Obesity In Children
Diagnosis And Treatment Of Obesity
Weight Gain Due To Depression
• Safiye TAŞ, RD
• Gamze GÜLTEKİN, RD
DIAGNOSIS AND TREATMENT OF OBESITY
Persons desiring to lose weight should consult to an endocrinologist firstly. Factors resulting in obesity such as hormonal problems and eating behaviour disorder should be determined and the customized loss of weight program should be applied. The chance of healthy loss of weight will reduce if firstly a dietitian is consulted.
What is the purpose of obesity therapy?
• Obesity therapy has 3 purposes:
• Losing weight
• Protecting the weight achieved
• Preventing to gain weight.
As it is seen the primary aim is to lose weight. However, since most of obese persons gain weight after a while, not gaining the weight lost is as significant as losing weight.
It was found out in a questionnaire conducted to obese persons achieving to lose weight that these people did exercise, ate less (1400 calories and below) stopped eating sugar and desserts, consumed less fat and more vegetable and fruit. Then, the most significant factors to lose weight are low calorie nutrition, doing exercises, avoiding sugar and desserts.
How much weight should be lost? Is there a criterion for it?
The initial target of losing weight is to lose weight in the rate of 10-15% of body weight of the person within 6-12 months. 500-1000 calorie reduction in a diet will enable the person to lose 0,51 kg in a week.
In this case, the target should be losing 1 kg in a week and 4 kg in a month. After you reach to the ideal weight, the next target is to maintain this weight and not to gain weight again.
Most of persons attending the therapy program lose 10% weight soon however, 2/3 of them generally gain weight in a year and almost all of them gain weight again in 5 years. The reason of it is that obesity therapy is not a therapy eliminating the obesity definitely. When the therapy is stopped, the person will gain weight (exercise and diet is stopped) again. For this reason, diet and exercise should be adopted as the life style and sustained lifelong.
What’s the benefit of losing weight for health?
An obese person extends his life by losing weight and also reduces the risk of getting ill.
These risks reduce more than 20% by losing 10 kg. It is also known that systole drops 1 cmHg and diastole drops 2 cmHg. Systole and diastole drops 0,1 mmHg with 1 kg each lost.
Losing 10 kg in diabetes patients provides reduction at the rate of 50% in pre-prandial blood glucose.
2,25 mg/dl drop is observed in total cholesterol level and 0,91 mg/dl drop in bad cholesterol called as “LDLcholesterol” and 1,54 mg/dl drop is observed in fat type called as “triglyceride” by losing 1 kg.
When losing weight, proteins leading to inflammation called as “creative protein (CRP)” increasing the risk of cardiac disease and proteins leading to cardiac attack by increasing coagulation decrease significantly.
As it is understood, losing weight healthily extends the life of person, improves blood pressure, lowers high blood fats and sugar. For this reason, showing effort to lose weight by healthy nutrition and doing sport is of vital significance.
Does gaining/losing weight frequently damage the body?
After losing weight by diet or exercise, you may gain more weight in time. While there are scientific studies indicating that it is harmful for the body, there are also studies showing that it has no effect. In addition to this, frequent losing/gaining weight- it is called as “yoyo syndrome” may result in deterioration of some hormones, minerals in the body and even affect the cardiac rhythm and may be harmful. For this reason, we should avoid losing/gaining weight excessively. The ideal one is to maintain the weight after losing weight. Healthy nutrition and sports should be a part of daily life for it.