Who is obese Research points to differences in appetite control and energy expenditure. It is important for obese people not to hold themselves responsible for their condition. Many people are tempted by ads that use celebrities to tout liquid fasting diets for weight loss. Ads claim quick and easy weight loss with use of such products. Very obese patients may be referred to these types of diets. Their diets are carefully supervised by their healthcare provider. 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. Medically supervised fasts are very low calorie diets which provide from 400 to 800 calories per day. While most of these diets are low in calories, the protein provision is very high. The purpose of these diets is to promote fat loss, not muscle loss. The high protein content helps prevent large losses of muscle tissue. Electrolytes, vitamins and minerals are also supplemented. Proper use of these diets requires close monitoring and follow-up. To promote lasting weight loss, lifestyle changes must be made by the dieter while on the fast. To achieve lasting weight loss, commitment must be given to making real changes in eating patterns. Individuals are who not committed will gain back their weight. Binge eating can be triggered by many things such as stress, depression, loneliness or anger. Food is used as a way of dealing with issues other than hunger. 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 or overfat? Many people may actually be overfat but not overweight. Fat can also be hidden throughout the body. A person may be overfat without the appearance of being overweight. As we age, muscle tissue is replaced with fat. This occurs despite regular exercise. Studies show that a 20 percent increase in body weight increases the risk for heart disease, high blood pressure and diabetes. Body composition describes the percentages of fat, muscle and bone in your body. Many experts think men's bodies should be between 12 to 18 percent fat, while women's should be 18 to 22 percent fat. The risk of developing weight associated medical problems increases if the majority of body fat is located in the abdominal area. This risk decreases if body fat is primarily located in the hips, buttock and thigh region.
What are diet drugs? The most recent drug in the fight against obesity is Xenical. A new class of non-systemic anti-obesity drug called lipase inhibitors which act in the gastrointestinal tract to prevent the absorption of fat by about 30 percent. Drugs in this class do not achieve their effect through brain chemistry or central nervous system stimulation. In other words, Xenical is not an appetite suppressant or metabolic inducer. Brand names of the most effective prescription diet medications on the market today are: Phentermine, Adipex-P, Fastin, Ionamin, Bontril, Plegine, Tenuate, Xenical. People respond differently to appetite suppressant medications, and some people experience more weight loss than others. Some obese patients using medication lose more than 10 percent of their starting body weight- an amount of weight loss that may reduce risk factors for obesity - related diseases, such as high blood pressure or diabetes. Over the short term, weight loss in obese individuals may reduce a number of health risks. Studies looking at the effects of appetite suppressant medication treatment on obesity-related health risks have found that some agents lower blood pressure, blood cholesterol, triglycerides (fats) and decrease insulin resistance (the body's inability to use blood sugar) over the short term. Long-term studies are currently being done to determine if weight loss from appetite suppressant medications can improve health. Obesity often is viewed as the result of a lack of willpower, weakness, or a lifestyle "choice" - the choice to overeat and under exercise. The belief that persons choose to be obese adds to the hesitation of health professionals and patients to accept the use of long-term appetite suppressant medication treatment to manage obesity. 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.
Terms and definitions on this pageFDA
- 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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