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Losing Weight

What does being obese mean?

If your weight is substantially above what is healthy for a person with your body composition, genetic background, and overall health status (based on other risk factors you might have), you may be considered obese. Being obese means you are at increased risk for heart diseases, stroke, high blood pressure, diabetes, arthritis, cancer, and other disorders.

Your doctor can give you a good sense of whether or not your weight puts you in the category of being obese. As a rule of thumb, you might find the weight categories shown in the following tables to be useful.

 
                    Ideal Weight for Women 
           -----------------------------------------------
   Height       Small          Medium           Large 
  in Shoes      Frame          Frame            Frame 
  --------------------------------------------------------
  6'       138 to 151 lb    148 to 162 lb    158 to 179 lb 
  5'11'    135 to 148 lb    145 to 159 lb    155 to 176 lb 
  5'10'    132 to 145 lb    142 to 156 lb    152 to 173 lb 
  5'9'     129 to 142 lb    139 to 153 lb    149 to 170 lb 
  5'8'     126 to 139 lb    136 to 150 lb    146 to 167 lb 
  5'7'     123 to 136 lb    133 to 147 lb    143 to 163 lb 
  5'6'     120 to 133 lb    130 to 144 lb    140 to 159 lb 
  5'5'     117 to 130 lb    127 to 141 lb    137 to 155 lb 
  5'4'     114 to 127 lb    124 to 138 lb    134 to 151 lb 
  5'3'     111 to 124 lb    121 to 135 lb    131 to 147 lb 
  5'2'     108 to 121 lb    118 to 132 lb    128 to 143 lb 
  5'1'     106 to 118 lb    115 to 129 lb    125 to 140 lb 
  5'       104 to 115 lb    113 to 126 lb    122 to 137 lb 
  4'11'    103 to 113 lb    111 to 123 lb    120 to 134 lb 
  4'10'    102 to 111 lb    109 to 121 lb    118 to 131 lb 
  --------------------------------------------------------
  From height and weight tables of the Metropolitan Life 
  Insurance Company, 1983.  The ideal weights given in these 
  tables are for ages 25 to 59.  The weights assume you are 
  wearing shoes with 1-inch heels and indoor clothing 
  weighing 3 pounds.  
 
                        Ideal Weight for Men 
           -----------------------------------------------
   Height       Small          Medium           Large 
  in Shoes      Frame          Frame            Frame 
  --------------------------------------------------------
  6'4'     162 to 176 lb    171 to 187 lb    181 to 207 lb 
  6'3'     158 to 172 lb    167 to 182 lb    176 to 202 lb 
  6'2'     155 to 168 lb    164 to 178 lb    172 to 197 lb 
  6'1'     152 to 164 lb    160 to 174 lb    168 to 192 lb 
  6'       149 to 160 lb    157 to 170 lb    164 to 188 lb 
  5'11'    146 to 157 lb    154 to 166 lb    161 to 184 lb 
  5'10'    144 to 154 lb    151 to 163 lb    158 to 180 lb 
  5'9'     142 to 151 lb    148 to 160 lb    155 to 176 lb 
  5'8'     140 to 148 lb    145 to 157 lb    152 to 172 lb 
  5'7'     138 to 145 lb    142 to 154 lb    149 to 168 lb 
  5'6'     136 to 142 lb    139 to 151 lb    146 to 164 lb 
  5'5'     134 to 140 lb    137 to 148 lb    144 to 160 lb 
  5'4'     132 to 138 lb    135 to 145 lb    142 to 156 lb 
  5'3'     130 to 136 lb    133 to 143 lb    140 to 153 lb 
  5'2'     128 to 134 lb    131 to 141 lb    138 to 150 lb 
  --------------------------------------------------------
  From height and weight tables of the Metropolitan Life 
  Insurance Company, 1983.  The ideal weights given in these 
  tables are for ages 25 to 59.  The weights assume you are 
  wearing shoes with 1-inch heels and indoor clothing 
  weighing 5 pounds.  

Your frame size or body build is determined by the thickness of the bones in your elbows, knees, ankles, and wrists. The Metropolitan Life Insurance Company offers this method of determining your body frame size: Extend your arm and bend your forearm upward at a 90 degree angle. With your fingers straight, turn the inside of your wrist toward your body. Place your thumb and index finger of the other hand on the two prominent bones of the elbow. Measure the space between the fingers against a ruler or a tape measure. Compare your measurement with the figures in the table below. Elbow measurements less than those given indicate a small frame; greater measurements indicate a large frame.

 
         Height in               Elbow Breadth for 
        1-inch Heels                Medium Frame 
        --------------------------------------------
                         Women 
        4'10' to 5'3'              2 1/4' to 2 1/2' 
        5'4'  to 6'0'              2 3/8' to 2 5/8' 
                          Men 
        5'2'  to 5'7'              2 1/2' to 2 7/8' 
        5'8'  to 6'3'              2 3/4' to 3 1/8' 
        6'4'                       2 7/8' to 3 1/4' 
        --------------------------------------------
        Metropolitan Life Insurance Company, 1983.  

It is important to consider body composition. If you are muscular and athletic, you may weigh more than a sedentary person of the same height and frame size, yet you may be trim, while your sedentary counterpart may be overweight. If your weight comes from muscle, you may fall technically into the overweight category yet not be fat. In general, however, as you approach 20% or more above your desirable weight, your excess weight usually comes from fat.

If you want to lose weight, you can begin with a safe, healthy, well-balanced diet to lose weight. However, the most effective weight management program is not a diet at all, but a gradual change in your lifestyle, including your eating and physical activity habits, which you can continue for the rest of your life.

How do I lose weight?

To lose weight, focus on retraining your eating habits by structuring how much you eat each day. The best source for a safe, healthy, effective weight reduction program is a registered dietitian or doctor. A plan for weight reduction should provide adequate nutrition, a variety of foods, and a reduction in calories.

An efficient way to lose weight is to improve the quality of the foods you choose. For example, choose fresh vegetables over carbohydrates and sweets. The best diet is one that helps you lose weight slowly but steadily, so you can maintain your ideal weight once you have reached your goal.

What are calories?

A calorie is a unit of measurement used to express the energy value of food. Your body burns calories to use for body functions and activities. Proteins, carbohydrates, and fats contain calories and produce energy. To lose weight, you should reduce the number of calories in your diet without sacrificing nutrition. You should also use or burn more calories through physical activity.

The average man needs 2500 to 3000 calories a day. The average woman needs 1800 to 2300 calories a day. Most weight reduction diets suggest 1500 to 1800 calories a day for men and 1200 to 1500 calories a day for women. Eating 500 calories a day less than you need to maintain your weight can result in a loss of 1 pound a week.

The rate at which you can lose weight depends on your body's metabolism. This is the rate at which you use energy for basic functions such as eating, sleeping, walking, etc. You may increase your body's rate of metabolism by engaging in physical activity on a regular basis. Weight loss may occur more quickly at the beginning of a diet because the body releases extra water that was retained.

What can I do to lose weight?

In general, follow these guidelines:

  • Write down everything you eat and drink.

  • Drink at least six 8-ounce glasses of water each day.

  • Choose unlimited amounts of vegetables and salads.

  • Choose:
    • lean meats, poultry, and fish

    • baked or broiled meat, fish, and poultry

    • salad dressing containing little or no oil.
  • Choose regular but limited amounts of:
    • nonfat dairy products

    • legumes (lentils, peas, and beans)

    • unrefined carbohydrates (whole wheat bread, whole grain cereals without sugar)

    • raw fruits and canned fruits in their own juices, water, or light syrup.
  • Limit how much you eat of the following:
    • refined carbohydrates (sugar) and foods containing sugar

    • refined grain products such as white rice and white flour.
  • Limit:
    • saturated fats such as butter, margarine, and fat on meats

    • other foods that contain fats, such as pastries, cakes, and cheese

    • fried foods

    • processed meats

    • alcoholic beverages.
  • To have a balanced diet, be sure to choose a variety of foods from the basic food groups:
    • dairy

    • meat and other protein

    • vegetables

    • fruit

    • bread and cereal.
  • Sit down and relax while you eat your meals. Avoid distractions such as the phone and TV. Chewing your food thoroughly helps digestion. Eating small, frequent meals instead of three full meals is helpful. You should eat every 4 to 5 hours. This keeps your blood sugar at a constant level and helps keep you from feeling hungry. Finish your meals with a piece of fruit instead of a sweet dessert.

  • For those who compulsively overeat, Overeaters Anonymous may help. The program is free. Write or call:

    Overeaters Anonymous
    World Service Office
    4025 Spencer Street #203
    Torrance, CA 90503

    Phone: 1-213-542-8363

  • Physical activity helps you lose weight because it burns up extra calories. It also raises your metabolism so that you burn more calories daily. It has other benefits as well: It makes you look better because it improves muscle tone and makes you feel more energetic, and it lowers your blood pressure, cholesterol level, and blood sugar level. Don't overdo it at first. Moderate walking 30 minutes three to six times a week is enough to start. If you have a medical problem, check with your doctor before starting a more vigorous exercise program.
Developed by Clinical Reference Systems.
Copyright 1998 Clinical Reference Systems
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