Weight Management: Obesity Part I

Rates of overweight and obesity in the United States have grown to epidemic proportions over the last 20 years. In 2005, the Surgeon General estimated that two-thirds of Americans were overweight or obese. The latest data from the NCHS show that 30 percent of U.S. adults 20 years of age and older—more than 60 million people—are obese.

Research shows that overweight children are more likely to become overweight adults and, therefore, are at greater risk for associated health problems. In fact, 60 percent of overweight five- to 10-year-old children already have at least one risk factor for heart disease. While all children and adolescents are at risk, those belonging to certain ethnic population groups may be more predisposed to overweight than others.


This ideal body weight varies for each individual. It is up to every individual to take the initiative to ensure that his or her body weight does not vary more than 2 kilograms of the ideal body weight.

The objective of any weight management program is to bring a person’s body weight within the ideal body weight range, and to maintain it there. The program revolves around ensuring a healthy diet and plenty of exercise. Successful weight loss can be brought about through a combined nutritional and behavioral approach. The diet of the person should be well balanced and suited to his or her needs. This should be combined with an exercise program for effective results.

The objectives of diet modification in a weight reduction program are:

* To bring about a gradual weight loss.
* To maintain desirable weight and good nutritional status.
* To correct faulty food habits.

In order to achieve these objectives, suitable diet modifications must be made.

Energy: The energy intake must be reduced suitably to meet individual weight loss targets. A decrease of 1000 Cal daily is required to lose about one kilogram weight per week. On an average, a 1000-1200 Cal diet is used for weight reduction in women and 1500-1800 Cal diet is prescribed for weight reduction in men. Generally speaking, if you are overweight then reduce 500 Cal per day in your actual daily intake. If you are obese then you should reduce 1000 Cal per day in your actual daily intake. Another approach for determining energy requirement is based on body weight and activity.

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