ABSTRACT

This chapter deals with advice on nutrition and physical activity which individuals need to appreciate and action in order to lose weight and reduce their personal risks of heart disease, diabetes, hypertension and other health issues. There are many influences on this balance – genetic, familial and hormonal – but getting nutrition and physical activity right will lead to a reduction in weight and improvement in health risk factors. Several conventional diets advocated calorie counting; this suits some people but not all and calorie-counted diets were no more or less successful than any others. Many workers will be experts on diets because they have tried them all. The physical activity can be of any type – an intensive aerobic workout, a gentle run in the park, a brisk walk with the dog. Sibutramine makes the patient feel fuller on a smaller portion of food and so reduces their calorie intake.