Weight loss treatment can be grouped into
1) the change in lifestyle through diet and exercise.
2) Pharmacotherapy.
3) Surgery.
Lifestyle modification with diet and exercise
1- is the preferred method of weight loss for people who are overweight (BMI 23-27 kg.m2) or Class 1 obesity (BMI 27 -32 kg / m2). Its objectives to a 5-10% weight reduction of moderate body weight in the last 6 months. The goal for losing weight should be 2 kg per month.The diet should be restricted to 1000-1200 kcal / day for women and 1200 to 1600 kcal / day for men. weight loss.
This would help induce a deficit of 500-1000 calories kcal / day and aid in weight loss goals mentioned above without causing too hungry.The diet should be low in saturated fats, trans fats, cholesterol, added sugars and salt.Foods to avoid include fried foods, baked goods, refined flour, sweets, red meat, egg yolks and whole milk and its products.Foods allowed include / fried grilled foods, lean meats, egg whites, skim milk, green vegetables, citrus fruits, and whole grain cereals and bread.Exercise should be aerobic training with modest weight. diet.
About 300 minutes of exercise per week is recommended for people who wish to obtain a reduction in their body> 5% weight. This exercise plan should be implemented gradually and initially made at intervals of 10-15 minutes to avoid fatigue. The daily activity level should be increased and exercise, such as brisk walking, running, biking, dancing or swimming should be integrated into the routine.Behavioral changes, including changing the environment to limit food intake and increase activity level, keeping a food diary, self-motivation and support and reward yourself with something more than food.Slimming productsDrugs for weight loss may be appropriate for people who are overweight or obese, but are unable to achieve their goals through diet and exercise. diet.
It is important to remember that all medications can have side effects and should be short-term only with a prescription from a licensed physician.
1- Sibutramine - the drug resulted in a weight loss of 5-10 pounds but also cause serious side effects and therefore was recalled. weight loss.
2- Orlistat - Reduce the amount of fat absorbed by the food and can be taken three times a day with meals. To cause weight loss of 8-10% after one year of regular treatment, but can cause side effects such as stomach pain, gas and oily stools in some people. It has also been associated with liver disease in some cases. weight loss.
3- Lorcraserin - the appetite is reduced and the results are similar to orlistat, but it has other side effects such as headaches, nasophyngitis, respiratory infections, etc. Should not be administered to patients with reduced renal function, and in pregnant women. weight loss.
4- phentermineOther products like ephedra, chromium, diuretics, laxatives and herbal hoodia have been associated with weight loss, but there is no solid scientific evidence that these products really help in the long term and effective reduction of body weight.
Surgery
This is only effective treatment for effective weight loss long term in people with morbid obesity (BMI> 32 kg / m2 with comorbidities, or BMI> 37 kg / m2, with or without comorbidities) weight loss.
