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Interview questions and answers on obesity

WHO | Frequently asked questions: Childhood obesity

Confronting a new diagnosis can be frightening — and because research changes so often, confusing. Here are some questions you may not think to ask your doctor, along with notes on why they’re important.

How severe is my weight problem? Without intervention, what should I expect?

Generally, a patient with a body mass index, or B.M.I., of 25 to 29.9 is considered overweight; one with a B.M.I. of 30 or higher is considered obese. (See our B.M.I. calculator to determine yours.) Excess weight is associated with an increased risk of heart disease, stroke, high blood pressure, diabetes, gallstones and some forms of cancer.

How much weight should I lose?

Permanent weight loss is extraordinarily difficult, studies show, and ideal weights are rarely reached. A weight loss goal should be realistic, researchers say, and should take into account your family history and current risk factors. Many people find it useful to set goals in stages — for example, to lose 10 pounds within two months, then another 10, and so forth.

What kind of diet do you recommend for me?

Avoid diets that exclude entire categories of food. Popular high-protein menus may work for some patients in the short term, some researchers have found, but fruits and vegetables should be the foundation of any long-term diet.

Does meal frequency matter?

Some patients find it helpful to eat small meals five or six times a day. Complicated regimens involving macronutrients consumed only at certain times of the day have not been well supported by research.

Should I join a weight-loss program?

Studies show that certain patients are more likely to lose weight in a structured program like Weight Watchers. Several are relatively inexpensive.

Should I consider drug therapy?

Frequently used drugs include benzene derivatives, laxatives, herbal preparations, amphetamines and other substances that act mainly as appetite suppressants. A new over-the-counter drug, Alli, blocks absorption of fat in the intestine. Weight-loss drugs rarely produce long-term results, studies show, and they may have serious side effects. They are rarely evaluated for long-term use.

Do I need gastric bypass surgery?

In a recent study, one in 50 gastric bypass patients died within a month of surgery. This procedure is an option only for people who are severely obese and cannot lose weight by other means.

Is it safe for me to exercise? How should I begin?

Moderate exercise usually is safe even for obese patients, though it is wise to undergo a physical evaluation before beginning a new program. Patients should begin slowly with activities they enjoy.

What if I lose weight and put it back on again?

Some studies suggest that weight cycling, or yo-yo dieting, may be linked to high blood pressure, high cholesterol, gall bladder disease and other health problems. Strive to maintain a modest 10 percent weight loss before trying to lose more.

Publish date: 8/30/07

Comments

  1. Soyohubiyi

    More Than About the

  2. Puvawasijiyoj

    Obesity essays: examples, topics, questions, thesis statement

  3. Xadoteheni

    We are online to solve all your queries about bariatric surgery on weekends too. Visit ask questions on LIVE CHAT

  4. Domoruliw

    Questions from our French exchange student: - why so many Dunkin Donuts store? - why is soda bottle so huge? - is obesity big problem here?

  5. Sonepel

    Besides being tired of how cisheteronormative these questions of childbirth and child rearing are, ppl often discount how much happens +

  6. Xaluhigewumupe

    Wow has gained a lot of weight. His stupid questions coupled w his obesity is a really unflattering look.

  7. Xepuwutedarumi

    Can we alter gut microbes cure / ? Can FMT alter metabolites of composition? More questions as always

  8. Qewacojane

    Get your questions ready for our session on and !

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