Hypercholesterolemia and Obesity
Abnormal levels of  blood lipids closely associated with obesity. Approximately 38% of patients with a BMI of 27 is patients with hypercholesterolemia. In this condition, the ratio between HDL (High Density Lipoprotein) and LDL (Low Density Lipoprotein), tends to decrease (which generally increased triglyceride levels) that increase the risk of Atherogenesis.
Framingham study showed that for every 10% increase in body weight there was an increase of plasma cholesterol by 12 mg / dL.
From NHANES II data also found that the risk of hypercholesterolemia (serum cholesterol 250 mg / dL) on Americans who are overweight is 1.5 times greater than in normal individuals aged 20 to 75 years.

Comorbidity

• Coronary Heart Disease (PKH): Approximately 40% of CHD events occur in someone with a BMI above 21, so the disease is actually preventable.
• Stroke: Overweight is a major risk factor for stroke. Obesity (especially around the stomach / abdomen) may increase the risk of stroke (this condition does not depend on the amount of BMI).
• Pouch Disease Gall: The obese tend to be more susceptible to gallstones.
• Osteoarthritis (OA): Overweight associated with OA in the hand and knee joints. However, the limited ability to exercise in patients with osteoarthritis also to the role of the incidence of overweight.
• Cancer: Obesity can increase the risk of certain cancers. A study conducted by the American Cancer Society explained that the deaths caused by prostate cancer and rectal-colon (colorectal) increased in obese men, whereas endometrial cancer, uterus, cervix (cervical), and ovary (ovaries) increases in obese women. Compared with normal weight women during the post-menousal, obese women have a higher risk of breast cancer.
• disorders (disorders) such as: Obesity is also associated with varieses vein, several hormonal disorders and infertility.

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2. Try to eat in company. Eat slowly and chew each bite.

3. Prepare dishes as attractive as possible. If portions will seem small, offer a dessert plate, thus appear more abundant.

4. Do not try to hide that you’re on a diet. Continue with your normal life, without lock yourself at home.

5. Respect, as far as possible, a regular schedule for meals.

6. Do not skip meals but do not feel hungry, in any case reduce the amount you eat, but do not omit.

7. Start every meal with a salad, to satisfy more easily the stomach and appetite center, located in the brain.

8. Avoid temptation. If the office or the kids at home, eat sweet things between meals, have at hand an apple, yogurt or other snacks to help you resist.

9. Faced with an attack of hunger takes a glass of water first and then a natural fruit juice.

10. Do not give in to offers of food that are not within your program, because you can spoil what you have achieved so far.

11. Do not be dependent on the scale. Weigh yourself only once a week to monitor changes.

12. Take your measurements periodically to check the change in volume, this will encourage you to follow. You may not have lost weight, but of the figure.

13. Make sure the clothing is staying high. Please hand the pants that you like and do not fit, and take it as a goal.

14. If you’re out of the diet in one meal of the day as usual with the rest of the daily plan, nor think of “resume tomorrow.”

15. Often think of the joy of seeing you in your weight and imagine that today you avoid situations because of your overweight.

If you feel you just can not start a diet, do not let time pass. Go to a specialist who can guide and control you until you acquire new eating habits.

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Healthy food
A healthy diet is extremely important in preventing disease. The study of the RIVM is focused on diet as a whole and certain elements from such fats and vitamins, and examines their role in health promotion

Nutrition and chronic diseases
The role that diet plays in causing and preventing chronic diseases to all diseases is not yet crystallized. For cardiovascular disease and diabetes is clear that nutrition plays a role. For cancer, this relationship is less clear. The study of the RIVM focuses on all these diseases, with international cooperating.

Nutrition and genetics
Also genetic factors in conjunction with diet and other environmental factors in the etiology of chronic diseases. What exactly that role is still unclear. The study of the RIVM about trying to get more clarity.

Overweight
Obesity is a consequence of a disturbed energy. This is caused by a combination of overeating and lack of exercise. For a solution to both the causes of obesity are addressed. Both aspects are investigated by the RIVM.

Special Groups
Some people are vulnerable, such as the elderly, infants, children and pregnant women. These groups are more susceptible to malnutrition or lack of certain nutrients. They may be less well against exposure to harmful substances. Also here is the RIVM research

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