## 1. Introduction

I know that weight loss is difficult, but I know that it’s possible. I’ve been dealing with this problem myself for about 10 years. I’ve read hundreds of scientific papers. I’ve also written more than two dozen of those papers. Also I’ve written two books, one only for doctors with quite a solid name “Obesity as a disease of lifestyle,” and the second book – popular one, same concept. And, judging by the reviews, the readers really liked it. Anyway, by now all of its copies are already sold out. One could’ve simply reprinted this book. But I’ve decided to once again write it, in order to fix some things and to add some things. And in the end I got myself almost a brand new book. The entire section of prevention and treatment of obesity is totally rewritten. I tried to make it more intelligent and more practically useful. You’ll be the judge of whether I succeeded or not in making it so.

My experience of treating patients who are overweight and obese is fairly large – at least a thousand cases. This is my profession, which I must admit I really like. And, if it, so happens that your excess weight prevents you from fully living your life let us find out a solution to this problem.

You could argue, asking what’s there to find out. Now on the Internet you can find many “most effective means”, which, if you believe the ads, helps you get rid of extra pounds, and, without any dieting or suffering. But I think that those people who still believe in such claims, which will solve all your problems, are now fewer in numbers. Fewer people believe in “fat extinguishers” and the like, because they do not help. Or, at least, they help, but only 15 – 20 percent of people. It is proven that sports such as aerobic workout for an hour 2-3 times a week, by itself does not contribute to weight loss in women*. And in this regard training on weight lifting equipment is not effective as well. But companies that provide these services continue to lure customers in, promising to remove those extra pounds effortlessly and forever. And diets? How many were there? Even if they do help you would only lose weight, and not in the most safe and painless way. However, once a person ceases to comply with such a diet, the weight starts to increase again. Did you know that only five people out of a hundred, who experienced weight loss, manage to keep the result for a year?

So, there’s much to find out and discover for yourself, and if you really want to lose weight and never gain it back, then you should know that it is possible only if you from the very beginning do everything right.

* This is how you should understand this. Physical exercises only of such type most definitely will not make you lose weight. However, if such physical exercises are coupled with some special diets, the effect of weight loss becomes more visible. We will discuss all this further, as you continue to read.

## 2. What weight is considered to be unhealthy?

First of all, let’s define “excess weight”. If you ask this question to a medical doctor, he/she will find out your height, weight, gender and age, and then he/she will take reference from a special graph, and will see if your weight is more or less than that which you should have. In such graphs, there is such a thing called “maximum allowed weight”, which if your weight is above that index, would be the excess weight.

Let’s assume that your weight is more than the indexed one then we should calculate how much bigger it is and show it in percentages. Here is the formula for determining your Quetelet index or body mass index (BMI): BMI = M (kg): H2 (M), where M – mass of the body, H – height. It is defined as the weight of the person, expressed in kilograms and divided by the height, which should be expressed in meters and then squared.

Take a calculator and do the math. If you get less than 25 – then that’s the norm, if you get more than 25, but less than 27 – then it’s the excess weight but not overweight yet, and if you get more than 27 – that’s overweight already. Recently, there are even levels of obesity, and this is also calculated by the Quetelet index. If it’s less than 28.5 – then it’s considered to be light obesity, if less than 35 – then its average obesity, and if less than 40 – it’s a severe case of obesity.

Many insurance companies, depending on body weight, have different fee policies. All things being equal, the cheapest insurance will be for a person with a so-called ideal body weight. This is such body weight of which the probability of diseases associated with obesity – such as hypertension, coronary heart disease or diabetes is minimal. The higher the body weight, the greater the probability of all of these diseases, the more expensive the insurance policy will cost you. Attached is a table of ideal body weight according to height or body type. There are three body types – normosthenic, hypersthenic and asthenic. The easiest way to identify your body type would be from the so-called costal angle. If you are a normosthenic then this angle is approximately 90 degrees, if you are a hypersthenic then the angle is obtuse (greater than 90 degrees), and if you are an asthenic then the angle is acute. Obesity should be mentioned only if the actual weight is more than 15 percent than the ideal weight. Defining ones ideal weight seems to me the most reliable measure. Medical statistics is a pretty exact science. It is much more accurate than many other medical sciences. And if the statistic indicates that people are most likely to live longer and better who have an ideal body weight, then that’s the reality.

January 18, 2013

Weight Loss