Obesity in terms of treatment: advice from a nutritionist

Obe­si­ty is a world­wide prob­lem, cov­er­ing a huge num­ber of the pop­u­la­tion, char­ac­ter­ized by exces­sive depo­si­tion of adi­pose tis­sue in the sub­cu­ta­neous tis­sue, inter­nal organs and tis­sues. Accord­ing to sta­tis­tics, about 30% of peo­ple of work­ing age suf­fer from this dis­ease in Rus­sia. More­over, women are much more like­ly than men to expe­ri­ence this dis­or­der. Below we will talk about obe­si­ty in terms of treat­ment rec­om­mend­ed by nutri­tion­ists.

Non-drug therapy for obesity

In 2021, sci­en­tists from the Nation­al Med­ical Research Cen­ter for Endocrinol­o­gy pub­lished a paper in which it was found that non-drug ther­a­py (lifestyle changes through dietary mod­i­fi­ca­tion and increased exer­cise) is the main­stay of obe­si­ty treat­ment and is rec­om­mend­ed as the first, manda­to­ry and per­ma­nent treat­ment for this dis­ease. .

Thus, the first pri­or­i­ty in the fight against obe­si­ty is diet. Patients with such a diag­no­sis are assigned a treat­ment table num­ber 8.

First of all, a sick per­son is rec­om­mend­ed to grad­u­al­ly reduce the dai­ly calo­rie con­tent of food con­sumed. It is also extreme­ly impor­tant to reduce the intake of car­bo­hy­drates, fats of ani­mal ori­gin. The basis of the diet should be veg­eta­bles rich in fiber, whole grains, fruits with a low con­tent of car­bo­hy­drates.

The food is frac­tion­al with a grad­ual decrease in the size of a sin­gle serv­ing. Salt intake is lim­it­ed, fried, fat­ty, spicy and spicy foods are exclud­ed.

The sec­ond extreme­ly impor­tant point is dosed reg­u­lar phys­i­cal activ­i­ty. An obese patient should walk more, engage in var­i­ous sports, espe­cial­ly car­dio train­ing.

Speak­ing about the treat­ment of obe­si­ty, it is impos­si­ble not to talk about such a method as psy­chother­a­py. Talk­ing with a psy­chol­o­gist or psy­chother­a­pist can help change eat­ing behav­ior and lifestyle in gen­er­al.

Medicines

Drug ther­a­py is pre­scribed in the absence of the effect of the above mea­sures for three or more months, the body mass index is more than 30.

We empha­size that drugs aimed at com­bat­ing over­weight should be tak­en only after con­sult­ing a doc­tor.

The patient may be pre­scribed med­ica­tions that inhib­it the feel­ing of hunger, accel­er­at­ing sati­ety. Anti­de­pres­sants that change eat­ing behav­ior may also be used.

Cur­rent­ly, a drug that inhibits gas­troin­testi­nal lipas­es is often used to treat obe­si­ty, which leads to mal­ab­sorp­tion of undi­gest­ed triglyc­erides, caus­ing a calo­rie deficit.

Surgical intervention

In the event that the body mass index is more than 40 for a long time, med­ica­tions and diet do not give any result, the patient can under­go sur­gi­cal inter­ven­tions aimed at reduc­ing the vol­ume of the stom­ach and reduc­ing the amount of food con­sumed.

There are sev­er­al oper­a­tional meth­ods, the choice of one of them is car­ried out indi­vid­u­al­ly.