Recognizing World Obesity Day – March 4
By Kodanda Valusa, MD
World Obesity Day, observed on March 4, is a reminder that obesity is not simply a matter of willpower, it is a chronic, complex, and treatable medical condition. As an American Board of Obesity Medicine certified family physician, I am deeply committed to addressing obesity with compassion, and evidence-based care, especially for the people of Robeson County.
Obesity affects nearly two in five adults in the United States and is closely linked to serious health conditions including type 2 diabetes, hypertension, heart disease, sleep apnea, fatty liver disease, arthritis, chronic inflammation, mental health conditions, certain cancers and many more.
In Robeson County, the prevalence of obesity is 45 percent, compared to the North Carolina state average of 36 percent and the national average of 37 percent. These numbers highlight the urgent need for community awareness, early prevention among children and young adults, and accessible treatment for individuals of all ages. Addressing obesity proactively is essential not only for improving overall health, but also for reducing long-term health care costs and strengthening our community.
Obesity is a chronic disease and is commonly defined as having a body mass index, or BMI, of 30 or higher for adults. However, treatment decisions are based on more than just a number. Individuals with a BMI of 30 or higher qualify for medical weight management. Those with a BMI of 27 or higher may also qualify if they have weight-related conditions such as diabetes, high blood pressure, high cholesterol, or other comorbidities. Most importantly, obesity care is personalized; there is no “one-size-fits-all” approach.
UNC Health Southeastern has started a comprehensive Weight Management Clinic within the UNC Health Southeastern Family Medicine Residency Program. The clinic’s goal is to provide accessible, compassionate, and multidisciplinary care right here in Robeson County. Collaborating closely with bariatric surgeons at UNC Health Surgical Specialists at Southeastern Health Mall in Lumberton, ensures patients have access to the full spectrum of treatment options, from lifestyle counseling and medical therapy to surgical interventions when appropriate.
Medications
In recent years, medications such as GLP-1’s (like Wegovy, Zepbound) have transformed the landscape of obesity treatment for patients who meet the criteria. These medications work by targeting the body’s natural appetite and metabolic pathways, helping patients reduce hunger, improve blood sugar control, and achieve significant and sustained weight loss when combined with lifestyle changes. For many patients, these therapies are life-changing, improving mobility, energy, metabolic health, and overall well-being.
However, medication alone is not enough. Obesity treatment requires a comprehensive, whole-person strategy including proper nutrition, physical activity, adequate sleep and stress management
Nutrition and Protein Intake
Patients using weight loss medications should prioritize adequate protein intake to preserve lean muscle mass during weight reduction. Including high-quality protein sources at each meal supports metabolism, strength, and overall function.
Physical Activity
Regular physical activity is one of the most important things people can do to improve their health. The recommended amount of physical activity per week varies by age and other factors but remember that some activity is better than none. In addition to aerobic activity, resistance training exercises performed two to three times per week are especially important during weight loss. Strength training helps prevent muscle loss and deconditioning, supports metabolism, and improves long-term weight maintenance.
Sleep
Good sleep is essential for our health and emotional well-being. Getting enough sleep and ensuring good sleep quality plays a vital role in weight regulation, hormonal balance, and overall health. The amount of sleep needed changes with age. Education about sleep hygiene is an essential part of obesity treatment.
Stress Management
Everyone experiences occasional stress; it is a normal part of life. However, long-term stress can contribute to worsening health problems. Managing stress daily through physical activity, mindfulness, social connection, counseling, or other supportive strategies can help prevent chronic health issues. If you are struggling to cope with stress, seek resources and additional support.
Obesity is a chronic disease and requires ongoing care not blame or stigma. Successful weight management includes medical therapy when appropriate, nutrition guidance, physical activity, quality sleep, stress management, behavioral support, and long-term follow-up.
On World Obesity Day, I encourage our community to shift the conversation. Obesity is not a personal failure. It is a medical condition influenced by genetics, biology, environment, and social factors. Seeking treatment is a proactive step toward better health.
If you or a loved one is struggling with weight-related health concerns, know that help is available and you are not alone.
Kodanda Valusa, MD, is an associate program director for UNC Health Southeastern’s Family Medicine Residency Program. Her qualifications include diplomate of American Board of Family Medicine, certificate of added qualifications in geriatrics, and diplomate of the American Board of Obesity Medicine. To learn more, call UNC Health Southeastern Family Medicine at The Oaks at (910) 738-2662 or visit unchealthse.org.
