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Healthbeat:Weight Plateaus

January 6, 2006

Jen Christensen

Obesity in the U.S.

According to the American Obesity Association, nearly two-thirds of

Americans are overweight (have a body mass index, or BMI, of greater

than 25). Of those who are overweight, more than 30 percent are

obese (have a BMI greater than 30) and nearly five percent are

severely obese (have a BMI greater than 40). Obesity is a growing

problem in the U.S. Over the past 30 years, the percentage of those

who are overweight has increased by 18 percent. Obesity rates have

doubled since 1976.

Being overweight can lead to some serious health problems. Excess

weight is linked to an increased risk for heart disease, stroke,

type 2 diabetes, high blood pressure, osteoarthritis, gallbladder

disease and certain types of cancer. Obesity is believed to cause

about 300,000 excess deaths in the U.S. each year.

Losing Weight – and Keeping it Off

The Calorie Control Council estimates 33 percent of American adults

are dieting to lose weight. Weight loss isn't always easy. There are

many fad diets that promote quick weight loss. However, there is no

magic bullet. Health experts say the best way to lose weight is to

do it slowly by eating a healthy diet, taking in fewer calories and

getting regular exercise.

Even the best attempts to lose weight can reach an impasse.

Sometimes after successfully losing weight, no more weight comes

off. This is known as a weight plateau. Gotlin, D.O., Sports

Medicine Specialist at Beth Israel Medical Center says weight

plateaus occur because the body reaches a balance of caloric intake

and energy expenditure.

Everyone has a minimum number of calories that are needed to provide

the body with enough energy to survive. This is known as the basic

metabolism rate. The number of calories we need varies from person

to person. Even the same person can have different caloric needs,

depending upon current state of health. Eating more calories than

the body needs or spends in exercise or activity leads to weight

gain. A weight plateau occurs when the number of calories a person

consumes equals that needed to keep the body functioning and provide

fuel for exercise.

A healthcare provider can help a patient determine his/her basic

metabolism rate and find the minimum number of calories needed to

keep the body alive. The number can be used to figure out how many

extra calories need to be eliminated to continue losing weight.

Gotlin says many patients are tempted to cut back on calories to

lose the extra weight. However, that should only be done cautiously.

Most people who are dieting are already eating close to the minimum

number of calories they need to survive. So as long as the diet is

healthy, the best option is to increase activity levels. Exercise

programs should be increased gradually to prevent burnout and

injury. Gotlin also recommends aerobic exercises to burn fat.

AUDIENCE INQUIRY

For information on obesity and weight loss:

American Council on Exercise, http://www.acefitness.org

American Obesity Association, http://www.obesity.org

Calorie Control Council, http://www.caloriecontrol.org

Weight-Control Information Network, http://win.niddk.nih.gov

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