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ALERT for patients on Hormone Replacement Therapy:

Please be aware that as of August 1, 2010, all female patients that elect to have their Hormone Replacement Therapy prescribed through our office will be required to maintain their annual exams (pelvic/pap, breast exam, etc.) and mammograms directly through our office.

The Middle Weight Problem and The Heart
The problem of weight gain around the mid-section....

The Middle Weight Problem

Disease risk climbs for men and women with extra pounds around the belly.

It may be referred to as a beer belly, belly fat or a spare tire. But whatever term is used, the extra weight that some men carry around their girth is bad news for their health. Here?s why: Fat tucked behind the abdominal wall may be more harmful that fat stored on the hips and thighs. This belly fat is associated with insulin resistance; a condition contributes to the development of type 2 diabetes.

Carrying too much belly fat may also contribute to the risk for developing heart disease, colon cancer, obesity, and arthritis. Males with widening waistlines who also smoke do not exercise regularly, and have a family history of such conditions as premature heart disease, high blood pressure, or high blood sugar are at even greater risk for these diseases.

Why fat accumulates around the middle. John Gayman, M>D> a family physician at Group Health Medical Centers Capitol Hill Campus says experts aren?t in agreement about why some men accumulate fat around the middle and others don?t. However, genetics, hormonal influences, level of physical activity and diet are all factors.

Age also contributes. As men and women get older, muscle mass diminishes. As a result, the rate at which the body burns calories slows down, contributing to those extra pounds morphing into love handles around the midsection. ?We all lose some muscle mass with age, even if we have a healthy habits,? he notes.

How much is too much? A solid indicator of whether you?re saddled with too much belly fat is if your waist exceeds 40 inches. ?That places men at risk for earlier and greater suffering during their life span, says,? Dr. Gayman. There are, of course, always exceptions. ?Some folks with large waists are relatively fit and some with small waists are not so there are clearly many individual differences that influence 4isk for disease,? he says.

It?s also worth noting that even if you don?t gain weight as you age, you still need to pay attention to your waistline. It?s likely that you are losing muscle mass while increasing body fat, says Dr. Gayman. ?It?s important to make good dietary decisions. That, combined with moderate activity, will lead to a loss of body fat.?

Getting rid of belly fat. When it comes to shedding the belly bulge, there?s no magic bullet. You?ll need to lose some weight, and that means burning more calories that you consume. And while being active is always an important part of maintaining good health, moderate activity alone is not likely to help you shed the pounds. It will, however, help you maintain weight loss and build muscle.
How many calories do you need to cut to lose that weight: ?A 200 calorie deficit a day is equivalent to 22 pounds of weight loss in a year,? says Dr. Gayman.

Elizabeth M. Economou __
Men?s Health Section Group Health NW Health Magazine Winter 2012

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