Northeast Ohio Bariatric Medicine Newsletter

January

February 2011

In This Issue
Keeping Your Focus
More Bad News About Obesity
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Greetings!
While I enjoyed the holidays, I'm glad they are over and we are off to a new year. While most new year resolutions are not kept, I would like to share some suggestions that may just help you keep you working toward your health goals for 12 months.
  
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KeepFocus Keeping Your Focus 
    by Robert Hart, MD
 
Most New Years resolutions are never kept for more than a few days or a few weeks at most. Every year I see a new batch of early morning exercisers down at the Health Club in January. By the end of February, they usually are all gone...back to their old, unhealthy habits. What happened? Even very determined individuals without a plan will often fail to stick to their diet and exercise regimens.

 

Set Reasonable Goals

Sometimes people fail because they set their goals too high. I always ask new clients how much they want to lose. People usually have a weight loss goal in mind that is much greater than is achievable.

 

First, set no more than a goal of 10% weight loss as your first goal. For example, if you weigh 220, make your goal 22# or less (final weight 198). More than that, and you may be setting yourself up for failure. If you easily pass your goal, you can always make another goal.

 

Second, create a simple system to monitor your progress and give yourself rewards for every 5# that you lose. A simple way to do this is to create a chart with two columns. In the first column, put your starting weight, then list a 5# lower weight below that, and continue this with the goal weight at the bottom. In the right column, paste a gold star or smiley face sticker whenever you achieve the next lower weight for at least two consecutive days. At the very bottom of your page, consider putting a picture or description of the reward you are going to give yourself when you achieve the final 10% goal. For example, I have been saving toward the purchase of an exercise bike. However, I have made a commitment to myself that I can only purchase it when I have achieved and maintained my goal. I taped a picture of my reward on the bottom of my goal sheet.

  

 

Third, if your goal you just can't seem to make progress toward your goal, consider making a smaller, more realistic goal to start with. For example, write your starting weight in the left column and list weekly weights below that. Give yourself a gold star each time that your weight is below the previous week, no matter how small the loss. Even though it may take longer to achieve your ultimate goal, you will have the satisfaction of knowing that you are making progress on your lifetime  journey toward good health.

 


 
More Bad News About Obesity
by Robert Hart, MD
        Obesity Risk

If you have watched the news lately, you have probably heard stories about the link between obesity and a variety of health problems. I have listed a few of the known links between obesity and various diseases:

 Diabetes

One recent review analyzed the pooled results of several studies and found a relative risk of having diabetes 12 times greater among obese women. In other words, the obese women were 12 times more likely than the lean women to have obesity.

 Heart Disease

There is a known link between obesity and heart disease. In one study, women were 2.7 times more likely to develop coronary artery disease than lean women. The relative risk for high blood pressure was 5.4.

 Musculoskeletal Pain

Data from the CDC (Center for Disease Control and Prevention) revealed in one analysis that 31% of obese women were diagnosed with arthritis while only 16% of lean women were given that diagnosis. A variety of studies have shown an association of low back pain and obesity. There has also been a steep rise in the incidence of knee replacements and many of these are performed on obese individuals.

 Infertility

Numerous studies over the past few decades have clearly shown that obese women have a significantly higher risk of infertility due to the hormonal changes caused by excess adipose tissue. In addition to this, there is a risk of irregular menses and heavy bleeding.

 Cancer

Although not all forms of cancer risk have been associated with obesity, the most common forms of cancer are more common in the obese. Breast cancer risk is certainly increased in the obese. However, it is not yet clear whether weight loss will reverse this risk. Colon cancer risk is also increased in the obese. There is also a slightly increase risk of prostate cancer in men who are overweight.

If you have any questions, comments, or suggestions for future newsletters, please contact me. Have a great March...I hope it goes out like a lamb!
 
Sincerely,
 

Robert Hart, MD
Northeast Ohio Bariatric Medicine
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Most of our patients come to us upon the advice of other successful patients. Have you referred someone to us in the recent past? As a way of showing our appreciation for your referrals, we would be happy to extend a 25% discount off your next office visit. This applies to the visit fee and does not include any supplements. Also, this does not apply to visits billed to insurance.
 
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