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Dr. Luis A. Betances

Bariatric Surgeon

Causes of obesity

Although there are genetic, behavioral, metabolic, and hormonal influences on body weight, obesity occurs when more calories are ingested than are burned with exercise and normal daily activities. The body stores these excess calories in the form of fat.

Obesity is usually the result of a combination of causes and contributing factors such as the following:

Genetics play a significant role in determining how your body stores and distributes fat. The genes you inherit from your parents can influence key factors such as:

  • Fat Storage and Distribution: How much fat your body retains and where it is stored.
  • Metabolism Efficiency: How effectively your body converts food into energy.
  • Appetite Regulation: How your body signals hunger and fullness.
  • Calorie Burning: How efficiently your body burns calories, particularly during physical activity.

Obesity often runs in families due to a combination of shared genetics and lifestyle factors. While genetic predisposition can set the stage, family members typically adopt similar eating habits, activity levels, and overall routines, which further contribute to the risk of obesity. Understanding these hereditary and environmental influences is essential for addressing obesity through both lifestyle adjustments and, when necessary, medical interventions.

Unhealthy Diet
Consuming a high-calorie diet, sugary beverages, and oversized portions can lead to significant weight gain over time. Diets lacking in nutritional balance, such as those high in processed foods and low in fiber, further exacerbate the risk of obesity.

Inactivity
A sedentary lifestyle makes it easy to consume more calories than your body burns through daily activities and exercise. Spending long hours in front of screens—whether on computers, tablets, or phones—is a common sedentary habit closely linked to weight gain. Limited physical activity reduces the body’s ability to use stored energy, contributing to gradual increases in weight.

Making conscious lifestyle changes, such as adopting a nutrient-rich diet and incorporating regular physical activity, can significantly reduce the risk of obesity and its associated health complications.

In some individuals, obesity may be caused by underlying medical conditions or disorders. For example, genetic conditions like Prader-Willi syndrome or hormonal imbalances such as those seen in Cushing’s syndrome can lead to excessive weight gain. Additionally, chronic illnesses like arthritis can limit physical activity, contributing to weight gain due to reduced energy expenditure.

Certain medications may also lead to weight gain, especially if dietary habits or physical activity are not adjusted to counteract their effects. Medications associated with weight gain include:

  • Antidepressants
  • Anticonvulsants (used to treat seizures or certain neurological conditions)
  • Diabetes medications
  • Antipsychotics (used for mental health disorders)
  • Steroids (e.g., corticosteroids for inflammation)
  • Beta-blockers (used for heart conditions or high blood pressure)

 

Understanding these potential contributors can help individuals and healthcare providers develop strategies to manage weight effectively while addressing underlying health needs.

Obesity is often linked to various social and economic challenges. For instance, individuals may lack access to healthier food options or may not have been exposed to healthy cooking habits. Limited availability or affordability of nutritious foods can make it difficult to maintain a balanced diet.

Additionally, social influences play a significant role. The people you interact with regularly, such as friends and family, can impact your lifestyle choices and eating habits. Studies suggest that having close relationships with individuals who are obese can increase the likelihood of developing obesity, highlighting the influence of social environments on weight management.

Addressing these factors requires a comprehensive approach that considers both individual and societal changes to promote healthier lifestyles.

Obesity can develop at any age, even in young children. However, the risk increases significantly as you get older due to a combination of hormonal changes and a typically less active lifestyle.

One key factor is the natural decline in muscle mass with age. Since muscle tissue plays a crucial role in maintaining metabolism, this reduction leads to a slower metabolic rate. A slower metabolism means your body requires fewer calories to function, making it easier to gain weight if dietary habits and activity levels remain unchanged.

Without conscious effort to adjust your diet and increase physical activity, these age-related changes can lead to weight gain over time. Staying proactive about maintaining a healthy lifestyle becomes increasingly important as you age to counteract these natural shifts in your body’s energy balance.

Pregnancy
Weight gain during pregnancy is natural, but for some women, shedding the extra pounds post-delivery can be challenging. This persistent weight gain may increase the risk of obesity over time. Breastfeeding, however, is often considered a helpful method for losing pregnancy weight, as it burns additional calories and supports metabolic recovery.

Quitting Smoking
Weight gain is a common side effect of quitting smoking, as some individuals turn to food to cope with nicotine withdrawal. For some, this weight gain can lead to obesity. Despite this, quitting smoking offers substantial long-term health benefits that far outweigh the risks of temporary weight gain. Your doctor can provide strategies to minimize weight gain while supporting your efforts to quit.

Sleep Deprivation or Excess
Both insufficient and excessive sleep can disrupt hormonal balances, leading to increased appetite and cravings for calorie-dense, carbohydrate-rich foods. Over time, this can contribute to weight gain and obesity. Prioritizing quality sleep is essential for maintaining a healthy weight.

Stress
Stress can significantly influence eating behaviors, often driving individuals to seek comfort in high-calorie, sugary, or fatty foods. Over time, these stress-induced eating habits can lead to weight gain and obesity. Managing stress through healthy coping mechanisms, such as exercise or mindfulness, can help mitigate this risk.

Gut Microbiota
The composition of gut bacteria, influenced by dietary habits, plays a crucial role in metabolism and weight regulation. An imbalance in gut microbiota may contribute to weight gain or make weight loss more difficult. A balanced diet rich in fiber and probiotics can support a healthier gut environment.

Repeated Weight Loss and Gain (Yo-Yo Dieting)
Frequent cycles of weight loss and rapid regain, known as yo-yo dieting, can slow down metabolism and make future weight management more challenging. This repeated pattern can lead to increased fat storage and greater difficulty in sustaining a healthy weight. Adopting sustainable lifestyle changes is key to avoiding this cycle.

By addressing these factors holistically, individuals can take meaningful steps toward managing their weight and reducing the risk of obesity-related complications.

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About Obesity
Consequences of obesity

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Dr. Luis A. Betances, cirujano bariátrico | Medii

Dr. Luis A. Betances

Bariatric Surgeon

Instituto Bariátrico Dr. Luis A. Betances | Medii
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