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Obesity, Ambulatory Care


is a medical condition caused by too much body fat. Your caregiver will use your height and weight to calculate your body mass index (BMI). You are obese if your BMI is greater than 30.

The risks of obesity include

many health problems, including injuries and physical disability. You may have some problems now. Other problems may happen in the future if you are not able to lose weight. Common health risks include:

  • Diabetes
  • High blood pressure or high cholesterol
  • Heart disease
  • Gallbladder or liver disease
  • Cancer of the colon, breast, prostate, liver, or kidney
  • Sleep apnea
  • Arthritis or gout

Seek immediate care for the following symptoms:

  • Severe headache, confusion, or difficulty speaking
  • Weakness on one side of your body
  • Chest pain, sweating, or shortness of breath

Treatment for obesity

focuses on helping you lose weight to improve your health. Even a small decrease in BMI can reduce the risk of many health problems. Your caregiver will help you set a weight loss goal, such as losing 10% of your body weight.

  • Lifestyle changes are the first step in treating obesity. These include making healthy food choices and getting regular physical activity. Your caregiver may suggest a weight-loss program that involves coaching, education, and therapy.
  • Medicine may help you lose weight when it is used with a healthy diet and physical activity.
  • Surgery can help you lose weight if you are very obese and have other health problems. There are several types of weight-loss surgery. Ask your caregiver for more information.

Be successful losing weight:

  • Set small, realistic goals. An example of a small goal is to walk for 20 minutes 5 days a week. Do not try to change everything at once.
  • Tell friends, family members, and coworkers about your goals and ask for their support. Ask a friend to lose weight with you, or join a weight-loss support group.
  • Identify foods or triggers that may cause you to overeat , and find ways to avoid them. Remove tempting high-calorie foods from your home and workplace. Place a bowl of fresh fruit on your kitchen counter. If stress causes you to eat, then find other ways to cope with stress.
  • Keep a diary to track what you eat and drink, and your daily calorie intake. Also write down how many minutes of physical activity you do each day. Weigh yourself once a week and record it in your diary.

Eating changes:

You will need to eat 500 to 1000 fewer calories each day than you currently eat to lose 1 to 2 pounds a week. The following changes will help you cut calories:

  • Eat smaller portions. Use small plates, no larger than 9 inches in diameter. Fill your plate half full of fruits and vegetables. Measure your food using measuring cups until you know what a serving size looks like.
  • Eat 3 meals and 1 or 2 snacks each day. Plan your meals in advance. Cook and eat at home most of the time. Eat slowly.
  • Eat fruits and vegetables at every meal. They are low in calories and high in fiber, which makes you feel full. Do not add butter, margarine, or cream sauce to vegetables. Use herbs to season steamed vegetables.
  • Eat less fat and fewer fried foods. Eat more baked or grilled chicken and fish. These protein sources are lower in calories and fat than red meat. Limit fast food. Dress your salads with olive oil and vinegar instead of bottled dressing.
  • Limit the amount of sugar you eat. Do not drink sugary beverages. Limit alcohol.

Activity changes:

Physical activity is good for your body in many ways. It helps you burn calories and build strong muscles. It decreases stress and depression, and gives you an overall sense of well-being. It can also help you sleep better. Talk to your PHP before you begin an exercise program.

  • Exercise for at least 30 minutes 5 days a week. Start slowly. Set aside time each day for physical activity that you enjoy and that is convenient for you. It is best to do both weight training and an activity that increases your heart rate, such as walking, bicycling, or swimming.
  • Find ways to be more active. Do yard work and housecleaning. Walk up the stairs instead of using elevators. Spend your leisure time going to events that require walking, such as outdoor festivals and art fairs. This extra physical activity can help you lose weight and keep it off.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2017 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.