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Obesity Current Medical Knowledge – Part One.

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Written by: Suheil Khuri M.D.
Posted on: http://sflhealthandwellness.com/obesity-current-medical-knowledge-part-one/

I- How to Measure Obesity

Body fat can be measured in several ways. Some are very simple as in the use of a tape measure. Others use advanced and expensive equipment with sophisticated equations that more accurately estimate fat mass, muscle mass, water content and bone density. Each body fat assessment method has pros and cons.

However, the most commonly used and basic method of measuring body fat is the body mass index (BMI). The BMI can be calculated by diving the weight of a person in kg. by the square of his/her height in meters. This can also be approximately measured using pounds and inches as below with a 703-multiplication factor.

BMI = Weight (kg) / Height (m)2, or BMI = 703 X (Weight (lb) / Height (in)2).

BMI tables as noted below, and online calculators make it easy for individuals to determine their own BMIs.

BMI –> 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
Height

Weight in Pounds

4’ 10” 91 96 100 105 110 115 119 124 129 134 138 143 148 153 158 162 167
4’ 11” 94 99 104 109 114 119 124 128 133 138 143 148 153 158 163 168 173
5” 97 102 107 112 118 123 128 133 138 143 148 153 158 163 168 174 179
5’ 1” 100 106 111 116 122 127 132 137 143 148 153 158 164 169 174 180 185
5’ 2” 104 109 115 120 126 131 136 142 147 153 158 164 169 174 180 186 191
5’ 3” 107 113 118 124 130 135 141 146 152 158 163 169 175 180 186 191 197
5’ 4” 110 116 122 128 134 140 145 151 157 163 169 174 180 186 192 197 204
5’ 5” 114 120 126 132 138 144 150 156 162 168 174 180 186 192 198 204 210
5’ 6” 118 124 130 136 142 148 155 161 167 173 179 186 192 198 204 210 216
5’ 7” 121 127 134 140 146 155 161 167 173 179 186 192 198 204 211 217 223
5’ 8” 125 131 138 144 151 158 164 171 177 184 190 197 203 210 216 223 230
5’ 9” 128 135 142 149 155 162 169 176 182 189 196 203 209 216 223 230 236
5’ 10” 132 139 146 153 160 167 174 181 188 195 202 209 216 222 229 236 243
5’ 11’ 136 143 150 157 165 172 179 186 193 200 208 215 222 229 236 243 250
6’ 140 147 154 162 169 177 184 191 199 206 213 221 228 235 242 250 258
6’ 1” 144 151 159 166 174 182 189 197 204 212 219 227 235 242 250 257 265
6’ 2” 148 155 163 171 179 186 194 202 210 218 225 233 241 249 256 264 272
6’ 3” 152 160 168 176 184 192 200 208 216 224 232 240 248 256 264 272 279

Source: US Department of Health and Human Services, National Institute of Health.

BMI Classification:

Underweight: <18.5

Normal : 18.5 – 24.9

Overweight: 25 – 29.9

Obese Class I (Moderately Obese): 30 – 34.9

Obese Class II (Severely Obese): 35 – 39.9

Obese Class III (Morbidly/Very Severely Obese): >40

 

II- Prevalence of Obesity in USA

 

The most recent national data on obesity prevalence among U.S. adults, adolescents, and children show that more than one-third of adults (78 million) and almost 17% (12.5 million) of children and adolescents were obese in 2009–2010 as noted in the table below. Obesity is now an epidemic that affects a major part of our society.

 

Women

Men

Girls

Boys

1999-2000

33.4 %

27.5 %

13.8 %

14.0 %

2009-2010

35.8 %

35.5 %

15.0 %

18.6 %

 

 

Source: National Health and Nutritional Examination survey (NHAYNES)

Differences in prevalence between men and women diminished between 1999–2000 and 2009–2010, with the prevalence of obesity among men reaching the same level as that among women.

The prevalence of obesity was higher among older women compared with younger women, but there was no difference by age in obesity prevalence among men.

Between 1999–2000 and 2009–2010, there was a significant increase in the prevalence of obesity among boys but not as significant among girls.

Also the prevalence of obesity was higher among adolescents than among preschool-aged children.

III- Causes of Obesity:

The general conception is that obesity occurs because of eating too much and lack of motivation and exercise. Though those may be contributing factors, however obesity is a complex disorder with multiple causes. Obesity has not been classified as a disease until June 18, 2013 when for the first time the House of Delegates of the American Medical Association adopted a policy recognizing obesity as a disease with multiple pathophysiological aspects necessitating a large range of interventions.

The following are the more accepted causes for obesity:

  1. Genetic.
  2. Sedentary Behavior. With a sedentary lifestyle, you can easily take in more calories every day than you consume through exercise and normal daily activities.  This leads to weight gain.
  3. Medical Problems. Certain disease as Prader-Willi syndrome, Cushing’s syndrome, polycystic ovary syndrome and possibly hypothyroidism are associated with obesity. Arthritis also, can lead to decreased activity, which may result in weight gain.
  4. Medications. Some medications can lead to weight gain if one does not compensate for that through dieting and exercise. These medications include some antidepressants, anti-seizure medications, some diabetes medications, antipsychotic medications, steroids and some hypertension medications.
  5. Unhealthy diet and eating habits. High calorie diets, fast food, skipping breakfast, eating most of your calories at night, high-calorie beverages and oversized portions all contribute to weight gain.
  6. Pregnancy. During pregnancy, a woman’s weight necessarily increases. Some women find this weight difficult to lose after the baby is born. This weight gain may contribute to the development of obesity in women.
  7. Lack of sleep. Getting less than seven hours of sleep a night can cause changes in hormones that increase one’s appetite. This may also have you crave foods high in calories and carbohydrates, which can contribute to weight gain.

However, of all above causes the genetic cause is believed to be the most common cause for obesity. Previous twin studies estimate genetic influence on obesity to be 60 – 70% and all other factors to contribute 30 – 40%.

It is also estimated that with one obese parent the chance that the child will be obese is 50%. However, if both parents are obese that chance increases to 80%.

Call us at: 561-427-2232 or e-mail us at Jupiter.florida@drgsweightloss.com for a free consultation at Dr. G’s WeightLoss and Wellness Center of Jupiter.


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