The first step to fundamentally changing your lifestyle is to develop an awareness of the problem. Specially trained therapists can help discover the emotional causes of obesity, as well as the behaviours and practices that promote obesity.
Many obese people try to compensate for their negative emotions such as sadness, depression and stress with food. It is not easy to get rid of these behaviours that have been deeply rooted for years or even decades.
However, with the help of psychosomatic medicine and behavioural therapy, new methods have been discovered for patients to replace harmful behaviour with healthy behaviour. This theoretical knowledge was consolidated and put into practice.
If this basic therapy consisting of diet, exercise and behavioural therapy does not achieve its goals or does so only with difficulty, medication or surgical measures can also be considered, e.g. reducing the size of the stomach.
Treatment with medicines
There are countless pills and powders that can help you lose weight. For example, by suppressing your appetite, boosting your metabolism or helping certain food components (like fat). These are called anorectics.
There are many ways to reduce the volume of the stomach. A gastric band or balloon can prevent the ingestion of large amounts of food. They are reversible – but their effect is not as strong as surgery to reduce the stomach.
A simple gastric sleeve or gastric bypass can be made by surgery that bypasses part of the small intestine, reducing the amount of food the body consumes.
Interestingly, gastric surgery is often accompanied by surprising changes in metabolism. For example, diabetes can improve quickly and significantly. Stomach reduction is usually a very effective weight loss measure. However, they represent a major intervention in the human anatomy and cannot be reversed.
From a BMI of 40 or 35, if a secondary disease (e.g., diabetes) is present, it is possible to apply for stomach reduction.
The goals and components of obesity treatment are the same as those of basic treatment: dietary changes, exercise plans and behavioural treatment measures. However, these can be followed more deeply as part of obesity treatment. Many patients also find that it is easier to change their lifestyle when they live in a different environment.
Obesity treatment is usually provided in rehabilitation clinics or specialised obesity clinics. There are options for inpatients and outpatients. This treatment must be requested from a doctor.
Disease progression and prognosis in obesity
Obesity has quickly become a global problem. The German Obesity Society estimates that 16 million people in Germany currently suffer from obesity. Obesity not only reduces the quality of life, but also increases the risk of numerous serious diseases. One of the reasons are messenger substances that are produced in the fatty tissue. Among other things, they cause chronic inflammation in the body.