Understanding Obesity and Taking Control of Your Health
By Dr. Jereel Aron Sahagun, Internist-Endocrinologist | Centre Médicale Internationale
What Is Obesity?
Obesity is a medical condition where excess body fat builds up in the body to a level that can affect health. It is not simply about appearance or willpower—it is a biological, preventable, and treatable disease.
Today, obesity is increasing worldwide and in the Philippines. Studies show that nearly 4 in 10 Filipino adults are already overweight or obese. This makes it one of the most important health concerns of our time.
Understanding obesity is the first step toward protecting your health and improving your quality of life.
Looking Beyond the Weighing Scale
Many people think obesity is only measured by body weight or Body Mass Index (BMI). While BMI is helpful, doctors now look at additional measurements such as waist circumference and body fat distribution. These give a clearer picture of health risks, especially for Asian populations who may develop complications at lower BMI levels.
In simple terms, where fat is stored in the body matters just as much as how much we weigh.
Why Obesity Matters
Obesity affects much more than physical appearance. It can increase the risk of many serious health conditions, including:
- Diabetes and high blood pressure
- Heart disease and stroke
- High cholesterol and fatty liver disease
- Sleep apnea and breathing problems
- Joint pain and osteoarthritis
- Infertility and pregnancy complications
- Depression and emotional stress
These conditions can develop slowly and silently, which is why early awareness and prevention are so important.
The Good News: Obesity Can Be Managed
The encouraging news is that obesity is treatable. Even small, steady changes can lead to meaningful health improvements. Effective weight management is built on four key areas:
- Balanced Nutrition– Healthy eating does not mean extreme dieting. It focuses on proper portion sizes, balanced meals, and mindful food choices. Guidance from nutrition professionals (registered nutritionist-dietitian and medical nutrition physician) are recommended help tailor a plan that fits your lifestyle and preferences.
- Regular Physical Activity – Exercise helps burn calories, strengthen muscles, and improve overall energy levels. A combination of aerobic exercise (like brisk walking or cycling) and strength training is recommended for best results.
- Medical Support When Needed – For some patients, medications or specialized treatments may be appropriate, especially if obesity is already affecting other medical conditions. These options are carefully evaluated and supervised by physicians.
- Continuous Professional Guidance – Weight management is most successful when guided by a healthcare team that understands each patient’s unique needs, medical history, and goals.
Setting Realistic and Achievable Goals
Many people believe they need dramatic weight loss to see health benefits. In reality, even modest weight loss can make a big difference.
- Losing 2–3% of body weight can improve blood sugar and cholesterol
- Losing 5% can help lower blood pressure and reduce diabetes risk
- Losing 10% or more can significantly reduce heart disease risk and improve overall well-being
Progress does not need to be fast to be meaningful. Sustainable, gradual changes are the most effective for long-term health.
Taking the First Step
Managing weight is not about perfection. It is about making informed choices, seeking guidance, and committing to gradual, realistic improvements. Each person’s journey is different, and personalized care plays a crucial role in achieving lasting results.
If you have concerns about your weight, energy levels, or related health conditions, consulting a healthcare professional can help you better understand your risks and the options available to you. With the right support, practical strategies, and medical guidance, when necessary, you can take confident steps toward better health and well-being.
Want to dive deeper? Click below to explore Dr. Sahagun’s full guide to obesity and weight management.