Obesity and excess weight
Treatments available for Obesity and Excess Weight
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Wegovy® weight loss pens £149.00
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About Obesity and Excess Weight
Obesity is a growing concern worldwide and can lead to serious health issues like heart disease, diabetes, and high blood pressure. It can lead to or worsen mental disorders such as depression and anxiety. Our licensed products are designed to support a healthier lifestyle, to help manage weight effectively and sustainably.
What is it?
Obesity is a condition characterized by excessive body fat that increases the risk of health problems.
What causes it?
It is caused by a combination of factors including poor diet, lack of physical activity, genetics, and certain medical conditions.
What are the symptoms?
Symptoms include a high body mass index (BMI), excessive body fat, and difficulty with physical activities.
Who is likely to suffer from it?
Individuals with a sedentary lifestyle, poor dietary habits, and a family history of obesity are more susceptible.
What are the potential complications, if left untreated?
Complications can include heart disease, diabetes, high blood pressure, stroke, and certain cancers.
How is it treated?
Treatments include lifestyle changes such as a healthy diet and regular exercise, behavioral therapy, medications, and in some cases, bariatric surgery.
Body Mass Index
About BMI
BMI (body mass index) is a measure for adults to check what category their height and weight puts them in - underweight, healthy, or overweight.
Calculating BMI
The calculator will give you an idea of how your weight compares to common values. Body Mass Index (BMI) is calculated as your weight divided by the square of your height or BMI = weight/height2.
Calculate your BMI
This calculator should only be used by adults. Pregnant or lactating women should not rely on these BMI results, and no action should be taken based on its values other than to consult a qualified person such as a doctor.
If you think you have an eating disorder, the BMI calculator may not be suitable for you.
How to calculate your BMI
Your BMI is calculated by dividing your weight by your height squared.
For example, if you’re 1.75m metres tall and weigh 70 kilograms, the calculation to get your BMI is:
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1.75m x 1.75m = 3m2.
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70kg ÷ 3m2 = 23.
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So, your BMI is 23, which falls within the healthy weight range. (Figures are rounded up).
You can also do this in imperial measurements. But rather than working it out yourself you can use the BMI calculator above to find out which range you’re in.
What your BMI score means
Underweight
Being underweight might mean you’re not getting all the nutrients, vitamins, and minerals that your body needs to be healthy. It may affect your skin, hair, and teeth or you may feel more tired than you should. Women may have irregular periods and have a greater chance of osteoporosis.
You should speak to your doctor to find out why you have a low BMI and about how to gain weight healthily.
Healthy weight
Having a BMI score within the healthy weight range is a good sign that you are the right weight for your height. But always remember that the BMI does not tell you anything about the make-up of your body – such as how much muscle or fat you have, how much physical activity you do, or your body type.
So, keep an eye on your general health, diet, and exercise and track any changes in your weight.
Overweight
If your BMI is in the overweight range you may be more at risk of developing health conditions such as type 2 diabetes, heart disease, gallstones and cancer.
For help losing weight, read our weight loss information leaflet.
Obesity - Class 1-2
If your BMI score is between 30 to 35 then there is a high chance you have class 1 obesity, with a range between 35 and 40 being Class 2. Your chances of developing health issues associated with being overweight can increase if you are obese.
If you’re BMI is in the obese range, you should see your GP and talk about a plan to lower your BMI in a healthy way.
Severely Obese – Class 3
A BMI of 40 or above means you’re in the range of severe class 3 obesity – which can have a high chance of affecting your health.
The National Cancer Institute found that severe obesity can reduce life expectancy by 6 to 13 years. You should speak to your doctor about how to lose weight and bring down your BMI to a healthy level.
Is BMI accurate?
Your BMI result is a useful starting point for talking with a GP about your weight and general health. But a healthcare professional will consider many other factors when assessing if you are a healthy weight.
Groups of people where a BMI result is less helpful include:
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Muscular people.
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Black and Asian ethnic groups.
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Pregnant women.
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Children.
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People over 60.
Muscular people
Because muscle weighs more than fat, muscular people - such as weight trainers and athletes - may be a healthy weight even though their BMI is classed as obese.
Black or Asian ethnic groups
Black, Asian and some other minority ethnic groups have a higher risk of developing some long-term conditions such as type 2 diabetes despite having a lower BMI.
The BMI ranges for Black and Asian people are:
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Underweight - below 18.5.
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Normal range - 18.5 to 22.
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Overweight - 23 to 24.
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Obesity - 25 to 30.
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Severe obesity – above 30.
Pregnant women
If you are pregnant, you will gain weight as your baby grows and from the fluid that cushions your baby in your womb. It is hard to know what your true weight is, so, if you are worried you should speak to your midwife or GP.
Children
Because children are still growing, and boys and girls develop at different times, their BMI is measured differently.
For children and young people - between 2 to 18 years old – the children’s BMI calculator considers age and gender as well as height and weight. A child’s BMI is given as a ‘centile’ number which shows how their BMI compares with other children of the same age and gender.
So, a boy on the 60th centile is heavier than 60 out of 100 other boys of their age. The BMI calculator works out if a child is:
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Underweight – on the 2nd centile or below.
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A healthy weight – between the 2nd and 91st centiles.
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Overweight – 91st centile or above.
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Very overweight – 98th centile or above.
If you're worried about your child's weight you should speak to your doctor – especially if they fall outside the healthy centile range.
People over 60
As you get older, you tend to have more fat and less muscle. So, BMI may not be reliable if you're over 60.
Alternatives to BMI
Waist-to-height ratio
Your waist to height ratio can tell you if you have too much fat around your stomach, even if your BMI is healthy.
To calculate your waist to height ratio, measure your waist and divide it by your height. Use measurements in the same units – so centimetres (cms) or inches.
To measure your waist:
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Find the halfway point between the bottom of your ribs and the top of your hips - just above your belly button.
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Wrap a tape measure around this halfway point.
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Breathe out and then take the measurement.
What your score means:
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0.4 to 0.49 - you have a healthy amount of fat around your middle indicating you have no increased health risks.
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0.5 to 0.59 – you have increased fat around your middle, indicating increased health risks.
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0.6 or more - you have a high amount of fat around your middle, indicating further increased health risks.
You should try to keep your waist to half your height – which is a waist-to-height ratio below 0.5. These categories are the same no matter what gender and ethnicity you are and if you are muscular.
Anybody with a BMI under 35 can use this calculation.
Waist circumference
Some guidelines just look at waist circumference to measure tummy fat. Using this system, people are classed as having a higher risk of health problems if they have a waist circumference of:
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90cm (35 inches) or more for men of African–Caribbean, South Asian, Chinese, and Japanese origin.
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94cm (37 inches) or more for men of white European, Black African, Middle Eastern, and mixed origin.
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80cm (31.5 inches) or more for women of any background.
Whilst this can be useful, waist-to-height ratio is thought to be more accurate.
Obesity and Weight Loss FAQs
How much exercise should I be doing for the best results?
Studies show that moderate exercise (such as walking for 30 minutes every day) can result in improvements in overall health. You can add exercise to your activities throughout the day by adding a little extra walking to the things you already do. What's important is including activity regularly in your routine. Start gently and work your way up. That way you are more likely to lose weight slowly and keep it off.
Will I gain weight if I eat before bed?
Your weight depends on your balance of calories, rather than when you eat. Eating before bed should not affect your weight loss progress, as long as it is a healthy snack. People tend to opt for unhealthy foods as a ‘midnight snack’, which is why there is a perceived link between eating at night and gaining weight.
Why is breakfast so important?
Healthy breakfasts are essential in losing weight. If you have too few calories to start the day, the body will naturally slow down your metabolism, to conserve whatever energy it has left. This will impede your weight loss.
Breakfast is also important to prevent you from feeling hungry throughout the day. You are more likely to make unhealthy choices if you are constantly slightly hungry.
What happens if I eat too few calories?
When caloric intake goes below a certain level, the body will involuntarily slow down your metabolism in order to conserve whatever energy it has left. This ‘starvation mode’ is the body’s way of surviving with very little food. This would be helpful if you were actually starving, but it will prevent you from making further weight loss progress.
So, in order to lose weight, you must reduce your caloric intake, but still, eat enough to avoid this ‘starvation mode’. For men, this lower limit is usually around 1,500 calories per day; women should stay above 1,200.
If I am trying to lose weight, how many meals should I eat each day?
There is no consensus on this. On one hand, eating three main meals each day gives your body more time to burn fat in between meals. On the other, eating five small meals each day will keep your metabolism up to speed and will prevent you from getting hungry.
Ultimately, it comes down to your habits and lifestyle. If you are too busy to commit to five regular meals, it may be preferable to stick to three larger ones, so long as you do not resort to unhealthy snacks in between meals. If you know that you feel hungry very frequently, five or six small meals might be a better option. As long as you eat the appropriate amount of calories, the frequency of your meals should not make a notable difference.
Will skipping meals help me lose weight?
Once you have a regular routine, try to avoid skipping meals. You may skip a meal thinking it will help you reduce your intake of calories, but then overcompensate when you get hungry later.
It is particularly important to evenly distribute your eating throughout the day if you have diabetes. Overcompensating after skipping a meal will impact your blood sugar levels in a harmful way.
Does yoga help with weight loss?
Yoga can be very helpful when you are trying to lose weight. First, yoga is an exercise which can very effectively burn calories. This is especially true for types of ‘power yoga’, such as Vinyasa. Second, yoga will improve your fitness and flexibility, making other exercises and activities much easier for you.
Finally, yoga and meditation help to teach mindfulness, which is very important for a healthy lifestyle. You will find yourself more disciplined in everyday life, which will help you to kick bad habits and make lifestyle changes.
Does taking the stairs make that much of a difference?
Taking the stairs instead of the elevator may seem like a cliché, but these extra steps each day are incredibly important in burning calories, especially if you have an otherwise sedentary job and/or lifestyle. Consider using a pedometer or a smartphone app to track how many steps you take each day. If you get above 10,000 steps per day, you will be burning an extra 250 calories.
Once I have lost weight, how can I keep it off?
To sustain your weight loss, you must continue to exercise and be mindful of your diet. Try to incorporate exercise into your routine, so that burning calories does not feel like a chore. Many people find it difficult to maintain the motivation they had when they first started to lose weight – you may find it helpful to look up new routines, or to find a running group.
Why have I been gaining weight since I started exercising?
There are a number of reasons why this may happen. Most often, because exercise increases appetite, people end up accidentally eating more calories than they have burned. This is especially common for women – the hormones which regulate the appetite are made more active by exercise.
It may seem justified to reward yourself with a high-calorie meal after a session of exercise. This is a very bad habit to fall into, as you will end up undoing all the good from your exercising. You must maintain your discipline and stick to foods that are high in fibre such as whole grains and vegetables. This will require a holistic change to your lifestyle, including removing temptations from your kitchen or office.
How frequently should I check my progress?
Some people check weekly, some check every day. As long as you do so regularly, it should not matter.
How do I get rid of excess body fat?
Calculate your BMI (Body Mass Index) to determine whether you have excess body fat. A BMI of over 25 often corresponds to an unhealthy weight, especially if your waist circumference is over 40 inches if you are male and 35 inches if you are female. Excess body fat can increase the risk of diabetes, heart disease, and some types of cancer.
To effectively lose excess body fat, you will need to combine a reduction in your caloric intake with increased exercise.
How many calories should I be trying to burn?
Generally, you will lose 1 pound if you can burn off 3,500 more calories than you have taken in. Spread over a week, you will lose 1 pound if you reduce your calories by 500 each day, and you will lose 2 pounds if you reduce your calories by 1000 each day. This is most effectively done by both increasing your calorie-burning exercise and reducing the number of calories you consume. It is usually not healthy to attempt to lose more than 2 pounds per week.
Why do I need to exercise even if I am on a diet?
Exercising while on a diet is the most effective way to lose weight. This is because there are two factors helping to improve your balance of calories. Exercising is also very useful in avoiding regaining weight after it is initially lost.
What strategies can I use for my weight loss diet?
Controlling your portion sizes and following a meal plan can be great strategies to implement in your diet. Consult with a dietician or personal trainer, or make your own balanced meal plan with professional guidance. As a rule of thumb, try to stick to more natural, whole foods, such as fruits, vegetables, grains, pulses and lean meats, over processed foods that are high in fat, salt and sugar.
Are weight loss shakes good for you? And are weight loss supplements safe?
Supplements like carnitine can have some benefits, and are often used as part of a balanced diet to help speed up weight loss. However, such supplements should only be used with the advice of a medical practitioner. Weight loss shakes can complement a sensible diet plan, but should never replace meals.
Is it a good idea to drink diet tea products?
It is not advisable to consume diet tea products, because they often lack approval from a healthcare association. These products are marketed as a way to cleanse, detox and lose weight, but have little scientific proof to back these claims.
Does weight loss slow down with age?
The aging process is one of the main reasons why your metabolism slows down. However, by preserving and gaining lean mass through exercise, you can help speed up and maintain your metabolic rate.
Can problems with my thyroid affect weight loss?
Losing weight with an underactive thyroid may pose some difficulties. You may encounter problems such as insulin and/or leptin resistance. It is recommended that you seek advice from a GP before you embark on a weight loss plan.
Are weight loss bootcamps and retreats worthwhile?
There is a real range of weight loss bootcamps, retreats and schemes designed to help you lose weight fast with a drastic change of eating habits and increased exercise. However, this is often not the most healthy way to do it. To see real results, and lose weight in a sustainable and healthy way, it is worth making permanent lifestyle changes.
You can see real results with a healthy diet, a gym membership or upping your daily activity by walking or running to work.
How does PCOS (poly-cystic ovary syndrome) affect weight loss?
Weight loss may also be more difficult for people with PCOS. This is because higher androgen levels can lead to weight gain. Contact your GP or a dietician for guidance on how you can lose weight healthily if you have PCOS.
How do I know if I qualify for weight loss surgery, like a gastric band?
If all else fails, and you are an extreme case, weight loss surgery may be a viable option. Weight loss surgery is available on the NHS for people who meet certain criteria, including having a BMI of over 40, or a BMI of between 35 to 40 and an obesity-related condition that may improve if you lost weight, e.g. type 2 diabetes.