4. Symptoms Of Obesity Difficulty sleeping Snoring Sleep apnea Pain in your back or joints Excessive sweating Always feeling hot Rashes or infection in folds of your skin Shortness of breath Daytime sleepiness or fatigue Depression
5. Causes Inactivity Unhealthy diet and eating habits Pregnancy Lack of sleep Certain medications IE: antidepressants, anti-seizure, diabetes, and antipsychotic medications Steroids and beta blockers
6. Causes Continued… Medical problems IE: Prader-Willi syndrome, Cushing’s syndrome, polycystic ovary syndrome , and other diseases and conditions
7. Risk FactorsFactors that may increase your risk of obesity include: Genetics Family history Age Quitting smoking Social and economic issues If you have any of these risk factors, it does not mean you will become obese.
8. Complications Of ObesityPotentially serious health problems may develop, including: Blood (fat) lipid abnormalities Cancers, including uterine, cervical, ovarian, breast, colon, rectal, and prostate Depression Gallbladder disease Gynecological problems Infertility and irregular periods Heart disease High blood pressure
10. Quality Of LifeIssues that affect your quality of life include: Depression Disability Physical discomfort Sexual problems Shame Social isolation
11. When To See The Doctor If you have any symptoms associated with obesity like the examples in the slideshow, see your doctor or health care provider. Questions you may want to ask your doctor: What can I do to help myself? Is weight-loss surgery an option for me? What other health problems might I have? Do you recommend dieting? What diets work the best?
12. What You Might Expect From Your Doctor Your doctor may ask you questions about your eating, activity, mood and thoughts, and any symptoms you may have. Such as: What do you eat in a typical day? How big are your portions? What is your typical day like? Are you active? How is your mood affected by your weight? What have you tried so far to lose weight? What are your weight-loss goals? Are you ready to make changes in your lifestyle?
13. Tests And Diagnosis Your doctor will probably suggest having some tests done which may include: Taking your health history Assessing other health problems Calculating your BMI Measuring your waist circumference A general physical exam Laboratory tests Complete blood count (CBC), cholesterol, liver function, fasting glucose, thyroid, and others depending on your health situation
14. Treatments And Drugs You may need the help of health professionals to help you along the way such as: Nutritionist, dietitian, therapist, or an obesity specialist Treatment methods include: Dietary changes Exercise and activity Behavior change Prescription weight-loss medications Weight-loss surgery
15. Treatment And Drugs Continued… Dietary Changes Reducing your calorie intake Typical amount is 1,000 to 1,600 calories Feeling full on less Adopting a healthy eating plan Following a very low calorie liquid diet if medically recommended Meal replacements Don’t buy into the quick fixes
16. Treatments And Drugs Continued… Increased Activity Exercise Increase your daily activity Park further away from store entrances, rev up your household chores, garden, get up and move periodically, and/or wear a pedometer Behavior changes Counseling Support groups
17. Treatments And Drugs Continued… Prescription weight-loss medication These are designed to work with diet, exercise, and behavior changes, not instead of them. Your doctor may recommend a weight-loss medication if: Other methods of weight-loss haven’t worked for you If your BMI is greater then 27 and you also have complications of obesity such as diabetes, high blood pressure, or sleep apnea. Olistat (xenical) is a type weight-loss medication used
19. Treatments And Drugs Continued… Weight-loss surgery Gastric bypass surgery Laparoscopic adjustable gastric banding (LAGB) Biliopancreatic diversion with duodenal switch
23. Complications Of Weight-loss Surgery Serious health problems that are related to the surgery and reduced food intake are: Pneumonia Blood clots Infection Gallstones Hernia Nausea Vomiting Diarrhea Nutritional deficiencies
24. Coping And Support Journal Connect- Don’t become isolated Join- Join support groups with others facing similar challenges Focus- Stay focused on your goals Relax- Don’t get stressed
25. Prevention Exercise regularly Eat healthy meals and snacks Know and avoid the food traps that cause you to eat Monitor your weight regularly Be consistent
26. Support Groups Online Support www.obesityhelp.com www.dailystrength.org America On The Move Address: 150 Harrison Avenue Boston, MA 02111 Fax: 617-636-2714 www.americaonthemove.org
27. Support Groups Continued… KidShape (for children and families) Address: 8733 Beverly Blvd, Suite 400, Los Angeles, CA 90048 Phone: (888) 600-6444 www.kidshape.com Overeaters Anonymous (OA) Address: P.O. Box 44020, Rio Rancho, NM 87174-4020 Phone: (505) 891-2664 Fax: (505) 891-4320 www.oa.org
30. References Continued… Still CD, et al. Obesity. In: Rakel & Bope: Conn's Current Therapy. 60th ed. Philadelphia: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/117958748-3/0/1621/295.html#4-u1.0-B978-1. Accessed Feb. 20, 2009. Bray GA. Etiology and natural history of obesity. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2009. Kushner RF. Obesity management. Gastroenterology Clinics of North America. 2007;36:191. Duval K, et al. Health-related quality of life in morbid obesity. Obesity Surgery. 2006;16:574. Hainer V, et al. Treatment modalities of obesity: What fits whom? Diabetes Care. 2008;31(suppl 2):S269.
31. References Continued… Understanding adult obesity. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.win.niddk.nih.gov/publications/understanding.htm. Accessed Jan. 26, 2009. Bessesen DH. Update on obesity. Journal of Clinical Endocrinology and Metabolism. 2008;93:2027. Bray GA. Overview of therapy for obesity in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2009. Svetkey LP, et al. Comparison of strategies for sustaining weight loss: The Weight Loss Maintenance Randomized Controlled Trial. JAMA. 2008;299:1139.
32. References Continued… The practical guide: Identification, evaluation, and treatment of overweight and obesity in adults. National Institutes of Health, U.S. Department of Health and Human Services. http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf. Accessed Feb. 25, 2009. Donnelly JE, et al. American College of Sports Medicine position stand: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise. 2009;41:459.
33. References Continued… Sacks F, et al. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. New England Journal of Medicine. 2009;360:859. Mun EC, et al. Surgical management of obesity. http://www.uptodate.com/home/index.html. Accessed Feb. 26, 2009. Hensrud DD (expert opinion). Mayo Clinic, Rochester, Minn. April 2, 2009. Anderson CA (expert opinion). Mayo Clinic, Rochester, Minn. March 3, 2009. Meridia (sibutramine): Market withdrawal due to risk of serious cardiovascular events. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm228830.htm. Accessed Oct. 8, 2010.