One of the major obstacles
to successful weight control is lack of understanding. In plain terms,
ignorance may be bliss but it certainly does not lead to shedding of
excess pounds.
Glandular Problems
For example, many overweight
people claim that their problem is due to their
"glands". They believe that they have some kind of metabolic
disease that causes them to pile on the weight. In fact, only occasionally
is this so. In a very small proportion of overweight people a simple blood
test, arranged by a GP, may show that the thyroid gland is underactive.
In such a case thyroid hormone replacements may help the weight problem.
But I must stress that thyroid problems are rarely the cause of excess
weight.
Diabetes and Excess
Weight
A much more common
link between excess weight and metabolic disease is Diabetes. Middle-aged
and elderly people who are overweight are far more likely to develop
type 2, that is non-insulin dependent, diabetes. Often, merely shedding
the excess weight leads to good control of the disease. Diabetes is a
serious condition, which significantly increases the risk of coronary
heart disease and stroke.
Excess weight and
obesity are major health problems. In the UK, one in three adults are
overweight, and one in six adults are obese - which means they carry
surplus body weight of 20% or more.
But Why Are You
Overweight?
One of the most common
remarks I hear from overweight clients is: "But doctor, I hardly
eat anything at all. My weight has nothing to do with the food I eat." Ridiculous
as such a comment may sound, there is a grain of truth in it. Since the
end of World War Two, the amount of food we eat has actually lessened,
whilst at the same time our average body weight has risen. Whilst this
may seem a puzzle, there is a very simple explanation.
During the past few
decades we have watched more and more television, we spend more time
in front of computers, we use cars where before we used our feet or bicycles,
and we use lifts and escalators instead of stairs. We have become less
active. So, although we consume less calories now than a few years ago,
we also burn up far fewer calories than before.
What we weigh depends
on a simple balance: the calories we consume against the calories we
burn. Or, put more simply, food versus exercise. Yes, we may not seem
to eat very much, but if we are couch potatoes we still end up piling
on the weight.
This is one example
of poor public knowledge about excess weight. Another has to do with
the best way to shed those excess pounds. Ask most people and they will
tell you: "Diet". Again, there is some truth in the answer,
but it is far from complete.
And What Can You
Do About It?
For a start, most people's
idea of "diet" is to go on some kind of masochistic hunger-driven
eating plan, which forbids all of their favorite foods. Yes, as long
as you stick to such a program you will probably lose weight, but at
what cost? Anyone who has followed such a regime knows that it is impossible
to stick to it for long, and when the diet is eventually abandoned all
those pounds come tumbling back on even faster than they went away.
With experience, and
with professional guidance, some people eventually learn that the only
way to diet sensibly is to follow a healthy, balanced diet with lots
of fresh fruit and vegetables, not much fat, and moderation in all things.
This approach, providing
it is combined with regular moderate exercise -- such as walking for
30 minutes 4 days a week and weightlifting 3 days a week -- does in fact,
yield results.
Note the important
features: a healthy balanced diet and exercise. Without exercise it is
virtually impossible to lose weight and, even more importantly, to maintain
a healthy weight. Which brings us on to another area of ignorance. Maintaining
weight is the name of the game. Almost anyone can lose weight. The trick
is to keep it off.
The tendency to be
overweight is a lifelong condition. Like diabetes or high blood pressure,
you don't "cure" it - you aim only to "control" it.
Unless you continue to work at it, excess weight has an unpleasant habit
of coming back. But the process really does not have to be unpleasant.
Good healthy food in moderation and reasonable exercise help to shape
a fitter and more energetic body, which makes for a more enjoyable lifestyle.
Don't Believe the
Hype
Finally, one more
common piece of ignorance. Many like to believe that you can "cure" excess
weight and obesity with pills. Sadly, no magic bullet is yet available,
nor is it likely to be for many years to come. The answer for the foreseeable
future will remain the same: eat less, exercise more. Don't allow yourself
to believe the common points of ignorance to do with obesity. Instead,
arm yourself with knowledge. If you need extra help, see your doctor,
practice nurse or local slimming club.
Losing weight is simple,
which is not to say that it is necessarily easy. But don't make it even
more difficult by believing that which is not true.