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The reasons for obesity are multiple and
complex. Despite conventional wisdom, it
is not simply a result of overeating. Research
has shown that in many cases a significant,
underlying cause of morbid obesity is genetic.
Studies have demonstrated that once the
problem is established, efforts such as
dieting and exercise programs have a limited
ability to provide effective long-term relief.
Science continues to search for answers.
But until the disease is better understood,
the control of excess weight is something
patients must work at for their entire lives.
That is why it is very important to understand
that all current medical interventions,
including weight loss surgery, should not
be considered medical cures. Rather they
are attempts to reduce the effects of excessive
weight and alleviate the serious physical,
emotional and social consequences of the
disease.
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The underlying causes of severe obesity
are not known. There are many factors that
contribute to the development of obesity
including genetic, hereditary, environmental,
metabolic and eating disorders. There are
also certain medical conditions that may
result in obesity like intake of steroids
and hypothyroidism.




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Numerous scientific studies
have established that your genes
play an important role in your
tendency to gain excess weight.
The body weight of adopted children
shows no correlation with the
body weight of their adoptive
parents, who feed them and teach
them how to eat. Their weight
does have an 80 percent correlation
with their genetic parents, whom
they have never met.
Identical twins, with the same
genes, show a much higher similarity
of body weights than do fraternal
twins, who have different genes.
Certain groups of people, such
as the Pima Indian tribe in Arizona,
have a very high incidence of
severe obesity. They also have
significantly higher rates of
diabetes and heart disease than
other ethnic groups.
We probably have a number of
genes directly related to weight.
Just as some genes determine
eye color or height, others affect
our appetite, our ability to
feel full or satisfied, our metabolism,
our fat-storing ability, and
even our natural activity levels.

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The Pima Indians are known
in scientific circles as one
of the heaviest groups of people
in the world. In fact, National
Institutes of Health researchers
have been studying them for
more than 35 years. Some adults
weigh more than 500 pounds,
and many obese teenagers are
suffering from diabetes, the
disease most frequently associated
with obesity.
But here's a really interesting
fact - a group of Pima Indians
living in Sierra Madre, Mexico,
does not have a problem with
obesity and its related diseases.
Why not?
The leading theory states
that after many generations
of living in the desert,
often confronting famine,
the most successful Pima
were those with genes that
helped them store as much
fat as possible during times
when food was available.
Now those fat-storing genes
work against them.
Though both populations
consume a similar number
of calories each day, the
Mexican Pima still live much
like their ancestors did.
They put in 23 hours of physical
labor each week and eat a
traditional diet that's very
low in fat. The Arizona Pima
live like most other modern
Americans, eating a diet
consisting of around 40 percent
fat and engaging in physical
activity for only two hours
a week.
The Pima apparently have
a genetic predisposition
to gain weight. And the environment
in which they live - the
environment in which most
of us live - makes it nearly
impossible for the Arizona
Pima to maintain a normal,
healthy body weight.

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Environmental and genetic
factors are obviously closely
intertwined. If you have a
genetic predisposition toward
obesity, then the modern American
lifestyle and environment may
make controlling weight more
difficult.
Fast food, long days sitting
at a desk, and suburban neighborhoods
that require cars all magnify
hereditary factors such as
metabolism and efficient
fat storage.
For those suffering from
morbid obesity, anything
less than a total change
in environment usually results
in failure to reach and maintain
a healthy body weight.

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We used to think of weight
gain or loss as only a function
of calories ingested and then
burned. Take in more calories
than you burn, gain weight;
burn more calories than you
ingest, lose weight. But now
we know the equation isn't
that simple.
Obesity researchers now
talk about a theory called
the "set point," a sort of
thermostat in the brain that
makes people resistant to
either weight gain or loss.
If you try to override the
set point by drastically
cutting your calorie intake,
your brain responds by lowering
metabolism and slowing activity.
You then gain back any weight
you lost.

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Weight loss surgery is not
a cure for eating disorders.
And there are medical conditions,
such as hypothyroidism, that
can also cause weight gain.
That's why it's important that
you work with your doctor to
make sure you do not have a
condition that should be treated
with medication and counseling.

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| Copyright © 2004
Coast Bariatrics Group. All rights reserved.
Developed by DigaWorks. |
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