Effective Weight Loss Strategies for Managing Abdominal Obesity - Family Medicine

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How to lose weight?


My waist circumference is 97 cm, my weight is 99.2 kg, and my body mass index (BMI) is 28.98.
I currently want to lose weight, and my main methods include walking for 40 minutes, doing push-ups, and cycling.
Before the age of 23, my weight was mostly in the 70s kg range.
However, after turning 23, I have developed abdominal obesity.
What methods can I use to lose weight?

Kǎ, 40~49 year old female. Ask Date: 2021/01/20

Dr. Wu Zongying reply Family Medicine


Hello: Weight loss primarily relies on dietary control; exercise is beneficial for the body but may not lead to significant weight loss unless combined with dietary management.
In terms of diet, it is advisable to avoid fried foods (such as fried chicken cutlets, fried chicken legs, popcorn chicken, and French fries) or foods high in butter (such as butter cakes and various breads).
Steer clear of fatty meats, braised meats, minced pork, pig's trotters, pork skin, and lard.
Do not consume sugary beverages and limit the intake of carbohydrate-rich foods (such as buns, bread, cakes, hamburgers, sandwiches, fried noodles, and pasta).
Strict dietary control is essential for successful weight loss.

Reply Date: 2021/01/20

More Info


To effectively manage abdominal obesity and achieve weight loss, it's essential to adopt a comprehensive approach that combines dietary changes, regular physical activity, and lifestyle modifications. Given your current waist circumference of 97 cm, weight of 99.2 kg, and a BMI of 28.98, you are classified as overweight, which can increase the risk of various health issues, including cardiovascular disease, diabetes, and metabolic syndrome. Here are some strategies that can help you in your weight loss journey:

1. Dietary Modifications
- Caloric Deficit: The cornerstone of weight loss is consuming fewer calories than you burn. This can be achieved by tracking your daily caloric intake and ensuring it is lower than your total daily energy expenditure (TDEE).

- Balanced Nutrition: Focus on a diet rich in whole foods, including fruits, vegetables, lean proteins, whole grains, and healthy fats. These foods are nutrient-dense and can help you feel full while consuming fewer calories.

- Limit Processed Foods: Avoid high-calorie, low-nutrient foods such as sugary snacks, fried foods, and processed meats. These can contribute to weight gain and abdominal fat.

- Hydration: Drink plenty of water throughout the day. Sometimes, thirst is mistaken for hunger, leading to unnecessary snacking.

- Mindful Eating: Pay attention to your hunger cues and eat slowly. This practice can help prevent overeating and promote a healthier relationship with food.


2. Exercise Regimen
- Cardiovascular Exercise: Walking for 40 minutes is a great start. Aim for at least 150 minutes of moderate-intensity aerobic activity each week. Activities like cycling and swimming can also be beneficial.

- Strength Training: Incorporate resistance exercises at least two days a week. This can include bodyweight exercises like push-ups, squats, and lunges. Building muscle can increase your resting metabolic rate, helping you burn more calories even at rest.

- Core Strengthening: While spot reduction is a myth, strengthening your core can improve muscle tone and posture. Consider adding exercises like planks, bridges, and abdominal crunches to your routine.


3. Lifestyle Changes
- Sleep: Ensure you are getting adequate sleep, as poor sleep can disrupt hormones that regulate appetite and lead to weight gain.

- Stress Management: High stress can lead to emotional eating and weight gain. Engage in stress-reducing activities such as yoga, meditation, or hobbies that you enjoy.

- Consistency and Patience: Weight loss is a gradual process. Set realistic goals and be patient with yourself. Celebrate small victories along the way.


4. Monitoring Progress
- Track Your Progress: Keep a journal of your food intake, exercise, and weight changes. This can help you identify patterns and stay accountable.

- Regular Check-ins: Consider consulting with a healthcare professional or a registered dietitian who can provide personalized guidance and support.


5. Medical Considerations
- If you find that despite your efforts, weight loss is not occurring, or if you have other health concerns, it may be beneficial to consult with a healthcare provider. They can assess for any underlying conditions that may be contributing to weight gain, such as hormonal imbalances or metabolic disorders.

In conclusion, managing abdominal obesity effectively requires a multifaceted approach that includes dietary changes, regular physical activity, and lifestyle modifications. By committing to these strategies, you can work towards achieving a healthier weight and improving your overall well-being. Remember, the journey to weight loss is personal and unique for everyone, so find what works best for you and stay motivated!

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