WEIGHT MANAGEMENT IN LIVONIA AND METRO DETROIT AREA

Our Weight Management in Livonia-Detroit area designed to help our patients improve their health and well being. Unfortunately obesity is an epidemic in United States, and Detroit has been labeled the fattest city in America. Obesity is related to heart disease, diabetes, and at least ten different cancers including breast, colon, gall bladder and pancreatic cancer.   Middlebelt Medical Center offers a state of the art solution for weight management in Livonia- Detroit area providing treatment, support and resources for patients struggling with their weight.

We create individualized weight loss programs that meet each patient's unique needs and lifestyle. We understand that the key to successful weight loss is an individualized approach with realistic goals and expectations. Our patients lose an average ½-1 pound a day with no hunger. Our Weight Loss programs in Livonia-Detroit area may include appetite suppressants, if appropriate, with or without OPTIFAST medical weight loss program. OPTIFAST uses meal replacement supplements to help patients lose significant amounts of weight. OPTIFAST is FDA approved for adults and children, safe when administered under the supervision of an experienced physician, and recommended for patients with heart disease, diabetes, high cholesterol and severe arthritis.( For more information about OPTIFAST go to OPTIFAST.COM) For those patients who are severely overweight we provide care and support before and after bariatric surgery. Please call us for Free no obligation consultation to discuss our Weight Management in Livonia-Detroit area and find out how we can change your life and help you look and feel better. We accept most insurance plans and we offer interest-free financing if needed.

Also we offer a Weight Loss in Livonia-Detroit area for children and adolescent that work with the patient and the parent to achieve the desired results and establish a healthy life style for the whole family please visit our pediatric weight loss page.


Overweight and Obesity

*Overweight is defined as a body mass index (BMI) of 25 or higher; obesity is defined as a BMI of 30 or higher.

 to calculate your BMI and find out your calorie needs please visit www.bcm.edu/cnrc/caloriesneed.cfm

 

Causes and Consequences

Is there a quick answer to the question, "what contributes to overweight and obesity?"

Overall there are a variety of factors that play a role in obesity. This makes it a complex health issue to address. This section will address how behavior, environment, and genetic factors may have an effect in causing people to be overweight and obese.
The Caloric Balance Equation

* Overweight and obesity result from an energy imbalance. This involves eating too many calories and not getting enough physical activity.
* Body weight is the result of genes, metabolism, behavior, environment, culture, and socioeconomic status.
* Behavior and environment play a large role causing people to be overweight and obese. These are the greatest areas for prevention and treatment actions.

Adapted from U.S. Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity, 2001

When it comes to maintaining a healthy weight for a lifetime, the bottom line is – calories count! Weight management is all about balance – balancing the number of calories you consume with the number of calories your body uses or "burns off."

* A calorie is defined as a unit of energy supplied by food. A calorie is a calorie regardless of its source. Whether you're eating carbohydrates, fats, sugars, or proteins, all of them contain calories.
* Caloric balance is like a scale. To remain in balance and maintain your body weight, the calories consumed (from foods) must be balanced by the calories used (in normal body functions, daily activities, and exercise).

Caloric balance is like a scale. Calories in = food and beverages. Calories out = body functions and physical activity.
If you are… Your caloric balance status is ….
Maintaining your weight "in balance." You are eating roughly the same number of calories that your body is using. Your weight will remain stable.
Gaining weight "in caloric excess." You are eating more calories than your body is using. You will store these extra calories as fat and you'll gain weight.
Losing weight "in caloric deficit." You are eating fewer calories than you are using. Your body is pulling from its fat storage cells for energy, so your weight is decreasing.

Genetics and the environment may increase the risk of personal weight gain. However, the choices a person makes in eating and physical activity also contributes to overweight and obesity.


Environment

People may make decisions based on their environment or community. For example, a person may choose not to walk to the store or to work because of a lack of sidewalks. Communities, homes, and workplaces can all influence people's health decisions. Because of this influence, it is important to create environments in these locations that make it easier to engage in physical activity and to eat a healthy diet. The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity 2001 identified action steps for several locations that may help prevent and decrease obesity and overweight. The following table provides some examples of these steps.
Location Steps to Help Prevent and Decrease Overweight and Obesity
Home

* Reduce time spent watching television and in other sedentary behaviors
* Build physical activity into regular routines

Schools

* Ensure that the school breakfast and lunch programs meet nutrition standards
* Provide food options that are low in fat, calories, and added sugars
* Provide all children, from prekindergarten through grade 12, with quality daily physical education

Work

* Create more opportunities for physical activity at work sites

Community

* Promote healthier choices including at least 5 servings of fruits and vegetables a day, and reasonable portion sizes
Encourage the food industry to provide reasonable food and beverage portion sizes
Encourage food outlets to increase the availability of low-calorie, nutritious food items
Create opportunities for physical activity in communities

Genetics
The Population

"Despite obesity having strong genetic determinants, the genetic composition of the population does not change rapidly. Therefore, the large increase in . . . [obesity] must reflect major changes in non-genetic factors."

Hill, James O., and Trowbridge, Frederick L. Childhood obesity: future directions and research priorities. Pediatrics. 1998; Supplement: 571.

How do genes affect obesity?

Science shows that genetics plays a role in obesity. Genes can directly cause obesity in disorders such as Bardet-Biedl syndrome and Prader-Willi syndrome.

However genes do not always predict future health. Genes and behavior may both be needed for a person to be overweight. In some cases multiple genes may increase one's susceptibility for obesity and require outside factors; such as abundant food supply or little physical activity.

For more information on the genetics and obesity visit Obesity and Genetics: A Public Health Perspective.
Other Factors

Diseases and Drugs
Some illnesses may lead to obesity or weight gain. These may include Cushing's disease, and polycystic ovary syndrome. Drugs such as steroids and some antidepressants may also cause weight gain.

A doctor is the best source to tell you whether illnesses, medications, or psychological factors are contributing to weight gain or making weight loss hard.

 

Health Consequences of obesity per the  CDC

Research has shown that as weight increases to reach the levels referred to as "overweight" and "obesity,"* the risks for the following conditions also increases:1

* Coronary heart disease
* Type 2 diabetes
* Cancers (endometrial, breast, and colon)
* Hypertension (high blood pressure)
* Dyslipidemia (for example, high total cholesterol or high levels of triglycerides)
* Stroke
* Liver and Gallbladder disease
* Sleep apnea and respiratory problems
* Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint)
* Gynecological problems (abnormal menses, infertility)

 to calculate your BMI and find out your calorie needs please visit   www.bcm.edu/cnrc/caloriesneed.cfm

for menu planner visit hp2010.nhlbihin.net/menuplanner/menu.cgi

For more information on diet and weight loss,physical activity, tracking your weight and calorie intake and obesity complications go to the following website

AHA 2006 Diet and Lifestyle Recommendations for Cardiovascular Disease Risk Reduction
(Lichtenstein et al. Circulation 2006)

Balance calorie intake and physical activity to achieve or maintain a healthy body weight.
Consume a diet rich in vegetables and fruits.
Choose whole-grain, high-fiber foods.
Consume fish, especially oily fish, at least twice a week.
Limit your intake of saturated fat to 7% of energy, trans fat to 1% of energy, and cholesterol
to 300 mg per day by choosing lean meats and vegetable alternatives; selecting fat-free
(skim), 1%-fat, and low-fat dairy products; and
minimizing intake of partially hydrogenated fats.Minimize your intake of beverages and foods with
 added sugars.
Choose and prepare foods with little or no salt.
If you consume alcohol, do so in moderation.

When you eat food that is prepared outside of the home, follow the AHA Diet and Lifestyle Recommendations.

Activity Level and Estimated Calories Burned

 

Gender

Age (years)

Sedentary (light physical activity associated with typical day-to-day life)

Moderately Active (equivalent to walking about 1.5 to 3 miles per day at 3 to 4 miles per hour)

Female

19–30

31–50

51+

2,000

1,800

1,600

2,000-2,200

2,000

1,800

Male

19–30

31–50

51+

2,400

2,200 2,000

2,600-2,800

2,400-2,600

2,200-2,400

 

 

 

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