Virginia weight loss

From WikiMD's Food, Medicine & Wellness Encyclopedia

Virginia, or commonwealth of Virginia, is a state in the United States with a population of 8,001,024 in 2010 out of which 76.8% are considered adults over 18 years and the remaining under the age of 18. In the past 30 years, overweight and obesity increased sharply for both adults and children in Virginia. As overweight status and obesity increase the risk of other medical problems including some cancers, cardiovascular disease, metabolic syndrome, and diabetes, among others, it is important to understand the true causes of weight gain in Virginia rather than oversimplify it or worse blame the victim for obesity.

Obesity

Overweight and obesity prevalence rates in the sate of Virginia - 2010 as per data from the Centers for Disease Control. According the 2010 Obesity Statistics from CDC:

Overweight and Obesity Data Virginia[edit | edit source]

  • 60.4% were overweight, with a Body Mass Index of 25 or greater.
  • 26.0% were obese, with a Body Mass Index of 30 or greater.

Dietary Behaviors of people in Virginia[edit | edit source]

  • 33.7% of adults reported having consumed fruits at the recommended level of 2 or more times per day.
  • 30.3% of adults reported having consumed vegetables at the recommended level of 3 or more times per day.

Physical Activity[edit | edit source]

  • 48% of adults achieved at least 300 minutes a week of moderate-intensity aerobic physical activity or 150 minutes a week of vigorous intensity aerobic activity (or an equivalent combination).
  • 21.9% of Virginia’s adults reported that during the past month, they had not participated in any physical activity.

Adolescent Overweight and Obesity Virginia[edit | edit source]

Overweight and Obesity

  • Virginia has a 27.4 percent childhood obesity rate (slightly lower than the national average of 27.6%)

Rethinking Our Dietary Approach

Shifting focus from individual blame to understanding the complexities of obesity is crucial. A key factor is insulin resistance, impacting up to 71% of the population, with 35% experiencing metabolic syndrome.

Navigating Misinformation

The overwhelming presence of over 20,000 books and mixed messages on obesity medicine calls for guidance from experts like Dr Prab R. Tumpati, MD, who can provide clarity on the science and practice of this field.

The Downfall of the Food Guide Pyramid

The outdated and ineffective food guide pyramid, promoting a low-fat but high-glycemic diet, significantly contributed to increased insulin resistance and, consequently, weight gain.

Insulin resistance and weight gain

Insulin resistance is a physiological condition where the body's cells become less responsive to the hormone insulin. As insulin not only controls the blood sugar, it also controls the weight! Reducing the overall carbohydrate load and insulin levels is a key underlying concept in many low carbohydrate diets such as the ketogenic diet.

The Blame Game in Obesity

Understanding metabolic starvation

Weight gain isn't typically intentional. It often stems from the paradox of metabolic starvation in the obese, driven by insulin resistance and resulting in heightened insulin levels. This leads to persistent hunger, cravings, and further weight gain. Stop blaming the victim for obesity!


County obesity statistics in Virginia[edit | edit source]

class="wikitable "

| Virginia||Accomack County Obesity||34.9||35||36||36.7 |- | Virginia||Albemarle County Obesity||28.1||27.8||26.1||26.2 |- | Virginia||Alleghany County Obesity||27.7||27.4||24.4||24.7 |- | Virginia||Amelia County Obesity||33.2||32.8||32.3||32.4 |- | Virginia||Amherst County Obesity||31.3||31||30.5||30.6 |- | Virginia||Appomattox County Obesity||31.2||31||29.6||29.9 |- | Virginia||Arlington County Obesity||20.1||20.3||18.5||18.7 |- | Virginia||Augusta County Obesity||28.7||28.3||26.4||26.7 |- | Virginia||Bath County Obesity||29||29||26.6||27 |- | Virginia||Bedford County Obesity||27.3||26.7||24.2||24.2 |- | Virginia||Bland County Obesity||29.6||29.4||26.4||26.6 |- | Virginia||Botetourt County Obesity||29||28.5||25.4||25.7 |- | Virginia||Brunswick County Obesity||33.4||33.3||36.6||37.1 |- | Virginia||Buchanan County Obesity||31.1||30.8||27.7||28.1 |- | Virginia||Buckingham County Obesity||30.9||30.4||30.9||30.9 |- | Virginia||Campbell County Obesity||32.5||32.3||31||31.3 |- | Virginia||Caroline County Obesity||29.8||29.3||30.1||29.9 |- | Virginia||Carroll County Obesity||32.6||32.6||29.5||30.3 |- | Virginia||Charles City County Obesity||34||33.3||37||36.6 |- | Virginia||Charlotte County Obesity||31.2||31.1||32.1||32.4 |- | Virginia||Chesterfield County Obesity||29.6||29.2||27.3||27.1 |- | Virginia||Clarke County Obesity||31.2||30.5||28.5||28.7 |- | Virginia||Craig County Obesity||31.6||31.2||28.5||28.8 |- | Virginia||Culpeper County Obesity||33.7||33.2||32.2||32.2 |- | Virginia||Cumberland County Obesity||31.6||31.3||32.8||32.7 |- | Virginia||Dickenson County Obesity||30.6||30.2||27.1||27.3 |- | Virginia||Dinwiddie County Obesity||32.3||31.8||32.5||32.4 |- | Virginia||Essex County Obesity||28.9||28.5||29.6||29.5 |- | Virginia||Fairfax County Obesity||23.2||22.5||21.4||21.2 |- | Virginia||Fauquier County Obesity||29.3||28.6||26.5||26.2 |- | Virginia||Floyd County Obesity||29.3||28.9||26.4||26.6 |- | Virginia||Fluvanna County Obesity||30.9||30.9||29.5||29.6 |- | Virginia||Franklin County Obesity||30||29.7||28||28.2 |- | Virginia||Frederick County Obesity||30.9||30.4||27.8||27.7 |- | Virginia||Giles County Obesity||34.1||34.1||30.9||31.5 |- | Virginia||Gloucester County Obesity||32.2||31.7||29.8||29.7 |- | Virginia||Goochland County Obesity||26.8||26.1||25.2||25 |- | Virginia||Grayson County Obesity||33.1||33.1||30.6||31.5 |- | Virginia||Greene County Obesity||30.9||30.5||28.9||28.9 |- | Virginia||Greensville County Obesity||33.1||32.5||35.8||35.8 |- | Virginia||Halifax County Obesity||32.1||32.1||33||33.6 |- | Virginia||Hanover County Obesity||28.2||27.6||25.1||25 |- | Virginia||Henrico County Obesity||27.5||27.2||28.2||28.2 |- | Virginia||Henry County Obesity||30||30.2||30.6||30.9 |- | Virginia||Highland County Obesity||29.8||29.6||26.3||26.9 |- | Virginia||Isle of Wight County Obesity||32.1||31.5||31.4||31.3 |- | Virginia||James City County Obesity||27.2||27.2||25.9||26.5 |- | Virginia||King and Queen County Obesity||33.7||33.3||34.1||34.1 |- | Virginia||King George County Obesity||29.6||28.9||28.2||27.9 |- | Virginia||King William County Obesity||32.3||31.8||31.8||31.6 |- | Virginia||Lancaster County Obesity||32||32.8||31.5||33.2 |- | Virginia||Lee County Obesity||33.9||33.7||31.9||32.5 |- | Virginia||Loudoun County Obesity||24.1||23.7||21.1||21 |- | Virginia||Louisa County Obesity||34.5||34||33.5||33.3 |- | Virginia||Lunenburg County Obesity||33.7||33.4||33.8||34 |- | Virginia||Madison County Obesity||34||34||32.1||32.4 |- | Virginia||Mathews County Obesity||28.5||28.6||26.4||26.8 |- | Virginia||Mecklenburg County Obesity||32.8||32.6||32.8||33.5 |- | Virginia||Middlesex County Obesity||29.4||29.4||27.8||28.2 |- | Virginia||Montgomery County Obesity||27.2||27.4||26.8||26.8 |- | Virginia||Nelson County Obesity||26.3||25.9||24.6||24.5 |- | Virginia||New Kent County Obesity||30.9||30.1||29.2||28.8 |- | Virginia||Northampton County Obesity||29.4||29.2||30.1||30.3 |- | Virginia||Northumberland County Obesity||29.6||30.3||29.7||30.9 |- | Virginia||Nottoway County Obesity||35.7||35.5||36.6||37.1 |- | Virginia||Orange County Obesity||33.1||33||32.2||32.8 |- | Virginia||Page County Obesity||32.5||32.5||29.5||30 |- | Virginia||Patrick County Obesity||30.2||30.4||28.3||28.9 |- | Virginia||Pittsylvania County Obesity||31.3||31.2||30.5||30.7 |- | Virginia||Powhatan County Obesity||30.6||29.9||27.6||27.3 |- | Virginia||Prince Edward County Obesity||32.8||32.8||34.7||35 |- | Virginia||Prince George County Obesity||35.5||35||36.7||36.4 |- | Virginia||Prince William County Obesity||28.8||28.2||27.6||27.3 |- | Virginia||Pulaski County Obesity||29.3||29.1||25.7||25.9 |- | Virginia||Rappahannock County Obesity||27.9||27.5||25||25 |- | Virginia||Richmond County Obesity||31.6||31.3||30.6||31.3 |- | Virginia||Roanoke County Obesity||28.2||28||25.2||25.8 |- | Virginia||Rockbridge County Obesity||29.2||29.2||26.5||26.8 |- | Virginia||Rockingham County Obesity||31.5||31.2||28.2||28.4 |- | Virginia||Russell County Obesity||33.6||33.3||30.5||30.8 |- | Virginia||Scott County Obesity||31||30.9||28.4||28.7 |- | Virginia||Shenandoah County Obesity||31.4||31.1||28.6||29.1 |- | Virginia||Smyth County Obesity||32.6||32.6||30.3||31.1 |- | Virginia||Southampton County Obesity||31.4||30.6||31.4||31.3 |- | Virginia||Spotsylvania County Obesity||30.7||30||29||28.7 |- | Virginia||Stafford County Obesity||32.7||31.9||30.6||30.1 |- | Virginia||Surry County Obesity||31.9||31.1||34||33.7 |- | Virginia||Sussex County Obesity||35.8||35.4||39.5||39.6 |- | Virginia||Tazewell County Obesity||32.8||32.6||28.8||29.4 |- | Virginia||Warren County Obesity||27.2||26.6||24.8||24.7 |- | Virginia||Washington County Obesity||31.1||31||27.8||28.1 |- | Virginia||Westmoreland County Obesity||29||28.9||29||29.4 |- | Virginia||Wise County Obesity||35.2||35||31.9||32.2 |- | Virginia||Wythe County Obesity||30.3||30.2||27.4||27.8 |- | Virginia||York County Obesity||28.8||28.3||27.7||27.6 |- | Virginia||Alexandria city||19.9||20.1||19.1||19.3 |- | Virginia||Bedford city||31||31.2||29.2||30.2 |- | Virginia||Bristol city||30.8||30.8||28.1||28.8 |- | Virginia||Buena Vista city||30.4||30.3||28||28.3 |- | Virginia||Charlottesville city||28.3||28.4||28.2||28.3 |- | Virginia||Chesapeake city||29.5||28.9||27.6||27.3 |- | Virginia||Colonial Heights city||28.4||28.4||26.4||27.1 |- | Virginia||Covington city||30.1||29.9||28.2||28.6 |- | Virginia||Danville city||31.3||31.2||34.7||35.5 |- | Virginia||Emporia city||31.9||31.7||35||35.5 |- | Virginia||Fairfax city||26||25.7||24.3||24.3 |- | Virginia||Falls Church city||27.6||27||25.8||25.6 |- | Virginia||Franklin city||32.2||32||35.3||35.7 |- | Virginia||Fredericksburg city||31.9||31.7||32.6||32.6 |- | Virginia||Galax city||31.2||31.3||28.8||29.7 |- | Virginia||Hampton city||33.5||33.2||39.1||39 |- | Virginia||Harrisonburg city||31.7||31.7||30.3||30.4 |- | Virginia||Hopewell city||33.3||33.2||34.7||35.2 |- | Virginia||Lexington city||29.4||30||28.1||28.8 |- | Virginia||Lynchburg city||32.1||32.1||33.9||34.3 |- | Virginia||Manassas city||29.9||29.4||29.3||28.9 |- | Virginia||Manassas Park city||30.5||30.1||30.6||30.3 |- | Virginia||Martinsville city||31.7||31.4||32.8||33.4 |- | Virginia||Newport News city||32.9||32.6||34.7||34.6 |- | Virginia||Norfolk city||33.2||33||37.4||37.3 |- | Virginia||Norton city||29.7||29.4||27.1||27.2 |- | Virginia||Petersburg city||34.1||33.8||40.8||40.8 |- | Virginia||Poquoson city||31||30.6||28||28.2 |- | Virginia||Portsmouth city||37.9||37.6||42||42.1 |- | Virginia||Radford city||29||29.3||27.8||27.9 |- | Virginia||Richmond city||24.9||24.9||30.6||30.7 |- | Virginia||Roanoke city||35||34.7||36||36.4 |- | Virginia||Salem city||29.7||29.5||27.1||27.5 |- | Virginia||Staunton city||30.1||30||28||28.7 |- | Virginia||Suffolk city||31.3||30.7||33.3||33.1 |- | Virginia||Virginia Beach city||27.1||26.8||27.8||27.6 |- | Virginia||Waynesboro city||30.3||30.3||28.5||29 |- | Virginia||Williamsburg city||29.2||29.7||28.1||28.4 |- | Virginia||Winchester city||30.5||30.3||28.9||29.1 |}

Causes of weight gain[edit | edit source]

The United States has witnessed a significant rise in obesity and weight gain issues. The causes are multifaceted, including lifestyle, dietary habits, and various health conditions. This section explores the predominant factors contributing to weight gain in the U.S.

Insulin resistance: This condition impairs the body's ability to utilize insulin effectively, often leading to weight gain, particularly around the abdomen. It's a precursor to type 2 diabetes and is commonly associated with obesity.

Eating disorders: Disorders such as binge eating can significantly contribute to weight gain. These conditions often require professional intervention and treatment.

Sleep disorders: There is a bidirectional relationship between sleep disturbances and weight gain. Poor sleep can lead to hormonal imbalances that trigger weight gain, and conversely, obesity can exacerbate sleep-related issues.

Nutritional deficiencies: Ironically, even in a country with abundant food, nutritional deficiencies can lead to poor dietary choices and subsequent weight gain.

Hormonal imbalances: Conditions like hypothyroidism, polycystic ovary syndrome (PCOS), and others can disrupt normal metabolic processes and lead to weight gain.

Stress-related weight gain: Chronic stress can lead to overeating, particularly high-calorie, comfort foods, contributing to weight gain.

Genetic factors: Genetics play a significant role in an individual's predisposition to gain weight.

Medication-related weight gain: Certain medications, including steroids, antidepressants, and antipsychotics, can lead to weight gain.

Other factors: A sedentary lifestyle, environmental factors, and socioeconomic status can also contribute to weight gain.

Weight Loss Options[edit | edit source]

To combat weight gain, a combination of lifestyle changes, dietary modifications, and medical interventions may be necessary. Here are some options:

Dietary approaches: Implementing a balanced, calorie-controlled diet is crucial. Options include low-calorie diets or very low-calorie diets.

Weight loss medications: FDA-approved medications can aid in weight loss for eligible individuals.

Physical activity: Exercise is essential, but it's most effective when combined with dietary changes.

Addressing underlying causes: Correcting issues like insulin resistance, hormonal imbalances, and sleep disorders can facilitate weight loss.

Bariatric surgery: Surgical interventions such as gastric bypass may be considered for individuals with severe obesity.

Weight Loss Clinics and Services[edit | edit source]

Weight loss clinics and telemedicine services offer structured programs to assist individuals in their weight loss journey. They often provide dietary counseling, medical supervision, and support for lifestyle changes.

Insurance Coverage for Weight Loss[edit | edit source]

Under the Affordable Care Act, many insurance plans cover obesity treatment. However, coverage varies, so it's important to check with specific providers.

Diet and Exercise for Weight Loss[edit | edit source]

A combined approach of diet and exercise is typically the most effective strategy for weight loss. Very low-calorie diets and structured exercise regimens can be particularly beneficial.

Telemedicine for Weight Loss[edit | edit source]

Advancements in telemedicine have made it possible to receive weight loss counseling and medical supervision remotely, expanding access to those in remote areas or with mobility issues. See W8MD weight loss

Also see[edit | edit source]

Transform Your Life with W8MD Weight Loss Centers[edit source]

W8mdlogo.png
W8MD weight loss doctors team

W8MD offers a physician-supervised weight loss program at various locations including New York, Pennsylvania and New Jersey. Our centers provide expert medical guidance, accept most insurances, and offer telemedicine options for convenience.

Why choose W8MD?[edit source]

Book Your Appointment[edit source]

Start your weight loss journey today at our centers in New York, New Jersey and Pennsylvania and visit W8MD.com Call (718)946-5500

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Contributors: Prab R. Tumpati, MD