Depression, as well as certain rare illnesses such as hypothyroidism and Cushing s syndrome, may contribute to obesity. Drugs such as steroids and antidepressants can also cause excessive weight gain and lead to obesity. Although not all obesity starts in childhood, this time of life is critical for developing behavior that may contribute to becoming obese in the future. Teaching children the value of good nutrition, healthy eating habits and regular exercise as well as instilling in them the ability to recognize unhealthy environmental triggers for overeating, can substantially reduce the risk for obesity in the future. Genetic predisposition for obesity cannot be changed.
Treatment depends on how obese, how healthy, and how motivated a person is.
Dr. Friedman recommends a multi-disciplinary approach that includes proper nutrition, behavior modification, physical activity and medical monitoring. Because obesity is a chronic disease, Dr. Friedman says that ongoing support and treatment are crucial in helping patients make the permanent lifestyle changes to decrease their risk of other serious health problems associated with obesity. The method of treatment will depend on the degree of obesity and the individual s lifestyle and preferences. In some cases of severe obesity, gastrointestinal surgery may be recommended. According to Dr. Friedman, society wrongfully views obese people as moral failures.