It is often difficult to distinguish between lipoedema, lymphoedema, overweight and obesity, especially since they can be related and affect each other. Sometimes they occur at the same time and can make each other worse. This makes it even more important to identify and treat these conditions early.

But what exactly is the connection between lipedema, lymphedema, excess weight and obesity?

Lipedema <> Overweight and obesity

1. People with lipedema often try to lose fat by dieting. Ironically, this can have the opposite effect, causing them to gain weight over time. This is because the body reacts to drastically reduced food intake by adjusting its metabolism. When normal eating is resumed, fewer calories are enough to cause weight gain.
2. Severe lipedema can restrict mobility, leading to a reduction in physical activity. However, exercise is important for maintaining weight and improving wellbeing.
3. If lipedema is accompanied by overweight or obesity, the 'healthy fat' can increase pressure on the affected areas and make symptoms worse.

Lipedema <> lymphedema

1. Lipedema can promote the development of lymphoedema because the increased pressure in the legs can affect the flow of lymph and weaken its transport capacity. This can lead to an accumulation of protein-rich fluid, which is known as lipedema with secondary lymphoedema.
2. If the lymphatic tissue in lymphoedema is not regularly drained, the lymph fluid cannot be removed properly. This fluid contains messengers of chronic inflammation that can cause pain.

Obesity <> Lymphoedema

1. Existing lymphedema can also lead to weight gain due to restricted movement.
2. The extra adipose tissue can put a strain on the whole body and ultimately affect the lymphatic system.
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The interactions between these health conditions are complex and can vary from person to person. Holistic care and individualised management are therefore essential to ensure the best possible treatment and support.

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