• Home
  • Category: Weight Management

Weight Management

Obesity is the leading cause of preventable death worldwide and is responsible for over one hundred thousand American deaths each year. The management of one’s weight is becoming more and more medically relevant as it seems our inability to do so is quietly killing off significant numbers of the population. This comes as no surprise when you think of the human as an animal designed to sustain steady physical activity for extended periods of time whilst grazing on nuts and berries along the way. It draws a sharp contrast to the modern age, where there’s an eatery on every block, a vending machine in every office, and a supermarket selling discount food in every town. The situation is only made worse by the addition of cars, home-delivery, and shopping carts as it creates a society that requires little to no physical activity to survive.

As an animal preparing every minute for starvation should their food source be depleted either by natural famine or a superior competition encountered, the surplus of unused calories sitting around in our bodies has very few places to go. The adipose tissue soaks these calories as it has been evolutionary programmed to do and can be quite stubborn in giving them up in less than dire consequences. This is why most weight control methods focus very heavily on calorie intake and expenditure, as the only logical and proven method of weight loss is a negative energy balance between the two. This negative energy balance can be manipulated in many ways, mainly through both diet and exercise.

Personalized Evaluation

People who are overweight or obese face an increased risk of weight-related health problems.  Diabetes, high blood pressure and heart disease are just a few of the conditions that have been linked to excessive weight.  The management of one’s weight is becoming more and more medically relevant to help people improve their level of fitness and prevent these health issues from occurring or worsening.

We provide an in-depth, personalized client evaluation to every patient.  We use the InBody 520 segmental analysis method to obtain the most comprehensive body composition information available.  In addition to your weight, this machine will calculate your lean body mass, body fat, body mass index (BMI), percentage of body fat and more.  Our physicians will then use this analysis to customize a weight loss and fitness plan that is exactly suited to each patient’s needs.

Non-Surgical Weight Loss

Exercise

Physical activity manipulates the negative side of your energy balance. Whereas diet reduces the amount of calories you take in, exercise increases the amount of energy you use. This further improves the negative value of the desired energy balance and can lead to both speedier weight loss and a more physically fit body contour. Your basal metabolic rate is the total amount of calories you burn per day without any physical or neurological activity. Exercise will inevitably increase the amount of fat-free mass within your body, directly increasing your basal metabolic rate.

Exercise refers to any physical activity that improves or maintains physical fitness and overall health. Exercise has been strongly correlated with reduced disease affluence, reduced occurrence of obesity and positive psychological well-being. In addition, physical activity can also help reduce the body’s levels of cortisol, a stress hormone that builds fat in the abdominal area.

The two main categories of exercise are aerobic and anaerobic. Aerobic exercise tends to be longer in duration and focused on cardiovascular endurance, whereas anaerobic exercise consists of short bouts of high intensity activity. It was once believed that aerobics were much more efficient in weight loss than anaerobic, but recent studies have shown anaerobic activity can produce very similar energy expenditures due to elevated post-exercise oxygen consumption (EPOC). It is suggested that both aerobic and anaerobic activity should be preformed for the maximum benefits of exercise to be attained.

Supplements

Weight loss supplementation is quite limited in scope and tends to be crowded with appetite curbing herbal remedies and pills such as hoodiagordonii and green tea. High doses of caffeine or otherwise stimulating material are also sold in pill form for their ergogenic effects in increasing metabolism, decreasing fat absorption in addition to curbing diet. However, in nearly all cases these statements made by the companies marketing said supplements are not approved nor the products tested by the Food and Drug Administration.

Nutrition

There are hundreds upon hundreds of diets offered and endorsed by companies and weight loss groups across the world. The reduction in various macronutrient groups by different diets has not been effectively proven to be more or less efficient in weight loss than mixed macronutrient diets. Therefore, whether you pick a low carbohydrate diet, a low fat diet or simply an overall low calorie diet, your weight loss will be about the same provided you enforce and obey the rules of each diet.

The overall goal of dieting is to decrease the total calorie intake of an individual relative to their current calorie intake. If a person weighs a static 100 kilograms, then that person must be consuming and burning approximately equal values of energy. If one reduces the calories taken in, the balance will result in more calories being removed each day and a gradual, healthy pattern of weight loss can ensue.

Many people will argue that their “metabolism will slow down” when they diet to make up for the reduced calories; a completely logical conclusion based on our evolutionary requirement to survive on little food. However, physical activity can greatly aid in controlling one’s basal metabolic rate so as not to be caught up by your own body’s effort to save itself from its perceived starvation.