Empowering Veterans to Overcome Obesity: A New Approach with Body Composition Analysis

Obesity is one of the most pressing health challenges facing veterans and the U.S. Armed Forces today. As combat-related injuries decline, conditions like obesity and its related health complications are on the rise. For our veterans, this isn’t just about weight—it’s about their health, well-being, and readiness to continue serving in new ways. At a time when 22% of active-duty service members are living with obesity, we need to rethink how we approach this issue and ensure veterans have access to the right tools and support to improve their health and overall quality of life.

The American Security Project recently hosted a webinar featuring experts in both national security and obesity care. These specialists came together to discuss the growing obesity rates among service members, the financial and operational costs associated with it, and, most importantly, the practical steps we can take to address this issue head-on. What became clear is that supporting veterans in their fight against obesity isn’t just a healthcare priority—it’s a matter of national security.

Reframing the Conversation: Obesity is a Disease, Not a Choice

In both military and civilian populations, there’s still a persistent misconception that obesity results from poor lifestyle choices or lack of willpower. As noted by Dr. Lydia Alexander, President of the Obesity Medicine Association, during the webinar, these outdated views must change. Obesity is now recognized as a chronic disease, not a personal failure. For many veterans, treating obesity requires more than just telling them to eat less or exercise more; it involves understanding the metabolic and hormonal imbalances that are at play.

For veterans, the journey with obesity can be uniquely challenging. Many enter civilian life after years of structured routines, strict weight standards, and intense physical demands. Once they transition out of active duty, maintaining those same habits can be difficult. This is where traditional strategies—like diet and exercise alone—often fall short. The experts on the webinar made it clear: we need a more nuanced, long-term approach that treats obesity like the complex condition it is.

The Role of Body Composition Analysis in Veteran Care

One of the key tools for effectively managing obesity in veterans is Body Composition Analysis (BCA). Unlike traditional methods like BMI, which can be misleading, especially for veterans with higher muscle mass, BCA provides a comprehensive picture of a person’s health by measuring fat mass, muscle mass, and body water. For veterans who have served in physically demanding roles, this distinction is critical. It’s not just about weight on a scale; it’s about understanding what’s happening inside their bodies.

Dr. Relle Curado from Walter Reed National Military Medical Center highlighted the importance of using body composition data to guide treatment. Veterans benefit from knowing their fat mass, muscle mass, and water balance, which can inform more personalized and effective care plans. This detailed insight is especially valuable for veterans undergoing treatments for obesity-related conditions such as diabetes, high blood pressure, or sleep apnea. By focusing on reducing fat while preserving muscle, healthcare providers can help veterans regain their health without sacrificing their physical strength​.

Beyond Diet and Exercise: The Need for Comprehensive Treatment

Historically, the military has emphasized lifestyle modifications like diet and exercise as the primary tools for addressing obesity. However, as the American Security Project webinar emphasized, these strategies alone aren’t enough. Obesity is a chronic condition that often requires more advanced interventions, such as FDA-approved medications or, in some cases, bariatric surgery.

For veterans, accessing these treatments can sometimes be challenging. Dr. Curado discussed how existing policies within the Department of Defense can delay access to effective medical treatments for veterans with obesity. Many are required to first undergo prolonged lifestyle interventions before they can access advanced medical treatments—despite evidence showing that medication, when combined with other strategies, can significantly improve outcomes.

It’s crucial to move beyond a one-size-fits-all approach. Veterans are unique, and their care should be too. With comprehensive treatment plans that incorporate body composition analysis, evidence-based medications, and long-term support, veterans can finally receive the care they deserve.

Investing in Veteran Health is Investing in National Security

The financial costs associated with obesity among veterans are staggering. The Department of Defense currently spends over $1.25 billion each year treating obesity-related conditions in active-duty service members. But this figure doesn’t even account for the lost productivity or the challenges that arise when service members can no longer meet the military’s weight standards.

Dr. Tracy Zenich of the Obesity Action Coalition stressed during the webinar that treating obesity early and effectively is not just about saving money—it’s about preserving our nation’s strength. When veterans are healthy, they’re more likely to remain active members of their communities and continue contributing to society, whether through service or in other vital roles. Ignoring the issue, on the other hand, puts their health and our nation’s readiness at risk.

Why Body Composition Analysis is the Key to Better Outcomes

For veterans living with obesity, it’s not just about the numbers on a scale. Body composition analysis goes deeper, offering insight into the factors that truly matter—fat distribution, muscle health, and overall metabolic status. This comprehensive view is what allows healthcare providers to develop more personalized and effective treatment plans.

Imagine a veteran who has been told for years that they need to lose weight, only to be frustrated when diet and exercise don’t yield lasting results. With body composition analysis, they can finally see where their body is making changes—whether that’s in fat reduction, muscle gain, or improved hydration levels. This kind of feedback is essential for keeping veterans motivated and on track with their health goals.

Veterans have given so much in service to our country. The least we can do is ensure they have access to the best care tailored to their unique needs and built on the latest scientific advancements in obesity treatment.

Taking Action: How We Can Support Veterans in Their Fight Against Obesity

The American Security Project webinar made one thing clear: it’s time for a paradigm shift. Obesity care for veterans requires a multifaceted approach that goes beyond traditional weight loss advice. It’s about treating the whole person, using advanced tools like body composition analysis, evidence-based medications, and a long-term commitment to their health.

American Security Project. (2023, September 19). Obesity and National Security: Addressing the Crisis in the Armed Forces [Webinar]. YouTube. https://www.youtube.com/watch?v=c6-raTFMfvU