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Causes
There are several causes which could lead to adipositas. These include hereditary factors, lack of exercise, stress, loneliness and frustration as well as unbalanced nutrition such as frequent snacking, large intake of high-energy food, fast food, soft drinks containing sugar and alcoholic beverages.

Diagnosis
Whether or not a person is overweight or not is quite easy to determine using the Body-Mass-Index (BMI). This is calculated by dividing the weight by the square of the person's height in meters. The formula is: kg:m². 

Normal weight: BMI between 18.5 and 24.9 kg:m² 

Overweight (slight adipositas): BMI between 25 and 29.9 kg:m² 

Severe overweight: BMI over 30 kg:m² 

Long-term therapy
Only long-term treatment concepts are successful.  As often after a successful quick-fix diet there is even an accelerated weight increase, the so-called Jo-Jo effect.  A highly effect method for quick, safe and permanent weight reduction for people whose BMI is over 30, is the outpatient Optifast®52-Programme. What is special about this programme is the therapy approach across all specialist fields which not only considers dietary aspects but also contemporary knowledge of behavioural psychology. As many people have a theoretical knowledge of what is not good for them, but in most cases they cannot implement this knowledge on a permanent basis. For this reason, participants are supported for a period of 52 weeks by a multi-professional team consisting of nutritionists, physiotherapists, doctors and psychologists. Hereby, the participants train how to implement a new eating and movement behaviour and impulses for improved stress management.

A detailed medical and psychological introductory diagnosis takes place at the beginning of the Optifast®52-Programme. After that, the participants take part in weekly group meetings.  As these meetings take place late afternoon or in the evening, they are also well suited for working people. 

Short-term therapy and personal consultation
For people who are only slightly overweight, there is a 26-week short programme. And anybody who does not want to take part in a group programme, can also make use of personal consultations at the Adipositas Centre.

Advantages
This applies to all types of therapy: Weight reduction can significantly reduce the daily medication for treating high blood pressure, high blood values or diabetes, in some cases medication can even be stopped altogether. Joint problems also and the associated pain are also reduced.

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