What is the most effective obesity treatment?
Everyone, at present, claims to be the most effective obesity treatment, but Is there a scientific backing behind it? Can they cause alterations in other systems, by trying to lose weight? Are drugs or nutrition sufficient to treat obesity? These and other concerns are intended to clarify in this post to all our readers.
Is obesity a major global health problem?
Obesity is a serious global health problem, so it is considered the epidemic of the XXI century, it is amazing to realize that one third of the American population has normal weight (BMI, 19-25 kg / m2), another third suffer Overweight (IMC, 25-30 kg / m2) and the third remaining obesity (BMI> 30 kg / m2), including morbid obesity (BMI> 40 kg / m2), which has increased significantly in recent years.
Also, several pathologies are related to obesity, such as chronic and degenerative diseases: diabetes mellitus type 2, cardiovascular and cerebrovascular diseases, obstructive sleep apnea, polycystic ovary syndrome, infertility, depression, joint diseases, various types cancer, gastrointestinal and hepatic abnormalities.
According to the World Health Organization, in 2008, more than 1.4 billion adults were overweight and more than 500 million were obese. By 2013, 42 million children under the age of five were overweight, who are more likely to suffer from diabetes and cardiovascular disease at an early age, which in turn is associated with an increase in premature deaths and disability.
And at least 2.8 million people die every year because of obesity or overweight, as a result of an imbalance between ingested calories (poor diet) and calories spent (sedentary lifestyle), transmitted by family habits and our current society.
What are the existing treatments, to reduce obesity or overweight?
Treatments can be divided into three main groups: 1) Medical (drugs and surgeries); 2) Nutritional and 3) With physical exercise, but to enhance the results should be treated with a transdisciplinary team with different specialists, in which we will drill down below:
Obesity treatment for through surgeries
Bariatric surgeries (gastric sleeve, gastric bypass, abdominoplasty and liposuction) may be an alternative, but the associated risks and costs do not transform it into the best cost-effectiveness alternative, in addition to gastric bypass, unnaturally restricts the volume of the stomach, to satiate much faster, affecting the absorption of nutrients relevant to our body; instead with liposuction, localized adipose tissue is removed, which will generate flaps of excess skin and damaged muscles, which will have to be solved with another surgery called abdominoplasty.
Treatment for obesity using pills
On the other hand, for many years the pharmaceutical laboratories have tried to find the “magic pill” that can solve the weight problems, without the greater effort, on the part of the person suffering from obesity.
Since 1997 was approved the Sibutramine (it was withdrawn from the market in 2010) and in 1999 Orlistat, which inhibits pancreatic lipase, causing a poor digestion of the fat ingested, with the consequent fecal loss of more than 30 % of it has been shown to reduce 8% to 10% of excess weight at 1 year, together with diets, but are not worth it, suffer from flatulence, malabsorption of fat-soluble vitamins, diarrhea and fecal incontinence with fat drainage, for lose weight.
There are also other drugs that are not yet approved by the FDA because they are not safe for health, such as: Lorcaserine (with moderate weight loss, 4.8% and 4% weight gain over placebo), Bupropion/Naltrexone (acceptable weight loss of 7.3% and 7.8% higher than placebo at 1 year) and Phentermine/Topiramate (more than 12% of superiority compared to placebo in one year).
All these weight loss pills cause adverse reactions to medications such as: nausea, headache, dizziness, vomiting, dry mouth, constipation or diarrhea, insomnia and blurred vision, therefore, drugs or medications are not the best obesity treatment.
Nutritional therapy to lose weight
When we talk about nutritional therapy or diet therapy, we refer to the management of a balanced diet, which decreases caloric intake, without affecting the health of people; for the same, The Spanish Society for the Study of Obesity (SEEDO in spanish), developed a guide called “Evidence-based nutritional recommendations for the prevention and treatment of overweight and obesity in adults”, highlighting the following recommendations that have the highest level of scientific evidence:
An energy reduction in the diet of 500-1,000 kcal per day can produce a weight loss of between 0.5 and 1 kg/week, equivalent to 8% of weight loss in an average period of 6 months.
Compared to a low-fat diet (LFD), a low-carbohydrate diet (LCHD) achieves a greater weight loss in the short term (6 months), but at some time (1 year or more), its results are similar.
In the long term (1 year or more) a LCHD produces a higher increase of high density lipoproteins (HDL) and a greater decrease in triglycerides than a diet low in saturated fat.
Glucomannan supplements added to the diet may have a discrete effect, through a satiating mechanism, which favors weight loss.
Obesity treatment with a diet enriched or supplemented with glucomannan, Plantago ovata and β-glucans decreases the LDL cholesterol levels of the obese patient.
The hyperproteic diet does not induce in the long term (more than 12 months) a greater weight loss than a conventional diet rich in carbohydrates.
In the short term (less than 3 months), very low calorie diets (VLCD) (400-800 kcal/day) cause greater weight loss than low calorie diets (> 800 kcal/day), but to something term (1 year or more), their results are similar.
In the preoperative period of bariatric surgery in patients with hepatic steatosis and increased surgical risk, the use of VLCD prior to surgery allows the reduction of surgical risk.
Therefore, nutritional therapy, has strong scientific evidence, but only decreases adipose tissue, total cholesterol, LDL and regulates blood glucose, but does not cause any change in the musculature, which is the body’s great metabolic organ, therefore, it is necessary to include physical exercise as a fundamental part of the obesity treatment.
What is the best treatment based in exercises for reduce fat?
First of all, it should be considered that an obese person cannot perform impact exercise, because of the damage that would cause in their joints, especially spine, hips, knees and ankles, therefore, exercises in jogger, Zumba, Step and Plyometrics (jumps) are not recommended.
It should also be taken into account that a person with obesity or overweight has a high cardiovascular risk and low physical capacity, which concludes that the exercises should be prescribed by a health professional, expert in clinical physiology of physical exercise and not must overload your cardio-pulmonary system.
All this is derived, in that the exercises in the pool are the great alternative of obesity treatment, if they are complemented with changes of habits, leaving the sedentary lifestyle.
The Kaenz exercises are in a pool and significantly reduce the adipose tissue in the back, abdomen, arms, hips, thighs and legs, and at the same time strengthen the muscles, decrease body aches and increase fat metabolism, losing weight safely and without affecting other organs in a natural way, regulating diabetes, hypertension and dyslipidemia, becoming the best treatment for obesity.
We have the conviction that Kaenz, will improve your health and well-being, being a great investment, to reduce expenses for medications, hospitalizations and avoid surgeries, we invite you to experience this first virtual aquatic therapist, which will change your habits, recharging energy, toning your body, keeping you young and positively impacting your quality of life, sharing with your loved ones.