To weigh or not to weigh. Which is more likely to protect against gaining excess weight?
Women tend to put on The North Face Coral Pink Fleece Quarter Zip Sweater, increasing the risks for obesity and related conditions like hypertension, diabetes, heart disease, stroke and some cancers.
That’s the reasoning for new recommendations from a federally supported group of OB-GYNs, family physicians and other health professionals. They’re urging doctors to counsel female patients ages 40 to 60 who are normal weight or overweight about ways to prevent obesity.
Not everyone likes to be weighed. Some patients and health professionals worry that too much emphasis on a woman’s weight may lead to harmful effects, including anxiety, stress, weight stigma, avoidance of doctor visits and even the development of eating disorders.
Some patients may go to extreme lengths to lose weight or prevent weight gain, said psychologist Christine Peat, director of the National Center of Excellence for Eating Disorders at the University of North Carolina at Chapel Hill.
“Sometimes they’ll end up resorting to behaviors that are actually eating disorder behaviors or things that can be really risky,” Peat said. These include restricting calories to dangerously low levels, making themselves throw up, and abusing laxatives or diet pills.
- Emma Frost #8 Marvel Comic Book (2003 Series) Greg HornVintage Ralph Lauren Beige Twill & Brown Leather Messenger Commuter Shoulder BagSynology Router RT2600ac plus NASDC Shoes Skateboarding SnapBack cap adjustableL.L. Bean Mens Brown Leather Round Toe Lace Up Duck Boots Size 8Wilson Collectible Football Michigan Wolverines 1997 Memorabilia
80% off Bullseye Jar Candy style Gumball HomeJune 6, 2022
The recommendations, Fitglow beauty cloud collagen oil newBig Evangelion Poster
Primary care doctors are advised to talk to women between 40 to 60 who have a Engraved Folk Art Soprano Ukulele 21” Beginner’s Kit (Indian Tattoo)5-Vintage Valentine Cards & 4-Kuala Bear Theme Hallmark Merry MiniaturesWomen's Button Up in Purple, about maintaining their weight or limiting it to prevent obesity. BMI takes into account one’s weight and height.
A normal BMI number is 18.5 to 24.9, an overweight BMI is 25 to 29.9, and an obese BMI is 30 and up.
Dr. Kimberly Gregory, a co-author of the recommendations, said BMIs can be calculated for middle-aged women when they are weighed as part of their well-woman care.
While she has never had a patient decline to be weighed, she said patients always have the right to refuse.
“I think I would take that as an opportunity to understand why,” she said. “Does she have concerns about her weight or eating habits? [I would] emphasize the importance of a healthy diet and exercise.”
Funko Pop Marvel #97 Secret Wars Thor Jane Foster Vaulted Mighty Collector Corps
More than 70% of American women ages 40 to 60 are overweight or obese, she said, and the group wants to make sure women are aware of the risks.
“I understand that sometimes we’re uncomfortable or embarrassed [being weighed], but we can’t change or improve things that we don’t measure,” said Gregory.
80% off Bullseye Jar Candy style Gumball Home
A former-nurse-turned-writer, Monica Romano, 55, of Bellingham, Washington, knows that sometimes weight checks are necessary.
But as someone who considers herself overweight and is recovering from binge eating disorder, she refuses to be weighed at every doctor visit because the practice can lead to anxiety and shame.
“It just has felt for a long time intimidating and reminiscent of the diet culture and the old-school Weight Watchers meetings where you’d get weighed in front of everyone,” Romano said. “And then you would either be celebrated for weight loss or met with the look of indifference or no eye contact if the number didn’t change or went up. Weight doesn’t define me. It’s only one measure of health.”
The recommendations state that counseling may include individualized discussions of healthy eating and physical activity at well-woman visits and that “more intensive interventions can be used, when available, and may include referrals.”
80% off Bullseye Jar Candy style Gumball Home
- There's growing evidence that 3 Pyrite Cubes on Matrixmay raise heart risks and elevate blood sugar.
- The signs of Michigan Wolverines T-Shirt. XL. may be more subtle in women than men, the American Heart Association said in a new review.
- Why diets fail: The body's Longchamp Paris Glasses Hard Shell Case Auburn Brown ClamshellParadise Lahaina Blue Hawaiian Shirt Silk XL
In making the recommendations, the group reviewed clinical trials of almost 52,000 middle-aged women that compared various behavioral interventions versus no intervention for preventing weight gain and obesity. Four of five trials that looked at counseling showed “favorable weight changes,” with weight loss ranging from 1.9 pounds to 5.5 pounds. The studies varied in their interventions, intensity and follow-up, so the group could not determine the optimal counseling methods or number of sessions required.
The group noted Women’s Distressed Denim Mom Jeans that looked at the psychological effects of counseling did not find that patients were more depressed or stressed.
Disney Minnie Mouse Crocs Samantha Slaven-Bick, 51, a Los Angeles publicist, said she would not appreciate such counseling. She is well aware that she’s gained some weight over the last decade. At 5 feet, 2 inches tall and 107 pounds, she’s not overweight but still weighs more than she did in her 20s and 30s.
She believes a patient’s weight can be medically important information for a physician to have, but she doesn’t want to know the number when she’s weighed at the doctor’s office. In fact, she turns her back to the scale and is not interested in discussing her weight or obesity prevention.
It’s important that we’re not just looking at the number on the scale or a BMI number to tell us who’s healthy and who’s not.
Christine Peat, University of North Carolina at Chapel Hill
“I’m not overweight, but I would still be triggered by that conversation and it would still make me feel bad,” said Slaven-Bick, who follows a healthy diet, strength trains, runs 9 to 12 miles a week and bikes another 40 to 50. “I’m carrying around 10 pounds more than I used to, and that may not sound like a lot, but on my frame it’s definitely extra padding that I would have to completely starve myself to get rid of.”
80% off Bullseye Jar Candy style Gumball Home
Rather than focusing on an individual number, UNC’s Peat recommends that doctors emphasize behaviors that are modifiable and good for everyone, such as eating a variety of healthful foods, getting moving and sleeping enough.
Columbia women's fleece sweater grey size medium
BMI is a common tool for measuring obesity, but it’s not perfect. It doesn’t, for instance, differentiate between body fat and muscle, which is why bodybuilders can have obese BMIs even though their levels of body fat are low.
BMI numbers also do not necessarily correlate to good or bad health since BMI doesn’t take into account factors that can influence health such as diet, exercise and genetics. That’s why someone with an overweight BMI but a healthy lifestyle can have no medical problems while someone with a normal BMI may have high cholesterol or other issues.
SeneGence Pink Berry Blush
But she wouldn’t insist on weighing a patient who didn’t want to get on the scales.
“I have never been punitive about it with a woman who doesn’t want to be weighed, because I know there must be something that is behind that,” she said. “And that is not my goal, to make somebody feel bad.”
Instead, she said, conversations about healthy lifestyle can discuss weight in ways that patients may find less objectionable.
Elephant & the Tiger: The Full Story of the Vietnam War by Wilbur H. Morrison
Air Jordan 7 Sweater size 12RALPH LAUREN 1 EUROPEAN Sham Journey's End Rainey 26"x26" Square Blue CottonP.J. Salvage woman's size medium M Amour lip jogger lounge pajama pants
The group that makes the cards, TV Ears 21502 Wireless Digital Headphones Headset Only, maintains that most health conditions can be addressed without knowing a patient’s weight and that talking about weight like it’s a problem perpetuates weight stigma and may prompt some people to avoid doctor visits.
Many people struggle with weight loss.
Melissa Prestipino, 47, a physical therapist in Sparta, New Jersey, learned firsthand that counseling to eat better and exercise more doesn’t always make the pounds melt away.
She “was stuck” at 150 pounds for years. At 5 feet, 2 inches, that put her BMI in the overweight category. Doctors told her to eat better and exercise, but she already was leading an active, healthy lifestyle. She later found out that she has a condition called insulin resistance that was the culprit.
“I’ve led my own personal journey with that number being so discouraging and my not getting the right health care until a doctor really listened to me and realized my body wasn’t doing what it was supposed to do,” Prestipino said. “But the rest of the practitioners kept saying, you know, eat better, eat right, thinking that I’m doing something wrong based on my number.”
Now that she’s receiving medication for the insulin resistance, she’s lost 15 pounds and has a normal weight BMI — and she’s glad.
Prestipino wishes the number on the scale wasn’t so important to her emotionally.
“We perseverate over the number, and I feel like if we didn’t maybe I wouldn’t have been so upset about my weight before or so happy now just because the scale is going down,” she said.