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Risk factors

By Mayo Clinic staff

Factors that may increase your risk of obesity include:

  • Genetics. Your genes may affect the amount of body fat you store and where that fat is distributed. Genetics also may play a role in how efficiently your body converts food into energy and how your body burns calories during exercise.
  • Family history. Obesity tends to run in families. That's not just because of genetics. Family members tend to have similar eating, lifestyle and activity habits. If one or both of your parents are obese, your risk of being obese is increased.
  • Age. Obesity can occur at any age, even in young children. But as you age, hormonal changes and a less active lifestyle increase your risk of obesity. In addition, the amount of muscle in your body tends to decrease with age. This lower muscle mass leads to a decrease in metabolism. These changes also reduce calorie needs and can make it harder to keep off excess weight. If you don't decrease your caloric intake as you age, you'll likely gain weight.
  • Quitting smoking. Quitting smoking is often associated with weight gain. And for some, it can lead to a weight gain of as much as several pounds a week for several months, which can sometimes lead to obesity.
  • Social and economic issues. Certain social and economic issues may be linked to obesity. You may lack access to safe areas to exercise, you may not have been taught healthy ways of cooking, or you may not have the financial means to buy fresh fruits and vegetables or foods that aren't processed and packaged. In addition, some studies show that your social networks influence your weight — you're more likely to become obese if you have obese friends or relatives.

Even if you have one or more of these risk factors, it doesn't mean that you're destined to become obese. You can counteract most risk factors through diet, physical activity and exercise, and behavior changes.

References
  1. Defining overweight and obesity. Centers for Disease Control & Prevention. http://www.cdc.gov/nccdphp/dnpa/obesity/defining.htm. Accessed Jan. 26, 2009.
  2. Ogden CL, et al. Obesity among adults in the United States - No statistically significant change since 2003-2004. NCHS data brief no 1. Hyattsville, MD: National Center for Health Statistics. 2007.
  3. Still CD, et al. Obesity. In: Rakel & Bope: Conn's Current Therapy. 60th ed. Philadelphia: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/117958748-3/0/1621/295.html#4-u1.0-B978-1. Accessed Feb. 20, 2009.
  4. Bray GA. Etiology and natural history of obesity. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2009.
  5. Kushner RF. Obesity management. Gastroenterology Clinics of North America. 2007;36:191.
  6. Duval K, et al. Health-related quality of life in morbid obesity. Obesity Surgery. 2006;16:574.
  7. Hainer V, et al. Treatment modalities of obesity: What fits whom? Diabetes Care. 2008;31(suppl 2):S269.
  8. Understanding adult obesity. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.win.niddk.nih.gov/publications/understanding.htm. Accessed Jan. 26, 2009.
  9. Bessesen DH. Update on obesity. Journal of Clinical Endocrinology and Metabolism. 2008;93:2027.
  10. Bray GA. Overview of therapy for obesity in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2009.
  11. Svetkey LP, et al. Comparison of strategies for sustaining weight loss: The Weight Loss Maintenance Randomized Controlled Trial. JAMA. 2008;299:1139.
  12. The practical guide: Identification, evaluation, and treatment of overweight and obesity in adults. National Institutes of Health, U.S. Department of Health and Human Services. http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf. Accessed Feb. 25, 2009.
  13. Donnelly JE, et al. American College of Sports Medicine position stand: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise. 2009;41:459.
  14. Sacks F, et al. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. New England Journal of Medicine. 2009;360:859.
  15. Mun EC, et al. Surgical management of obesity. http://www.uptodate.com/home/index.html. Accessed Feb. 26, 2009.
  16. Hensrud DD (expert opinion). Mayo Clinic, Rochester, Minn. April 2, 2009.
  17. Anderson CA (expert opinion). Mayo Clinic, Rochester, Minn. March 3, 2009.

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May 9, 2009

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