$Unique_ID{BRK02209} $Pretitle{} $Title{Reasons to Diet} $Subject{Diet overweight obese heart weight obesity respiratory larynx rib cage cardiovascular atherosclerosis blood pressure cor pulmonale varicose veins thromboembolism blood clots lungs gastrointestinal livers gallstones musculoskeletal system osteoarthritis Gouty arthritis chronic destruction joints uric acid reproductive menstrual flow periods estrogen toxemia pregnant postpartum endocrine testosterone hairiness diabetes metabolic cancer} $Volume{} $Log{ Facts about Fat*0003400.tid Fat Distribution in the Body*0003401.scf Excessive Amount of Chest Fat*0003403.scf} Copyright (c) 1993 Tribune Media Services, Inc. Reasons to Diet ------------------------------------------------------------------------------ QUESTION: I am about 50 pounds overweight, but my husband says he likes me the way I am. My doctor, however, says I am obese, and he's always encouraging me to diet. He says it's bad for my heart and other parts of my body to be so overweight. Could you tell me the "other" reasons that it is unhealthy for me to carry around the extra weight? ------------------------------------------------------------------------------ ANSWER: Almost every system of the body suffers when a person is obese. Doctors consider a person obese who is 20 percent above the recommended weight for his or her height and build. When a person is very overweight, the respiratory system may become overtaxed. The extra physical mass, composed of fat, that rests on the breathing apparatus is heavier than it should be. The additional weight putting pressure on the larynx and rib cage makes it difficult for a person to breath deeply, and fill the lungs to capacity with fresh air. In the cardiovascular system, fatty deposits may accumulate on the arteries, causing atherosclerosis. This may eventually impede the flow of blood to the heart. Obesity can cause high blood pressure and cor pulmonale, the enlargement of the right ventricle of the heart. Overweight people are more prone to varicose veins and thromboembolism--blood clots which may move from the veins to other parts of the body, particularly the lungs--than people who are slender. The gastrointestinal system is also affected by excess weight. Obese people tend to have fatty livers and gallstones much more frequently than normal. The most common complication of obesity in the musculoskeletal system is osteoarthritis. Gouty arthritis and chronic destruction of the joints may occur because of the excess of uric acid frequently found in overweight people. In the female reproductive system, excess weight can interfere with the amount of menstrual flow and the timing of periods. That is because being overweight has an effect on the production and metabolism of estrogen, the female hormone. Although uncommon in the general population, toxemia (a form of blood poisoning) frequently occurs when the obese are pregnant or postpartum. The endocrine system can be negatively affected in many ways in the overweight. The changes in the metabolism of testosterone and estrogen in the obese may lead to excess hairiness. Overweight people often suffer from diabetes. They also tend to have a decreased metabolic rate. Another significant health risk to the overweight is that cancer rates are much higher. The cancer rate in overweight men is about a third higher, and obese women suffer from cancer over 50 percent more often than thin women. So you see, there are many reasons that it is wise to try to maintain a healthy body weight. Maybe one or more of the health risks I've mentioned will motivate you to diet. Remember, there is no race to rid yourself of all the extra pounds you have been carrying around for so long. Don't crash diet, because you'll probably regain the weight just as quickly, possibly even gaining more than you lost. Take it slowly and sensibly and make sure your nutrition does not suffer when you diet. Your best bet is to change the amounts of food you eat, eating less of the foods you like best. Of course if you switch from high cholesterol or fatty foods to low cholesterol, you gain another benefit of reducing risks of heart attack or stroke. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.