00:00According to the released Clinical Practical Guidelines for the Screening and Diagnosis
00:06of Obesity in Adults in 2023 by the Department of Health, the number of overweight and obese
00:13adults in 2019 almost doubled compared to 1998.
00:17At present, 27 million Filipinos have this condition.
00:23According to the WHO, a World Health Organization, heart disease, diabetes, hypertension, liver
00:32disease, and several types of cancer are connected to obesity.
00:35Some children have become obese and overweight, like Earl.
00:42From Grade 3 to Grade 4, I already weighed 150 pounds.
00:51Imagine, at that age, I was already very big.
00:54As far as I remember, I was able to eat, but it wasn't totally super-duper strong.
01:01What I thought was, as time goes by, all the food I eat just accumulates.
01:08Even though he is overweight, Earl still tries to be active in sports.
01:13I don't have a reference of a person who is fat or fit.
01:18I just feel that you can get fat easily.
01:26Although I can play basketball, as time goes by, because you can train basketball,
01:32you can exercise.
01:34Your resistance gets longer.
01:35Your legs get heavier.
01:36When you jump, sometimes you can feel joint pains because you are heavy.
01:42I can still play basketball even though I'm wearing rubber shoes.
01:46There are times when you can't play.
01:48His world almost stopped when he felt something different in his body.
01:54Until I went to the doctor, that's when I found out that I have gouty arthritis.
02:01That's when it started.
02:02I felt that I have a problem.
02:04I continued to enjoy myself during those times.
02:08I just drank Yossi.
02:09Because I can do it.
02:11I just drank a painkiller.
02:13I can still walk.
02:15When I got injured in my foot, it didn't heal.
02:18It grew every day, every 3, 4, 5 days.
02:22I said, this will heal.
02:24I'll just put some medication.
02:25But it didn't heal.
02:26It grew.
02:28Until one day, when I removed the cover, the skin got infected.
02:34In 2022, Earl was diagnosed with type 2 diabetes.
02:39He weighed 400 pounds.
02:43I told myself, should I give up?
02:46Should I just leave my daughter?
02:49Who will take care of her?
02:51Your partner is not abroad.
02:54What about you?
02:56Those were the questions that came to my mind.
03:00I realized that I have to do something.
03:03Experts also added that most of us have a sedentary lifestyle.
03:11Still, the biggest factor would be the lifestyle.
03:14If we see what we do, especially if we start with the kids,
03:21we can simplify looking at their activities.
03:24Before, they were running.
03:27They were playing outside.
03:29But for now, most of our kids are just sitting down, doing their gadgets.
03:33A lot are sedentary.
03:35If we look at the nature of work,
03:38what is the biggest worker for young adults?
03:42Usually, they are in call centers.
03:45They are just sitting there.
03:47Office workers are just sitting there.
03:49Students are just sitting there.
03:51Even us doctors are just sitting there.
03:53So, physical activity or sedentary lifestyle is the biggest factor.
04:01We can just do deliveries.
04:04What do we deliver?
04:06Mostly, fast food.
04:08These are not healthy food.
04:10This is what we call a calorie-dense diet.
04:13We don't get a lot of nutrition, but the calories are high.
04:19And then, of course, the size or portion of what we eat.
04:23For us, it's big or large.
04:27Go large.
04:28So, it adds to the calories.
04:30So, I think that's very important.
04:32Of course, there are patients with certain conditions,
04:38like other diseases,
04:40that may be also associated with obesity or fatigue.
04:45We also need to look at how we can change our lifestyle.
04:50When we talk about lifestyle modification,
04:52proper diet is also included,
04:54and exercise, of course.
04:56Then, of course, behavioral intervention,
04:59because there are patients or people
05:02who just want to eat.
05:05When they are happy, they eat.
05:07But when they are sad, they also eat.
05:10But it's not all over yet.
05:12To start losing weight,
05:14Earl tried the low-carb diet.
05:18In the low-carb diet,
05:20drinks and food are limited
05:23that are high in carbohydrates,
05:25like rice, bread, pasta, and soft drinks.
05:30There are also more proteins,
05:32like pork, chicken, and fish.
05:35High in protein,
05:36moderate fat,
05:37and if your body allows it,
05:40you can eat green leafy vegetables.
05:43That's the kind of low-carb diet.
05:45They call it ketubor for me.
05:48More meat.
05:50More meat,
05:53moderate fat,
05:55and because I'm obese,
05:56that's why it's moderate fat.
05:57I feel like I went back to high school.
06:00That's the feeling.
06:01Because there's no more joint pain.
06:04It's not like before,
06:05where you're regular and it hurts.
06:07But when I changed my lifestyle,
06:09I found out that in the Philippines,
06:11there are people who are on a low-carb diet.
06:19That's why after almost three years
06:21of a low-carb diet,
06:22from 400 pounds,
06:24to 292 pounds,
06:26Earl's weight is still the same.
06:29It's like you're free.
06:32It's like you're free.
06:33It's like you're free from constipation
06:36for a long, long time.
06:38Imagine, 38 years.
06:40You don't feel like you're in a good shape
06:43because you're obese.
06:44If you're on a low-carb diet for 38 years,
06:47the feeling that you're free from constipation
06:50for 38 years.
06:52The best way to lose weight
06:55is to have a calorie deficit.
06:57In general,
06:58most of our in-nutritionists,
06:59dietitians,
07:00they'll say,
07:01you cut down in the portion of oil.
07:05If we want to lose a bit more,
07:08you cut down on our carbs.
07:13One cup of rice is 200 calories.
07:16So we'll just cut down
07:17a total of 500 calories in a day.
07:21You'll tell him,
07:22Doc, it's hard if you don't have rice.
07:23We Filipinos eat rice.
07:26Or do you eat fast food?
07:28Just cut down on your French fries, for example.
07:31You can cut down on practically 500 calories.
07:35Do you eat soft drinks?
07:37Just cut down on your soft drinks.
07:39You can cut down on a lot of calories.
07:41So what we'll cut down
07:42are the things you don't need to eat.
07:45Health experts also advocate
07:47the so-called Pingang Pinoy.
07:51So we have what we call Pingang Pinoy.
07:53It's actually advocated by the
07:55Leap Partner of Health and our organization.
07:57So that's where the plate is good.
07:59So you divide the plate into the different portions.
08:02Nothing is removed.
08:03So one-fourth of your plate will be carbohydrates.
08:07It can be rice.
08:09It can be bread.
08:10It can be pasta.
08:12It can be sweet potato.
08:14It can be corn.
08:16Then one-fourth of your plate is protein.
08:20So that's your chicken,
08:22your fish,
08:23small portion of pork.
08:25Of course, we'll remove the fat.
08:27But half of the plate is vegetables.
08:30So it's highlighting to us that
08:32vegetables are important and healthy
08:35because it's more nutritious.
08:37So let's imagine it that way.
08:40Aside from eating properly,
08:42you also need proper exercise.
08:45Trice walking,
08:46running,
08:47jogging,
08:48aerobic exercise.
08:49So that's enough for you to lose weight.
08:52But it should be sustained.
08:56We can't love others
08:59if we can't love ourselves.
09:02Because we'll be the problem
09:05of our love for life.
09:07Let's not let that happen.
09:09Let's fight for ourselves.
09:11Let's not give up.
09:18There's no shortcut.
09:19Find something that you can live with
09:21for the rest of your life
09:22because it's a fitness.
09:23It's a wellness.
09:24That you're looking for health and wellness.
09:26And that's a certain fitness.
09:28If you want it to be sustainable
09:29or you want it to be forever,
09:31you have to live with it.
09:32Actually, you should have a mindset
09:34that it's not yet there
09:36but it will be healthier.
09:38Yes, exactly.
09:39You have to be happy actually.
09:40That's I think something that I learned here.
09:43Whatever my body tells me,
09:45I feel good and I feel happy.
09:47Then maybe that's my body's way of telling me
09:50that you're in the right direction.
09:52You're doing the right thing.
09:54You're eating the right things.
09:56And you're in the right place.
10:22You
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