Heart Disease and Stroke
Heart disease and stroke are the leading causes of death and disability for
both men and women in the United
States. Overweight people are more likely to
have high blood pressure, a major risk factor for heart disease and stroke, than
people who are not overweight. Very high blood levels of cholesterol and
triglycerides (blood fats) can also lead to heart disease and often are linked
to being overweight. Being overweight also contributes to angina (chest pain
caused by decreased oxygen to the heart) and sudden death from heart disease or
stroke without any signs or symptoms. The good news is that losing a small
amount of weight can reduce your chances of developing heart disease or a
stroke. Reducing your weight by 10 percent can decrease your chance of
developing heart disease by improving how your heart works, blood pressure, and
levels of blood cholesterol and triglycerides
Diabetes
Noninsulin-dependent diabetes mellitus (type 2 diabetes) is the most common
type of diabetes in the United
States. Type 2 diabetes reduces your body's
ability to control your blood sugar. It is a major cause of early death, heart
disease, kidney disease, stroke, and blindness. Overweight people are twice as
likely to develop type 2 diabetes as people who are not overweight. You can
reduce your risk of developing this type of diabetes by losing weight and by
increasing your physical activity. If you have type 2 diabetes, losing weight
and becoming more physically active can help control your blood sugar levels.
If you use medicine to control your blood sugar, weight loss and physical
activity may make it possible for your doctor to decrease the amount of
medication you need.
Sleep Apnea
Sleep apnea is a serious condition that is closely associated with being
overweight. Sleep apnea can cause a person to stop breathing for short periods
during sleep and to snore heavily. Sleep apnea may cause daytime sleepiness and
even heart failure. The risk for sleep apnea increases with higher body
weights. Weight loss usually improves sleep apnea.
Cancer
Several types of cancer are associated with being overweight. In women, these
include cancer of the uterus, gallbladder, cervix, ovary, breast, and colon.
Overweight men are at greater risk for developing cancer of the colon, rectum,
and prostate. For some types of cancer, such as colon or breast, it is not
clear whether the increased risk is due to the extra weight or to a high-fat
and high-calorie diet.
Osteoarthritis
Osteoarthritis is a common joint disorder that most often affects the joints in
your knees, hips, and lower back. Extra weight appears to increase the risk of
osteoarthritis by placing extra pressure on these joints and wearing away the
cartilage (tissue that cushions the joints) that normally protects them. Weight
loss can decrease stress on the knees, hips, and lower back and may improve the
symptoms of osteoarthritis.
Gout
Gout is a joint disease caused by high levels of uric acid in the blood. Uric
acid sometimes forms into solid stone or crystal masses that become deposited
in the joints. Gout is more common in overweight people and the risk of developing
the disorder increases with higher body weights. Note: Over the short term,
some diets may lead to an attack of gout in people who have high levels of uric
acid or who have had gout before. If you have a history of gout, check with
your doctor or other health professional before trying to lose weight.
Gallbladder Disease
Gallbladder disease and gallstones are more common if you are overweight. Your
risk of disease increases as your weight increases. It is not clear how being
overweight may cause gallbladder disease. Weight loss itself, particularly
rapid weight loss or loss of a large amount of weight, can actually increase
your chances of developing gallstones. Modest, slow weight loss of about 1
pound a week is less likely to cause gallstones.