FAQS
WHAT IS OBESITY?
In general, overweight and obesity serve as indicators for weights greater than what is considered
healthy. While a certain amount of body fat is necessary for storing energy, heat insulation, shock absorption, and other functions, obesity is a chronic condition in which the body stores an amount of excess energy in the form of fat. You are considered obese if you weigh 20% or more over your ideal body weight or have a body mass index (BMI) of 30 or more. Using the metric system, the body mass index (BMI) equals a person’s weight divided by their height squared. For the English system, multiply 703 at the end. Since BMI describes body weight relative to height, it is able to illustrate the total body fat content in adults. A person with a BMI of 18.5-24.9 has a normal weight. A person is morbidly obese if his or her BMI is over 40. Obesity is also categorized by different classes of severity:
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Class 1: BMI of 30 to <35
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Class 2: BMI of 35 to <40
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Class 3: BMI of 40 or higher
WHAT IS THE DIFFERENCE BETWEEN BEING OBESE VERSUS BEING OVERWEIGHT?
While both indicate an unhealthy amount of extra fat, being obese generally means having a much higher amount of body fat than being overweight. According to the BMI scale, an adult who has a BMI of 25-29.9 is overweight, while an adult who has a BMI over 30 is obese.
WHAT CAUSES OBESITY?
According to medicine.net, a few of the most common causes of obesity is:
Physical inactivity
People who live a sedentary lifestyle burn fewer calories than people who are active. The National Health and Nutrition Examination Survey (NHANES) showed a strong relationship between physical inactivity and weight gain in both sexes.
Overeating
Overeating is another common factor that leads to weight gain, especially if the diet is high in fat. Foods high in fat or sugar, such as fast food, have high energy density. High energy density foods are foods that have a lot of calories in a small amount of food. Furthermore, epidemiologic studies have shown that diets high in fat contribute to weight gain.
Genetics
A person is more likely to develop obesity if one or both parents are obese and, in addition, genetics also affect hormones involved in fat regulation. One genetic obesity cause is leptin deficiency. Leptin is a hormone produced in fat cells and in the placenta. Leptin controls weight by signaling the brain to eat less when body fat stores are too high. If the body starts to lack in producing leptin or leptin cannot signal the brain to eat less, this regulation becomes hard and obesity occurs.
A diet high in simple carbohydrates
Carbohydrates increase blood glucose levels, which stimulate insulin release by the pancreas. Then, insulin promotes the growth of fat tissue and can cause weight gain. Some scientists believe that simple carbohydrates such as sugars, desserts, soft drinks, beer, etc. contribute to weight gain because they are more easily and rapidly absorbed into the bloodstream than complex carbohydrates such as pasta, brown rice, grains, vegetables, raw fruits, etc. This causes a more pronounced insulin release after meals with simple carbohydrates than complex carbohydrates; some scientists believe this higher insulin release contributes to weight gain.
Frequency of eating
Although, the relationship between how often you eat and weight is somewhat controversial. There are many reports of overweight people eating less frequently than people who have a normal weight. Scientists have observed that people who eat small meals four or five times daily have lower cholesterol levels and lower and/or more stable blood sugar levels than people who eat large meals but less frequently. One possible explanation is that small frequent meals produce more stable insulin levels, while large meals lead to large spikes of insulin after meals.
Medications
Medications such as antidepressants, anticonvulsants, high blood pressure medications, antihistamines, diabetes medications, certain hormones such as oral contraceptives, and most corticosteroids such as prednisone have been associated with weight gain. However, the reason for gaining weight differs for each medication. If this is a concern for you, you should discuss with your physician about your medications rather than discontinuing the medication due to the possibility of having serious effects.
Psychological factors
For some people, eating habits are influenced by emotions. Many people eat excessively in response to emotions such as boredom, sadness, stress, or anger. Although most overweight people do not experience much more psychological disturbances than normal weight people, about 30% of the people who seek treatment for serious weight problems struggle with binge eating.
Diseases
There are diseases that also lead to obesity. Diseases such as insulin resistance, polycystic ovary syndrome, and Cushing's syndrome are also contributors to obesity.
Social issues
As for social issues, there is a link between it and obesity. For example, a lack of money to purchase healthy foods or a lack of safe places to exercise can also increase the risk of obesity.
WHAT ARE COMMON HEALTH PROBLEMS LINKED WITH OBESITY?
Some health problems that are strongly correlated with obesity include high blood pressure and high cholesterol, heart disease and stroke, gastroesophageal reflux disease (GERD), arthritis, sleep apnea, type 2 diabetes, cancers, anxiety, and depression.
WHAT SHOULD I DO IF I AM OBESE OR OVERWEIGHT?
It is recommended that you speak to your doctor to determine a weight loss program that is
ideal for you. Research shows that a weight loss program should include three components to be successful:
Diet
You can start a healthy diet to limit unhealthy eating. Your doctor can also refer you to a professional dietitian if you need help with planning your diet. A consistent weight loss of about one pound a week is the safest way to lose weight.
Exercise
Regular exercise such as fast walking, running, swimming, biking, and dancing. The amount of exercise needed to lose weight is different for everyone, talking to your healthcare professional or finding a trainer can help you build a suitable exercise regime for you.
Behavior modification techniques
Behavior modification techniques such as keeping a food diary of everything you eat, shopping from a list and not shopping when you're hungry, or taking a different route if you usually pass by a tempting fast food place are all great ways to help you prevent yourself from overeating. You can develop your own techniques that help you change your habits and limit excessive eating.
All in all, if you have been unable to lose weight or keep it off with diet, exercise, and behavior
changes, weight-loss medications or gastrointestinal surgery may be options open to you. Consult with your doctor to decide what the best plan would be to help you.
HOW DOES OBESITY AFFECT MENTAL HEALTH?
Being obese takes a toll on the patient’s mental health as there is a stigma around people that are obese. The obesity stigma is correlated with a number of significant physiological and psychological consequences, such as lower self-esteem, anxiety, and increased depression. This can also lead to eating disorders, avoidance of exercise, and avoidance of medical care. The obesity stigma impacts children very much as it has been recorded that children who are obese experience bullying at a higher rate of 63%.
HOW DOES OBESITY AFFECT PREGNANCY?
Pregnant women with obesity face an increased risk of maternal death and complications during pregnancy and labor. Obesity is also associated with an increased risk of almost all pregnancy complications, such as gestational hypertension, preeclampsia, gestational diabetes mellitus, and a higher incidence of congenital defects. These complications all occur more frequently in obese mothers than in mothers with a normal BMI.
ARE THERE MEDICATIONS FOR OBESITY?
While exercising and eating healthy are the most suggested ways for losing weight and defeating
obesity, there still are over-the-counter and prescription medications that are available and are FDA-approved. However, if medication is in your interest, it is best to speak with your healthcare provider about which plan may be the best for you.
WHEN IS SURGERY AN OPTION?
Surgery is usually the last resort and may become an option if your BMI is 35 or higher and you have other risk factors, or when your BMI is 40 or higher with no risk factors. Your medical history and your attempts to lose weight are also taken into consideration when deciding if surgery is the right option. Please consult with your doctor if you believe surgery is an option you are looking into.
WHAT IS THE RELATIONSHIP BETWEEN OBESITY AND COVID-19?
There are a number of risks linked with obesity and the COVID-19 pandemic:
Having obesity increases the risk of severe illness from COVID-19; people who are overweight may also be at increased risk.
A COVID-19 infection may triple the risk of hospitalization if the patient is obese.
Obesity is linked to impaired immune function and weaker immunity, causing COVID-19 to be more susceptible.
Obesity decreases lung capacity and reserve and can make ventilation more difficult, leading to COVID-19 symptoms worsening.
A study of COVID-19 cases suggests that risks of hospitalization, intensive care unit admission, invasive mechanical ventilation, and death are higher with an increasing BMI.
The increased risk for hospitalization or death was particularly pronounced in those under age 65.