What
is the role of medication in the treatment of obesity?
Medication treatment of obesity
should be used only in patients who have health risks related to obesity.
Medications should be used in patients with a BMI greater than 30 or in those
with a BMI of greater than 27 who have other medical conditions (such as high
blood pressure, diabetes, high blood cholesterol) that put them at risk for
developing heart disease. Medications should not be used for cosmetic reasons.
Medications should only be used
as an adjunct to diet modifications and an exercise program.
Like diet and exercise, the goal
of medication treatment has to be realistic. With successful medication
treatment, one can expect an initial weight loss of at least 5 pounds during
the first month of treatment, and a total weight loss of 10%-15% of the initial
body weight. It is also important to remember that these medications only work
when they are taken.
The
first class (category) of medication used for weight control cause symptoms
that mimic the sympathetic nervous system. They cause the body to feel
"under stress" or " nervous." As a result, the major side
effect of this class of medication is high blood pressure. This class of
medication includes sibutramine
(Meridia, which was taken off the market in the U.S. in October 2010 due to
safety concerns) and
(Adipex P).
What
is the role of physical activity and exercise in obesity?
The National Health and
Examination Survey (NHANES I) showed that people who engage in limited
recreational activity were more likely to gain weight than more active people.
Other studies have shown that people who engage in regular strenuous activity
gain less weight than sedentary people.
Physical activity and exercise
help burn calories. The amount of calories burned depends on the type,
duration, and intensity of the activity. It also depends on the weight of the
person. A 200-pound person will burn more calories running
1 mile than a 120-pound person, because the work of carrying those extra 80
pounds must be factored in. But exercise as a treatment for obesity is most
effective when combined with a diet and weight-loss program.
Other
benefits of exercise include
·
improved blood sugar control and
increased insulin sensitivity (decreased insulin resistance),
·
reduced triglyceride levels and
increased "good" HDL cholesterol levels,
·
lowered blood pressure,
·
a reduction in abdominal fat,
·
reduced risk of heart disease.
General
exercise recommendations
·
Perform 20-30 minutes of moderate
exercise five to seven days a week, preferably daily. Types of exercise include
walking,
stationary bicycling, walking or jogging on a treadmill, stair climbing
machines, jogging, and swimming.
·
Exercise can be broken up into
smaller 10-minute sessions.
·
People are never too old to start
exercising.
The following people should
consult a doctor before vigorous exercise:
·
Men over age 40 or women over age
50
·
Individuals who experience chest
pressure or pain with exertion, or who develop fatigue or shortness of
breath easily
So this is video about:
Best Exercises to Lose Weight | Obesity
Reference:
https://www.google.com/#q=Exercise+to+obesity&tbm=nwsAlso from a magazine is title: Exercise to obesity
Auther:
November
21, 2013 | By Melissa Healy
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