Weight Management

What is Obesity?

Obesity is a common problem in the UK that's estimated to affect around 1 in every 4 adults and around 1 in every 5 children aged 10 to 11. It is a term used to describe a person  who is extremely overweight. 


How do we measure Obesity?

For most people, body mass index (BMI) is a useful indication of whether you’re a healthy weight, however, it is not used to diagnose obesity as people with high muscle mass can have a high BMI with a low amount of fat.


For most adults, a BMI of:

  • 18.5 to 24.9 means you're a healthy weight

  • 25 to 29.9 means you're overweight

  • 30 to 39.9 means you're obese

  • 40 or above means you're severely obese


Waist size is an additional measure used in people who have a BMI of 25+. It is a better marker of excess fat. Men with a waist size of 94cm+ and women with a waist size of 80cm+ are more likely to get complications associated with obesity. 


Other measures include body fat percentage. 


What causes Obesity?

In simple terms, obesity is caused by calorific excess; when you eat more calories than you burn off, your body stores the excess as fat. 


Obesity is primarily a lifestyle problem. Sedentary lifestyle, lack of exercise, poor diet with high sugar intake and high alcohol intake all contribute to weight gain. 


Other causes include medical conditions such as (underactive thyroid and Cushing's syndrome) and medications (steroids) can lead to weight gain. 


Why is it important to tackle obesity?

Being obese can cause a range of physical symptoms such as joint aches, back pain, feeling tired all the time, shortness of breath on minimal activity.


The psychological impact of obesity is also vast, from people having low self-esteem and feelings of isolation. It may also have a big effect relationships or lead to depression.  


Obesity also increases your likelihood of developing a wide range of serious medical conditions. These include diabetes, heart disease, strokes and cancers such as bowel, uterine and breast cancer. It also increases the risks of high blood pressure, asthma, reflux, gallstones, arthritis, gallstones, reduced fertility and complications during pregnancy. 


What treatments are available?

Obesity, a problem the develops over time, will similarly take a lot of time and commitment to tackle. It requires a change of mindset and thinking surrounding nutrition. 


When creating a personalised weight management plan with you, we take into consideration your preferences, social circumstances and the outcome of previous treatments; as well as your degree of obesity and any other medical conditions you have. We use a combination of practical, psychological and medication options to get the desired result of steady, healthy weight loss. 


Our range of options includes:

  • Referral to personal trainers and dieticians who will create a personalised diet and exercise plan

  • Linking you in with local weight loss support groups where you can meet people with the same goals as you

  • Psychological support 

  • Clinically supervised very low calorie diets (VLCD)

  • Medications for weight loss (e.g. Saxenda and Orlistat)



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©2020 by Dr Mariam Adegoke.