Complications from Obesity

Mikesus · Post by **Mikesus** » Mon Mar 21, 2005 9:30 pm

Overweight and Obesity
Health Consequences

Overweight and obese individuals (BMI of 25 and above) are at increased risk for physical ailments such as (NIH pp.12-20; Stunkard p. 224)

* High blood pressure, hypertension
* High blood cholesterol, dyslipidemia
* Type 2 (non-insulin dependent) diabetes
* Insulin resistance, glucose intolerance
* Hyperinsulinemia
* Coronary heart disease
* Angina pectoris
* Congestive heart failure
* Stroke
* Gallstones
* Cholescystitis and cholelithiasis
* Gout
* Osteoarthritis
* Obstructive sleep apnea and respiratory problems
* Some types of cancer (such as endometrial, breast, prostate, and colon)
* Complications of pregnancy such as; gestational diabetes, gestational hypertension and preeclampsia as well as complications in operative delivery (i.e., c-sections).
* Poor female reproductive health (such as menstrual irregularities, infertility, irregular ovulation)
* Bladder control problems (such as stress incontinence)
* Uric acid nephrolithiasis
* Psychological disorders (such as depression, eating disorders, distorted body image, and low self-esteem).

The Relation Between Body Mass Index and Selected Risk Factors, Behavioral Risk Factor Surveillance System, 2001.

In 2001, the prevalence of obesity (BMI greater than or equal to 30) was 20.9% and the prevalence of diabetes was 7.9%, an increase of 5.6% for obesity and 8.2% for diabetes in one year.

Overweight and obesity were found to be significantly associated with:

* Diabetes
* High blood pressure
* High cholesterol
* Asthma
* Arthritis
* Poor health status

Compared to adults with normal weight, adults with BMI greater than 40 were found more likely to be diagnosed for diabetes, high blood pressure, high cholesterol, asthma, arthritis, and fair or poor health.

Overall, the findings of this study indicate that as BMI increases, risk for some diseases also increases. For more detailed information about the relation between body mass index and selected risk factors please see

Mokdad AH, PhD; Earl Ford, MD; Barbara A. Bowman, PHD; et al. Prevalence of Obesity, Diabetes, and Obesity Related Health Risk Factors, 2001. JAMA 2001:289;76-79

Reference

National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Bethesda, Maryland: Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute, 1998.

Mokdad AH, PhD; Earl Ford, MD; Barbara A. Bowman, PHD; et al. Prevalence of Obesity, Diabetes, and Obesity Related Health Risk Factors, 2001. JAMA 2001:289;76-79

Stunkard AJ, Wadden TA. (Editors) Obesity: theory and therapy, Second Edition. New York: Raven Press, 1993.

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nodding off · Post by **nodding off** » Mon Mar 21, 2005 9:36 pm

Good news about obesity and CPAP. When your therapy works you have the energy to start exercising and start feeling better about yourself and lose weight!!! At least it worked that way for me!!

chrisp · Post by **chrisp** » Mon Mar 21, 2005 9:51 pm

Yes ! Get off the PC and go for a walk.

nodding off · Post by **nodding off** » Mon Mar 21, 2005 10:08 pm

I do my walk at 5:30 AM. 3 miles with my crazy poodle! I'm down from just over 300 pounds to 265. All since changing masks to one I could finally sleep the night in!

unclebob · Post by **unclebob** » Mon Mar 21, 2005 10:56 pm

Hi nodding off,

Watch who you're calling crazy, eh!

I just love poodles but have never had one that could go three miles - take it easy on the critter will you?

I've only had two in the past 30 years, each lasted 14 years - a miniature and a toy. You must have a standard, 3 miles! Mine only went 3 blocks.

Sounds like you're doing great and I wish you and friend many more miles!

Keep it up!!!

Bob F

nodding off · Post by **nodding off** » Tue Mar 22, 2005 7:53 pm

Hi UncleBob,
You are correct. I do have a Standard. She's 2, ansd drags me around our walk with a ton of energy. When my younger daughter comes home to visit the dog goes for a 5 mile run with her and is still full of energy. I got her specifically to motivate me to walk, and it worked. She's also the best dog I ever owned. My cpap doesn't bother her, she just curls up next to my bed on the floor. Most importantly, though, the walking has been a tremendous help in controlling my diabetes, and without the dog I'd probably just roll over in the morning and go back to sleep!