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NUTRITION

OBESITY

What is obesity?
What does being overweight or obese mean?
Myths of weight problems
Common health problems related to obesity
Prevention is the best medicine
The road to better health
Don't be a couch potato
How extra calories add up
Success starts by taking the first step

What Is Obesity?

Did you know obesity is a serious medical condition that can lead to other serious health problems?  It is estimated that 97 million adults or 55% of the adult population are overweight or obese.  However, weight problems do not only affect adults.  It is also estimated that 1 in 5 children are overweight or obese.  It is very possible that you or someone you know has this serious problem.

In fact, South Carolina ranks in the top 10 states nationally for the highest self reported rates of overweight and obesity.  In 1999, almost 1.5 million people or over half of the population of South Carolina were overweight or obese.  Weight problems are most common among African Americans.  Can you believe in South Carolina 65% of African Americans are considered overweight or obese.  Weight problems are usually seen in people with low incomes, live in poverty or are from communitites that do not receive proper medical care.

What Does Being Overweight or  Obese Mean and How Is It Determined
Being obese and being overweight are similar terms, but do not have the same meaning.  They are both due to an excess amount of body fat and may cause health risks.  Medical professionals can determine who is overweight and who is obese by using an equation called the Body Mass Index (BMI).  The BMI uses weight in kilograms (kg) over height in meters (m)2 and gives a number.  Based on this number, you fall into different categories.  Try it and see where you fall!

BMI Equation:  Weight in kilograms
                            (Height in meters)2

BMI =    Normal                  19- 25
               Overweight            25-30
               Obesity                  30-40
               Morbid Obesity     Greater than 40

1. To get kilograms, take your weight and divide by 2.2.
     Example:  (120 pounds/2.2 = 54.5 kg)
2. To get meters, take your height in inches and multiply by 2.54, then divide by 100 and square that number.
     Example:  (65 inches x 2.54 = 165/100 = 1.65 = 2.72)
3. Then divide kg/m = BMI
     (54.5/2.72 = 20)
4. See where you fit into the categories.
     (20 = Normal BMI)

Myths of Weight Problems
Many people think weight problems are caused by eating too much fat in your diet or that it runs in their family.  In reality, excess weight and body fat comes from too much energy in the form of food and not enough physical activity to burn off the energy.  When you eat, your body only takes what it needs and uses it for energy to help you function.  When your body has all it needs, it stores the rest as fat.  The more you eat and the more sedentary you are, the more the body keeps storing extra energy as fat.  This is what causes excess weight, however there are many factors that can play into weight problems.

Common causes or factors which, may lead to weight problems:

Common Health Problems Related to Obesity
 
Diabetes, Type 2 Adult Onset Respiratory  Problems
Coronary Heart Disease Sleep Apnea
Hypertension Arthritis of Hips, Knees and/or Ankles 
Stroke Back and/or Body Pain
Elevated Cholesterol and Lipid Levels Depression
Cancer of the Breast, Colon or Prostate Amenorrhea
Gallbladder Disease Stress Incontinence

Prevention Is the Best Medicine
Preventing obesity is the key to being healthier and the best way to stop a weight problem.  Even if you or someone you know is overweight or obese,  reducing weight by at least 10% can have positive health benefits.  Sure, it may take some lifestyle changes, but in the long run the benefits out weigh the possible health risks.  Talk to your Health Care Provider and a Registered Dietitian to help determine the best plan for you.  A successful plan should include behavior modification therapy, nutrition therapy and regular physical activity.

The Road to Better Health
Below are ten useful tips and strategies to help get you or someone you know get on the road to better health today!  Start with one or two tips this week and then add one new tip each week while still following the previous tips.

1.    Make Health the Focus of Weight Loss - Do not think of what you are doing as dieting and for a "better"
       appearance, but for a healthy body and a healthy lifestyle.
2.    Set Realistic Goals - If you are overweight, healthy weight loss takes time.  You will not look like a super model in a
       month. Set goals to lose 5 pounds then after you do, set new goals.  Reward yourself when you meet your goals, BUT
       NOT WITH FOOD!  Take a walk or a nice bubble bath.
3.    Keep a Notebook - Of what you are eating, what time, where, who is with you, and how you are feeling.  You may
       realize you are eating more than you thought.  Also a food dairy helps you notice patterns of when you eat.  You may
       notice you eat before bed or when you are sad, anger or bored.  Sometimes people turn to food for comfort and NOT
       because they are hungry.
4.    Listen to Your Hunger Cues - Tune into what your body says.  Eat only when you are truly hungry.  If you are hungry
       eat, when you start to feel full stop.  Do not eat so much that you have to undo your trousers.
5.    Follow the Food Guide Pyramid - Eat the minimum servings from each group.  Also follow the correct portion sizes.
       Many people eat too much at one time.  (See the Food Guide Pyramid)
6.    Limit Sugar - Try not to add sugar to foods and when cooking add less sugar than what the recipes says.  Buy less
       cookies, cakes, candies, and pies.
7.    Limit Fat - Avoid fatty foods which have a lot of calories and fat like fried foods, butter, fat back, lard, potato chips,
       fast food, and sausage.
8.    Choose Low Calorie and Low Sugar Beverages - Try choosing diet soda, unsweetened tea with sugar substitute,
       sugar-free drink mixes, and  water.  They all contain no sugar and have very few calories.  Squeeze lemon or lime wedges
       into drinks or add a splash of your favorite fruit juice to water.
9.    Pick Healthier Versions of Fatty Foods - Many foods come in low fat or low calorie versions.  Try them and
       substitute the healthier versions in recipes.  Your family will learn to get used to it.
10.  Cook Healthier - Bake, broil, grill, steam, or boil foods.  They are healthier than frying.

Don't Be a Couch Potato
Physical active is an important part of  weight loss or to help maintain a healthy weight.  Many people do not get the recommended amount of activity each week.  The National Institutes of Health suggest 30-45 minutes a day, 3-5 days a week.  Sounds like a lot of time and money, right.  Wrong!  Don't think this means you need to spend hours sweating at an expensive gym..  It simply means everyday adding more activity to your life.  The great part of physical activity is that it can be done at home, at work, during the day or at night.  If you do not think you have time to do a 1/2 hour at one time, break it up.  Do 10 minutes of physical activity 3 times a day.  Try these tips.  Remember start slowly, set goals and get your heart pumping!
 
  • During your favorite T.V. show, stand up and march in place or walk around the room. 
  • When talking on the phone, stand up or walk around to burn calories.
  • Take the stairs instead of the elevator.  If you live or work on higher floors walk a few flights and then take the elevator the rest of the way. 
  • Instead of calling or emailing co-workers in your office, actually go and see them.
  • Take a few extra laps around the grocery store when shopping.
  • While sitting squeeze muscles together or lift weights or cans of food to tone your muscles.
  • When running errands, park further away from buildings. 
  • Play with your children more. 
  • Gardening or raking leaves. 
  • Take your family on walks before or after meals. 
  • Use physical activity as a social event.  Gather friends and walk at a local park or mall instead of going out to lunch. 
  • Spend an afternoon at the beach collecting shells or playing games in the park. 
  • How Extra Calories Add Up!
    Did you know 3500 calories = 1 pound of fat.  It may sound like a lot of calories, but it adds up quickly.

    A healthy weight loss plan should help you lose between 1-2 pounds a week.  To do this you need to burn extra calories and eat less food each day.  If you eat 500 less calories and increase physical activity each day, it can be done.  Just to give you an idea of what equals 500 calories:

                A candy bar and a bottle of regular soda
                A Grab Bag of chips and a bottle of soda
                5 chocolate chip cookies and a regular bottle of soda
                Large or Biggie french fries from a fast food restaurant
                Medium french fries from a restaurant and medium soda or sweet tea
                Slice of pizza and a regular soda or sweet tea

    Picking healthier snack food choices and diet drinks or water can really help with the battle of the bulge.

    Success Starts By Taking the First Step
    Starting a weight loss plan is easy.  Following the plan can be hard.  Just remember to take it slowly and set realistic goals.  Reward yourself for a job well done.  Find family and friends who will encourage you when feel like quitting or need support.  To lose weight and/or to maintain weight, you need to MAKE LIFESTYLE CHANGES and FOLLOW HEALTHY HABITS!  Give it a try, success can only start by taking the first steps!
     

    References:  The American Dietetic Association - http://www.eatright.org
                           South Carolina Department of Health and Environmental Control / Report on the Impact of
                                Obesity on Health in South Carolina

    For more information, contact:
    Rosetta Swinton, RN
    Episcopal Director of Health
    Ph: (843) 876-1949
    Fax: (843) 792-7476
    swintonr@musc.edu