Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Sunday, August 21, 2011

Obesity: Definition, Kinds of Obesity, and Getting Help




What is Obesity?

Obesity means having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for his or her height.


Obesity occurs over time when you eat more calories than you use. The balance between calories-in and calories-out differs for each person. Factors that might tip the balance include your genetic makeup, overeating, eating high-fat foods and not being physically active.
Being obese increases your risk of diabetes, heart disease, stroke, arthritis and some cancers. If you are obese, losing even 5 to 10 percent of your weight can delay or prevent some of these diseases.



What Causes Obesity?

Obesity occurs when a person consumes more calories than he or she burns. For many people this boils down to eating too much and exercising too little. 
But there are other factors that also play a role in obesity. These may include:

Age. As you get older, your body's ability to metabolize food slows down and you do not require as many calories to maintain your weight. This is why people note that they eat the same and do the same activities as they did when they were 20 years old, but at age 40, gain weight.



Gender. Women tend to be more overweight than men. Men have a higher resting metabolic rate (meaning they burn more energy at rest) than women, so men require more calories to maintain their body weight. Additionally, when women become postmenopausal, their metabolic rate decreases. That is partly why many women gain weight after menopause.





Genetics. Obesity (and thinness) tends to run in families. In a study of adults who were adopted as children, researchers found that participating adult weights were closer to their biological parents' weights than their adoptive parents'. The environment provided by the adoptive family apparently had less influence on the development of obesity than the person's genetic makeup. In fact, if your biological mother is heavy as an adult, there is approximately a 75% chance that you will be heavy. If your biological mother is thin, there is also a 75% chance that you will be thin. Nevertheless, people who feel that their genes have doomed them to a lifetime of obesity should take heart. Many people genetically predisposed to obesity do not become obese or are able to lose weight and keep it off.




Environmental factors. Although genes are an important factor in many cases of obesity, a person's environment also plays a significant role. Environmental factors include lifestyle behaviors such as what a person eats and how active he or she is.




Physical activity. Active individuals require more calories than less active ones to maintain their weight. Additionally, physical activity tends to decrease appetite in obese individuals while increasing the body's ability to preferentially metabolize fat as an energy source. Much of the increase in obesity in the last 20 years is thought to have resulted from the decreased level of daily physical activity.



Psychological factors. Psychological factors also influence eating habits and obesity. Many people eat in response to negative emotions such as boredom, sadness, or anger. People who have difficulty with weight management may be facing more emotional and psychological issues; about 30% of people who seek treatment for serious weight problems have difficulties with binge eating. During a binge-eating episode, people eat large amounts of food while feeling they can't control how much they are eating.






Illness. Although not as common as many believe, there are some illnesses that can cause obesity. These include hormone problems such as hypothyroidism (poorly acting thyroid slows metabolism), depression, and some rare diseases of the brain that can lead to overeating.



Medication. Certain drugs, such as steroids and some antidepressants, may cause excessive weight gain.



Types of Obesity.



Different people have different body types. Similarly, different people can become obese in unique ways. How one person stores his or her excess fat may be different from how another does. It used to be that being heavy was uniformly deleterious to ones health. It is true, given a choice, one would rather be an appropriate weight for ones height. However, recent research has shown that it is not just weight, or even Body Mass Index (BMI), that is always a reliable predictor of health and/or risk factors for developing obesity related disorders.
 Several years back, researchers began to categorize three major body types of those who are obese. The categories were:


Pear shaped", "apple shaped", and a third that was a combination of the other two.

1. Pear shaped individuals store much of their fat around their buttocks and upper  thighs, with little stored in the torso, neck, arm or shoulder areas.




2. Apple shaped individuals store much of their body fat in their torsos, arms, neck and shoulders, giving them an apple like shape. As clarification.



3. The third type was a combination of the other two. I guess they couldn't come up with a third fruit shape that would fit.



 The most notable point about these different types of obesity is that there may be a difference regarding likelihood of developing obesity related complications (i.e. cardiovascular disease, hypertension, diabetes, stroke and high cholesterol). It appears that pear shaped individuals are less likely to develop these disorders and apple shaped individuals are more likely. Why this is, no one really knows. It may not be a coincidence that pear shaped individuals tend to be women and apple shaped individuals tend to be men. Women appear to have some degree of protection from cardiovascular disease until middle age. Some believe hormones related to menstruation may offer protection. Men, on the other hand, are more likely to have symptomatic vascular disease, especially coronary artery disease. 

Getting Help Against Obesity

When your Body Mass Index, or BMI is between 25 and 30 you are considered overweight, but if it is over 30 you are considered obese. Many people confuse being overweight with being obese. When you are obese you are at a much greater risk of many health related issues that plain and simply could end your life prematurely. Therefore if you are obese, it may be time to get some help.
First it should be noted that before an obese person can get help they have to fess up to the fact that they are in fact obese and realize that certain aspects of their lifestyles must change. Once they are ready to institute some change, then there is all kinds of help that is available.
While you could take certain drugs to quell your appetite or get surgery to make your stomach smaller, these methods require a good deal of money that many people simply don't have. But fear not because there is still much you can do to help yourself out including:

- Exercise: Yes it is a word that many do not like but it is also the best and cheapest way to help obese people. Start slow with your exercise program especially if it has been awhile since you exercised. Walking about a half a mile to a mile once in the morning and then once more at night will add up to a lot over the course of a month or two and as you begin to drop weight you can then either increase your distance or incorporate other exercises into your daily routine.




- Take stock of what you eat: Look in your cupboards and pantry and really look at the foods you have. Then sit down and write out a typical day of eating for you. You may shock yourself at just how much food you are consuming on a daily basis. What could be worse is that a good deal of it may be bad foods such as chips and sugary snacks. This is where will power comes in. You have to change your eating habits and this may not be easy to do. But remember, your bad eating habits probably took years for you to develop so your good eating habits won't develop overnight. Take baby steps. First cut out all the chips, then the candy, and so on down the line. Before you know it you will be eating a much healthier diet and could be looking at cutting your daily caloric intake significantly.




- Get support: Find others who share the same desire to help their obesity problem and support one another. It is much easier to be successful and lose the necessary weight when you have others around you who understand what you are going through and can be there for you when you need them.
Being obese is no laughing matter. If you don't want to change for yourself, then consider all those who love you. The road may not be an easy one to go down, but once you make it to a successful point you will be further motivated to do even better and before you know it your BMI will drop to an acceptable level and you will feel great both physically and emotionally.


Monday, July 18, 2011

Anorexia: Signs, Symptoms, and Treatment







It’s only human to wish you looked different or could fix something about yourself. But when a preoccupation with being thin takes over your eating habits, thoughts, and life, it’s a sign of an eating disorder. When you have anorexia, the desire to lose weight becomes more important than anything else. You may even lose the ability to see yourself as you truly are.
Anorexia is a serious eating disorder. It can damage your health and even threaten your life. But you’re not alone. There’s help available when you’re ready to make a change. You deserve to be happy. Treatment will help you feel better and learn to value yourself.
Anorexia nervosa is a complex eating disorder with three key features:
  • refusal to maintain a healthy body weight
  • an intense fear of gaining weight
  • a distorted body image




Because of your dread of becoming fat or disgust with how your body looks, eating and mealtimes may be very stressful. And yet, what you can and can’t eat is practically all you can think about.
Thoughts about dieting, food, and your body may take up most of your day—leaving little time for friends, family, and other activities you used to enjoy. Life becomes a relentless pursuit of thinness and going to extremes to lose weight.
But no matter how skinny you become, it’s never enough.
While people with anorexia often deny having a problem, the truth is that anorexia is a serious and potentially deadly eating disorder. Fortunately, recovery is possible. With proper treatment and support, you or someone you care about can break anorexia’s self-destructive pattern and regain health and self-confidence.




Types of anorexia nervosa
There are two types of anorexia. In the restricting type of anorexia, weight loss is achieved by restricting calories (following drastic diets, fasting, and exercising to excess). In the purging type of anorexia, weight loss is achieved by vomiting or using laxatives and diuretics.



What need does anorexia meet in your life?

It’s important to understand that anorexia meets a need in your life. For example, you may feel powerless in many parts of your life, but you can control what you eat. Saying “no” to food, getting the best of hunger, and controlling the number on the scale may make you feel strong and successful—at least for a short while. You may even come to enjoy your hunger pangs as reminders of a “special talent” that most people can’t achieve.
Anorexia may also be a way of distracting yourself from difficult emotions. When you spend most of your time thinking about food, dieting, and weight loss, you don’t have to face other problems in your life or deal with complicated emotions.
Unfortunately, any boost you get from starving yourself or shedding pounds is extremely short-lived. Dieting and weight loss can’t repair the negative self-image at the heart of anorexia. The only way to do that is to identify the emotional need that self-starvation fulfills and find other ways to meet it.




The difference between dieting and anorexia
Healthy Dieting
Anorexia
Healthy dieting is an attempt to control weight.Anorexia is an attempt to control your life and emotions.
Your self-esteem is based on more than just weight and body image.Your self-esteem is based entirely on how much you weigh and how thin you are.
You view weight loss as a way to improve your health and appearance.You view weight loss as a way to achieve happiness.
Your goal is to lose weight in a healthy way.Becoming thin is all that matters; health is not a concern.



Signs and symptoms of anorexia

Living with anorexia means you’re constantly hiding your habits. This makes it hard at first for friends and family to spot the warning signs. When confronted, you might try to explain away your disordered eating and wave away concerns. But as anorexia progresses, people close to you wont be able to deny their instincts that something is wrong—and neither should you.
As anorexia develops, you become increasingly preoccupied with the number on the scale, how you look in the mirror, and what you can and can’t eat.

Anorexic food behavior signs and symptoms

  • Dieting despite being thin – Following a severely restricted diet. Eating only certain low-calorie foods. Banning “bad” foods such as carbohydrates and fats.
  • Obsession with calories, fat grams, and nutrition – Reading food labels, measuring and weighing portions, keeping a food diary, reading diet books.
  • Pretending to eat or lying about eating – Hiding, playing with, or throwing away food to avoid eating. Making excuses to get out of meals (“I had a huge lunch” or “My stomach isn’t feeling good.”).
  • Preoccupation with food – Constantly thinking about food. Cooking for others, collecting recipes, reading food magazines, or making meal plans while eating very little.
  • Strange or secretive food rituals – Refusing to eat around others or in public places. Eating in rigid, ritualistic ways (e.g. cutting food “just so”, chewing food and spitting it out, using a specific plate).



Purging signs and symptoms

  • Using diet pills, laxatives, or diuretics – Abusing water pills, herbal appetite suppressants, prescription stimulants, ipecac syrup, and other drugs for weight loss.
  • Throwing up after eating – Frequently disappearing after meals or going to the bathroom. May run the water to disguise sounds of vomiting or reappear smelling like mouthwash or mints.
  • Compulsive exercising – Following a punishing exercise regimen aimed at burning calories. Exercising through injuries, illness, and bad weather. Working out extra hard after bingeing or eating something “bad.”



Anorexia nervosa causes and risk factors

There are no simple answers to the causes of anorexia and other eating disorders. Anorexia is a complex condition that arises from a combination of many social, emotional, and biological factors.  Although our culture’s idealization of thinness plays a powerful role, there are many other contributing factors, including your family environment, emotional difficulties, low self-esteem, and traumatic experiences you may have gone through in the past.

Psychological causes and risk factors for anorexia

People with anorexia are often perfectionists and overachievers. They’re the “good” daughters and sons who do what they’re told, excel in everything they do, and focus on pleasing others. But while they may appear to have it all together, inside they feel helpless, inadequate, and worthless. Through their harshly critical lens, if they’re not perfect, they’re a total failure.

Family and social pressures

In addition to the cultural pressure to be thin, there are other family and social pressures that can contribute to anorexia. This includes participation in an activity that demands slenderness, such as ballet, gymnastics, or modeling. It also includes having parents who are overly controlling, put a lot of emphasis on looks, diet themselves, or criticize their children’s bodies and appearance. Stressful life events—such as the onset of puberty, a breakup, or going away to school—can also trigger anorexia.

Biological causes of anorexia

Research suggests that a genetic predisposition to anorexia may run in families. If a girl has a sibling with anorexia, she is 10 to 20 times more likely than the general population to develop anorexia herself. Brain chemistry also plays a significant role. People with anorexia tend to have high levels of cortisol, the brain hormone most related to stress, and decreased levels of serotonin and norepinephrine, which are associated with feelings of well-being.








Steps to anorexia recovery

  • Admit you have a problem. Up until now, you’ve been invested in the idea that life will be better—that you’ll finally feel good—if you lose more weight. The first step in anorexia recovery is admitting that your relentless pursuit of thinness is out of your control and acknowledging the physical and emotional damage that you’ve suffered because of it.
  • Talk to someone. It can be hard to talk about what you’re going through, especially if you’ve kept your anorexia a secret for a long time. You may be ashamed, ambivalent, or afraid. But it’s important to understand that you’re not alone. Find a good listener—someone who will support you as you try to get better.
  • Stay away from people, places, and activities that trigger your obsession with being thin. You may need to avoid looking at fashion or fitness magazines, spend less time with friends who constantly diet and talk about losing weight, and stay away from weight loss web sites and “pro-ana” sites that promote anorexia.
  • Seek professional help. The advice and support of trained eating disorder professionals can help you regain your health, learn to eat normally again, and develop healthier attitudes about food and your body.




Anorexia treatment and therapy

Since anorexia involves both mind and body, a team approach to treatment is often best. Those who may be involved in anorexia treatment include medical doctors, psychologists, counselors, and dieticians. The participation and support of family members also makes a big difference in treatment success. Having a team around you that you can trust and rely on will make recovery easier.
Treating anorexia involves three steps:
  • Getting back to a healthy weight
  • Starting to eat more food
  • Changing how you think about yourself and food

Medical treatment for anorexia

The first priority in anorexia treatment is addressing and stabilizing any serious health issues. Hospitalization may be necessary if you are dangerously malnourished or so distressed that you no longer want to live. You may also need to be hospitalized until you reach a less critical weight. Outpatient treatment is an option when you’re not in immediate medical danger.

Nutritional treatment for anorexia

A second component of anorexia treatment is nutritional counseling. A nutritionist or dietician will teach you about healthy eating and proper nutrition. The nutritionist will also help you develop and follow meal plans that include enough calories to reach or maintain a normal, healthy weight.

Counseling and therapy for anorexia

Counseling is crucial to anorexia treatment. Its goal is to identify the negative thoughts and feelings that fuel your eating disorder and replace them with healthier, less distorted beliefs. Another important goal of counseling is to teach you how to deal with difficult emotions, relationship problems, and stress in a productive, rather than a self-destructive, way.





Overcoming anorexia
It may seem like there’s no escape from your eating disorder, but recovery is within your reach. With treatment, support from others, and smart self-help strategies, you can overcome bulimia and gain true self-confidence.