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Learn About Obesity

Understand why being overweight is a recognized risk factor for many diseases.

What you need to know to be well-prepared for your initial consultation with a medical provider.

The first step in your journey is education. Learn as much as you can then schedule an initial consultation with a bariatric surgeon.

What is obesity?

Obesity is a condition characterized by excessive body fat accumulation, often resulting in a body mass index (BMI) of 30 or higher. It is a complex disease that can have a significant impact on an individual's health and well-being.

There are many factors that can contribute to an individual’s propensity to become obese. Some of these factors include:

Genetics: Certain genetic variations can make an individual more prone to obesity.

Hormones: Hormonal imbalances or changes can affect metabolism and contribute to weight gain.

Environment: Access to healthy food, physical activity, and other environmental factors can influence weight.

Lifestyle: Sedentary behavior, poor diet, and lack of physical activity can lead to weight gain.

Medical conditions: Certain medical conditions, such as thyroid disorders or polycystic ovary syndrome, can contribute to weight gain.

Medications: Some medications, such as antidepressants or steroids, can cause weight gain as a side effect.

Psychological factors: Emotional eating, stress, and other psychological factors can contribute to weight gain.

Overall, it is important to understand that weight gain and obesity can be influenced by a complex interplay of factors, and the specific combination of factors can vary from person to person.

Managing obesity often requires lifestyle modifications, such as adopting a healthy diet and increasing physical activity. In some cases, weight loss surgery may be recommended for individuals with severe obesity who have not been successful with other weight loss methods. Overall, the goal of managing obesity through weight-loss surgery is to improve an individual’s health and well-being by reducing the risk of obesity-related health problems and improving overall quality of life.

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Obesity can increase the risk of developing a wide range of health conditions, including:

Type 2 diabetes

High blood pressure

Heart disease and stroke

Sleep apnea and other breathing problems

Osteoarthritis

Fatty liver disease

Certain cancers, such as breast, colon, and prostate cancer

What is Morbid Obesity?

Medically, the word ``morbid`` means causing disease or injury. Morbid Obesity is a serious disease process, in which the accumulation of fatty tissue on the body becomes excessive, and interferes with, or injures the other bodily organs, causing serious and life-threatening health problems, which are called co-morbidities. Morbid obesity is a severe form of obesity that is characterized by a body mass index (BMI) of 40 or higher. It is a chronic condition that can have a significant impact on an individual's health and well-being.

Morbid obesity significantly increases the risk of developing a wide range of serious health conditions, including:

Type 2 diabetes: Obesity increases the risk of developing type 2 diabetes, a condition that affects how the body uses blood sugar.

High blood pressure: Obesity can cause high blood pressure, which increases the risk of heart disease and stroke.

Heart disease: Obesity increases the risk of developing heart disease, which is the leading cause of death worldwide.

Stroke: Obesity increases the risk of stroke, which is a serious and often life-threatening medical emergency.

Sleep apnea: Obesity can cause sleep apnea, a condition that causes the breathing to stop and start repeatedly during sleep.

Fatty liver disease: Obesity can cause the accumulation of fat in the liver, which can lead to nonalcoholic fatty liver disease (NAFLD).

Osteoarthritis: Obesity increases the risk of developing osteoarthritis, a condition that causes joint pain and stiffness.

Certain cancers: Obesity increases the risk of developing certain types of cancers, such as breast, colon, and prostate cancer.

Depression: Obesity has been linked to depression and other mental health conditions.

Morbid obesity can also have a significant impact on an individual’s mental health and quality of life. People who are morbidly obese may experience social discrimination, low self-esteem, and depression. They may also have difficulty performing daily activities and may be at risk for mobility problems.

Morbid obesity can also have a significant impact on an individual’s mental health and quality of life. People who are morbidly obese may experience social discrimination, low self-esteem, and depression. They may also have difficulty performing daily activities and may be at risk for mobility problems.

Managing morbid obesity often requires a multidisciplinary approach, including lifestyle modifications, such as adopting a healthy diet and increasing physical activity, and potentially bariatric surgery for significant and long-lasting weight loss. The goal of managing morbid obesity is to improve an individual’s health and well-being by reducing the risk of obesity-related health problems and improving overall quality of life.

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Recent research suggests that there are metabolic subtypes that may influence an individual’s body type and predisposition to obesity. These subtypes are referred to as “metabolically healthy obesity” (MHO) and “metabolically unhealthy obesity” (MUO).

Individuals with MHO are considered obese based on their body mass index (BMI), but have normal blood pressure, cholesterol, and blood sugar levels. They also have lower levels of inflammation in their bodies and a lower risk of developing cardiovascular disease.

On the other hand, individuals with MUO are also considered obese based on their BMI but have metabolic abnormalities such as high blood pressure, high cholesterol, and high blood sugar levels. They have a higher risk of developing cardiovascular disease and other metabolic disorders.

Research suggests that individuals with MHO may have a genetic predisposition to obesity that allows their body to store excess fat without developing the metabolic abnormalities associated with MUO. However, the exact mechanisms underlying these metabolic subtypes are still being studied.

Note that the concept of metabolic subtypes in obesity is still a subject of ongoing research and debate among experts in the field. The information regarding metabolic subtypes in obesity has been published in various scientific journals and presented at conferences by researchers in the field of obesity and metabolism.

How do you know if you are obese or morbidly obese and a possible candidate for weight-loss surgery?

Weight-loss surgery candidacy depends on each individual and their specific evaluation. However, each possible candidate will need to meet specific criteria to be accepted for a weight-loss surgery procedure. Besides the criteria listed below, many other factors will be considered by your physician such as age, metabolic, functional, and psychological state.

  • A BMI that is greater than 40, surgery should be considered. If it is greater than 35, and is accompanied by a serious comorbidity, surgery may be medically necessary. To find out your BMI, use the BMI calculator below.
  • Tried dieting, especially medically-supervised dieting, and have been unable to achieve a sustained healthy body weight.
  • Comorbidities from being overweight? We look for health effects that are known to be caused by, or aggravated by serious obesity.
  • Willingness to make a life-long commitment to making lifestyle changes.

To use the BMI Calculator below, first convert your height and weight to metric units:

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BMI Calculator Chart

BMI Weight Status
Below 18.5 Underweight
18.5 - 24.9 Healthy
25.0 - 29.9 Overweight
30.0 - and Above Obese
* BMR Metabolic Rate / BMI Body Mass Index

Calculate Your BMI

BMI is only a surrogate measure of body fatness because it describes excess weight rather than excess body fat and does not take into account factors such as age, sex, ethnicity, and muscle mass. The Basal Metabolic Rate (BMR) calculator generates the number of calories your body burns per day at rest. Your BMR with activity factor is the number of calories your body burns per day based on the activity factor you selected.

What options are there for someone who is obese to improve their health?

Start with small changes: Rather than making drastic changes to your diet or exercise routine, start with small changes such as reducing portion sizes or taking a 10-minute walk every day. These small changes can help you build momentum and make it easier to stick to healthy habits in the long term.

Increase physical activity: Incorporate regular physical activity into your routine such as brisk walking, jogging, cycling, or swimming. Aim for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise per week.

Eat a balanced diet: Focus on eating a balanced diet that includes plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats. Avoid processed foods, sugary drinks, and foods high in saturated and trans fats.

Monitor your calorie intake: Keep track of your calorie intake to ensure you're not consuming more calories than your body needs. Use a food diary or a calorie tracking app to monitor your food intake.

Seek support: Seek support from friends, family, or a healthcare professional to help you stay motivated and on track with your goals.

Reduce stress: Stress can lead to overeating and weight gain. Try to incorporate relaxation techniques such as yoga, meditation, or deep breathing exercises into your routine.

Get enough sleep: Lack of sleep can affect your hormone levels and increase your appetite. Aim for at least 7-8 hours of sleep per night.

Stay hydrated: Drink plenty of water throughout the day to stay hydrated and avoid sugary drinks.

Consider weight loss medications: Prescription weight loss medications can be a helpful tool in combination with lifestyle changes for some people struggling with obesity. However, these medications should only be used under the guidance of a healthcare professional.

Consider bariatric surgery: Bariatric surgery may be an option for people with severe obesity who have not been able to lose weight through lifestyle changes or weight loss medications. However, it is a serious surgical procedure and should only be considered after careful evaluation and discussion with a healthcare professional.

It is important to note that obesity is a complex medical condition that can result from a combination of genetic, environmental, and behavioral factors. While individuals can make some lifestyle changes to improve their health, such as increasing physical activity and adopting a healthier diet, it can be challenging for someone who is obese to make significant and sustained progress on their own.

One reason for this difficulty is that obesity can lead to hormonal changes that affect appetite and metabolism, making it harder to lose weight and maintain weight loss. Additionally, obesity can also cause physical limitations and discomfort that make exercise and other healthy activities more challenging.

Moreover, the social and cultural environment can also be challenging for people who are obese, as there can be stigma and discrimination associated with their weight. This can make it difficult for them to access healthcare, employment opportunities, and social support.

Thus, while lifestyle changes are an essential part of managing obesity, it is often necessary to seek support and guidance from healthcare professionals and other experts to achieve significant and sustained weight loss and improve overall health.

What are some common myths associated with obesity?

Myth: Obesity is solely caused by lack of willpower and physical exercise, in addition to a poor diet.

While diet and lifestyle choices can contribute to obesity, it’s not accurate to assume that all individuals with obesity have poor eating habits or lack self-control. It’s important to understand that obesity can arise from various factors, including genetic predisposition, medication side effects, and rare diseases. It’s crucial to approach this condition with compassion and support, recognizing that it’s not solely a matter of willpower, diet, and exercise. This highlights the complexity of obesity and emphasizes the need to acknowledge that each individual’s situation is unique, requiring a multifaceted approach for effective management and treatment.

Myth: Obesity is just a cosmetic issue and not a serious health concern.

Obesity is not just a cosmetic issue, but a serious health concern. It is associated with a wide range of health risks that can impact an individual’s quality of life and overall well-being. Obesity is associated with a higher risk of various health conditions, including type 2 diabetes, heart disease, sleep apnea, joint pain, and certain cancers, among others. It can also impact mental health, self-esteem, quality of life, and overall well-being.

Myth: Weight loss surgery is an easy way out or a quick fix.

Weight loss surgery, such as bariatric surgery, is not an easy way out or a quick fix. It is a serious medical intervention that requires thorough evaluation, preparation, and lifelong commitment to lifestyle changes, including a healthy diet, regular exercise, and ongoing medical follow-up. It is not a shortcut or a guaranteed solution, but rather a tool to support sustainable weight loss in individuals with severe obesity.

Myth: Once you lose weight, you can go back to your old habits.

Sustainable weight loss requires long-term lifestyle changes. Going back to old eating habits, sedentary behaviors, or unhealthy behaviors after losing weight can lead to weight regain. Successful weight loss and weight maintenance require ongoing commitment to healthy eating, regular physical activity, behavioral changes, and proper medical follow-up to optimize long-term outcomes.

Obesity is a complex condition that goes beyond simple stereotypes or misconceptions. Seeking information from qualified healthcare professionals and understanding the multifactorial nature of obesity can help in dispelling common myths and promoting a more informed and compassionate understanding of the condition.

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You're Not Alone!

According to the Centers for Disease Control and Prevention (CDC), as of 2020, the prevalence of obesity among adults is:

Obese in the US 0
Morbidly Obese in the US 0

According to the World Health Organization (WHO), as of 2016, more than 1.9 billion adults worldwide were overweight, and of those, over 650 million were obese.

Obese in the World 0

The WHO does not provide specific statistics for morbid obesity on a global level. However, it is recognized as a severe form of obesity and is becoming an increasingly prevalent health issue worldwide.

Here are some frequently asked questions (FAQs) and general answers regarding obesity.

What causes obesity?

Obesity is typically caused by a combination of genetic, environmental, and lifestyle factors. While some people may have a genetic predisposition to obesity, the foods we eat, the amount of physical activity we engage in, and other lifestyle factors can also contribute to weight gain.

Is obesity caused by overeating?

While overeating can contribute to obesity, it is not the only cause. Some people may have a slower metabolism or may be more susceptible to weight gain due to genetic factors. Environmental and lifestyle factors, such as a sedentary lifestyle, can also contribute to weight gain.

Are certain foods more likely to cause obesity?

Foods that are high in calories, fat, and sugar are more likely to contribute to obesity. However, it’s important to note that any food can contribute to weight gain if consumed in excess.

Is obesity a result of a lack of willpower?

Obesity is not solely a result of a lack of willpower. Many factors contribute to weight gain, including genetics, environment, and lifestyle factors. It’s important to address these underlying factors to successfully manage and prevent obesity.

Can stress cause obesity?

Stress can contribute to weight gain and obesity in several ways. It can lead to overeating, a sedentary lifestyle, and changes in metabolism that make it easier to gain weight.

Is obesity a result of a slow metabolism?

While some people may have a slower metabolism that contributes to weight gain, it is not the sole cause of obesity. Environmental and lifestyle factors can also contribute to weight gain.

Are certain medications known to cause weight gain?

Yes, some medications, such as antidepressants, antipsychotics, and steroids, are known to cause weight gain as a side effect. It’s important to discuss potential side effects with a healthcare provider when considering medication.

Does lack of sleep contribute to obesity?

Yes, lack of sleep can contribute to weight gain and obesity. It can lead to changes in metabolism, increased appetite, and decreased physical activity.

Are certain medical conditions linked to obesity?

Yes, certain medical conditions, such as hypothyroidism, Cushing’s syndrome, and polycystic ovary syndrome (PCOS), are linked to weight gain and obesity. It’s important to address any underlying medical conditions when managing obesity.

Can childhood experiences contribute to adult obesity?

Yes, childhood experiences, such as a lack of physical activity, poor nutrition, and obesity in the family, can contribute to adult obesity. It’s important to address these factors early on to prevent future weight gain and health complications.

Your goal is to improve your health!

Learning about obesity is an essential first step for anyone struggling with their weight. Understanding the causes and effects of obesity, as well as the available treatments and management strategies, can help individuals make informed decisions about their health and take action to improve it. While obesity can be a complex and challenging condition to manage, there are many resources and support systems available to help individuals achieve their weight loss and health goals. With the right knowledge, guidance, and support, individuals can take control of their health and enjoy a better quality of life.

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