Physical benefits of losing weight and effect on chronic conditions

To be able to do that (climbing a hill) is like, well, gold medal and it’s all down to weight loss. That’s all it is. My bones were aching. My knees used to hurt. My hips were hurting. All that’s gone. It’s completely gone.’ Janet

For people who have a weight related chronic health condition losing weight will often have a beneficial effect on their health. Losing weight also reduces the risk of acquiring further health problems, such as:

  • high blood pressure
  • heart disease
  • stroke
  • type 2 diabetes
  • some types of cancer
  • osteoarthritis
  • back pain

The people we spoke to described a range of health benefits after losing weight, which we explore below.

Feeling better

In general terms, people said they ‘felt better’ after losing weight. Specific changes that were mentioned included:

  • Having more energy
  • Sleeping better
  • Having fewer aches and pains
  • Improved ability to move and get around
  • Getting less out of breath
  • Improved digestion
  • Taking less medication

Julie describes the physical and emotional boost of losing weight.

Age at interview 73

Gender Female

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Six months in to her weight loss Jane is already feeling the benefits with improved energy levels and easier movements. She is proud of herself.

Age at interview 42

Gender Female

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Managing a Chronic Condition

Those who had lost weight noticed positive differences in their chronic health conditions, including:

  • Less back pain
  • Less joint pain
  • Better control of diabetes
  • Lower blood pressure
  • Lower cholesterol
  • Better mental health
  • Improved asthma symptoms
  • Reversal of non-alcoholic fatty liver disease

Stuart lost weight before having a heart bypass operation. He found that when he weighed less, he didn’t have as much back pain or pain in his legs from sciatica. Tommy described how a combination of losing weight and regular swimming had greatly improved his arthritis.

When David reduced his weight, it improved control of his diabetes and his blood pressure, which he monitors himself.

Age at interview 49

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Two years after having a gastric band fitted, Janet’s liver was back to normal.

Age at interview 62

Gender Female

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Everyday movements like climbing the stairs and getting in and out of the bath were easier for Hilary after losing weight. She wishes she had lost weight earlier.

Age at interview 62

Gender Female

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Kate’s healthier, sugar free diet has had a positive effect on her blood pressure and her gut.

Age at interview 49

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Even those with severe symptoms of co-morbidities, like Joan, Maxine Mary and Janet, saw an increase in their energy levels, a reduction in medication, less pain and/or better mobility (depending on the severity of the condition). However modest, the impact of losing weight on their co-morbidities improved their quality of life and wellbeing.

Although she could not see an effect on her arthritis, losing weight had been positive for Maxine Mary: ‘I feel so much lighter and fitter and there’s not so much pressure on my joints’. Joan was able to reduce her blood pressure medication and to walk a bit more but was well aware what would happen if she was to put on weight: ‘I’m sure my blood pressure would go up, my mobility would definitely decrease and it’s bad enough just now [laughs] I don’t do a great deal of exercise but I think it would have an adverse effect on what I’m doing just now’. Janet was able to reverse her liver disease, decrease her insulin dosage, and her asthma symptoms no longer affected her like they used to.

Joan talks about the physical benefits weight loss has had on her mobility.

Age at interview 57

Gender Female

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Those who ‘felt better’ after losing weight had often started to do more exercise, finding that exercise was easier or they had improved stamina. Sue X had so much more energy that she had started teaching Zumba four days a week! Losing weight and exercising in a safe environment under medical supervision made June X realise that she could exercise more without fear of injuring herself.

Since having a gastric band fitted, Janet can walk up hills without getting out of breath.

Age at interview 49

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Since losing weight, June has been climbing hills in the Lake District and has walked the West Highland Way. A physiotherapist-led class taught her that she can do much more physical activity than she thought she could.

Age at interview 70

Gender Female

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There was a history of high cholesterol in Shirley’s family. She describes how losing weight helped her bring hers down: ‘So, we all went in, got checked on our own sort of thing and I think I’d lost, I was down to my second stone when it started to check, he said, ‘It’s really dropped.’ Because I was something like, I was something like seven point five and then I dropped straight down to six and then I went below the, with the next stone. So every time I was losing, the more I was losing, the obviously, the healthier I was eating, the better it was for my cholesterol.’

With the help of her GP, Shirley made changes to her diet that resulted in an improved cholesterol level. She is not on medication.

Age at interview 49

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Losing even a small amount of weight can have noticeable positive effects on the health of people who are overweight or obese. Jane, who is on blood pressure medication, was recently diagnosed with type 2 diabetes, which motivated her to lose weight in order to manage her conditions. She started to do this by making small changes to her diet and so far, she has lost one stone and feels more energetic.

Feeling better’ was not always just a physical thing, but could include feeling happier or more optimistic [see ‘Mental and emotional benefits of losing weight‘].

The physical and emotional benefits of losing weight could easily be reversed if people put the weight back on again. After her accident, Ellie found it difficult to continue with her weight loss programme and the weight crept back up again. As a result, the management of her type 2 diabetes is not as good as it used to be. In 2014, Ria lost weight and reversed her non-alcoholic fatty liver disease but her binge eating has led to an increase in weight since then. She is on blood pressure medication and worries about the prospect of needing to take insulin to control her type 2 diabetes.

After losing four stone Ellie was at the cusp of coming off medication’ for high blood pressure and the HbA1c test results for type 2 diabetes went from 8.4 to 6.1. Her aim is to lose weight again and manage her health problems without medication.

Age at interview 69

Gender Female

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Regaining weight after weight loss

I don't think an overweight person who loses the weight ever can afford to drop their guard.' (June) Maintaining weight loss can be difficult to...