Being overweight aggravates anxiety

Obesity

To the typical Diseases of civilization in developed countries include overweight and obesity (obesity). In Germany alone, where over half the population is overweight, 24 percent of people are considered obese. Only a third of adults still have a body weight that is considered desirable for their health. Because very overweight - or obesity, as obesity is popularly known - carries a great risk for those affected Secondary diseases such as diabetes, high blood pressure, or sleep apnea. The World Health Organization (WHO) divides obesity into different degrees of severity, which are based on Body mass index, i.e. the body mass.

The different degrees of obesity

According to the criteria of the World Health Organization, people with a body mass index of 18.5 to 24.9 have normal weight. On the other hand, one speaks of overweight, i.e. the preliminary stage of obesity, with a body mass index of 25 to 29.9. Obesity itself is divided into three other degrees of severity:

  • People with a body mass index of 30 to 34.9 suffer from grade I obesity
  • People with a body mass index of 35 to 39.9 have grade II and obesity
  • People with a body mass index of 40 or more are called grade III obesity. The risk of developing a secondary disease is particularly high for those with obesity grade III.

The causes of obesity

In industrialized countries, obesity is often that Follow the lifestyle. After all, people only do physical work to a limited extent, while food is available in abundance. However, the causes of obesity are more diverse than it appears at first glance.

The most common causes include:

  • Lack of exercise with simultaneous overeating: Anyone who eats too much, possibly eating the wrong way and also has a lack of exercise, inevitably has a positive energy balance with excess calories, which manifests itself in the form of fat deposits. In terms of nutrition, sugary drinks (soft drinks) are also likely to play an important role, as has meanwhile been proven by several studies.
  • So-called socio-cultural factors: Numerous socio-cultural factors also play a major role in the lack of exercise and overeating at the same time. These include sedentary activities with little movement and the fact that hardly anyone has time for regular meals or that eating is viewed as an "act of excessive tension" in order to distract from other problems. It can be stated that people with a low social status often suffer from obesity.
  • Genetic factors: How high the basal metabolic rate of every person is, how he uses food and what the personal fat distribution pattern looks like, is determined by genetic factors, i.e. the genetic make-up. Twin studies have shown that genetic makeup plays a role.
  • Psychological factors: Eating can also serve as consolation, to calm nerves, to occupy yourself with boredom and loneliness or other psychological stress. This also leads to obesity in the long term. Hence, behavior therapy also plays a role in weight loss. This is an important part of weight loss therapy in rehabilitation.
  • Complex diseases: Obesity can rarely be the result of another disease. In addition to addictive behavior, this includes in particular Metabolic diseasesthat can be observed in around two percent of the population. In addition to an underactive thyroid, this also includes a disruption of the cortisol balance or a glucose metabolism disorder. Whether there is a causal connection with an infection by adenoviruses or with certain intestinal bacteria is a matter of controversy.

Other factors that can lead to obesity

Various Medication such as antidepressants, insulin, beta blockers or neuroleptics can lead to weight gain. However, there are also medications that can make you gain weight when they are stopped. These include, for example, sympathomimetics.

Factors that lead to obesity in later life can also arise during pregnancy. For example, when the mother is on Diabetes mellitus of type 2 is ill.

That is just as important Quality of foodbecause the body's processing of the food requires work. For example, the human body consumes more energy when it eats protein-rich and fiber-rich foods.

As can be seen from various studies, obesity can also be achieved through sufficient and high quality sleep be avoided. That means: if you sleep more and better, you automatically eat less.

The consequences of being overweight

Numerous lifestyle diseases are a direct result of being overweight. Obesity is a risk factor especially for diseases of the Cardiovascular system, high blood pressure or diabetes mellitus The risk of cancer is also noticeably increased in people who are very overweight.

Furthermore, obesity and diabetes are considered possible risk factors for dementia, e.g. B. Alzheimer's disease or can make it worse.

They are no less serious psychological consequences obesity, because those affected often have poor self-confidence and feel like outsiders. Despite its prevalence, obesity is not tolerated in Western society. Those affected are often professionally and socially marginalized, which can have detrimental economic consequences. Obesity, for example, can be a reason for people not being hired in the public sector.

When obesity occurs in children and adolescents

Even when children are obese, there are great health risks associated with it, both physical and mental illness. Possible consequences can be, for example, behavioral and learning disorders, depression, but also developmental disorders.

How is obesity treated?

Basically, obesity treatment is about that Reduction in body weight, even if the possible therapies differ according to the cause of the obesity. That's why she plays in the preliminary talk with the doctor individual medical history of the patient as well as the psychological state and diet and eating habits.

Treatment of obesity in the clinic

Because obesity can occur in different degrees of severity and various health restrictions or even concomitant diseases can be associated with it, the corresponding treatment and rehabilitation must be individually tailored to the patient.

Usually one takes placeoutpatient therapywho is accompanied by a doctor. As part of this therapy, those affected change their diet and integrate exercise units into their everyday lives. This is possible even in severe cases, even if an inpatient stay in a clinic may be advisable in individual cases. Inpatient therapy is usually carried out if the overweight patient cannot carry out an outpatient rehabilitation measure due to restrictions or if it makes sense to stay outside the home environment. The hospital stay can also make sense to an operation, in which case the rehabilitation is carried out as an AHB measure. Rehabilitation with weight loss is also possible in front a planned, so-called "bariatric" or other operation may be useful in order to reduce the risk of the operation. Bariatric surgeries are surgeries that are designed to lead to weight loss.

The requirements for a hospital stay

For inpatient rehabilitation to be successful, the patient must have strong motivation, a little self-discipline and be cooperative in all therapeutic measures. An inpatient stay is recommended in any case if the body mass index is 35 or higher or the patient suffers from an accompanying illness such as high blood pressure, diabetes or a disease of the cardiovascular system.

Why changing your diet is important

For patients suffering from obesity, it is especially important that Change your diet permanentlybecause this is the only way to permanently reduce excess weight. That means: those affected have to look after their bodies Consume fewer calories than actually consumed become. You don't even have to resort to one-sided diets or any nutritional supplements for this. There is no reliable data in science that a “low carb” diet is better than a “low fat” diet.

Knowledge of the diet is important for a successful diet on the way to a healthy weight actual calorie requirement and performance-related consumption. With the appropriate computers or expert advice, you can Determine basic and total sales and plan a low-calorie diet. It is completely sufficient if you eat a varied, low-fat, low-sugar, and fresh diet.

Thousands of calories are saved, for example, by not eating fast food and high-sugar drinks. On the other hand, diet products during the change in diet are not advisable because they usually only have a short-term effect and there is a risk of weight gain again in the medium term.

last changed on: 11/19/2019

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