Phentermine Mediterranean Diet Resources

Medical Facts...and Fiction

The goal of this section is to define the problem, the epidemic of obesity in this country in adults and in children. Data in this section are designed for the health care professions as well as for the public, with relevant references. In this regard, we will not re-invent the wheel, but will access all useful sources already published...invoking the "Fair Use Doctrine" for this educational effort when actual citations are not given. Of course, with over 50 years of clinical experience represented among the professional complement of this family enterprise, in addition to the experience of guest contributors, we will often express our own insights and opinions.

GS

Print This Article
More Articles

OBESITY: THE LATEST AND MOST LETHAL “COMMUNICABLE DISEASE”

May 8, 2011

Listen up. Folks: The life you save will be your own.

 

  • This country is now in the grip of four epidemics: Obesity; Diabetes Mellitus; Obstructive Sleep Apnea; and Alzheimer’s Disease.  And these four conditions may well be connected by a common cause: chronic suffocation of our body’s tissues, including the brain. 
  • At a recent meeting of the American Academy of Neurology, David Wilson, PhD reported that beta-amyloid, one of the hallmarks of Alzheimer’s Disease in the brain is markedly increased by acute –and quite possibly chronic – low oxygen levels.  Obesity, by means of its promotion of the other epidemics listed above, is very likely operating through this mechanism to promote even this deadly neurologic disease. 
  • Obesity is defined by the Body Mass Index, relating height and weight as it impacts health and disease.  A BMI of under 25 is normal.  A BMI up to 30 is Overweight.  A BMI of 40 or over is Morbid Obesity. 
  • Other factors in the increased morbidity and mortality associated with Obesity include: EXCESS ABDOMINAL GIRTH; WEIGHT GAIN DURING ADULTHOOD; AEROBIC CONDITIONING; AND ETHNICITY / GENETICS. 
  • The Pathophysiology of Obesity is complex…nothing like the earlier idea that fat cells (adiposities) were merely storage bags for fat cells.  It involves Central Nervous System connections and also the fact that fatty tissue turns out to be an endocrine organ (like the pancreas or the thyroid) that secretes hormones.  One of these hormones is Leptin, which controls satiety – the sense of fullness that pushes us back from the table.  Problems with Leptin can be either those of quantity / secretion or of sensitivity to its effects. 
  • There are at least 30 genetic determinants related to obesity.
  • The prevalence has increased by 75% in the U.S. since 1980: 65% with BMI over 25 and 33% with BMI over 30.  17% of children are now obese.  Worldwide, obesity exceeds chronic malnutrition. And it is clearly associated with urbanization. 
  • Obesity is a causal factor for many diseases, besides those mentioned above, and a cause of pre-mature death.  It has become the #1 cause of Cirrhosis of the Liver, as Fatty Liver, exceeding Alcoholism as a cause.  In fact, the losses from Obesity may soon outpace the gains in longevity from smoking cessation, leading to the first reduction in life expectancy in our history.  As one example, the life expectancy of a NFL player is currently 50 years!
  • OBESITY TREATMENT is multi-pronged, but always based on reducing caloric intake and substantially increasing energy expenditure (exercise).  One of the proven best approaches to diet and life-style modification is the Mediterranean Diet and Life-Style, as highlighted on this web-site (www.asthma-drsprecace.com)  There is a small role for medications, although the recent report of an experimental drink containing alginate could be helpful.  By contrast, several anti-psychotic medications promote weight gain.  Increasing restful sleep can definitely promote weight loss, just as inadequate sleep promotes weight gain.  Here, diagnosing Obstructive Sleep Apnea, one of the epidemics noted above, is vital…and easily treated.  The probably central role of refined sugars is addressed in a recent article in the NYTimes Magazine (April 17, 2011) entitled: “Sweet and Vicious: The Case Against Sugar”, by Gary Taubes.  And Bariatric Surgery has now become Standard of Care for many obese and especially morbid obese persons.  This includes the Roux-en-Y procedure, which can now sometimes be performed by laparoscopy.
  • Some psychologic support is always necessary, and can be as simple as regular visits to one’s physician or even regular telephone consultations with trained medical personnel.  In some cases, psychologic or psychiatric follow-up – in the form of “talk therapy”…much more important than medications…is necessary and very useful. 

 

SO, THERE YOU HAVE IT, FOLKS.  IT’S DECISION TIME.  WHAT WILL IT BE: DIABETES MELLITIS, HYPERTENSION – HEART ATTACKS – STROKES, OTHER CHRONIC NEUROLOGIC DEFICITS, CIRRHOSIS OF THE LIVER, MULTIPLE JOINT REPLACEMENTS DURING MANY YEARS OF PAIN, CHRONIC SUFFOCATION, OR ALL OF THE ABOVE AS YOU PROCEED TOWARD ALZHEIMER’S DISEASE? 

IT’S ALL RELATED TO OBESITY, A VERY TREATABLE DISEASE.   YOUR CHOICE.

 

GS


Print This Article
More Articles