At the moment,
Number of obese people in the world
More people starving.
Obesity is a real problem.
Obesity causes diseases such as diabetes and heart disease
And some types of cancer and depression.
Why is there an obesity epidemic?
The reasons are simple.
We eat a lot
And we exercise very little.
Is the reason really simple?
I mean, everyone knows it!
Well, that’s a mistake.
There are other factors that affect our weight.
Today, I will discuss with you these factors.
The good news is
There are a lot of solutions to get the perfect weight,
As well as a healthy diet and exercise.
Let me start with John’s story;
At least, I’ll call him John.
John Boy grew up in the Netherlands.
Born in a foreign family,
He looked like a normal child.
The striking thing was that he was always crying.
In fact, he was always hungry.
Five minutes after the end of the bottle of milk,
He becomes hungry again.
When he started eating hard food,
He ate at night and day, and had a constant desire for food.
When he was three years old, he was obese.
At this stage his mother put locks on all kitchen cabinets,
But he still had a desire to eat, was looking at garbage,
He was always looking for food and eating even frozen foods.
In all these years, his mother had a sense that there was something wrong about her son,
Because her other son was lazy.
So I went to the doctors,
She asked for advice.
But they told her that she was feeding her son very much
She felt guilty as a bad mother.
It became frustrating.
At one point, the mother reviewed Erasmus Medical Center in Rotterdam.
My colleague, Erica van den Acker,
She is a pediatrician.
It is found that John
It has a genetic defect in the hunger hormone system,
Defect in the future of melanocortin 4.
What this means is that he has never had a feeling of fullness,
It was never full.
This diagnosis was really important to John’s mother,
Because they really suffered from stigma,
Because they were accused of being weak.
After that, school, social networking,
They began to support John and his mother,
In fact for a while, his weight stabilized.
He is now a young man, and I see him as a doctor at my outpatient clinics.
He is still suffering from obesity.
Currently, medical treatments are under development for patients like John
So I hope to be able to help him in a medical way in the near future.
You will say this is rare.
That’s right, only 2% of people are obese
They have a hereditary defect, such as in the future of melanocortin 4 such as John,
But there are other genetic changes that will make you more hungry
Or reduce your metabolism.
So if you see someone eating too much,
Maybe we should think twice before judgment.
Therefore, it can be in your genes,
Genes affect the system of hunger hormones,
But do you realize that a severe diet also affects hunger hormones?
A low-calorie diet also affects hunger hormones and increases them.
Short-term, harsh diets,
Reduce your weight,
But the problem is that it increases your hunger hormones,
And also reduce the hormones of satiety.
Hormone hormones are the hormones that make you feel full.
We always think that the breadth of the stomach feels full,
But that’s part of the story.
The intestines are those who send a hormonal signal to your brain,
Tell him you feel full,
And therefore stop eating.
So when these signals are not sent enough to the brain,
Automatically eat more.
So after the diet becomes more severe hunger.
This happens even in the long run.
This has been shown, even after a year of a low-calorie diet,
Hunger hormones are still high.
What about the conscious choice of food
Or weakness of personality?
Biology tells you to eat more.
The strange thing is your basic metabolism
Which is reduced by a harsh diet.
So you become more hungry,
But do not burn as many calories as you did before.
Of course, this recipe is ideal for restoring your weight,
This is what we call the U-Yo effect,
We now know how it works.
Therefore, a severe diet is a serious risk factor for obesity.
Food can also affect your hunger hormones.
And also on your fat.
Let’s have a little experiment here.
Imagine a box in front of you.
There are chocolates in this box.
There is white chocolate, brown chocolate, and it is shiny.
Now smell the chocolate.
And imagine you take one.
Now, you take one of the chocolates.
And you take a crisp bite from it.
And now you start feeling …
Now you feel the taste of soft chocolate in your mouth.
(Laughter)
You are producing hunger hormones at the moment.
(Laughter)
Unless you have dinner.
But that means, if we go out now for food,
We saw the desserts,
We are more likely to choose chocolates or sweet foods,
Instead of a delicious green salad or any healthy food.
So choosing food is not as conscious process as we think.
Your dynamic processes are thought-driven.
The food industry knows this perfectly:
They use ads and all visual stimuli
To stimulate your hunger hormones, which makes us eat differently
Which we may think is good for us.
But you can also take advantage of it.
In fact, the solution is also for obesity,
Because we know that saying, “all less” is useless.
But what is effective is changing your thoughts
Through cognitive behavioral therapy programs.
This is effective.
I told you now about biology and hunger hormones.
But there are other factors in our environment
Which affect the amount of food we eat.
For example, our cultural and social background.
We know that in some cultures eating and food is a hospitality.
So, imagine that your neighbor would stop in the kitchen for three days,
To cook a delicious meal for you,
And called you to Him.
Well, socially not acceptable not to eat,
And took a very small piece.
So also the cultural background of the person may determine the amount of food he eats.
Things have changed in the last decade.
In the past decade, we have become more stressed.
If you are stressful, we know that your body produces
Hormones stress more than usual.
Especially, stress hormone cortisol,
If you are stressful for a long period of time.
We know that if you have high levels of stress hormone,
This makes you form fat.
Fat mass will increase in the abdomen.
But this will also increase your appetite.
In particular, your appetite for foods rich in calories.
So, maybe that’s why we eat a piece of candy when we tense.
We do not know exactly what causes what, in fact,
Because sugar-rich foods also seem to stimulate our stress hormones.
So we found,
Our team also has others that obese people have
Higher levels of stress hormone.
So maybe when they are fat, they will be in a vicious circle
Of the presence of high hormone cortisol, which stimulates the eating of food rich in calories,
This in turn stimulates stress hormones again.
Therefore, stress can stimulate cortisol in your body,
And those specific foods,
In particular, drinks also like alcohol.
We know that alcohol stimulates the increase of stress hormones,
And increase abdominal fat mass.
But there is more to affect stress hormones,
It is sleep.
In the past decades, with obesity increasing,
We also reduced the number of our sleeping hours.
Lack of sleep also activates your stress system,
Increase our cortisol, but also free other appetite hormones.
So the outcome of the effect of reducing the number of hours of sleep
Weight gain is leading to obesity.
Therefore, the solution to obesity – additional solutions –
The level of stress may be reduced
And also improve your sleep hours.
There is more.
In this world, at present, we take many medicines.
I will tell you the story of Mary.
Mary was a 20-year-old woman
Which came to my external clinic, because it gained weight.
She actually gained a lot of weight, she gained 20 pounds in ten weeks,
She did not understand why.
I entered my room, sat down, and began to cry.
Because they eat eat very healthy,
She practiced sports every day.
The reason she was very sad
She was in fact trained as a lifestyle.
In fact she was telling people
How to eat healthy, exercise;
Now she feels her customers will no longer trust her
As a lifestyle coach, she gained excess weight.
After some tests
– Corticosteroid injections have been received in her knee –
She had a knee problem because she was exercising very vigorously.
We know that corticosteroids are an artificial version
Of stress hormones.
Remember, stress hormones increase abdominal fat.
It can also increase your appetite.
Therefore, she suffered severely from side effects of the drug.
In fact, this is rare.
I see this in a few patients in general.
On the other hand,
We use a lot of drugs;
Weight gain is a side effect of some medications,
Perhaps more sharply than in this case.
But still, people who are obese use a lot of medications.
So, if you are fat, you want to lose weight
I was about to join the obesity treatment program,
I was using medicine,
It may be helpful to discuss your doctor
If weight gain is a side effect of this medicine.
And then discuss whether the dosage can be reduced
Or can even stop medication
To make your treatment more effective.
In the last topic regarding our environment I will discuss brown fat.
Who among you heard about brown fat?
Please, raise your hand.
Well, some of you know, but most of you do not know.
Well, actually, brown fat is good fats.
We all know about white fat, which is present in your hips, your belly,
These are unhealthy fats, which make you sick.
But good fats turn calories into heat.
They burn your calories.
Well, that’s awesome!
Here’s the wonderful solution!
We all know these people who can eat a lot,
And do not increase their weight,
They have a lot of brown fat.
In the past, in fact we thought that only children have brown fat,
We lose it in adulthood.
But was discovered a few years ago
We as adults have brown fat.
They are brown as small power plants in cells
The color of the cells is brown; therefore, they are called brown fat.
They fall around the neck, spine, between shoulder blades,
And about kidneys.
But obese people have a lower proportion of brown fat.
So, basically, they can not burn as many calories as do hypersensitivity.
But there is good news,
Because it has been shown that people who suffer from obesity
In fact, they can stimulate brown fat tissue.
You can do it either by aerobics,
Which is difficult if you are really obese,
But you can also do it by cold;
By cold temperature.
Do not worry, you do not need to sit in the frozen for one day.
(Laughter)
But in fact enough – it turned out –
If you spend a few weeks, for six weeks for example,
Two hours a day at 17 ° C, which is 62 ° F,
Under room temperature,
Then you activate your brown fat,
It will lose some kilograms of white adipose tissue.
You will lose bad fat.
So, perhaps in the past decades,
We spent a lot of time in the heat,
We do not get cold enough –
Perhaps because of our comfortable winter clothes and well-insulated homes,
Driving in warm cars well.
Maybe we should go out often without our coats,
We ask our children to play abroad without wearing their jackets.
Given all these factors:
Stress, sleep, medication, thoughts, and a harsh diet –
I think the problem of obesity, obesity epidemic,
To think about it simply.
The solution is given to all these factors
And change them wherever possible.
It is time to not judge people who are obese
But start with their support.
This is the most effective way we will fight obesity.
thank you
(clap)
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