Obesity isn’t just a cosmetic problem;
it’s very much a health problem as well. You may be reading this today
because you are, or have been, very unhappy about your physical appearance.
However, losing weight isn’t just about looking good, it is about
feeling good; it’s about being healthy and living a productive and
comfortable life. Above all, it is about avoiding the terrible health consequences
of carrying around excessive weight.
The growing evidence shows that if you are overweight you are more likely
to develop health problems, such as heart disease, stroke, diabetes, certain
types of cancer, gout (joint pain caused by excess uric acid), and gallbladder
disease. Being overweight can also cause problems such as sleep apnoea (interrupted
breathing during sleep) and osteoarthritis (wearing away of the joints);
and the more overweight you are, the more likely you are to have these health
problems.
In comparison, healthy and steady weight loss can help improve the harmful
effects of being overweight. The latest studies show that by losing as little
as 10 to 20 pounds you can dramatically improve your overall health status,
whilst significantly diminishing your risk of disease.
The Risks To Your Health
Heart Disease and Stroke
Heart disease and stroke are the leading causes of death and disability
for both men and women in the Western World. Overweight people are more
likely to have high blood pressure, a major risk factor for heart disease
and stroke, than people who are not overweight. Very high blood levels of
cholesterol and triglycerides (blood fats) can also lead to heart disease
and often are linked to obesity. Being overweight also contributes to angina
(chest pain caused by decreased oxygen to the heart) and sudden death from
heart disease or stroke without any signs or symptoms.
The good news is that losing a small amount of weight can reduce your chances
of developing heart disease or a stroke.
Reducing your weight by 10 percent can decrease your risk of developing
heart disease by improving how your heart works, reducing your blood pressure,
and reducing the levels of blood cholesterol and triglycerides.
Diabetes
Noninsulin-dependent diabetes mellitus (type 2 diabetes) is the most common
type of diabetes in the Western World. Type 2 diabetes reduces your body's
ability to control blood sugar. It is a major cause of early death, heart
disease, kidney disease, stroke, and blindness.
Statistically, overweight people are twice as likely to develop type 2 diabetes
as people who are not overweight.
You can reduce your risk of developing this type of diabetes by both losing
weight and by increasing your physical activity.
Furthermore, if you have type 2 diabetes, losing weight and becoming more
physically active can help control your blood sugar levels. If you use medicine
to control your blood sugar, weight loss and physical activity may make
it possible for your family doctor to decrease the amount of medication
you need.
Cancer
Several types of cancer are associated with obesity. In women, these include
cancer of the uterus, gallbladder, cervix, ovary, breast, and colon. Overweight
men are at greater risk of developing cancer of the colon, rectum, and prostate.
For some types of cancer, such as colon or breast, it is not clear whether
the increased risk is due to the extra weight or to a high-fat and high-calorie
diet, this, of course, being strongly associated with weight problems as
a consequence.
Sleep Apnoea
Sleep apnoea is a serious condition that is closely associated with being
overweight. The apnoea can cause a person to stop breathing for short periods
during sleep and to snore heavily. As a further consequence, there may be
daytime sleepiness and in extreme cases the onset of symptoms of heart failure.
The risk for sleep apnoea increases with higher body weights. Yet again,
weight loss ultimately reverses this risk.
Osteoarthritis
Osteoarthritis is a common joint disorder that most often affects the joints
in your knees, hips, and lower back.
Extra weight appears to increase the risk of osteoarthritis by placing extra
pressure on these joints and wearing away the cartilage (tissue that cushions
the joints) that normally protects them. Weight loss can decrease stress
on the knees, hips, and lower back and may improve the symptoms of osteoarthritis.
Gout
Gout is a joint disease caused by high levels of uric acid in the blood.
Uric acid sometimes forms into solid stone or crystal masses that become
deposited in the joints. Gout is more common in overweight people and the
risk of developing the disorder increases in parallel with higher body weights.
Gallbladder Disease
Gallbladder disease and gallstones are more common if you are overweight,
and your risk of the disease increases as your weight increases. It is not
clear how being overweight may cause gallbladder disease but the association
may be a consequence of changes in fat and cholesterol handling by the body
leading to supersaturation of bile.
Lowering Your Health Risks
If you are overweight, losing as little as 5 to 10 percent of your body
weight may improve many of the problems linked to being overweight, such
as high blood pressure and diabetes. For example, if you weigh 200 pounds
and are considered overweight on the weight-for-height chart, you would
need to lose 10 to 20 pounds. Even a small weight loss can improve your
health.
Slow and steady weight loss of no more than 1 pound per week is the safest
way to lose weight. Very rapid weight loss can cause you to lose muscle
rather than fat. Rapid weight loss also increases your risk of developing
other problems, such as gallstones, gout, and nutrient deficiencies.
Making long-term changes in your eating and physical activity habits is
the best way to lose weight and keep it off over time.
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