Velandy Manohar, MD

Fostering Recovery By Increasing Understanding of Mental Illness


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Velandy Manohar, MD
93, Meeting house road
Haddam, CT 06438
[email protected]

Health Promotion Recomendations - Belly Fat and associated issues

Velandy Manohar, MD.,
Velandymanoharmd.com

01 13 22

What causes belly fat? (webmd.com)

What and how much we Eat: how much and what type of exercise changes the Bowel Bacteria- Called Microbiota which has powerful abilities because it has far bigger total genome than what is contained in the 46 Chromosomes. I describes this and all other factors in what I have researched, published to my professional website, and shared with relevant Federal Depts, shared with patients and staff.

More Around the Middle

Belly fat is a problem, and not just because of how it looks. The type of fat that collects in your belly is called visceral fat. It surrounds your organs and raises your risk for heart disease, type 2 diabetes, and some cancers. To find out if you have excess fat in this area, put a tape measure around your midsection at bellybutton-level. More than 35 inches in women and 40 inches in men is too much. Here are a few reasons why belly fat forms and how to lose it.

You're Eating Too Much

If you take in more calories than you burn off, you put on pounds everywhere -- including in your middle. You need to cut about 500 calories a day to lose a pound. That may sound like a lot but look at cutting the highest-calorie foods from your diet first. Cookies, French fries, soda, and juice pack many calories into a few sips or bites. Replace those first with low-calorie, nutrient-dense foods like broccoli, apples, brown rice, and brothy soups

You've Had a Few More Birthdays

Age might bring wisdom, but it isn't kind to your midline. With each passing year, your muscle mass declines, and your metabolism slows, so you don't burn as many calories as you used to. That means you can eat the same amount and still see the number on the scale creep up. Age-acquired weight tends to collect around the middle. To prevent unwanted gains, cut back on calories or add more muscle-building exercise.

Blame Your Genes

If you eat right and exercise and those stubborn pounds still won't go, your genes could be to blame. Another clue is if other family members struggle with their weight. Genes control how your body burns calories, how quickly you feel full, and whether you gain weight in your thighs, butt, or belly. Even if belly fat runs in your family, you can overcome your genes with the right diet and enough exercise.

You've Started ‘The Change’

In women, the combination of aging and the loss of estrogen at menopause adds up to weight gain. Genes, loss of muscle mass, and overeating also contribute to weight creep in your 40s and 50s. The extra pounds that might have settled in your hips earlier in life now cluster in your middle, also thanks to hormone changes. That weight shift does more than make your pants tighter. It can also raise your risk for heart disease.

You Don't Move Enough

Americans spend more than 10 hours a day in a seated position. Although diet plays a major part in weight gain, lack of movement contributes, too. To avoid putting on extra pounds in your belly and elsewhere in your body, get at least 150 minutes of moderate-intensity or 75 minutes of high-intensity aerobic exercise each week.

Sleep Is Hard to Come By

Too little shut eye could be part of the reason you've gained weight. Your body makes hormones that make you feel full. Lack of slumber can make them less effective. That’s why, and when you’re sleep-deprived, you may overeat and gain weight, especially in your belly. When you don’t get enough sleep, you may also crave more high-calorie comfort foods. [Please see section on Gut Bacteria and the matter of Sleep Apnea. Pages 2,3, and 4.VM]

You're Stress Eating

Too much stress isn't good for your mental state or your weight. Stress triggers the release of cortisol, a hormone that makes you crave high-fat, carb-heavy foods like pizza, fries, and cookies. Cortisol also deposits fat around your belly. Another way stress leads to weight gain is by keeping you up at night. People who sleep fewer hours tend to have more belly fat.

You Haven't Kicked the Habit

Some people who smoke are afraid to quit because they worry that they’ll gain weight. But even though smokers have a lower body mass index than nonsmokers, their bellies are bigger. Smokers gain more visceral fat, the kind that's linked to heart disease and other chronic health conditions, than nonsmokers. So, in case you needed another reason to quit, now you’ve got one.

You Eat Too Many Trans Fats

These artificial fats raise bad (LDL) cholesterol and boost your risk for heart disease and type 2 diabetes. Foods cooked in trans fats are high in fat and calories and can cause weight gain. The FDA has banned added trans fats in foods, but some products made before the ban could still be on store shelves. Read food labels. If the ingredients list includes partially hydrogenated vegetable oil, that food contains trans-fat. Try to choose a different item.

Your Gut Bacteria Aren't Helpful [what we eat has supported unhealthful microbiota. VM]

Your intestines are home to trillions of bacteria. Some of these germs live in harmony with you and help your body digest food. Others break down food so much that your body absorbs more calories from it and stores more energy in the form of fat. There's evidence that probiotics, found in fermented foods like kimchi and yogurt, might get rid of belly fat. These friendly bacteria won't replace calorie cutting, but they might help. [It is the other way around mainly, it is what we eat at breakfast every day that influences the Microbiota, whether they evoke proinflammatory responses and initiate and support processes that causes Insulin Resistance and deposition of Fats in the Abdominal Area and increase the Waist above 102 cms for men and 88cms for women: Waist circumference of healthy men and women in the United States - PubMed (nih.gov)

And Waist hip Ratio above 1.0 for men and above 0.80 for women

Ideal Waist to Hip Ratio (ideal-weight-charts.com) Ideal Waist to Hip Ratio

An ideal waist to hip ratio is anything that considered to be healthy.

For men, a ratio of .90 or less is considered to be healthy or safe. For women, a ratio of .80 or less is considered to be healthy or safe.

For both men and women, a waist-to-hip ratio of 1.0 or higher is considered "at risk" or in the danger zone for undesirable health consequences such as heart disease and stroke.

Do not cheat when measuring your waist and hip. You can do this without anyone else watching.



Measure to see if you have an ideal waist-to-hip ratio (WHR)

To calculate your WHR, measure your waist  with a flexible tape measure. (If you have a visible waist, measure around the narrowest part of your abdomen. Otherwise, take the measure at the level of your navel.) Record that number as your waist measurement. Then, measure around your hips — the widest part of your lower body, at or below the level of your pelvis. Record that number as your hip measurement. Now, take your waist measurement and divide by your hip measurement. That is your WHR.

Example:

if your waist circumference is 40", and your hip measurement is 34" then:

40 / 34 = 1.18.  
1.18 is greater than 1.0 so you are "at risk"


Higher WHRs indicate a greater proportion of weight carried as abdominal fat. If your measurements fall into the “at risk” category (greater than 1.0), start eating well and exercising to bring them down asap. 

Waist-To-Hip Ratio Predicts Abnormal Overnight Oximetry in Men Independent of Body Mass Index - PubMed (nih.gov) I wonder if you snore? If you have this type “Sleep Apnea” and sleep issue this can make Blood pressure rise and stay up also the Oxygen content issues can cause Brain and Cardiac issues

It's Your Medicine

The answer to your weight gain could be hidden inside your medicine cabinet. Certain drugs are notorious for causing weight gain. These include some diabetes drugs, some antidepressants, steroids, and epilepsy medicines. A few medications add fat directly to the belly area, including beta-blockers, which treat high blood pressure.

Velandy, Manohar, MD.

 

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