payment from nhs for diet class

Bronnie

Fire_Fox wrote: »

Initiatives are not targetted at those who are 'just' overweight (BMI 25 to 30), they are targetted at those who are clinically obese (BMI 30+). Obesity is a medical disorder in itself, not simply a risk for other conditions. Most people who are clinically obese will have at least one other problem related to the weight - pain in the joints (back, knees, feet), infertility, hypertension, impaired fasting glucose - already.

Most cancers are caused or contributed to by lifestyle issues - being overweight, poor nutrition, smoking, inactivity. In fact experts estimate that one third of all cancers are related to poor lifestyle choices! I work in physical activity, I am qualified to work in smoking cessation and I have a lot of weight loss clients. Trust me when I say that obesity is a much more complex issue than simply eating less and exercising more.

To everyone: once you are not making lifestyle choices that will affect your future health then throw the first stone. Do you take 10,000 steps every day without fail? Do you strength train twice a week every week? Have you ever smoked? Do you eat at least five portions of fruit and veg every day without fail? Do you eat two or three portions of oily fish each week?

I agree with a lot of what you have said in this thread , but with regard to your distinction between overweight and clinically obese, using a BMI calculator, a 40 year old woman of 5'5'' height is a healthy weight at 10stone 10lbs and clinically obese at 13stones. Looking around a SW group, I would say the vast majority of members were technically 'clinically obese' to start with.

Also, I would say lots of overweight people do eat healthilyand follow the guidelines , I certainly did when I was fat, but in addition to all the healthy stuf, I could pack away a whole load of fattening stuff /wine too!
Getting people onto healthy eating is a great step, if they are currently on a poor quality diet and educating a parent in this should have knock-on benefits for the rest of the family, however it is not an automatic path to weight loss.

Daytona_nev

dizziblonde wrote: »

and had to put up with a couple of snide stick insects

So you don't have a chip on your shoulder about people who are a healthy weight then?

retrocircles

Bronnie wrote: »

I would say most overweight individuals (and that includes me ) have willingly spent considerably more than £4.50 per week on the foods/ drinks/ junk that have led to them becoming overweight in the first place and will easily be saving that amount on their food/drinks weekly outgoings for their new healthier regime .

I personally do not think the NHS should be footing the bill for Slimming Clubs. It is up to the individual to take responsibility and the NHS to support and advise in other ways.

Just like smokers can surely afford all the patches, sticks etc to quit smoking? How long have the NHS been footing the bill for that?

At the end of the day it's a health condition/problem, therefore the NHS will foot the bill!

retrocircles

Avoriaz wrote: »

Please don't spend my taxes on NHS diet meetings, advice etc.

You don’t need the NHS to lose weight.

You don’t need to visit your doctor to get help to lose weight.

There is a closely guarded secret to losing (not loosing) weight that appears to be known to only an increasingly small minority.

I will let you into this secret.

It requires you to eat less and/or to exercise more. Preferably both but either on its own will usually do.

It works. Guaranteed. You don’t see many fat or obese people in famine zones?

I know that eating less and exercising more is an unpopular diet but unfortunately it is the only method that actually works.

Have a nice day.

What an idiot.

I had this view for 3 years, as I put weight on... yet I was eating less and less.

Guess what? Some people actually have things wrong with them that make them put on weight! SHOCK HORROR! So going to a doctor is a GOOD THING!

nickyhutch

retrocircles wrote: »

What an idiot.

I had this view for 3 years, as I put weight on... yet I was eating less and less.

Guess what? Some people actually have things wrong with them that make them put on weight! SHOCK HORROR! So going to a doctor is a GOOD THING!

SOME people do.... most don't.

Ted_Hutchinson

nickyhutch wrote: »

SOME people do.... most don't.

No but it's possible some people are addicted to wheat and other refined carbohydrates and are in denial and refuse to take seriously any information relating to their addiction.
If we are going to offer help to other addicts then helping carbohydrate addiction through obesity counseling is a reasonable strategy.

nickyhutch

Being addicted to wheat and other refined carbohydrates is not "having something wrong with them".

Ted_Hutchinson

RichOneday wrote: »

Why does a long list of reasons why losing weight is a great idea make it a more complex issue than simply eating less and exercising more?

Because only someone unaware of the science behind fat accumulation would make such an inane remark.
Exercising more is not a way to lose weight, If it is then the studies involving increased exercise reduces weight would be many and it will be easy for you to prove your point. In fact the studies that have been done with schoolkids proves that doubling the amount of exercise they do has little or no impact on weight loss. Does Exercise Really Make Us Thinner? -- New York Magazine
Similarly if you had spent time listening to his Berkely lecture you would understand more about what causes fat accumulation and this would help you understand how best to lose weight.

However the point I wanted to make is that obesity is a medical condition because each adipose tissue cell when it becomes enlarged gives off more pro inflammatory cytokines. Why does this matter. Well Vitamin D3 our body's main anti inflammatory agent is fat soluble. When people are gaining weight the circulating fatty acids that get absorbed into fat cells are the same ones that are carrying the 25(OH)D round the body. This means that as people get fatter they become Vitamin D deficient. The problem is particularly so in those who consume wheat and grains as these shorten the half life of 25(OH)D making carbohydrate eaters more prone to vitamin D deficiency. The lower vitamin D status is compensated for by an increase in Parathryoid hormone and this upregulates Calcitriol (that's made from 25(OH)d) therefore causing a viscous spiral of accelerating the demand for vitamin D while reducing the supply. This explains why obesity is associated with metabolic syndrome which precedes diabetes, stroke, alzheimers heart disease etc.

While you probably won't get the science behind your weight accumulation explained at your weight loss class it is useful to know. It's quite easy to get your 25(OH)D checked and cheap to correct 25(OH)D status (discount code in referrers board) and that then enables a low carbohydrate way of eating to succeed more easily because you have taken the inflammatory process out of the equation.

Ted_Hutchinson

nickyhutch wrote: »

Being addicted to wheat and other refined carbohydrates is not "having something wrong with them".

Please explain why having an addiction is not a problem?

Spicey

Could someone please tell me where it only costs £4.50 for ww? as round here its over £5