How can
successful weight-loss program? Safe
Scientists
have made tremendous strides in understanding obesity and in improving the
medication treatment of this important disease. In time, better, safer, and
more effective obesity medications will be available. But currently there is
still no "magic cure" for obesity. The best and safest way to lose
fat and keep it off is through a commitment to a lifelong process of proper
diet and regular exercise. Medications should be considered helpful adjuncts to
diet and exercise for patients whose health risk from obesity clearly outweigh
the potential side effects of the medications. Medications should be prescribed
by doctors familiar with the patients' conditions and with the use of the
medications. Medication(s) and other "herbal" preparations with
unproven effectiveness and safety should be avoided.
Almost any
of the commercial weight-loss programs can work but only if they motivate you
sufficiently to decrease the amount of calories you eat or increase the amount
of calories you burn each day (or both). What elements of a weight-loss program
should a consumer look for in judging its potential for safe and successful
weight loss? A responsible and safe weight-loss program should be able to
document for you the five following features:
The diet
should be safe. It should include all of the recommended daily allowances
(RDAs) for vitamins, minerals, and protein. The weight-loss diet should be low
in calories (energy) only, not in essential foodstuffs.
The weight-loss
program should be directed toward a slow, steady weight loss unless your doctor
feels your health condition would benefit from more rapid weight loss. Expect
to lose only about a pound a week after the first week or two. With many
calorie-restricted diets there is an initial rapid weight loss during the first
one to two weeks, but this loss is largely fluid.
If you plan
to lose more than 15 to 20 pounds, have any health problems, or take medication
on a regular basis, you should be evaluated by your doctor before beginning
your weight-loss program. A doctor can assess your general health and any
medical conditions that might be affected by dieting and weight loss. Also, a
physician should be able to advise you on the need for weight loss, the appropriateness
of the weight-loss program, and a sensible goal of weight loss for you. If you
plan to use a very low-calorie diet (a special liquid formula diet that
replaces all food intake for one to four months), you should do so under the
close supervision of a health care professional.
Your program
should include plans for weight maintenance after the weight-loss phase is
over. It is of little benefit to lose a large amount of weight only to regain
it. Weight maintenance is the most difficult part of controlling weight and is
not consistently implemented in weight-loss programs. The program you select
should include help in permanently changing your dietary habits and level of
physical activity, and to alter a lifestyle that may have contributed to weight
gain in the past. Your program should provide behavior modification help,
including education in healthy eating habits and long-term plans to deal with
weight problems. One of the most important factors in maintaining weight loss
appears to be increasing daily physical activity. Try to be more active
throughout the day and incorporate some simple calorie burners into your
everyday routine. Even the most basic activities (such as taking an
after-dinner walk, using the stairs at the mall or office instead of taking an
escalator or elevator, park your car farther away so you have a longer walk)
can get you prepared for more regular exercise like walking or jogging. You may
choose to incorporate an individually tailored exercise program into your
schedule.
A commercial
weight-loss program should provide a detailed statement of fees and costs of
additional items such as dietary supplements.
Obesity is a
chronic condition. Too often it is viewed as a temporary problem that can be
treated for a few months with a strenuous diet. However, as most overweight
people know, weight control must be considered a lifelong effort. To be safe
and effective, any weight-loss program must address the long-term approach or
else the program is largely a waste of time, money, and energy.
Conclusion
Maintaining
your ideal body weight is a balancing act between food consumption and calories
needed by the body for energy. You are what you eat. The kinds and amounts of
food you eat affect your ability to maintain your ideal weight and to lose
weight.
Medical
science has established that eating proper foods can influence health for all
age groups. The U.S. Department of Agriculture's current dietary guidelines
state the following:
Eat a
variety of foods.
Balance the
food you eat with physical activity -- maintain or improve your weight.
Choose a
diet with plenty of grain products, vegetables, and fruits.
Choose a
diet low in fat, saturated fat, and cholesterol.
Choose a
diet moderate in sugars.
Choose a
diet moderate in salt and sodium.
If you drink
alcoholic beverages, do so in moderation.
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