What causes a flatter tummy when you are plus size?

Diet & exercise: Make sure you exercise 90 minutes a day, don't skip meals, avoid soda, juice, dairy, alcohol and fried foods. Eat a healthy well balanced diet! also water, organic vegetable broth, green leafy vegetables, natural pickles, apples are great to fill you up so you dont feel hungry and they are very low in calories.

Weight loss: For flatter abdomen eat healthy & get physically active. Calories burned > calories consumed. To tighten ab's: crunches, reverse crunches, exercise ball crunches, pelvic thrusts, lying leg raises, side bridge & “bicycling” exercise on back. Engage in regular aerobic exercise (i.e. running, swimming, Nordic track, bicycling, kickboxing, walking, cross country skiing, hiking, etc.)