Many Australians are overweight or obese and at higher risk of developing chronic conditions such as diabetes and heart disease. In Australia about two thirds of adults are overweight or obese, and surprisingly almost one quarter of 5 to 17 year old's are overweight or obese. Being overweight or obese means you are at a higher risk of getting a related illness, such as cardiovascular disease, type 2 diabetes, chronic kidney disease, osteoarthritis and some types of cancer.
For obesity to occur there must be either an increase in energy intake over our body's needs, a decrease in energy expenditure, or both. In Australia there is an abundance of relatively cheap food and there is a decline in exercise and the activity of daily living
Even small weight losses are effective in preventing diabetes, improving the control of diabetes and improving the cardiovascular risk profile. They also improve mobility, sleep apnoea and general well-being.
The BMI remains the simplest clinical measure of adiposity, adipose tissue is now known to have many functions other than energy (triglyceride) storage as it is an active endocrine organ secreting leptin, adiponectin and resistin among other hormones. Most of these (with the exception of adiponectin) increase as the adipose tissue mass increases. Abdominal adiposity is strongly associated with metabolic disease (which includes type 2 diabetes, dyslipidaemia, hypertension and cardiovascular disease) and the simplest measure of it is the waist (really abdominal) circumference.
Weight management strategies
To approach the issue of weight holistically several things need to be looked at:
lifestyle and present food consumed
weight loss program to reduce at least 5-10% of body weight to produce a significant benefit with cardiovascular risk reduction, control of diabetes, improvements in sleep, improved mobility, increased fertility and improved quality of life
long term plan to achieve the correct BMI for your body type
So lets map out a lifestyle change program, to alter eating patterns and increase your activity, to help you reach your correct weight and get your life and health back on track.