Most people's primary motivation for weight
management is to
improve their appearance. Equally important, however, are the many
other
benefits of proper nutrition and regular exercise.
Weight management through reduction of excess body fat
plays a vital
role in maintaining good health and fighting disease. In fact, medical
evidence shows that obesity poses a major threat to health and
longevity.
(The most common definition of obesity is more than 25 percent body fat
for men and more than 32 percent for women.) An estimated one in three
Americans has some excess body fat; an estimated 20 percent are
obese.
Excess body fat is linked to major physical threats
like heart disease,
cancer, and diabetes. (Three out of four Americans die of either heart
disease or cancer each year; according to the National Health and
Nutrition
Examination survey, approximately 80 percent of those deaths are
associated
with life-style factors, including inactivity.)
For example, if you're obese, it takes more energy for
you to breathe
because your heart has to work harder to pump blood to the lungs and to
the excess fat throughout the body. This increased work load can cause
your heart to become enlarged and can result in high blood pressure and
life-threatening erratic heartbeats.
Obese people also tend to have high cholesterol
levels, making them
more prone to arteriosclerosis, a narrowing of the arteries by deposits
of plaque. This becomes life-threatening when blood vessels become so
narrow
or blocked that vital organs like the brain, heart or kidneys are
deprived
of blood. Additionally, the narrowing of the blood vessels forces the
heart
to pump harder, and blood pressure rises. High blood pressure itself
poses
several health risks, including heart attack, kidney failure, and
stroke.
About 25 percent of all heart and blood vessel problems are associated
with obesity.
Clinical studies have found a relationship between
excess body fat and
the incidence of cancer. By itself, body fat is thought to be a storage
place for carcinogens (cancer-causing chemicals) in both men and women.
In women, excess body fat has been linked to a higher rate of breast
and
uterine cancer; in men, the threat comes from colon and prostate
cancer.
There is also a delicate balance between blood sugar,
body fat, and
the hormone insulin. Excess blood sugar is stored in the liver and
other
vital organs; when the organs are "full," the excess blood sugar is
converted
to fat. As fat cells themselves become full, they tend to take in less
blood sugar. In some obese people, the pancreas produces more and more
insulin, which the body can't use, to regulate blood sugar levels, and
the whole system becomes overwhelmed. This poor regulation of blood
sugar
and insulin results in diabetes, a disease with long-term consequences,
including heart disease, kidney failure, blindness, amputation, and
death.
Excess body fat is also linked to gall bladder disease,
gastro-intestinal
disease, sexual dysfunction, osteoarthritiis, and stroke.
Reducing Body Fat Reduces Disease Risk
The good news is that reducing body fat reduces the
risk of disease.
At the University of Pittsburgh, researchers studied 159 people as they
followed a weight management program. The subjects were under age 45
and
30-70 pounds overweight. Those subjects who were able to shed just
10-15
percent of their weight and keep it off during the 18-month study
showed
significant improvement in HDL cholesterol and triglyceride levels,
waist-to-hip
ratio, and blood pressure. In fact, according to the New England
Journal
of Medicine, body fat reduction is a more powerful modulator of cardiac
structure than drug therapy.
For people with a family history of heart disease, an
active lifestyle
can slow or stop the process for all but those with serious genetic
disorders.
Studies by Dean Ornish, MD, have shown that a comprehensive
intervention
program that includes regular physical activity, a low-fat diet and a
stress
reduction program can even reverse the heart disease process.
Evidence also shows that an active lifestyle and its
help in reducing
body fat is associated with a reduced risk for some types of cancers:
prostate
for men, breast and uterine cancers for women. (Frisch, et al 1985)
In addition, regular physical activity and a low-fat
diet are successful
in treating non-insulin dependent diabetes (NIDDM); for some patients,
it has reduced or eliminated the need for insulin substitutes. In
general,
regularly active adults have 42 percent lower risk of developing NIDDM.
Gaining Weight Happens to Most of Us
The average American gains at least one pound a year
after age 25. Think
about it. If you're like most Americans, by the time you're 50, you're
likely to gain 25 pounds of fat, or more. In addition, your metabolism
is also slowing down, causing your body to work less efficiently at
burning
the fat it has. At the same time, if you don't exercise regularly, you
lose a pound of muscle each year. Consequently, people are not only
increasing
their body fat stores, increasing their risk of disease, but they're
also
losing muscle, increasing the risk of injury, decreasing activity
performance,
and further slowing down metabolism.
Very few Americans exercise in any significant way.
The President's
Council on Physical Fitness and Sports estimates that only one in five
Americans exercises for the healthy minimum of 20 minutes, three or
more
days a week. In fact, the average American gets less than 50 minutes of
exercise per week. Even worse, two out of five Americans are completely
sedentary.
The Answer: Healthy Eating and Physical
Fitness
But there is hope. Moderate weight loss--of fat, not
muscle--and a healthy
and active lifestyle--not dieting--have been found to lower health
risks
and medical problems in 90 percent of overweight patients, improving
their
heart function, blood pressure, glucose tolerance, sleep disorders, and
cholesterol levels, as well as lowering their requirements for
medication,
lowering the incidence and duration of hospitalization, and reducing
post-operative
complications eight times less likely to die from cancer
than the unfit, and 53 percent less likely to die from other diseases.
Fit people are also eight times less likely to die from heart disease.
So, are you willing to be patient and make gradual
changes in your life
that will lead to a healthier, happier you? Once you have made the
decision
to go forward and accept change, the hard part is over. Sure, there is
plenty of work to be done, but it really doesn't matter how long this
new
process takes. If you allow changes to take place over several years,
your
body will adjust comfortably, and you will be more likely to maintain
the
healthy lifestyle permanently.
When you begin achieving improvements in energy and
physical and psychological
performance, the fun and excitement you experience will make the change
well worth the effort. Action creates motivation! Good luck: I hope you
enjoy all the wonderful benefits of a safe and effective weight
management
program.