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Health Archives
April 2003

Weighty Matters

According to the U.S. Centers for Disease Control (CDC), more than 44 million Americans were obese in 2001. The National Institutes of Health lists the following health risks for overweight individuals: Type II diabetes, heart disease, high blood pressure, stroke, breast and colon cancer, gallbladder disease or gallstones, osteoarthritis, gout, sleep apnea and asthma.

These risks give good reason for maintaining a healthy body weight. The answers are plentiful and often conflicting to “What is a healthy weight?” and “How can it be achieved and maintained?”

One of the most accurate ways to determine if a person is overweight is the Body Mass Index (BMI).. To calculate BMI, multiply weight (in pounds) by 705, then divide by height (in inches) twice. For example, a woman 5 feet and 7 inches (67 inches) tall weighing 180 pounds, has a BMI of 28 (180 x 705 = 126,900/67 = 1,894/67 = 28).
A BMI of 25-30 is considered overweight, greater than 30 is considered obese. With a known BMI, the woman and her physician can determine a target BMI by combining her current BMI with factors like body shape, age, healthy history, and heredity. If weight loss is necessary to reach the target BMI, a vast pool of weight loss theories, plans, and programs is out there. How does a woman know which we weight loss program to choose?

The U.S. Department of Health and Human Services has some suggested criteria from a reputable weight loss program. Does the company or program:
• Explain the possible health risks of weight loss?
• Include weight control over the long term?
• Teach how to eat healthfully and exercise more?
• Have documented proof of success, not only praise by other people?
• Explain all costs?
• Give a clear, truthful statement of how weight loss will occur, including how much and how fast?
• Advocate reasonable caloric intake? The U.S. FDA (Food and Drug Administration), suggests men and very active women may need up to 2,500 calories daily. Other women and inactive men need about 2,000 calories daily. A safe plan is to eat 300-500 fewer calories per day to lose 1 to 2 pounds per week.

Anne Louise Gittleman, PhD, CNS, believes women of menopausal age need to watch carbohydrates because excessive amounts of them produce insulin that triggers more fat in the system. She says more fat is connected to elevated levels of circulating estrogens or “estrogen dominance” and that weight gain can be a symptom of estrogen dominance.

According to Dr. Christiane Northrup, author of The Wisdom of Menopause, many midlife women follow a diet high in carbohydrates and too low in fats and calories, leading to hormonal imbalance and even depression. Among Dr. Northrup’s solutions for estrogen dominance is a hormone balancing diet including fruits and vegetables, adequate protein, and moderate fat. To promote natural hormone balance, she suggests cutting back on or eliminating refined carbohydrates (cakes, cookies, candy, white bread, bagels, pasta) that promote estrogen dominance. A diet rich in protein including such food as eggs, turkey, fish, tofu or beans and moderate in healthy fats will favor hormone balance and balance brain chemistry.

For more information, Contact Marla Ahlgrimm, R.Ph.
Women's Health America
1289 Deming Way, Madison, WI 53717, www.womenshealth.com ,
1-800-558-7046
or fax 1-888-898-7412.

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