By Michael Roizen, M.D., And Mehmet Oz, M.D.


Helping obese teens lose weight

What came first - the chicken or the egg? That's been buggin' folks for millennia. In fact, Aristotle, in the 4th century B.C., wrote, "There could not have been a first egg to give a beginning to birds, or there would have been a first bird which gave a beginning to eggs." Only with evolution did we learn that the chicken came from some not-quite-a-chicken predecessor, all the way back to the first living cell.

Seems there's a faulty appetite regulator in the brains of obese teens. The question is: Did the broken regulator cause the excess weight, or is it a result of it? As with the chicken and the egg, which came first? Well, we don't know, but realizing there's a broken food regulator provides a new understanding of the challenges obese teens face in achieving a healthy weight.

A study presented at the annual meeting of the Radiological Society of North America makes it clear that the 20.5 percent of 12- to 19-year-olds in the U.S. who are obese have measurable changes in the appetite-, impulse- and reward-regulating centers of their brain. (Obesity affects the brain's amygdala, hippocampus, thalamus, bilateral hypothalamus and more!) Helping teens attain a healthy weight means dealing with all of that.

How to do it: It takes a team to help them reset their brains: an exercise physiologist/coach; a nutritionist; a yoga or meditation instructor, plus cognitive behavioral therapy. That can provide the tools needed to establish impulse control and help a teen recognize when enough food is enough.

© 2017 Michael Roizen, M.D. and Mehmet Oz, M.D.
Distributed by King Features Syndicate, Inc.

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