Wedding Bed Decoration With Flowers

back into shape after the Christmas cycle

... or the second part of the interview.
I was undecided whether to publish it because I am ashamed of my dialect Ancona doppiatemi so marked in the future ...: D

interview

What Do Does Dreaming With Sharks Means?

obesity: obesity intervention

The project includes:

A) dietary treatment;
B) Increase physical activity;
C) Behavior therapy.

(drug therapy should be considered only in cases with a BMI> 30 or> 27 + risk factors, once the non-pharmacological intervention has failed).

The objectives are:

- Preventing further weight gain;
- Reduce the weight
- maintain weight loss.

E 'optimal weight loss of 10% of initial weight in six months.
After six months you can start the maintenance phase, otherwise you may get the weight loss. If you need further loss, you can try again later, adjusting the treatment.

Roulette Probabilities Calculator

Cycle: Evaluation of the subject

treatment of obesity and overweight in two stages: the assessment phase and the phase of the intervention.


evaluation is needed to determine the status of absolute risk of the subject, it is done through:

A) Calculating BMI;
B) Measurement of waist circumference;
C) Verification of the presence of risk factors for concurrent cardio-vascular or comorbidities.

(For points A and B see the link .

As far as point C, it is known that some obesity-associated diseases (comorbidity) and some risk factors, place the subject in a class of very high mortality risk.
These people must be treated not only to lose weight, to modify the risk factors and to manage the disease.

associated diseases are:

- Coronary heart disease (history of myocardial infarction, history of angina pectoris, history of surgical procedures on the coronary arteries, angioplasty);
- Presence of other forms of atherosclerosis (peripheral arterial disease, abdominal aortic aneurysm ; symptomatic carotid artery disease);
- Type II diabetes;
- sleep apnea.

Other disorders associated with (which does not give effect to the level of mortality, but must be treated) are:

- Clinical obstetrics and gynecology;
- osteo-articular
- gallstones and its complications;
- Stress.




risk factors that place the subject in the group with a high absolute risk (it takes at least 3) are:

- Smoke;
- Hypertension (P systolic> 140 mmHg or diastolic pressure P> 90 mm Hg or Treatment with antihypertensive drugs);
- Excess LDL (> 160 mg / dl. A borderline value of 139-159 mg / dl associated with 2 other risk factors, confers high risk);
- Lack of HDL (< 35 mg/dl);
- Impaired fasting glucose (IFG) (110-125 mg / dl);
- Family history of premature coronary artery disease (before age 55);
- Age (> 45 years in men,> 55 years in women) .

Other risk factors (which increase the need to lose weight) are:

- Physical inactivity (leading to increased risk of cardiovascular disease and type II diabetes. exacerbates the severity of other risk factors);
- Hypertriglyceridemia.


If a person falls into the category of high risk, antihypertensive and cholesterol-lowering treatment should be done intensively.