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By Caroline Cederquist

The word is getting out that most Americans are overweight (sometimes referred
to as obesity), but a lot of people are still not aware that includes them.

We're not just talking about not looking good in a bathing suit. Even someone
who is just "a little round," or "pleasantly plump" is already at higher risk for
significant health problems that are costing Americans $130 billion a year. Fully
two out of three Americans are obese or overweight today.

So just how fat is too fat? The euphemisms we use nowadays to refer to body
weight mostly imply that it's a matter of image or appearance, distracting from
the real issue-excess weight is hurting our health. So how do you know when to
be concerned? When has body weight gone from a cosmetic issue to one of
well-being?

The standard tool for measuring that is the Body Mass Index (BMI). The BMI
calculates height and weight to come up with a score that is indicative of a class
of health risk. A score of 18.5 to 25 is typically considered a healthy BMI. Above
25, the level of body fat begins to constitute a health risk, because the excess
contributes to problems like elevated blood pressure, elevated blood sugars and
high cholesterol, which all lead to serious ailments.

A woman who is 5-foot-4 and 155 pounds has a BMI of 27. That's overweight,
and she's already at higher risk for various health problems. But if she also has
one or more other risk factors-doctors call them "co-morbidities"-such as
hypertension or a family history of diabetes, her physician should strongly
recommend that she bring her weight down and be vigilant about keeping it
stable at a healthy level.

But that same woman just 15 pounds heavier is clinically obese, and at great risk
for a host of major medical problems including heart disease and even cancer.
Her risk of ultimately dying from those problems simply skyrockets once she
reaches that 30 BMI mark.

Along with BMI, doctors also use the measurement of waist circumference. A
waist circumference of more than 35 inches for women or more than 40 inches
for men is considered bad news. That's because where our weight is distributed
can be as critical as how much we're toting around. Weight deposited
abdominally-sometimes referred to as the "apple" body type-has a much greater
impact on internal organs and the way our bodies function, so it's much more
dangerous than weight carried mainly on the hips and thighs, as with the "pear"
body type.

How our weight is distributed is largely a result of our genetics and we don't get a
vote in it. But if we end up with a body that carries weight in the torso, we get
stuck with fat that is far more likely to cause elevated blood sugars and high
cholesterol, that is more likely to impair kidney function, more likely to interfere
with our cardiovascular health. So someone with a BMI of only 25 or 26, but with
a bigger waist circumference, may be advised to lose some weight anyway, just
to help avoid some of those serious health concerns.

And what of those folks who have been overweight for a long time, who are
comfortable with their bodies, and so far haven't noticed any ill effects of their
excess weight?

It is possible to be fit and fat, and a few people are, but it's very few. Health risks
do increase with age, and you may not notice initial signs of trouble developing.
But you don't have to wonder. You can find out if you're having any negative
health effects because of your weight with a few simple tests conducted by your
doctor to tell you if your blood sugars, cholesterol, or insulin levels are outside
the healthy range.

And if they are, you know it's time to make some changes for the better, before
your body takes a turn for the worse.

What OBESITY means and doesn't mean!
[
http://www.bistromd.com/obesity-life-lost-to.asp]Obesity is a medical term
with a finite and specific meaning. It means someone who is 30 pounds or more
over their healthy weight. That's all. Nothing more, nothing less. But the term has
taken on such a tremendous emotional charge, such a negative connotation,
that people naturally resist seeing themselves under the classification of obesity,
and as a result, fail to recognize themselves as being among those highly at risk.

Obesity does not mean lazy, sloppy, ugly or gluttonous. It isn't a value judgment;
it's is a medical definition. One third of all Americans suffer from obesity. It's a
health epidemic with many complex factors that go far beyond the individual. So
if you're obese, okay. It doesn't mean you're not a great guy or a wonderful gal
or a really super kid. It just means you're overweight enough that your health is
in jeopardy. And the good news is, there's help for that!

About the author:
Caroline J. Cederquist, M.D. is a board certified Family Physician and a board
certified Bariatric Physicians (the medical specialty of weight management). Dr.
Cederquist is the founder of
Bistro MD formerly Diet To Your Door, a home diet
delivery program that specializes in low calorie gourmet food that is delivered to
your home or office. Bistro MD serves as culmination of Dr. Cederquist's
expertise and experience in the world of medical weight loss.

Caroline J. Cederquist, M.D.

Article Source:
http://EzineArticles.com/
Online Personal Training
"Get Fit With Phil"
"Get Fit With Phil"
Caroline J. Cederquist, M.D. is a
board certified Family Physician
and a board certified Bariatric
Physicians (the medical specialty of
weight management). She
specializes in lifetime weight
management at the Cederquist
Medical Wellness Center, her
Naples, FL private practice.
Obesity - How Fat Is Too Fat?
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