Lipedema: How a healthy diet affects the disease

Lipedema is a chronic condition that, with few exceptions, occurs exclusively in women. In medicine, it is referred to as a fat distribution disorder . Because the increase in subcutaneous fat tissue occurs in the upper and lower legs, as well as in the hip area and, less frequently, in the arms, the disease is also known as "riding breeches disease ." The fat deposits are usually symmetrically distributed and are often accompanied by noticeable fluid retention.

Despite extensive studies, the causes are not yet fully understood. Scientists suspect that a hereditary predisposition and hormonal changes likely contribute to and influence the development of these edemas. Currently, there is no cure for lipedema, only therapeutic approaches that alleviate the symptoms.

Lipedema develops gradually, often as a result of significant weight gain. A clearly recognizable disproportion arises between the upper and lower body . However, doctors only diagnose lipedema when, in addition to the visible changes in the body , pain and other symptoms (tight skin, sensitivity to touch, bruising) occur.

The weight gain in the legs is usually so pronounced that patients suffer from chafing on their inner thighs. In advanced stages, lipedema can even cause leg deformities and, consequently, osteoarthritis . For many patients, the altered self-image is a psychological burden.

Patients with lipedema receive individualized treatment depending on their specific disease type and stage. Doctors can choose between conservative and surgical treatment approaches .

Conservative therapies include:

• Compression therapy using compression stockings
• Lymphatic drainage by medical personnel
• Decongestive therapy (a mixture of several measures)
• Movement therapy

In advanced stages, conservative treatments are not always sufficient to alleviate the symptoms of affected patients. Liposuction can then be considered for a lasting reduction in symptoms. However, such surgery always carries risks and cannot guarantee that patients will remain pain-free for life.

Regular attendance at movement and physiotherapy sessions, as well as compression therapy and targeted skin care, are essential for people with lipedema. However, nutrition, especially healthy and balanced foods, also plays a crucial role in the course of the disease.

According to current knowledge, people with lipedema can slow the progression of the disease for years and significantly alleviate their symptoms . The focus is on a balanced diet with fresh foods that provide the body with vitamins and nutrients and support a healthy body weight .

It should be noted, however, that while dietary changes can combat obesity, they cannot cure diseased fatty tissue. However, they can prevent secondary diseases such as diabetes .

Patients with lipedema are characterized by a significant, symmetrical increase in fatty tissue in the legs and hips, pressure and tension pain, and a tendency to bruise easily. While medical prognoses cannot promise a complete cure, there are several treatment options available. These range from targeted physiotherapy to liposuction. A diet rich in fresh fruits and vegetables, grains, legumes, and nuts can slow the progression of the disease.

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