who will support you and help you, not sabotage your efforts. Make sure they understand how important weight loss is to your health. You might also want to join a weight-loss support group.
  • Keeping a record.Keep a food and activity log. This record can help you remain accountable for your eating and exercise habits. You can discover behavior that may be holding you back and, conversely, what works well for you. You can also use your log to track other important health parameters such as blood pressure and cholesterol levels and overall fitness.
  • Identifying and avoiding food triggers.Distract yourself from your desire to eat with something positive, such as calling a friend. Practice saying no to unhealthy foods and big portions. Eat when you’re actually hungry — not simply when the clock says it’s time to eat.
  • Taking your medications as directed.If you take weight-loss medications or medications to treat obesity-related conditions, such as high blood pressure or diabetes, take them exactly as prescribed. If you have a problem sticking with your medication regimen or have unpleasant side effects, talk to your doctor.

Alternative medicine

Numerous dietary supplements that promise to help you shed weight quickly are available. The effectiveness, particularly the long-term effectiveness, and safety of these products are often questionable.

Herbal remedies, vitamins and minerals, all considered dietary supplements by the Food and Drug Administration, don’t have the same rigorous testing and labeling process as over-the-counter and prescription medications do.

Yet some of these substances, including products labeled as “natural,” have drug-like effects that can be dangerous. Even some vitamins and minerals can cause problems when taken in excessive amounts. Ingredients may not be standard, and they can cause unpredictable and harmful side effects. Dietary supplements can also cause dangerous interactions with prescription medications you take. Talk to your doctor before taking any dietary supplements.

Mind-body therapies — such as acupuncture, mindfulness meditation and yoga — may complement other obesity treatments. However, these therapies generally haven’t been well studied in the treatment of weight loss. Talk to your doctor if you’re interested in adding a mind-body therapy to your treatment.

Coping and support

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Talk to your doctor or therapist about improving your coping skills and consider these tips to cope with obesity and your weight-loss efforts:

  • Write in a journal to express pain, anger, fear or other emotions.
  • Don’t become isolated. Try to participate in regular activities and get together with family or friends periodically.
  • Join a support group so that you can connect with others facing similar challenges.
  • Stay focused on your goals. Overcoming obesity is an ongoing process. Stay motivated by keeping your goals in mind. Remind yourself that you’re responsible for managing your condition and working toward your goals.
  • Learn relaxation and stress management. Learning to recognize stress and developing stress management and relaxation skills can help you gain control of unhealthy eating habits.

Preparing for your appointment

Talking to your doctor openly and honestly about your weight concerns is one of the best things you can do for your health. In some cases, you may be referred to an obesity specialist — if one is available in your area. You may also be referred to a behavioral counselor, dietitian or nutrition specialist.

What you can do

Being an active participant in your care is important. One way to do this is by preparing for your appointment. Think about your needs and goals for treatment. Also, write down a list of questions to ask. These questions may include:

  • What eating or activity habits are likely contributing to my health concerns and weight gain?
  • What can I do about the challenges I face in managing my weight?
  • Do I have other health problems that are caused by obesity?
  • Should I see a dietitian?
  • Should I see a behavioral counselor with expertise in weight management?
  • What are the treatment options for obesity and my other health problems?
  • Is weight-loss intervention an option for me?

Be sure to let your doctor know about any medical conditions you have and about any prescription or over-the-counter medications, vitamins or supplements that you take.

What to expect from your doctor

During your appointment, your doctor is likely to ask you a number of questions about your weight, eating, activity, mood and thoughts, and any symptoms you might have. You may be asked such questions as:

  • How much did you weigh in high school?
  • What life events may have been associated with weight gain?
  • What and how much do you eat in a typical day?
  • How much activity do you get in a typical day?
  • During what periods of your life did you gain weight?
  • What are the factors that you believe affect your weight?
  • How is your daily life affected by your weight?
  • What diets or treatments have you tried to lose weight?
  • What are your weight-loss goals?
  • Are you ready to make changes in your lifestyle to lose weight?
  • What do you think might prevent you from losing weight?

What you can do in the meantime

If you have time before your scheduled appointment, you can help prepare for the appointment by keeping a diet diary for two weeks prior to the appointment and by recording how many steps you take in a day by using a step counter (pedometer).

You can also begin to make choices that will help you start to lose weight, including:

  • Making healthy changes in your diet.Include more fruits, vegetables and whole grains in your diet. Begin to reduce portion sizes.
  • Increasing your activity level.Try to get up and move around your home more frequently. Start gradually if you aren’t in good shape or aren’t used to exercising. Even a 10-minute daily walk can help. If you have any health conditions or are over a certain age — over 40 for men and over 50 for women — wait until you’ve talked to your doctor before you start a new exercise program.
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