While you can lose weight without exercising, regular physical activity plus calorie restriction can help you lose weight. Exercise can help burn excess calories that you can't reduce with diet alone. Several studies report on the additive benefits of combining exercise with calorie restriction to reduce body weight and body fat and preserve FFM compared to diet alone. The combination of a low-calorie diet and increased physical activity is recommended, because it produces weight loss that can also lead to a decrease in abdominal fat and an increase in cardiorespiratory fitness.
Referral to an obesity specialist (or an obesity management team) should be considered if the patient does not lose weight in response to the prescribed intervention (fig. Since food equals calories, to lose weight you must eat fewer calories, exercise more to burn calories with activity, or both. However, the basis of successful weight loss is still a healthy, calorie-controlled diet combined with increased physical activity. Even this level of weight loss can help reduce the risk of chronic health problems, such as heart disease and type 2 diabetes.
In addition, maintaining a modest amount of weight loss over time has been shown to have health benefits. While you don't want to postpone losing weight indefinitely, you need to make sure you're prepared to make permanent changes in eating and activity habits. But people who lose weight gradually and steadily (about 1 to 2 pounds per week) are more successful in keeping the weight down. This diet has been designed to promote weight loss of no more than two pounds, or one percent of total body weight, per week.
Treatment should be based on good clinical care and evidence-based interventions, should be individualized and multidisciplinary, focusing on realistic goals, maintaining weight and preventing weight regain. Clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults. Once you've reached a healthy weight, rely on healthy eating and physical activity that will help you keep your weight low over the long term. Topiramate is an atypical anticonvulsant drug previously evaluated as a potential anti-obesity drug following reports of weight loss in epileptic patients taking this drug.
Remember that people who are overweight or obese have a higher risk of developing heart disease, diabetes, some forms of cancer, gallbladder disease, osteoarthritis, and sleep apnea.
