What are five causes of obesity?

Doctor William C Lloyd
Healthgrades Medical Reviewer

  • Many Factors Influence Weight

    Your genetics, environment and behaviors all play a role in your weight. While you can't control your genes, you can change your lifestyle. Here's a look at unhealthy behaviors that may contribute to obesity. Some may surprise you.

  • 1. Not Getting Enough Sleep

    People who don't sleep enough are more likely to be obese, studies show. Sleep deprivation boosts your appetite by releasing the hunger-stimulating hormone ghrelin. As a result, you're likely to eat more calories than you need.

  • 2. Sitting Too Much

    The more time you spend sitting, the more likely you are to be obese—regardless of how much you exercise. And it's not just that you're burning fewer calories when you're sitting: Studies suggest that long periods of inactivity may actually affect your metabolism.

  • 3. Eating Large Portions

    Portion sizes have ballooned during the past 40 years, which has changed our idea of the normal amount of food to eat at a meal. No matter what you're eating, if you take in more calories than you burn off, you'll gain weight. Sounds crazy, but by eating off smaller plates you consume fewer calories yet still feel full!

  • 4. Drinking Sugary Beverages

    Sipping fruit juice or sugary soda has been strongly linked to obesity. Liquid calories don't fill you up as much as food, so you end up eating more to satisfy your hunger. In addition, added sugars have been shown to contribute to obesity, especially around the waist.

  • 5. Eating Processed Food

    People who eat lots of processed food tend to gain more weight with time, research shows. Processed foods like crackers and frozen dinners are often less satisfying than whole foods like fruits, lean meats, and vegetables.

  • 6. Feeling Stressed All the Time

    High levels of stress are linked to larger waist sizes, studies show. Stress releases the fat-storing hormone cortisol and may trigger cravings for sweet and fatty foods.

  • 7. Not Exercising Enough

    Get moving! Even among people who are genetically predisposed to obesity, physical activity can help maintain a healthy weight. Experts recommend 150 to 300 minutes of weekly moderate-intensity activity, such as brisk walking, to ward off weight gain.

  • 8. Watching Lots of Television

    People who watch more than two hours of TV per day are more likely be overweight compared with people who watch less. Couch potatoes tend to snack more during tube time, eat higher-calorie foods, and consume more calories overall.

  • 9. Skipping Meals

    While you'd think that cutting out a meal helps cut down on calories, this strategy often backfires. If you go a long time without eating, you may become very hungry and overeat.

  • 10. Eating Because of Emotions

    Some people eat more than usual when they're sad, stressed, bored, or angry. With time, this pattern of emotional overeating can lead to obesity.

  • 11. Ordering In or Eating Out

    Only 14% of families eat a home-cooked meal together seven days of the week. Dining out just once a week more than doubles your risk for obesity. Restaurant meals are often higher in calories than meals prepared at home.

  • 12. Drinking Heavily

    Alcoholic drinks contain empty calories and increase your appetite. People who drink heavily or binge drink have an increased risk for obesity, studies show. Experts recommend no more than one drink per day for women and no more than two drinks per day for men.

12 Lifestyle Factors That Contribute to Obesity

Overview

Obesity is a complex disease involving an excessive amount of body fat. Obesity isn't just a cosmetic concern. It's a medical problem that increases the risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure and certain cancers.

There are many reasons why some people have difficulty losing weight. Usually, obesity results from inherited, physiological and environmental factors, combined with diet, physical activity and exercise choices.

The good news is that even modest weight loss can improve or prevent the health problems associated with obesity. A healthier diet, increased physical activity and behavior changes can help you lose weight. Prescription medications and weight-loss procedures are additional options for treating obesity.

Symptoms

Body mass index (BMI) is often used to diagnose obesity. To calculate BMI, multiply weight in pounds by 703, divide by height in inches and then divide again by height in inches. Or divide weight in kilograms by height in meters squared.

BMIWeight status
Below 18.5 Underweight
18.5-24.9 Normal
25.0-29.9 Overweight
30.0 and higher Obesity

Asians with BMI of 23 or higher may have an increased risk of health problems.

For most people, BMI provides a reasonable estimate of body fat. However, BMI doesn't directly measure body fat, so some people, such as muscular athletes, may have a BMI in the obesity category even though they don't have excess body fat.

Many doctors also measure a person's waist circumference to help guide treatment decisions. Weight-related health problems are more common in men with a waist circumference over 40 inches (102 centimeters) and in women with a waist measurement over 35 inches (89 centimeters).

When to see a doctor

If you're concerned about your weight or weight-related health problems, ask your doctor about obesity management. You and your doctor can evaluate your health risks and discuss your weight-loss options.

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Causes

Although there are genetic, behavioral, metabolic and hormonal influences on body weight, obesity occurs when you take in more calories than you burn through normal daily activities and exercise. Your body stores these excess calories as fat.

In the United States, most people's diets are too high in calories — often from fast food and high-calorie beverages. People with obesity might eat more calories before feeling full, feel hungry sooner, or eat more due to stress or anxiety.

Many people who live in Western countries now have jobs that are much less physically demanding, so they don't tend to burn as many calories at work. Even daily activities use fewer calories, courtesy of conveniences such as remote controls, escalators, online shopping and drive-through banks.

Risk factors

Obesity usually results from a combination of causes and contributing factors:

Family inheritance and influences

The genes you inherit from your parents may affect the amount of body fat you store, and where that fat is distributed. Genetics may also play a role in how efficiently your body converts food into energy, how your body regulates your appetite and how your body burns calories during exercise.

Obesity tends to run in families. That's not just because of the genes they share. Family members also tend to share similar eating and activity habits.

Lifestyle choices

  • Unhealthy diet. A diet that's high in calories, lacking in fruits and vegetables, full of fast food, and laden with high-calorie beverages and oversized portions contributes to weight gain.
  • Liquid calories. People can drink many calories without feeling full, especially calories from alcohol. Other high-calorie beverages, such as sugared soft drinks, can contribute to significant weight gain.
  • Inactivity. If you have a sedentary lifestyle, you can easily take in more calories every day than you burn through exercise and routine daily activities. Looking at computer, tablet and phone screens is a sedentary activity. The number of hours spent in front of a screen is highly associated with weight gain.

Certain diseases and medications

In some people, obesity can be traced to a medical cause, such as Prader-Willi syndrome, Cushing syndrome and other conditions. Medical problems, such as arthritis, also can lead to decreased activity, which may result in weight gain.

Some medications can lead to weight gain if you don't compensate through diet or activity. These medications include some antidepressants, anti-seizure medications, diabetes medications, antipsychotic medications, steroids and beta blockers.

Social and economic issues

Social and economic factors are linked to obesity. Avoiding obesity is difficult if you don't have safe areas to walk or exercise. Similarly, you may not have been taught healthy ways of cooking, or you may not have access to healthier foods. In addition, the people you spend time with may influence your weight — you're more likely to develop obesity if you have friends or relatives with obesity.

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. Generally, 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 consciously control what you eat and become more physically active as you age, you'll likely gain weight.

Other factors

  • Pregnancy. Weight gain is common during pregnancy. Some women find this weight difficult to lose after the baby is born. This weight gain may contribute to the development of obesity in women.
  • Quitting smoking. Quitting smoking is often associated with weight gain. And for some, it can lead to enough weight gain to qualify as obesity. Often, this happens as people use food to cope with smoking withdrawal. In the long run, however, quitting smoking is still a greater benefit to your health than is continuing to smoke. Your doctor can help you prevent weight gain after quitting smoking.
  • Lack of sleep. Not getting enough sleep or getting too much sleep can cause changes in hormones that increase appetite. You may also crave foods high in calories and carbohydrates, which can contribute to weight gain.
  • Stress. Many external factors that affect mood and well-being may contribute to obesity. People often seek more high-calorie food when experiencing stressful situations.
  • Microbiome. Your gut bacteria are affected by what you eat and may contribute to weight gain or difficulty losing weight.

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

Complications

People with obesity are more likely to develop a number of potentially serious health problems, including:

  • Heart disease and strokes. Obesity makes you more likely to have high blood pressure and abnormal cholesterol levels, which are risk factors for heart disease and strokes.
  • Type 2 diabetes. Obesity can affect the way the body uses insulin to control blood sugar levels. This raises the risk of insulin resistance and diabetes.
  • Certain cancers. Obesity may increase the risk of cancer of the uterus, cervix, endometrium, ovary, breast, colon, rectum, esophagus, liver, gallbladder, pancreas, kidney and prostate.
  • Digestive problems. Obesity increases the likelihood of developing heartburn, gallbladder disease and liver problems.
  • Sleep apnea. People with obesity are more likely to have sleep apnea, a potentially serious disorder in which breathing repeatedly stops and starts during sleep.
  • Osteoarthritis. Obesity increases the stress placed on weight-bearing joints, in addition to promoting inflammation within the body. These factors may lead to complications such as osteoarthritis.
  • Severe COVID-19 symptoms. Obesity increases the risk of developing severe symptoms if you become infected with the virus that causes coronavirus disease 2019 (COVID-19). People who have severe cases of COVID-19 may require treatment in intensive care units or even mechanical assistance to breathe.

Quality of life

Obesity can diminish the overall quality of life. You may not be able to do physical activities that you used to enjoy. You may avoid public places. People with obesity may even encounter discrimination.

Other weight-related issues that may affect your quality of life include:

  • Depression
  • Disability
  • Shame and guilt
  • Social isolation
  • Lower work achievement

Sept. 02, 2021

What are 10 causes of obesity?

Calories. The energy value of food is measured in units called calories. ... .
Poor diet. Obesity does not happen overnight. ... .
Lack of physical activity. Lack of physical activity is another important factor related to obesity. ... .
Genetics. ... .
Medical reasons..

What are 6 causes of obesity?

Many factors influence body weight-genes, though the effect is small, and heredity is not destiny; prenatal and early life influences; poor diets; too much television watching; too little physical activity and sleep; and our food and physical activity environment.

What are the main causes of obesity?

Although there are genetic, behavioral, metabolic and hormonal influences on body weight, obesity occurs when you take in more calories than you burn through normal daily activities and exercise. Your body stores these excess calories as fat.