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What is Obesity?
Obesity is a condition in which the body’s fat stores exceed the capability of its skeletal and muscular structure. The National Institute of Health states that when the body has reached an increase of 20% or more above the body’s ideal weight, that weight then poses a health risk. Excessive fat in the body can result in a reduced life expectancy, increased heart rate, and other health problems. Obesity predisposes the individual to several health disorders including sleep apnea, heart disease, type 2 diabetes, osteoarthritis, and specific types of cancer. These conditions are referred to as co-morbidities of Obesity.
Obesity can develop due to a genetic propensity for the condition. There are a few rare cases that are attributable to endocrine disorders, psychiatric illness, or medications. Generally the patient is suffering from a combination of biological, psychological and social issue contributing to their problem. Weight loss surgery often serves as a powerful tool to starting a patient’s freedom from obesity.
Obesity can be caused by a variety of different factors. The reasons are multilayered and contrary to mainstream beliefs, obesity is not simply a direct result of overeating. Research has demonstrated that in many cases of morbid obesity, the causes are in fact, genetic. According to studies which have been carried out on the subject, once the condition has developed, diet and exercise programs yield little in the way of results. Morbid obesity has proven difficult to treat successfully with diet and exercise alone. Many medical organizations now refer to Obesity and a “disease.” This model of thought recognizes the biological, psychological and social components which make this problem such a struggle for so many.
Research on the subject is ongoing and until obesity is more clearly understood within the scientific community, researchers will be continuously searching for answers while those suffering from obesity will have challenges with weight control for their entire lives. For this reason, it is imperative to fully comprehend that the medical interventions currently available including weight loss surgery, should not be thought of as medical cures. Instead, they are attempts to reduce the symptoms and better manage excess weight as well as reducing the accompanying emotional, physical, and social repercussions of the disorder. Weight loss surgery is best thought of as a powerful tool to help someone suffering with obesity take the first steps to recovery.
The factors that contribute to obesity are multifaceted and include hereditary, metabolic, genetic, environmental, psychological and eating disorders.
A plethora of scientific studies have indicated that genes play an integral role in determining your propensity for gaining weight.
- The body weight of children that have been adopted shows no relationship to the body weight of that of their adoptive parents. This demonstrates that the parents who feed them and teach them how to eat have a different genetic predisposition to weight gain than their adopted children. However their weight does have a correlation of about 80% to that of their genetic parents.
- Identical twins who share the same genes show a greater similarity in weight than do fraternal twins with different genes.
- Certain groups have an inclination for high incidences of obesity such as the Pima Indian tribe of Arizona. They even display higher tendencies for heart disease and diabetes than other ethnic groups.
The data from these studies indicates that we most likely have quite a number of genes that predispose us to a certain weight. Similarly to how other genes determine our eye color, hair color, or height, some genes may affect our appetites, ability to feel satiated after a meal, our metabolism, fat storing abilities, and even our levels of activity.
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In scientific groups, the Pima Indians are well known to be one of the heaviest groups of people worldwide. Researchers from the National Institutes of Health have been studying them for over 35 years in an effort to gain a better understanding of the causes. Some adults weigh in excess of 500 pounds and some of the teenagers suffer from diabetes which is the disorder that is often present in cases of obesity.
However here is a very interesting fact – There is a group of Pima Indians who live in Sierra Madre, Mexico who do not have a problem with obesity or the diseases associated with it. Why not?
The theory that has the most popularity is that after several generations of living in the desert and facing survival challenges such as famine. The Pima Indians who survived were those with an increased capability of storing fat, however those genes work against them today.
Although both groups consume a similar number of calories, the Mexican Pima Indians live in a lifestyle where their diet is very low in fat and they perform physical activity amounting to 23 hours each week. The Pima Indians in Arizona follow a more traditional American lifestyle with a diet rich in fat of 40% and physical activity of only 2 hours per week.
It is clear that the Pima have a genetic tendency for excessive weight gain and the environment in which they and most of us live, make it almost impossible to maintain a normal, healthy weight. Long hours at a desk, fast food, and the convenience of using cars as a primary means of transport make it difficult to manage weight when considering an existing genetic predisposition.
Weight gain and loss used to only be considered in terms of the amount of calories ingested and then burned. The theory was that if you burn more calories than you ingest, weight loss ensues. However now we understand that in actuality, that concept is not all there is to weight loss. Obesity researchers are now discussing a theory that they term as the “set point.” This is considered as a type of thermostat in the brain that makes people resistant to either weight loss or weight gain. The theory states that if you attempt to lower your caloric intake in an effort to lose weight, the brain will respond by lowering your metabolism to compensate for the reduction in calories. The result is that you gain back any weight you may have lost.
Eating disorders cannot be cured with weight loss surgery. There are medical conditions which are proven to cause weight gain such as hyperthyroidism. For this reason it is important to work alongside your primary care doctor to ensure you do not have a medical condition which requires treatment with counseling and medication.
Obesity Related Health Problems (Co-Morbidities)
Obesity-related health conditions are health conditions that, whether alone or in combination, can significantly reduce your life expectancy. A partial list of some of the more common conditions follows. Your doctor can provide you with a more detailed and complete list:
Type 2 Diabetes: Obese individuals develop a resistance to insulin, which regulates blood sugar levels. Over time, the resulting high blood sugar can cause serious damage to the body.
High blood pressure/Heart disease: Excess body weight strains the ability of the heart to function properly. The resulting hypertension (high blood pressure) can result in strokes, as well as inflict significant heart and kidney damage.
Osteoarthritis of weight-bearing joints: The additional weight placed on joints, particularly knees and hips, results in rapid wear and tear, along with pain caused by inflammation. Similarly, bones and muscles of the back are constantly strained, resulting in disk problems, pain and decreased mobility.
Sleep Apnea/Respiratory problems: Fat deposits in the tongue and neck can cause intermittent obstruction of the air passage. Because the obstruction is increased when sleeping on your back, you may find yourself waking frequently to reposition yourself. The resulting loss of sleep often results in daytime drowsiness and headaches.
Gastroesophageal Reflux Disease (GERD)/ Severe Heartburn. Acid belongs in the stomach and seldom causes any problem when it stays there. When acid escapes into the esophagus through a weak or overloaded valve at the top of the stomach, the result is called gastroesophageal reflux, and “heartburn” and acid indigestion are common symptoms. Approximately 10-15% of patients with even mild sporadic symptoms of heartburn will develop a condition called Barrett’s esophagus, which is a pre-malignant change in the lining membrane of the esophagus, a cause of esophageal cancer. For more information on Heartburn, its causes and possible cures, visit www.heartburnhelp.com.
Depression: Seriously overweight persons face constant challenges to their emotions: repeated failure with dieting, disapproval from family and friends, sneers and remarks from strangers. They often experience discrimination at work, cannot fit comfortably in theatre seats, or ride in a bus or plane.
Urinary Stress Incontinence: A large, heavy abdomen and relaxation of the pelvic muscles, especially associated with the effects of childbirth, may cause the valve on the urinary bladder to be weakened, leading to leakage of urine with coughing, sneezing, or laughing.
Menstrual irregularities: Morbidly obese individuals often experience disruptions of the menstrual cycle, including interruption of the menstrual cycle, abnormal menstrual flow and increased pain associated with the menstrual cycle.
Infertility: The inability or diminished ability to produce offspring.
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