OBESITY OR OVERWEIGHT ? DIFFERENCES AND CAUSES

Weight classification

It is essential to understand the distinction between overweight and obesity in order to correctly classify body weight and develop appropriate management strategies.

  • Overweight : an adult is considered overweight when their Body Mass Index (BMI) is between 25 and 29.9.
  • Obesity : a person is considered obese when their BMI is equal to or greater than 30. In this case, the percentage of body fat is significantly higher.

The BMI may not accurately reflect the body composition of certain individuals, such as athletes. It is therefore advisable to consult a healthcare professional for a complete evaluation of body composition.

Contents

Demographic statistics

Comprehensive epidemiological data reveal a worrying trend in the classification of body weight within the adult population, with more than one third of adults classified as obese.
This figure highlights a major public health issue, as obesity is a well-established risk factor for a myriad of chronic diseases.
Among children and adolescents, specifically those aged 6 to 19, the situation is equally concerning. About one third are considered overweight or obese, indicating the early onset of weight-related health problems that may persist into adulthood.
The prevalence of obesity is pronounced among the young, with more than one in six children and adolescents being obese. It is therefore urgent to implement targeted interventions and educational campaigns aimed at promoting healthy lifestyles from an early age.

Consequences of obesity

Obesity significantly increases the risk of cardiovascular diseases, which are the leading cause of mortality in the United States for both men and women. It is associated with the development of conditions such as hypertension, dyslipidemia and type 2 diabetes, which are cardiovascular risk factors.
Moreover, obesity is linked to an increased risk of certain types of cancers. According to a recent study, obesity is involved in the etiology of 4 % of cancers in men and 7 % in women, due to the complex interaction of hormonal, inflammatory and metabolic factors associated with excess weight.
In summary, the statistics paint a bleak picture regarding obesity and highlight its impact on health. It is clear that obesity is not just an aesthetic issue, but a critical factor significantly influencing the risk of developing diseases.
To solve the problem, it is necessary to combine public health actions, awareness programs and lifestyle modifications.

Causes of obesity

Obesity is a pathological condition characterized by an excessive accumulation of body fat, resulting from a complex interaction of genetic, environmental, behavioral and physiological factors. Although the causes of obesity are multiple, it is widely recognized that a long-term energy imbalance, resulting from an excess of caloric intake compared with energy expenditure, is the primary factor in the development of obesity.

  • Lack of physical activity : physical activity is essential for caloric expenditure. In its absence, the body does not burn enough calories, leading to an accumulation of body fat. It is crucial to incorporate moderate physical activity, such as brisk walking, into your daily routine also to improve overall health.
  • Unhealthy eating habits : weight gain is mainly due to an excessive caloric intake compared with energy expenditure. A diet rich in refined carbohydrates, low in fruits and vegetables and characterized by unbalanced meals contributes significantly to the onset of excess weight. Keeping a food journal can help better understand and manage one’s eating habits.
  • Insufficient sleep : lack of sleep disrupts the hormones that regulate appetite, increasing levels of ghrelin (the hunger hormone) and decreasing levels of leptin (the satiety hormone). This imbalance leads to cravings for very high-calorie foods. Quality sleep, generally between seven and nine hours per night, is essential to maintain hormonal balance and prevent weight gain.
  • Medications : certain medications can lead to weight gain by altering metabolism or increasing appetite. It is important to consult a doctor to manage these side effects, by adopting a balanced diet and regular physical activity.
  • Pregnancy : weight gain during pregnancy is normal and necessary for the development of the fetus. However, after childbirth, losing weight can be difficult due to hormonal changes and the demands of caring for a newborn. Appropriate follow-up can be essential to help women manage post-partum weight.
  • Pathologies : certain underlying diseases, such as Prader–Willi syndrome or Cushing’s syndrome, can lead to weight gain due to the interaction of genetic and hormonal factors. A complete medical evaluation is necessary to correctly diagnose and treat these conditions.

Weight management strategies

Fighting obesity requires comprehensive management :

  • A balanced diet : rich in fruits, vegetables, fiber, proteins and healthy fats.
  • Regular physical activity : a combination of aerobic exercise, strength training and flexibility work.
  • Support from loved ones : importance of support from friends and family for maintaining healthy behaviors.
  • Monitoring food intake : keeping a food journal to improve eating habits.
  • Positive mindset : motivating yourself with visual reminders of the progress made.

It is strongly recommended to consult a healthcare professional for personalized advice and to develop a tailored weight management plan.

Solutions in aesthetic-oriented medicine

Aesthetic medical treatments can support body reshaping.

Cryolipolysis, which uses cold to destroy fat cells in a targeted and non-invasive way, helps speed up the loss of localized fat bulges.
Body mesotherapy injections are beneficial for drainage and the treatment of water retention.
Onda Coolwaves and radiofrequency improve skin quality.
Hyaluronic acid injections, especially with medical lift techniques, treat facial sagging caused by significant weight loss.

Photo of doctor Valeria Romano in Geneva

Article written by Dr Romano Valeria

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