How can obesity be prevented?
Scientific support: Prof. Dr. Christine Joisten
Severe overweight (obesity) is a chronic disease that can have considerable consequences for health. Possible secondary diseases include cardiovascular diseases, type 2 diabetes and/or restricted mobility. Obesity also often has a negative impact on quality of life.
In addition to a familial predisposition, an imbalance between energy intake and consumption is the main factor contributing to the development of obesity. Conversely, a balanced diet, regular exercise and sufficient sleep are among the most important factors in preventing the development of overweight and obesity. Prevention aims at keeping body weight within the normal range and thus avoiding the development of secondary diseases in the long term.

Overweight and obesity can be determined using the body mass index, or BMI for short. The BMI results from the body weight in relation to the height. Overweight is defined as a BMI of 25 kg/m² or higher. Obesity is defined as a BMI of 30 kg/m² or higher. Obesity increases the risk of many secondary diseases such as type 2 diabetes and cardiovascular diseases. It can also have a major impact on quality of life and be associated with severe impairments such as restricted mobility and breathing disorders during sleep (sleep apnea syndrome).
1. Healthy diet
A healthy diet is the most important building block for maintaining a healthy body weight. The current guideline for the prevention and treatment of obesity (2024) recommends taking the following points into account with regard to nutrition:
Colorful variety on the plate
Make your diet as varied and diverse as possible. For example, you can follow the recommendations of the German Nutrition Society (DGE) (Link in German). A balanced, healthy diet includes plenty of vegetables, fruit, pulses, nuts and seeds as well as wholegrain products. The DGE also recommends eating milk and dairy products every day, fish once or twice a week and preferably vegetable oils.
Make sure you have a high fiber content in your diet: Fiber-rich foods such as wholegrain products, pulses or nuts, vegetables and fruit aid digestion and keep you full longer.
Avoid highly processed foods and sugar-sweetened drinks
Confectionery, fast food, sausages and similar highly processed foods are very energy-rich foods and usually contain many industrially produced additives such as preservatives, which are intended to ensure a long shelf life. In addition, they are high in sugar, fat and salt and low in micronutrients and fiber compared to fresh or minimally processed foods. Highly processed foods therefore contribute to the risk of developing overweight or obesity and should be avoided wherever possible.
Sugar-sweetened drinks are also highly processed foods that can contribute to weight gain if consumed regularly. The intake of soft drinks, iced tea or other sugar-sweetened, energy-rich drinks should therefore be avoided or limited as far as possible. Drinks with calorie-free or low-calorie sweeteners are often used as an alternative to sugary drinks. Nevertheless, they should only be consumed in moderation, as current studies show an unclear picture regarding the effects of artificial sweeteners on body weight and health. Some studies suggest that consuming drinks with calorie-free or low-calorie sweeteners may counteract weight gain. On the other hand, the effect of sweeteners is controversially discussed in the scientific literature. The focus is on possible negative effects on the perception of sweetness, appetite and satiety regulation as well as eating behavior. Furthermore, it is not yet clear how sweeteners work in the long term. Current studies are currently not sufficient for a conclusive assessment of possible health risks. Water and unsweetened drinks such as tea and coffee should therefore be preferred for a balanced diet. The DGE recommends drinking around 1.5 liters a day.
Also watch out for hidden sugar in products such as yogurt or granola bars. The guideline for the prevention and treatment of obesity recommends limiting the consumption of free sugars to less than 10 percent of the total energy intake. With an estimated total energy intake of 2,000 kilocalories per day, this results in a maximum intake of 50 grams of free sugars. This corresponds to about five tablespoons of sugar per day. This includes not only household sugar, which is added to food, but also sugar that occurs naturally in honey, syrup or fruit juice.
Adapt your diet to your needs
Factors such as age, gender and body weight as well as the amount of physical activity determine how much energy a person needs in the form of kilocalories (kcal) per day. For an even energy balance, the energy consumed through food corresponds to the energy consumed through exercise and metabolic processes, for example. To keep body weight within the normal range, limiting the amount of calories is more important than the content of carbohydrates, fats and proteins in the diet. However, attention must be paid to the quality of the macronutrients. Carbohydrates consist of sugar building blocks and are classified according to how many sugar units are combined in a molecule. Foods such as vegetables, wholegrain products and pulses are preferable, as they contain long-chain, complex carbohydrates and, above all, fiber. Fibers aid digestion and keep you full longer. They are therefore preferable to simple and short-chain carbohydrates, such as those contained in white flour and sugar.
There are also differences in the fats: Natural fats and oils contain both saturated and unsaturated fatty acids. What is important is their ratio, as a high intake of saturated fatty acids increases the risk of obesity and lipometabolic disorders. Instead, preference should be given to fats with predominantly unsaturated fatty acids in the diet, such as those found in seeds and nuts as well as vegetable oils from rapeseed, olives or linseed.
Good to know:
The DGE guidelines for the average energy intake provides appropriate information for adults, adolescents and children. The DGE’s reference values for the recommended intake of macronutrients can also help to have a wholesome diet (Websites in German).
Diverse forms of nutrition
In addition to a high-fiber, wholefood mixed diet, there are other forms of nutrition that are associated with health benefits for the metabolism and the cardiovascular system. For example, the Mediterranean diet, a low carb or low fat diet and a plant-based diet are suitable forms of nutrition that support the prevention of overweight or obesity. It is not advisable to eat a very one-sided diet, as this can lead to the body not being supplied with enough essential nutrients.
A diet that is based on your individual preferences, circumstances and needs and takes into account the nutritional recommendations is healthier and easier to put into practice in the long term. There is a wide range of healthy foods and possible dietary patterns to choose from, which generally allows you to eat a balanced diet tailored to your tastes and intolerances.
A vegan diet may also be a health-promoting form of nutrition under certain conditions. It is particularly important to plan your food selection well. An adequate supply of certain nutrients can be achieved with a purely plant-based diet only by taking appropriate nutrient supplements. Vitamin B12, which is not contained in sufficient quantities in plant-based foods, is particularly critical. Other nutrients such as certain vitamins, proteins, essential fatty acids or minerals should also be planned carefully to prevent deficiency symptoms. For this reason, the DGE advises against a vegan diet for pregnant women, nursing mothers, infants, children and adolescents.
Alcohol consumption: Better do without
Alcohol is high in energy and contains many calories (7 kilocalories (kcal) per gram). It stimulates the appetite and can lead to uncontrollable eating. In addition to other negative effects on health, regular consumption of alcoholic drinks therefore potentially contributes to weight gain and should be limited or avoided wherever possible.
Find more information on the consumption and effects of alcohol here.
2. Regular exercise
Regular physical activity is another important factor in keeping body weight within a healthy range and avoiding excessive weight gain.
The World Health Organization (WHO) recommends that adults should get at least 150 to 300 minutes of moderate-intensity exercise per week. This could be a brisk walk, cycling, dancing or swimming, for example. Alternatively, the WHO recommends at least 75 to 150 minutes of high-intensity endurance exercise per week, such as jogging or fast cycling. Interval training, with its alternating phases of high and moderate exertion, also has a positive effect on the cardiovascular system. In addition to endurance sports, strength exercises should be carried out at least twice a week. Muscle training increases muscle mass and reduces the content of fat in the body. And it boosts the metabolism. The most important muscle groups that should be trained include the back, chest, buttocks, shoulders as well as arm and leg muscles. People aged 65 and over are also recommended to do balance and coordination exercisesto prevent falls.
Long periods of sitting have a negative impact on health. In addition to possible tension and back pain, constant sitting also increases the risk of obesity and type 2 diabetes or cardiovascular diseases. In general, it is therefore important to integrate exercise into everyday life. Various habits can help you to make both your leisure time and your everyday working life more active. For example, you can reduce your sitting time and increase your exercise time by
- administering short, intensive exercise units lasting 1 to 5 minutes such as lunges, stair sprints or fast walking throughout the day (these are called “exercise snacks”),
- taking a short walk during the lunch break,
- taking the stairs instead of the elevator or escalator,
- using commercial breaks to get up and do little things around the house, and
- walking or cycling to work or to the shops – or at least part of the way if the journey is longer.
You can motivate yourself in your everyday working life, for example, by setting yourself personal exercise goals. Pedometers or fitness trackers can help you to regularly check your activity levels and continuously increase them.
3. Less stress and healthy sleep
In addition to diet and exercise, stress and sleep also influence the development of overweight and obesity. Stress is a long-term burden on the body and can increase the risk of obesity, type 2 diabetes and other diseases. Various relaxation techniques such as autogenic training, yoga or breathing exercises can help to reduce stress.
Find more detailed information on how you can reduce or avoid stress here.
Sleep problems can also contribute to the development of overweight and obesity in the long term. Poor sleep disrupts the metabolism and the hormonal system. Therefore, make sure you get enough sleep and have a regular sleep pattern. There are many ways to improve your sleep and thus promote your health. The following tips, among others, can help you to fall asleep and stay asleep better:
- Plan enough time for sleep.
- Find an evening routine to get a relaxed start to the night.
- Don’t eat too heavily and not too late in the evening.
- Make sure you relax before going to sleep.
- Keep a sleep diary.
4. Seek medical advice if required
It is easier to prevent weight gain through an active and healthy lifestyle than to reduce existing excess weight. There can also be many reasons for an increase in body weight. In addition to a genetic predisposition and lifestyle factors such as an unhealthy diet or lack of exercise, medication, for example, can also contribute to weight gain. It is recommended that you seek medical advice if you gain unwanted body weight. The doctor can individually assess whether a person’s body weight poses a health risk and, if necessary, initiate appropriate treatment.
Sources:
Bundesministerium für Gesundheit: Ratgeber zur Prävention und Gesundheitsförderung. 2016. (Letzter Abruf: 17.02.2025)
Deutsche Adipositas-Gesellschaft et al.: S3-Leitlinie Adipositas - Prävention und Therapie. Version 5.0. 2024
Deutsche Gesellschaft für Ernährung: DGE-Ernährungskreis. (Letzter Abruf: 17.02.2025)
Deutsche Gesellschaft für Ernährung: Gut essen und trinken – die DGE-Empfehlungen. (Letzter Abruf: 17.02.2025)
Deutsche Gesellschaft für Ernährung: Referenzwerte. (Letzter Abruf: 17.02.2025)
Klug, A. et al.: Neubewertung der DGE-Position zu veganer Ernährung. Positionspapier der Deutschen Gesellschaft für Ernährung e.V. (DGE). Ernährungs-Umschau, 2024, 71: 60-84
Laviada-Molina, H. et al.: Effects of nonnutritive sweeteners on body weight and BMI in diverse clinical contexts: Systematic review and meta-analysis. In: Obes Rev, 2020, 21: 13020
National Heart, Lung and Blood Institute: How Sleep Affects Your Health. (Letzter Abruf: 17.02.2025)
Rios-Leyvraz, M. et al. (2022): Health effects of the use of non-sugar sweeteners: a systematic review and meta-analysis. World Health Organization, Genf, ISBN: 978-92-4-004642-9
Sayon-Orea, C. et al.: Alcohol consumption and body weight: a systematic review. In: Nutr Rev, 2011, 69: 419-431
Wackerhage, H. et al.: WHO-Leitlinien zu körperlicher Aktivität und sitzendem Verhalten. In: Bayerisches Ärzteblatt, 2021, 3: 91-93
As of: 17.02.2025