Overweight medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Medical Therapy

A large number of people undergo some form of treatment to attempt to reduce their weight, usually either in an attempt to improve their health, to improve their lifestyle, or for cosmetic reasons. The generally recommended treatment for being overweight is a modified or controlled diet in conjunction with increased exercise. For those who are obese rather than overweight, more intensive therapies such as drugs or surgery are sometimes used (see Obesity).

Studies suggest that reducing calorie intake by itself (dieting) may have short-term effects but does not lead to long-term weight loss, and can often result in gaining back all of the lost weight and more in the longer term. For this reason, it is generally recommended that weight-loss diets not be attempted on their own but instead in combination with increased exercise and long-term planning and weight management.

The health benefits of weight loss are also somewhat unclear. While it is generally accepted that for significantly obese patients, losing weight can reduce health risks and improve quality of life, there is some evidence to suggest that for merely overweight patients, the health effects of attempting to lose weight may actually be more detrimental than simply remaining overweight[1]. Moreover, for all individuals, repeatedly losing weight and then gaining it back ("yo-yo dieting"), is believed to do more harm than good and can be the cause of significant additional health problems. This is caused by the loss of more muscle than fat.

There is no healthy, short-term solution for solving obesity, or being overweight. Changes in lifestyle, such as more exercise or dieting, must be permanent changes.

References

  1. Sørensen TI, Rissanen A, Korkeila M, Kaprio J. (2005). "Intention to Lose Weight, Weight Changes, and 18-y Mortality in Overweight Individuals without Co-Morbidities". PLoS. 2 (6): e171. PMID 15971946..

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