Obesity is a condition that is characterized by an excessive accumulation of fatty tissue in the body. Obesity is understood as a chronic health disorder. It is based on a polygenetic disposition, is associated with a high level of accompanying and consequential morbidity and requires a long-term treatment and care concept for optimal treatment success.

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Why is nutritional therapy important?

Nutritional therapy supports you in positively influencing your health by reducing your weight and keeping it long-term. A complete diet under the supervision of a certified nutritionist can lead to your success by adapting the nutrition plan to your current weight & commonly defined goals for weight loss.

The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed.

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Definition and classification of overweight and obesity

Obesity is defined as an increase in body fat above normal. The basis for calculating the weight classification is the BMI. It is the quotient of weight and height squared (kg / m²). Overweight is defined as a BMI ≥ 25 kg / m2, obesity as a BMI ≥ 30 kg / m2  (WHO, 2000EK IV).

BMI and interpretation: BMI: body mass index

Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

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Children's obesity classification from> 97th percentile

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Waist circumference in cm & interpretation:

Risk of Metabolic and Cardiovascular Complications:

Men (increased risk ≥ 94 cm, significantly increased risk (102 cm)

Women (increased risk ≥ 80 cm, significantly increased risk (88 cm)

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Fat distribution pattern: "apple type" or so-called "pear type"

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Nutritional therapy

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• If you are overweight, you should aim for weight reduction. I am happy to support you with advice.

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• Energy-efficient, wholesome nutrition, calculating the need for normal weight, defining the need for weight loss

• Avoid micronutrient and mineral deficiencies

• Avoid protein deficiency through an unbalanced diet, despite being overweight, there may be a protein deficiency!

• Which nutrients do I need in which ratio?

• get enough fiber (> 30 g / day)

• Get enough Omgea-3 fatty acids and essential fatty acids

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• How can I boost and support my metabolism with natural foods?

• Coordinate sensible meal frequency for your individual case - meal allocation

• Calculate protein and energy requirements

• Define the desired weight loss and the estimated time for this

• what should be considered with drinks, which alcoholic drinks are possible and how often

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Daily plans for weight loss

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of your lost weight

• anti-inflammatory diets for disease prevention

• Additional therapy options

• Food supplements - under certain circumstances, a supplement can be useful

• Dietetic products in support of nutritional therapy

• and other topics

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Origin & lifestyle factors

- Family disposition

- genetic causes

- Modern lifestyle (lack of exercise, malnutrition, e.g. frequent snacking, high consumption                              energy-dense foods, fast food, sugary soft drinks, alcoholic beverages)

- stress

- Eating disorders (e.g. binge eating disorder, possibly bulimia, night eating disorder)

- Endocrine diseases (e.g. hypothyroidism, Cushing's syndrome)

- Medicines (e.g. some antidepressants, neuroleptics, antidiabetics, glucocorticoids, beta blockers)

- Other causes such as immobilization, pregnancy, operations in the                                             Hypothalamus region or abstinence from nicotine)

Obesity as a risk factor:

- disorders of the carbohydrate metabolism e.g. insulin resistance, impaired glucose tolerance, diabetes mellitus type 2)

- Dyslipoproteinemia (low HDL cholesterol, hypertriglyceridemia, increased number of small, dense LDL particles)

- hyperuricemia / gout

- Haemostasis disorders (increase in coagulation and inhibition of fibrinolysis)

- Chronic inflammation (e.g. increased CRP)

- Arterial hypertension, left ventricular hypertrophy

- Cardiovascular diseases (e.g. coronary heart disease, stroke, heart failure)

- Carcinomas (women: e.g. endometrium, cervix, ovaries, breast, kidney, colon; men: e.g. prostate, colon, gall bladder, pancreas, liver, kidney, esophagus)

- Hormonal disorders (e.g. hyperandrogenemia in women, polycystic ovary syndrome, decreased testosterone levels in men, impaired fertility)

- Pulmonary complications (e.g. dyspnea, restrictive ventilation disorders, hypoventilation and sleep apnea syndrome)

- Gastrointestinal diseases (e.g. cholecystolithiasis, acute and chronic cholecystitis, fatty liver, non-alcoholic fatty liver hepatitis (NASH), reflux disease)

- Degenerative diseases of the musculoskeletal system (e.g. coxarthrosis, gonarthrosis,                  Spinal syndromes)

- Increased risk of surgery and anesthesia

- General complaints (e.g. increased sweating, joint problems,                                           Exertional dyspnea)

- Restriction of activities of daily living (ADL)

- Decreased quality of life

- Increased risk of accidents

- Increased risk of complications during pregnancy (e.g. eclampsia,                                     Gestational diabetes) and before and after delivery (e.g. increased cesarean rate, secondary bleeding)

- Psychosocial consequences with increased depression and anxiety, social discrimination, self-esteem, social isolation

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Any questions? I look forward to your call or email. To contact form

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Assistance:

• KISS self-help groups

• Self-help network

• German Obesity Society (DAG)