Not everyone is thin! There are people with tendency or rare genetic disorders associated obesity (example: mutation in the leptin or its receptors) and can not be much if there is unrestricted caloric availability and little discipline food. The truth is that without excessive calories these "susceptible" people not fatten. Not everyone is a film outfit, we have the body that God gave us and is our best tool and our object of the greatest respect, simply because we don't have another!
Many patients with overweight or obese do not accept your problem, do not accept the fact that ingest more calories that consumed every day and blame their problem to a slow metabolism or an unusually effective calorie absorption (much of this one doctor told them is a) (both ignorant or complacent). Holding as a fact the absence of diseases that cause obesity (and few), the majority of obese persons should consider the following premises:
- Anyone grow-out when he eats more calories than manages to spend with their daily activities.
- The obese patient usually denies exaggerated intake of calories in your daily diet.
- The obese patient ingests food portions larger or more frequently than a thin patient.
- The obese patient assimilates food just like a thin person, forget about this myth.
- The obese patient spends more energy at rest than a thin person, in a nutshell metabolism is much faster since it has to breathe a greater amount of tissue. Is not slower, as he has been suggested, unless there is a medical condition such as hypothyroidism
- It is easier to earn calories to spend them: in 3 minutes you can eat a bar of chocolate imported American (Sneaker, 280 calories) but its going to take 60-90 minutes of fast walking to spend them; 30 minutes to remove a packet of crackers (70 calories). Now you understand why it is so difficult to lose weight?
Exercise & your weight
Exercise work miracles in your body, although it may be disappointing for someone in search of your ideal weight. Physical activity can be frustrating since you are unable to lower the weight as one expected it judging by the fatigue that can generate a seemingly intense session. The fact is, that in our world is more easy to earn calories that burn them since the food we consume have high caloric density.
(GI) glycemic index
Carbohydrates, besides providing an important part of daily calories have greater or lesser impact by stimulating insulin secretion. This is an important concept because a quick and high secretion of insulin, stimulated by a rapid elevation of plasma glucose levels, is associated with immediate accumulation of body fat, hypoglycemia of rebound and hungry a few hours after having eaten. Furthermore, it is known as the food you high IG encourage the occurrence of Diabetes, cancer, Overweight/obesity and cardiovascular disease.
The classification is: IG low: 0-55, medium IG: 56-69 and high IG: 70 to 115.
In this list you can get an idea of the various IG of many foods. If you want more information you can visit montignac.com (Spanish)
(CG) glycemic load
Since the IG does not consider the amount of carbohydrates in foods, only its behavior on the plasma levels of glucose, developed the concept of the CG of the food. A small amount of high GI foods can that not raise significantly the plasma glucose so its load Glycemic would be low and in general terms would not affect the health of being consumed in reasonable amounts.
The classification is: CG low: 0-10, CG Media: 11-19, CG high: 20 or greater.
Lose weight with intelligence and by yourself
- Calculates your body mass to know what grade index of overweight have.
- Calculate your daily spending of energy according to the below formula.
- Search result "Calories to lose weight" (write down that number, 'x').
- Search on the Internet "'x' diets calories".
Plan your daily diet with those calories with the endless options that will be offered to you. You could plan your diet. I offer this list of calories for food to give you extra support.
To further refine your nutritional health you can search the index glycaemic (GI) of selected foods, favors low and medium IG. Also, if you want to be even more specific can find foods low glycemic load. It seems very complicated, but really you just look low index foods and load and add your calories, that's all.
Every 1-2 months to get a new calculation since losing weight your daily caloric consumption will decrease, so you must adjust also your daily intake.
Note: This is only a reference to give you an idea of how achieved weight loss logically, works, I use it.
Drug solutions
The drugs help lower appetite or lose intestinal fat without exposing their health to serious side effects. There are various families of medications that help you lose weight. No use in cases of severe obesity and its effectiveness depends on diet and physical activity an adjuvant
Antidepressants: some of these drugs showed, by chance, a better effect to contain the appetite that as antidepressants. The best known generic name is sibutramine and taken in the morning helps contain voracious appetite which takes place towards the end of the afternoon. There are side effects that must be considered. Never self-medicate.
Enzyme inhibitors: orlistat, inhibits intestinal enzymes that digest fats to allow its intestinal absorption. Helps eliminate excess fats in foods but it is partially useful since in principle the person affected should not ingest as much fat and use orlistat as an excuse to evacuate it. If the diet contains much fat an unpleasant and explosive diarrhea is generated by effects of the medication and if do not eat anything fat since it is not for nothing since to no effect. The most apparent therapeutic effect of orlistat is that the patient learns to eat with less fat to prevent the digestive effects of medication, this way reducing their caloric intake and lose weight.
Invasive non-surgical solutions
Gastric balloon: an inflatable balloon is inserted inside the stomach for a period of 6 months. This creates sensation of fullness with small amounts of food intake so that it forces to reduce your daily caloric intake. It is relatively effective in mild to moderate cases. In severe cases with medical conditions you can use to make the patient lose weight and improve their health conditions in preparation for a subsequent surgery with less potential for complications.
Surgical solutions
They represent radical procedures to lose weight. Described in obese and very obese patients who have not responded to multiple schemes and that it "have tried everything" but always end up relapsing, typically, at worst levels of obesity. They are highly effective but not exempt of risks, fully justified risks due to health problems that brings about intractable obesity.
There are 3 types of intervention, via laparoscopic: gastric band, gastric bypass and gastric sleeve.
Which one is the best solution for obesity? Check any Bariatric Surgery specialist to design you your best option.
Psychological support
The "mentality of fat", that encourages people to eat too much and have hope that once a diet and discarded kilos you can go back to eating "with better control". Psychological support exposes reality and creates new healthy food patterns. It seeks to prevent, especially that person falls on the abundant intake and violates the benefits of the scheme used to control weight, mainly if it is surgery for obesity. One of the most important goals of the therapy is to make understanding the patient that portions ate were really much larger of what should and that your daily caloric intake exceeded the reasonable limits of a proper diet.
Nutritional support
Assessment and nutritional guidance does not require explanation. This must be done by recognized specialists.
Multidisciplinary management of obesity
Obesity is a complex disease therefore requires a management "comprehensive" which include many of the edges that give origin. A well integrated and trained health team offers the best solution to the problem, many non-coordinated specialists generates conflicts of criterion and can be counterproductive.
Can you be overweight and healthy?
Many obese people, especially if they are young, can be perfectly healthy, at least in appearance, from the points of view of physical and laboratory (do not have diseases or obvious alterations of laboratory). Only the fact of having high BMI decreases the time of comfortable that indeed there is the healthy obese, but it is an issue to be considered when there is denial regarding the adverse effects of being overweight.
This is a temporary state that leads to decreased life expectancy and increased mortality, surgical complications if measures to control the body weight is not taken.
Fakers
Grace causes the number of cures that offers television by cable, the infomercials and Sunday magazines ads free. And how they sell! As they prey on unwary thirsting for miracles without effort, discipline, or reality. The sellers know that and exploit this weakness in their prey, their money and leave them a growing frustration and a hole in their bank accounts. Few are saved from falling into at least one of these traps: is human nature to want to believe in quick and miraculous outputs for severe problems. However, be careful, because some of these quick fixes may create more problems for which you already have; irremediable consequences.
Is obesity a chronic and thus incurable illness?
We believe that it is chronic in function that is present for years but is not incurable (such as chronic conditions) and can be treated and prevented. Obesity per is it is not a disease but leads to diseases, it can be a "healthy fat" for a while until it ceases to be healthy. Body fat is not the cause of complications, is visceral fat that surrounds the organs that leads to problems.
Cardiometabolic risk factors
Factors associated with future diseases: Diabetes and heart disease (and any type of cancer?)
- High blood pressure
- Hyperglycemia
- High triglycerides
- High cholesterol
- HDL-cholesterol low
- Abdominal obesity
- Smoking
- Sedentary lifestyle
(REV 3/2015)
Obesity, 2017 review article
Diet appropriate according to the guidelines dietary of United States 2015-2020 (from the original, in English).