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New Guidelines For Doctors To Fight Obesity! Since 1980, the worldwide obesity has become a major health concern. A person with a BMI of 25 or higher is said to be overweight, and is said to be obese if the BMI shows 30 or higher. BMI, which stands for body mass index, is commonly used to measure body fat. It is calculated by dividing the weight in kilos by the square of the height in meters. An announcement released in January 2014 by the Overseas Development Institute (ODI) indicated that the number of overweight and obese adults in the developing world has almost quadrupled to around one billion since 1980. ODI, a British think tank, also revealed that 1 in 3 people worldwide is now overweight and predicted there will be a huge increase in diabetes, heart attack and stroke. More than a third of adults in the United States are obese because of an increased intake of energy-dense foods that are high in fat and a lack of physical activity. Obesity not only affects a person’s appearance but also triggers a number of chronic diseases including Type-2 diabetes, cardiovascular disease (mainly heart disease and stroke), high blood pressure, and even certain kinds of cancer. Overweight and obesity are the 5th leading risk for global deaths. Each year, at least 2.8 million adults die because of being overweight or obese. Moreover, 44 percent of the diabetes cases, 23 percent of the ischemic heart disease cases and between 7 and 41 percent of certain cancer cases are attributable to overweight and obesity.
Most doctors will just tell their overweight, especially obese patients to lose weight without taking additional action to make that happens, though all doctors are aware of the health hazard associated with overweight and obesity. Surveys have shown that only about a third of obese patients recall their doctors talking to them about their BMI or counseling them about weight loss. FDA (Food and Drug Administration) approved 2 more obesity-fighting drugs in 2012, and in 2013, AMA (American Medical Association) labeled obesity a disease. All these measures were to get doctors to pay more attention to the problem. Yet, many people who wish to lose weight would have to sift through plenty of promoted diets and exercise schemes on their own. This is because most doctors who have little training in how to assist their obese patients do not feel comfortable recommending particular diets or weight-loss plans. In November 2013, new guidelines were issued by a group of medical organizations that include the American Heart Association, the American College of Cardiology and the Obesity Society to fight the nation’s obesity epidemic. Doctors are urged to act aggressively to help patients lose weight. The new guidelines suggest that doctors should calculate patients’ BMI and measure their waists at least once a year to inform them whether they are overweight or obese. If the patients were overweight or obese, the doctors should develop a weight-loss plan that includes exercise and moderate calorie cutting. Should the patients’ BMI reaches 40, or 35 with 2 other risk factors for heart disease like diabetes or high blood pressure; the doctors should consider recommending weight-loss surgery to them. Meanwhile, the doctors should refer overweight and obese patients who are at risk of heart disease to weight-loss programs. They should also discuss enrolling them in at least 14 face-to-face counseling sessions over 6 months with a registered dietitian, psychologist or other professional with training in weight management. Energy imbalance between calories consumed and calories expended is the fundamental cause of obesity and overweight. Hence, obesity and overweight are preventable. According to the World Health Organization (WHO), individual can limit energy intake from total fats and sugars, increase consumption of fruit and vegetables, as well as legumes, whole grains and nuts, participate in regular physical activity (150 minutes per week for adults and 60 minutes a day for children).
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