Obesity exercise program

Obesity is a difficult condition to treat. Dietary restriction of caloric intake is the first line therapy and is optimally combined with an exercise program to promote loss of fat relative to lean body mass (17). For the grossly obese (BMI > 40), invasive mechanical measures such as jaw wiring, gastric banding, and gastric by-pass have been attempted with at least limited success (18). 

The starting dose of sibutramine is usually 10 to 15 mg once a day. The drawback of this drug is that, as with all medications used to treat obesity, the lost weight eventually reappears unless the patient continues to engage in healthy eating habits and an exercise program. 

Seelbach and Kris-Etherton (72) recently examined the effect of a vigorous ten-week exercise program on hepatic lipoprotein cholesterol and triglyceride production in obese and lean Zucker rats. (The obese Zucker rat has a marked hyperlipidemia with elevations of all plasma lipoprotein fractions, and the lean Zucker rat has a plasma lipoprotein profile similar to that of other lean rats. The use of both lean and obese strains provides information on the effect of exercise on hepatic lipoprotein production and... 

Tlus concerns the influence of exercise alone, with no weight loss. Braun aL (1995) studied a group of obese female diabetics. The subjects walked on a treadmill to provoke 50" o of their maximal rate of oxygen utilization. Six episodes of walking were performed over the course of 2 days. A total of 3138 kj (750 kcal) of energy was expended by the 2-day exercise program. The body s response to glucose was measured on the third day. 

The patient s physical fitness will play a dominant role in postural imbalance as a cause of back pain as well as in the treatment of it. This nation s epidemic of obesity has recently received a great deal of publicity, including children as a population. Obesity should be treated vigorously. In addition, America has become a nation of "couch potatoes," fewofwhom participate in proper exercise programs. The prescription of specific exercises for the back as well as general fitness exercises is a must... 

In addition to a healthy diet, exercise is vital to keeping your body strong and full of energy. Above, Ivonne Borrero and her 11-year-old son, Jose Roman, walk along Boston Harbor in 2007 as part of a federal program to combat childhood obesity, called We Can It encourages subtle changes at home to help kids learn healthy habits. 

At this point, the first therapeutic steps should be nonpharmacologic. Mr. Applebod s obesity should be treated with caloric restriction and a carefully monitored program of exercise. A reduction of dietary fat and sodium would be advised in an effort to correct his hyperlipidemia and his hypertension, respectively. 

An appropriate weight loss goal is 1-2 pounds per week. Many Americans want a quick-fix solution to obesity, but a slow weight loss program that includes reduced calories, exercise, and behavior modification is the only proven method of sustained weight loss other than surgery. 

Obesity should be aggressively approached with dietary programs avoiding animal fat and sugars regular exercise and in morbidly obese... 

---