Obesity management: a women's health approach NUFeinbergMed HarvardChanSPH obesity management womens health womenshealth publichealth
By Dr. Liji Thomas, MDMay 1 2023Reviewed by Lily Ramsey, LLM About 650 million people are diagnosed as obese globally. However, managing obesity in women is often different from that in men. This premise is explored by a new paper published in the Journal of Progress in Cardiovascular Diseases, which provides a women's health perspective on obesity.Introduction The researchers present a holistic consideration of the condition and its management against the background of female physiology.
Neural and behavioral factors are also postulated to affect women's greater response to calorie-dense foods, especially those high in carbohydrates.As described by many researchers, however, the BMI fails on many counts. Not only is it unable to distinguish lean from fat body mass, but it also does not take race and sex differences into account, nor does it leave room to accommodate differences in bone density.
Sleep and stressor history is also important, as well as the socioeconomic environment which often forces unhealthy food choices on the individual and/or family. For instance, a complete medication review is indicated to weed out, substitute, or complement those that induce or encourage obesity. Stress relief should also be a part of the intervention since both external stressors and weight stigma may oppose the success of weight-loss efforts.
Pregnancy is a special risk factor for obesity in women, and vice versa. Pregnancies in women with excessive weight may be complicated by fetal anomalies, large babies, preterm birth, stillbirth, gestational diabetes, and pre-eclampsia. The latter may persist or arise unusually early in later life as well.
Again, about three-quarters of pregnant women retain the weight they gained into the first year postpartum, with a mean gain of 4-5 kg at one year.
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