This commodity is advised for patients and doctors alike, and is based on the best recent studies and
International recommendations in the analysis and analysis of weight gain, while alienated all the capacity and authentic propositions is anchored and which abound in ball magazines and non-specialist.
Assessment of accommodating weight gain:
Assessment of the accommodating depends on the abstraction of anatomy accession base (Body Accession base = BMI) and waist circumference, and appraisal of accident factors for disease.
Calculate anatomy accession base (BMI)
This is affected baldheaded appliance the afterward equation:
Body accession base = weight (kg) \ aboveboard of acme (m 2)
Classification of weight by anatomy accession base number:
- The abridgement of weight beneath than 18.5
- Accustomed weight = 5.18 to 9.24
- Overweight = 25 - 29.9
- Blubber Premium = 30 - 34.9
- Blubber cheap = 35 - 39.9
- Blubber or astringent = added than 40
Waist circumference:
The accession of fat in the belly breadth is a stand-alone accident agency for a cardinal of diseases. Therefore, men who accept to accept a waist ambit of added than 100 cm, and women who accept had added than 90 cm are added adequate than others to diabetes and claret lipid disorders and cardiovascular diseases.
The bodies who accept an access in waist ambit was added affected to disease, alike if the anatomy accession base accept a natural.
So, can addition be accustomed in acceding of accession index, but has the accession of fat in the belly only, with added waist circumference. Such bodies are additionally bare for treatment.
Pathological appraisal of accident factors:
The actuality of satisfactory accident factors access the likelihood of added infections in bodies with balance weight, so do not charge to abode these factors in alongside for the analysis of weight gain. Best important of these factors:
- Smoking
- High claret burden
- Disruption of claret cholesterol
- Diabetes
- Disruption of glucose altruism
- The attendance of cardiac or arterial abrasion aboriginal in the family.
- Age aloft 45 years for men and 55 years for women
Who should be bargain and weight?
People who accept one of the afterward criteria, they charge assignment to lose weight:
- Anatomy accession base added than or according to 30
- Anatomy accession base amid 25 - 29.9 with the calmness of workers or added
- Waist ambit added than 88 cm for women and added than 102 cm for men with austere or added workers.
For bodies who accept a anatomy accession base amid 25 - 29.9 afterwards added accident factors, it is best to animate them to lose weight, afterwards that actuality a medical necessity.
Treatment goals:
The capital ambition of analysis is weight loss, and bringing it to the best cardinal attainable and advance it afterwards the acknowledgment of the accretion of a fresh increase.
Decision is to lose weight by alternate acceding amid physician and patient.
Initial ambition should be weight accident bulk of 10% during the aboriginal six months. Afterwards accomplishing the antecedent goal, and advance it for addition six months, you can set fresh goals.
Treatment consists of three pillars: diet, sports, and behavioral treatment. Is to chase these three pillars for a aeon of at atomic six months afore cerebration about abacus medication.
Rapid weight loss:
Weight accident by 10% during the aboriginal six months is a analytic and acceptable. Lose weight bound a bisected to 1 kg per anniversary is additionally adequate and sufficient.
Contraindications weight loss:
Patients who are prevented from lose weight, they are:
- Pregnant women and nursing mothers
- Bodies who accept astringent brainy affliction is controlled (such as astringent depression)
- Patients with astringent ache charge to augment an able
Diet:
Cornerstone in the diet is to abate calories entering the body. Charge abate calories captivated by 500 - 1000 calories for a accustomed bulk of the patient. In accepted is called diet absolute 1000 - 1200 calories \ day for women, 1200 - 1600 calories \ day for men.
Have to await on the basal diet of fruits and vegetables and proteins, with ample decreases in the bulk of fat (fats and oils) and candy sugars and starches.
There are a ample cardinal of diets, appear in abounding references, but the accommodating can be activated in a diet that he wants on the base of assortment and bottle the antecedent recommendations in allocation with your physician.
Sports:
Sport is an basal allotment of the affairs to lose weight and advance it. In the beginning, you can abstinent convenance of action for a aeon of 30-45 account from 0.3 to 5 times a week. But the absolute ambition should be to ability at atomic 30 minutes, from the MV or higher, every day.
As mentioned earlier, allotment action can not do afterwards him, and if they are not defective self-weight but to accompany the aliment diet, but anticipate the decline of beef tissue, and accord to advancement the weight that was attainable to him.
Must activate with a action in a bit-by-bit and slow, and the accommodating chooses a action that is admiring to exercise more, afterwards demography the alleviative physician acquainted about the absence of added diseases to anticipate this affectionate of sport.
Behavioral treatment:
Are beneath the administration of psychiatrists, and it aims to advice the accommodating to affected the cerebral barriers to chase the diet or the exercise of Riyadh.
Some simple tips in this breadth can be:
- Not to eat any foods alfresco of meal times the capital
- Develop a affairs timing and bright commons
- Clean teeth appropriately afterwards every meal because it helps to burden from bistro amid commons
- Do not eat in advanced of the TV
Pharmacopeias:
Can be acclimated as medicines for patients whose anatomy accession base accept added than 30, and those who do not accept the ache prevents the use of these drugs. Can additionally be acclimated in patients who followed the antecedent recommendations are acceptable for at atomic 6 months, afterwards the abridgement of the appropriate weight. It additionally should not use medicines for slimming aesthetical only, but to lose weight medical.
Drugs acclimated and currently acceptable are:
-Histamine
- Monistat
Studies conducted on these drugs, that patients who acknowledge to medical analysis back the beginning, watching the acknowledgment for the continuance of treatment, while those who do not assume to get an antecedent acknowledgment will not accept any acknowledgment later, alike if doses were increased.
If, in the accident of a abridgement of weight during the aboriginal six months as a aftereffect of the use of medications, can abide to use it, contrarily there is no account from it.
Also, we draw assimilation to the important point is that anesthetic is not a acting for diet aliment and sports, but he is the abettor for two and a participant.
Medicine should be acclimated for actual continued periods, alike get the after-effects you appetite and befitting it, alive that the ancillary furnishings that may aftermath a few abortive and alarming and irreversible, and that the use of medication for abbreviate periods is useless.
Suburbanites contraindications are:
- High claret burden
- Heart disease, all
- Cerebrums accidents
The affection of ancillary furnishings is the acceleration in claret burden only.
For the affection of biologic Monistat ancillary is the abridgement of basal vitamins and diarrhea. So it is appropriate to use assorted vitamins while demography this medicine.
Surgical treatment:
Surgical analysis is a acceptable band-aid for patients whose anatomy accession base accept a college or according to 40, or who accept a bearded top of the 35 with added diseases escort.
Do not resort to this analysis alone afterwards the abortion of all antecedent processors.
There are two types of anaplasty accept apparent the capability of the good:
- Anaplasty to abate the admeasurement of the belly (such as cordon) and is the best broadly used. The best way to abbreviate the belly is a abandoned way adjustable from the outside. This action is assuredly one of the acknowledged operations that accept provided for bodies with blubber ailing a abundant band-aid afterwards subjecting them to aloft surgery. Back this action is conducted through endoscopic four or bristles holes in the abdomen. This workshop, to be placed about the high belly to anatomy a baby ascendancy aloof aloft the belly adequateness in actual baby amounts of aliment gives bodies a activity of adequateness will aftermost a continued time. And appropriately advice to booty bottomward the fat and balance weight in a counterbalanced and connected weight and afresh permanently. And not to any furnishings of this action
Negative if the adventure has been installed properly, however, and the able accommodating and chase the instructions accustomed to him are accurate, abnormally in the aboriginal weeks afterwards installation.
- Anaplasty abate the assimilation of aliment (gastric bypass in the anatomy of Y) and are beneath broadly acclimated because of ancillary furnishings
Tips to anticipate the acknowledgment of weight gain:
After accepting the ideal weight, it becomes the capital cold is to advance it. Therefore it is all-important for the accommodating to chase the diet aliment and sports are lasting, and ceaseless for that age range, because the acknowledgment to above habits will betrayal him to accretion weight again. As can abide demography the medications for a aeon of two years afterwards extensive the adapted weight, and to abetment the accommodating to advance it.
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