"If you don't have a plan, you're not going to lose weight," says the study's author, preventive-medicine specialist Dr. Warren Thompson, whose research was published in August's Mayo Clinic Proceedings.
Having a weight loss plan is crucial. It can be done with your nutiritionist, fitness intructor or the doctor. But dont just stop at a PLAN! discipline is very important. im having dicipline issued with my diet. eveytime i go on diet i will be on diet for real. then not long after ill be eating again, EVEN WORSE than before!
"I've had a patient whose mother whispered the letters w-e-i-g-h-t to me, with her hand over her mouth so the child couldn't see. I could tell it was something they had thought about and didn't want to bring up with the child," says Jacobson. Still, he insists that doctors must discuss the topic. One way to do so gently, he says, is to avoid the word obese and instead say the child has a weight problem. Doctors may also tell kids that their weight is a couple of years ahead of their age. Then, Jacobson says, he focuses the discussion more on the behaviors that could help improve the situation--like watching less TV and playing outside more--instead of concentrating principally on shape.
face the reality. if I am fat, I AM FAT!. a thousand people lying to you saying you are not when you ARE wont help. in the end you will only lie to yourself. WHY? does fat people have health problems? YES. and a million people who thinks you are still slim will not get rid of the increased risk of health disease.
"You don't want to make people feel embarrassed and not want to come back to you. You want them to get treated," he says. Jacobson stresses that every pediatrician should determine a child's body-mass index (BMI)--a figure arrived at by factoring weight and height to produce a two-digit number that roughly diagnoses obesity. BMI is an imperfect metric, in part because it does a poor job of taking body type and muscle mass into consideration, meaning that a stocky person with low body fat can be labeled obese. But as a starting point, BMI helps.
None of this absolves patients or parents from stepping forward and bringing up weight on their own. But whoever raises the topic, it's important for patients and doctors alike to remember that modest amounts of weight loss can disproportionately benefit overall health, even if the loss doesn't feel or look like much. That fact may be the best reason for everyone to show a little courage and say what needs to be said----even if it hurts a bit.
With reporting by Shahreen A. Abedin
very nicely said!
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