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Health Risks of Bing Overweight
If you are overweight, you are more likely to develop health
problems, such as heart disease, stroke, diabetes, certain types of
cancer, gout (joint pain caused by excess uric acid), and
gallbladder disease. Being overweight can also cause problems such
as sleep apnea (interrupted breathing during sleep) and
osteoarthritis (wearing away of the joints). The more overweight you
are, the more likely you are to have health problems. Weight loss
can help improve the harmful effects of being overweight. However,
many overweight people have difficulty reaching their healthy body
weight. Studies show that you can improve your health by losing as
little as 10 to 20 pounds.

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Are You Overweight?
Use the weight-for-height chart below to see if you are
overweight. Find your height in the left-hand column and move
across the row to find your weight. If your weight falls within
the moderate to severe overweight range on the chart, you are
more likely to have health problems. Weights above the healthy
weight range are less healthy for most people.
Weight-for-Height Chart

Source: Report of the Dietary Guidelines
Advisory Committee on the Dietary Guidelines for Americans,
1995 pgs. 23-24.

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What Is Your Waist Measurement?If you
are a woman and your waist measures more than 35 inches, or if
you are a man and your waist measures more than 40 inches, you
are more likely to develop heart disease, high blood pressure,
diabetes, and certain cancers. You may want to talk to your
doctor or other health professional about the health risks of
your weight.

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What Are the Risks to Your Health of Being
Overweight?
Heart Disease and Stroke
Heart disease and stroke are the leading causes of death and
disability for both men and women in the United States.
Overweight people are more likely to have high blood pressure, a
major risk factor for heart disease and stroke, than people who
are not overweight. Very
high blood levels of cholesterol and triglycerides (blood fats)
can also lead to heart disease and often are linked to being
overweight. Being overweight also contributes to angina (chest
pain caused by decreased oxygen to the heart) and sudden death
from heart disease or stroke without any signs or symptoms.
The good news is that losing a small amount of weight can
reduce your chances of developing heart disease or a stroke.
Reducing your weight by 10 percent can decrease your chance of
developing heart disease by improving how your heart works,
blood pressure, and levels of blood cholesterol and
triglycerides.
Diabetes
Noninsulin-dependent diabetes mellitus (type 2 diabetes) is
the most common type of diabetes in the United States. Type 2
diabetes reduces your body's ability to control your blood
sugar. It is a major cause of early death, heart disease, kidney
disease, stroke, and blindness. Overweight people are twice as
likely to develop type 2 diabetes as people who are not
overweight. You can reduce your risk of developing this type of
diabetes by losing weight and by increasing your physical
activity.
If you have type 2 diabetes, losing weight and becoming more
physically active can help control your blood sugar levels. If
you use medicine to control your blood sugar, weight loss and
physical activity may make it possible for your doctor to
decrease the amount of medication you need.
Cancer
Several types of cancer are associated with being overweight.
In women, these include cancer of the uterus, gallbladder,
cervix, ovary, breast, and colon. Overweight men are at greater
risk for developing cancer of the colon, rectum, and prostate.
For some types of cancer, such as colon or breast, it is not
clear whether the increased risk is due to the extra weight or
to a high-fat and high-calorie diet.
Sleep Apnea
Sleep apnea is a
serious condition that is closely associated with being
overweight. Sleep apnea can cause a person to stop breathing for
short periods during sleep and to snore heavily. Sleep apnea may
cause daytime sleepiness and even heart failure. The risk for
sleep apnea increases with higher body weights. Weight loss
usually improves sleep apnea.
Osteoarthritis
Osteoarthritis is a
common joint disorder that most often affects the joints in your
knees, hips, and lower back. Extra weight appears to increase
the risk of osteoarthritis by placing extra pressure on these
joints and wearing away the cartilage (tissue that cushions the
joints) that normally protects them. Weight loss can decrease
stress on the knees, hips, and lower back and may improve the
symptoms of osteoarthritis.
Gout
Gout is a joint disease caused by high levels of uric acid in
the blood. Uric acid sometimes forms into solid stone or crystal
masses that become deposited in the joints. Gout is more common
in overweight people and the risk of developing the disorder
increases with higher body weights.
Note: Over the short term, some diets may lead to
an attack of gout in people who have high levels of uric acid or
who have had gout before. If you have a history of gout, check
with your doctor or other health professional before trying to
lose weight.
Gallbladder Disease
Gallbladder disease and gallstones are more common if you are
overweight. Your risk of disease increases as your weight
increases. It is not clear how being overweight may cause
gallbladder disease.
Weight loss itself, particularly rapid weight loss or loss of
a large amount of weight, can actually increase your chances of
developing gallstones. Modest, slow weight loss of about 1 pound
a week is less likely to cause gallstones.

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How You Can Lower Your Health Risks
If you are overweight, losing as little as 5 to 10 percent of
your body weight may improve many of the problems linked to
being overweight, such as high blood pressure and diabetes. For
example, if you weigh 200 pounds and are considered overweight
on the weight-for-height chart, you would
need to lose 10 to 20 pounds. Even a small weight loss can
improve your health.
Slow and steady weight loss of no more than 1 pound per week
is the safest way to lose weight. Very rapid weight loss can
cause you to lose muscle rather than fat. It also increases your
chances of developing other problems, such as gallstones, gout,
and nutrient deficiencies. Making long-term changes in your
eating and physical activity habits is the best way to lose
weight and keep it off over time.
If you are not overweight but health problems related to
being overweight run in your family, it is important that you
try to keep your weight steady. If you have family members with
weight-related health problems, you are more likely to develop
them yourself. If you are not sure of your risk of developing a
weight-related health problem, you should talk to your health
care provider.

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Additional Reading
Weight Loss for Life. NIH Publication No. 98-3700.
This booklet describes different types of weight-loss programs
and important elements of a successful weight-loss plan.
Available from the Weight-control Information Network (WIN).
Understanding Adult Obesity. NIH Publication No.
94-3680. This fact sheet describes the causes of obesity, how it
is measured, and its associated health risks. Available from
WIN.
Physical Activity and Weight Control. NIH Publication
No. 96-4031. This fact sheet explains how physical activity
helps promote weight control and other ways it benefits one's
health. It also describes different types of physical activity
and provides tips on how to become more physically active.
Available from WIN.
Gastric Surgery for Severe Obesity. NIH Publication
No. 96-4006. This fact sheet describes the different types of
surgery used to treat severe obesity. It explains how gastric
surgery promotes weight loss and the benefits and risks of each
procedure. Available from WIN.
Dieting and Gallstones. NIH Publication No. 94-3677.
This fact sheet describes what gallstones are, how weight loss
may cause them, and how to lessen the risk of developing them.
Available from WIN.
Nutrition and Your Health: Dietary Guidelines for
Americans, Fifth Edition. Home and Garden Bulletin No. 232.
2000. This booklet provides advice for healthy Americans 2 years
of age and older about food choices that promote health and
prevent disease. It stresses the important roles a balanced diet
and physical activity play in maintaining a healthy lifestyle.

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Additional Resources
The following organizations have information and educational
materials available to the public on health problems associated
with being overweight.
National Institute of Arthritis and Musculoskeletal and Skin
Diseases
P.O. Box AMS
9000 Rockville Pike
Bethesda, MD 20892
Tel: (301) 495-4484
Web:
www.nih.gov/niams/
National Cancer Institute
Office of Cancer Communications
Building 31, Room 10A16
9000 Rockville Pike
Bethesda, MD 20892
Tel: (800) 4-CANCER (4-226237)
E-mail:
cis@icicc.nci.nih.gov
Web:
www.nci.nih.gov
National Diabetes Information Clearinghouse
1 Information Way
Bethesda, MD 20892-3560
Tel: (301) 654-3327
Fax: (301) 907-8906
E-mail:
ndic@info.niddk.nih.gov
Web:
www.niddk.nih.gov/health/diabetes/diabetes.htm
National Digestive Diseases
Information Clearinghouse
2 Information Way
Bethesda, MD 20892-3570
Tel: (301) 654-3810
Fax: (301) 907-8906
E-mail:
nddic@info.niddk.nih.gov
Web:
www.niddk.nih.gov/health/digest/digest.htm
National Heart, Lung, and Blood Institute Information Center
P.O. Box 30105
Bethesda, MD 20824-0105
Tel: (301) 251-1222
Fax: (301) 251-1223
E-mail: nhlbiic@dgsys.com
Web:
www.nhlbi.nih.gov/index.htm

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Weight-control Information Network
1 Win Way
Bethesda, MD 20892-3665
Tel: (202) 828-1025 or 1-877-946-4627
Fax: (202) 828-1028
E-mail:
win@info.niddk.nih.gov
The Weight-control Information Network (WIN) is a service of
the National Institute of Diabetes and Digestive and Kidney
Diseases (NIDDK), part of the National Institutes of Health,
under the U.S. Public Health Service. Authorized by Congress
(Public Law 103-43), WIN assembles and disseminates to health
professionals and the public information on weight control,
obesity, and nutritional disorders. WIN responds to requests for
information; develops, reviews, and distributes publications;
and develops communications strategies to encourage individuals
to achieve and maintain a healthy weight.
Publications produced by the clearinghouse are reviewed
carefully for scientific accuracy, content, and readability.
This e-text is not copyrighted. The clearinghouse encourages
users of this e-pub to duplicate and distribute as many copies
as desired.

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NIH Publication No. 98-4098
May 1998
Updated: September 2001 |
Source:
http://www.niddk.nih.gov/health/nutrit/pubs/health.htm


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