減肥這個(gè)話(huà)題現(xiàn)在也越來(lái)越流行，周邊的朋友總是有說(shuō)在減肥，但是很久依舊沒(méi)有變化，那為什么一直在說(shuō)要減肥，但還是沒(méi)有減肥成功呢？

 
　　Weight loss is still incredibly challenging for most people, as evidenced by the growing global obesity epidemic.
 
　　有證據(jù)表明，全球肥胖正在蔓延，對(duì)大多數(shù)人來(lái)說(shuō)，減肥仍然是一項(xiàng)艱巨的挑戰(zhàn)。
 
　　According to the latest Centers for Disease Control and Prevention statistics, more than two in three US adults are considered overweight (defined as a body- mass index between 25 and 30), and 36.5% of US adults fall into the obese category (BMI greater than 30).
 
根據(jù)疾病控制和預(yù)防中心（CDC）的最新統(tǒng)計(jì)數(shù)據(jù)，超過(guò)三分之二的美國(guó)成年人超重（體重指數(shù)在25至30之間），36.5%的美國(guó)成年人屬于肥胖（BMI大于30）。
 
　　Many people also want to lose weight. According to a recent study in the Journal of the American Medical Association, approximately half of overweight and obese adults report that they are trying to lose weight. Which is why my patients often ask, "Why aren’t I losing weight?"
 
　　許多人也想減肥�！睹绹�(guó)醫(yī)學(xué)會(huì)雜志》最近的一項(xiàng)研究發(fā)現(xiàn)，大約一半的超重和肥胖的人說(shuō)他們想減肥。所以我的病人經(jīng)常問(wèn)，“為什么我沒(méi)有減肥成功？”
 
　　There is no simple, universal answer to this question, but after nearly two decades of working with patients trying to lose weight, and with the help of two leaders in the field of nutrition and obesity medicine, I’ve put together this list of some of the most common behavioral and medical reasons you might not be losing weight, even though you think you are doing everything right. I’ve also tried to include suggestions to get you on the right track to sustained weight loss.
 
這個(gè)問(wèn)題不是一個(gè)簡(jiǎn)單的和共同的答案，但是患者對(duì)那些試圖對(duì)近20年的研究減肥，以及兩個(gè)主要醫(yī)學(xué)營(yíng)養(yǎng)和肥胖，我列出了一些可能導(dǎo)致你減肥失敗的最常見(jiàn)的行為和醫(yī)療因素，盡管你可能會(huì)認(rèn)為你沒(méi)有做錯(cuò)什么。我也試著給你建議如何減肥成功。
 
　　You have calorie ’amnesia’
 
　　你有熱量“失憶癥”
 
　　This is one of the most common and easy-to-fix issues that I see in my practice: Put simply, people often eat more calories than they realize.
 
　　這是我在實(shí)踐中看到的最常見(jiàn)的，也是最容易解決的問(wèn)題之一：簡(jiǎn)單來(lái)說(shuō)，人們通常攝入的熱量要比他們意識(shí)到的要多。
 
　　You relax your diet too much on weekends
 
　　你在周末太過(guò)放縱飲食了
 
　　This is another very common issue that is a bit more challenging to fix, as weekends are generally much less structured and more social than weekdays. Three days (Friday, Saturday and Sunday) of more relaxed eating (and in many cases drinking) can easily erase four days of more focused effort.
 
　　這是另一個(gè)常見(jiàn)問(wèn)題，但解決起來(lái)有點(diǎn)困難。因?yàn)橹苣┍绕饺崭�缺乏結(jié)構(gòu)性和社交性。暴飲暴食（星期五，星期六和星期天）可以很容易地消除你最初四天的努力結(jié)果。
 
　　Your medication is working against you
 
　　藥物對(duì)你沒(méi)什么好處
 
　　Most physicians do not receive adequate training in obesity medicine and nutrition. Many may not be aware that the medications they prescribe may lead to weight gain or make weight loss more challenging.
 
　　在肥胖醫(yī)學(xué)和營(yíng)養(yǎng)領(lǐng)域，大多數(shù)醫(yī)生沒(méi)有受過(guò)足夠的訓(xùn)練。他們中的許多人可能沒(méi)有意識(shí)到他們的藥物可能會(huì)導(dǎo)致體重增加或使減肥變得更困難。
 
　　You eat too much of a good thing
 
　　你好東西吃太多了
 
　　It is true that recommendations concerning dietary fat have changed in the past decade, and nutrition science has found that unsaturated fat, including nuts, seeds, avocado and olive oil, plays an important role in a healthy diet.
 
　　事實(shí)上，關(guān)于飲食脂肪的建議在過(guò)去的十年里已經(jīng)改變了，營(yíng)養(yǎng)科學(xué)已經(jīng)證明了不飽和脂肪，包括堅(jiān)果、種子、鱷梨和橄欖油，在健康飲食中起著重要作用。
 
　　However, you can easily eat too much healthy fat along with other healthy foods, including whole grains.
 
　　然而，你很容易就會(huì)在吃其他健康食物的同時(shí)攝入過(guò)多的健康脂肪，包括全谷物類(lèi)食物。
 
　　Your body is resistant to insulin
 
　　你的身體對(duì)胰島素有抵抗作用
 
　　This is an issue I often encounter with patients and one that my colleague Dr. Michael Rothkopf, president of the National Board of Physician Nutrition Specialists, confirms is an often overlooked reason for weight loss failure.
 
　　這是我在病人身上經(jīng)常遇到的一個(gè)問(wèn)題，而我的同事，全美營(yíng)養(yǎng)醫(yī)師專(zhuān)業(yè)委員會(huì)主席邁克爾·羅特科普夫博士也證實(shí)，這是一個(gè)經(jīng)常被忽視的失敗原因。