“chart of obesity rates +obesity causes”

The physical examination can aid in evaluating concerns prompted by history findings. Body weight without shoes should be assessed on a clinic scale. Evaluation of the oral cavity and dentition may indicate difficulty with chewing or swallowing. Heart, lung, gastrointestinal, and neurologic examinations evaluate for illnesses contributing to or causing weight loss.
The calorie needs calculator is designed to allow you to enter your ideal weight and determine the number of daily calories you should eat to reach that goal.  Remember to consult a physician before beginning any diet or exercise plan – particularly if you have a chronic condition.
Weight loss medicines are not recommended as a single treatment for weight loss. These medicines can help you lose weight but when combined with lifestyle changes may result in greater weight loss. Some of these medicines should not be used if you have certain conditions or are taking certain medicines. Also, these medicines have side effects. Talk to your doctor if you are pregnant, planning to get pregnant, breast feeding, or have a family history of cardiovascular diseases such as high blood pressure, heart attack, or stroke.
32. Levine JA, Lanningham-Foster LM, McCrady SK, Krizan AC, Olson LR, Kane PH, Jensem MD, Clark MM: Interindividual variation in posture allocation: possible role in human obesity. Science 2005; 28:307: 584– 586 [PubMed]
The first step in addressing skin problems is to conduct a skin assessment of obese patients. The specificity and degree of skin problems will determine the intervention. Nurses are advised to initiate measures to decrease friction as soon as possible after hospital admission. Additionally, in older women, urinary incontinence from a large, heavy abdomen causing the valve on the bladder to weaken may result in the leaking of urine when coughing or sneezing. Nurses should educate patients about keeping the area dry so as to prevent skin problems. Strategies to keep the area dry include wearing absorption pads in their underwear and changing underwear as soon as possible when leakage occurs.
Obesity-related illnesses now cost $147 billion each year, according to research from the Centers for Disease Control and Prevention (CDC). According to the CDC, medical costs associated with obesity increased from 6.5 percent of all medical spending in 1998 to about 9 percent in 2006.
The Chinese herb (Ephedra sinica), combined with caffeine, exercise, and a low-fat diet in physician-supervised weight-loss programs, can cause at least a temporary increase in weight loss. However, the large doses of ephedra required to achieve the desired result can also cause:
There are many different types of strength training exercises and a variety of equipment that can be used, including weight-training machines, dumbbells, resistance bands, medicine balls, or weighted bars.
In this study, Villareal and his colleagues evaluated the effects of dieting and exercise in more than 100 obese seniors over a one-year period. Although weight loss alone and exercise alone improved physical function by about 12 percent and 15 percent, respectively, neither was as effective as diet and exercise together, which improved physical performance by 21 percent.
The Swiss ball (also called stability balls, exercise balls, fitness or yoga balls)—are one of the best fitness tools you can own and use. Our “Exercise Ball Workout Poster” will show you 35 supper ef
Kelly KR, Haus JM, Solomon TPJ, Patrick-Melin AJ, Cook M, Rocco M, Barkoukis H, Kirwan JP. A low-glycemic index diet and exercise intervention reduces TNF(alpha) in isolated mononuclear cells of older, obese adults. J Nutr. 2011;141:1089–1094. [PMC free article] [PubMed]
Dr. Ryan Masters and Dr. Bruce Link at Columbia University’s Mailman School of Public Health, in collaboration with Dr. Daniel Powers at the University of Texas, published the results of the study online this week in the American Journal of Epidemiology.
As Asian populations develop negative health consequences at a lower BMI than Caucasians, some nations have redefined obesity; Japan have defined obesity as any BMI greater than 25 kg/m2[8] while China uses a BMI of greater than 28 kg/m2.[28]
Hypothyroidism is a condition in which the thyroid gland doesn’t make enough thyroid hormone. Lack of thyroid hormone will slow down your metabolism and cause weight gain. You’ll also feel tired and weak.
NHLBI Obesity Education Initiative. We continue our 20-year long commitment to educating the public and high-risk populations about adopting heart-healthy eating and physical activity for life to prevent and treat overweight and obesity and their associated complications. Visit Obesity Education Initiative for more information.
Updated August 31, 2017: According to the most recent data, adult obesity rates now exceed 35 percent in five states, 30 percent in 25 states, and 25 percent in 46 states. West Virginia has the highest adult obesity rate at 37.7 percent and Colorado has the lowest at 22.3 percent. The adult obesity rate decreased in Kansas between 2015 and 2016, increased in Colorado, Minnesota, Washington, and West Virginia, and remained stable in the rest of states. This supports trends that have shown overall leveling off of obesity rates in recent years.
Many poor Chileans do their food shopping at small mom-and-pop stores that sell mostly processed and packaged food and little fresh produce. Above, a store in the El Bosque neighborhood of Santiago. Credit Victor Ruiz Caballero for The New York Times
Many scientists who work on the microbiome think their research will inspire a new generation of tools to treat and prevent obesity. Still, researchers are quick to point out that this is a young field with far more questions than answers. “Data from human studies are a lot messier than the mouse data,” observes Claire Fraser of the University of Maryland, who is studying obesity and gut microbes in the Old Order Amish population. Even in a homogeneous population such as the Amish, she says, there is vast individual variation that makes it difficult to isolate the role of microbiota in a complex disease like obesity.
A common form of short stature, achondroplasia (dwarfism) is a genetic condition causing a disorder of bone growth. Complications of achondroplasia that need monitoring include (this is not all inclusive) stenosis and compression of the spinal cord, a large opening under the skull, lordosis, kyphosis, spinal stenosis, hydrocephalus, middle ear infections, obesity, and dental crowning. Achondroplasia is caused by mutations of the FGFR3 gene.
The BMI does not tke count for mass of muscle versus mass of fat. A BMI both below and above the so-called normal values can be healthy if there is little fat, but well developed muscle mass. And a person with a BMI less that 18.5 can be too fat if the muscle mass is very scant, but much fat.
If your dog’s underactive thyroid is left untreated, it can lead to a significant decrease of quality of life. The metabolism of all cellular functions is regulated by the thyroid gland and hypothyroidism, if untreated, will progress over months and years, eventually resulting in end-stage disease.
“Obese patients are nearly 12 times more likely to suffer a complication following elective plastic surgery than their normal-weight counterparts” according to hopkinsmedicine.org (Ref. http://bit.ly/za1Vmh).
Adults: A healthy weight for adults is usually when your BMI is 18.5 to less than 25. To figure out your BMI, use the National Heart, Lung, and Blood Institute’s online BMI calculator and compare it with the table below. You can also download the BMI calculator app for iPhone and Android. Even if your BMI is in the healthy range, it is possible to be diagnosed as obese if you have a large waist circumference that suggests increased amounts of fat in your abdomen that can lead to complications.
Every adult should have his or her BMI calculated at least once a year. The American Heart Association offers an online BMI calculator for adults. Patients with a BMI of 30 or higher are considered obese and need treatment.
Cancer. Obesity has been linked to cancer of the colon in men and women, cancer of the rectum and prostate in men, and cancer of the gallbladder and uterus in women. Obesity may also be associated with breast cancer, particularly in postmenopausal women. Fat tissue is important in the production of estrogen, and prolonged exposure to high levels of estrogen increases the risk of breast cancer.
A 2016 study summarizing worldwide estimates of the fractions of different cancers attributable to overweight/obesity reported that, compared with other countries, the United States had the highest fractions attributable to overweight/obesity for colorectal cancer, pancreatic cancer, and postmenopausal breast cancer (33).
Recent research has shown that obesity rates have doubled among adults and tripled among children in the U.S., and researchers say more study is needed to understand how these trends will affect life expectancy and obesity-related diseases like diabetes and heart disease.
Take the first step to managing your weight from the comfort of your home. Use our BMI calculator to help you determine whether or not you are considered obese. If you are obese, or have one or more risk factors for obesity, our physicians can help. In cases of severe obesity, surgery may be an option. Learn more about obesity treatments at Stanford.
In community-dwelling older adults, the causes of unintentional weight loss can be classified as organic or psychosocial. Multiple studies, prospective and retrospective and in inpatient and outpatient settings, have demonstrated that the most common etiologies are malignancy (19% to 36%), nonmalignant gastrointestinal disease (9% to 19%), and psychiatric conditions such as depression and dementia (9% to 24%). Overall, nonmalignant diseases are more common than malignancy.1,11–16  Etiologies are further delineated in Table 1.11–16
A few minutes of stretching during the day can help keep muscles long and lean. Building muscle mass is good for cardiovascular health and also helps the body burn excess fat. Start with a simple routine and gradually build to it to keep a consistent level of challenge to your daily stretches. And be sure to talk to your doctor before starting a new exercise routine.
Some states will be harder hit than others. Colorado, for example, can expect the numbers of older people with diabetes to increase by 138 percent by 2030, while Arizona will see its population of obese people over 65 grow by 90 percent.
Researchers at the University of Adelaide have confirmed that if current trends continue, Australia’s Generation X will overtake Baby Boomers for poor health, including rates of obesity and diabetes, which could have huge implications for healthcare and the workforce.

“rapid weight loss pills for women amazon obesity related diseases statistics”

But the industry rarely faces opponents like Senator Girardi. A trained surgeon with a flair for the theatrical, he is a key figure in the governing coalition of President Michelle Bachelet. During the long fight over the food law, Senator Girardi, 56, publicly assailed big food companies as “21st century pedophiles” and before Ms. Bachelet took office, spent weeks protesting outside the presidential palace with placards that accused her predecessor, Sebastián Piñera, of destroying the nation’s health by vetoing an earlier version of the legislation.
Villareal DT, Chode S, Parimi N, Sinacore DR, Hilton T, Armamento-Villareal R, Napoli N, Qualls C, Shah K. Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med. 2011a;364:1218–1229. [PMC free article] [PubMed]
There is controversy in regard to carbohydrates and weight loss. When carbohydrates are restricted, people often experience rapid initial weight loss within the first two weeks. This weight loss is due mainly to fluid loss. When carbohydrates are added back to the diet, weight gain often occurs, simply due to a regain of the fluid.
Chitosan is a special fiber found in the shell of shellfish like crabs and lobsters. Fiber and its use as a weight loss aid have been the topic of considerable study in the last several decades. Increasing dietary fiber intake naturally decreases fat intake, because fiber-rich foods are relatively low in fat and cholesterol. In addition, increasing fiber usually decreases LDL (bad cholesterol) and increases HDL (good cholesterol), reducing the risk of heart disease.
The high rates of obesity and depression, and their individual links with cardiovascular disease, have prompted many investigators to explore the relationship between weight and mood. An analysis of 17 cross-sectional studies found that people who were obese were more likely to have depression than people with healthy weights. (17) Since the studies included in the analysis assessed weight and mood only at one point in time, the investigators could not say whether obesity increases the risk of depression or depression increases the risk of obesity. New evidence confirms that the relationship between obesity and depression may be a two-way street: A meta-analysis of 15 long-term studies that followed 58,000 participants for up to 28 years found that people who were obese at the start of the study had a 55 percent higher risk of developing depression by the end of the follow-up period, and people who had depression at the start of the study had a 58 percent higher risk of becoming obese. (18)
For example, a 5-foot-7-inch person would be considered overweight, but not obese, at a weight between 160 and 190 pounds. Someone six feet tall who weighs between 185 and 220 pounds would also meet the BMI classification for overweight but not obese.
Another recent study documented rising disability levels among middle-age Americans (ages 40 to 64, a group that included most baby boomers) in recent years.2 The analysis identified a link between trends in obesity and disability, according to Linda Martin, a RAND Corporation demographer and lead author of the study.
24. Yeh SS, Hafner A, Chang CK, et al. Risk factors relating blood markers of inflammation and nutritional status to survival in cachectic geriatric patients in a randomized clinical trial. J Am Geriatr Soc 2004;52:1708–12 [PubMed]
Ancient Greek medicine recognizes obesity as a medical disorder, and records that the Ancient Egyptians saw it in the same way.[182] Hippocrates wrote that “Corpulence is not only a disease itself, but the harbinger of others”.[2] The Indian surgeon Sushruta (6th century BCE) related obesity to diabetes and heart disorders.[191] He recommended physical work to help cure it and its side effects.[191] For most of human history mankind struggled with food scarcity.[192] Obesity has thus historically been viewed as a sign of wealth and prosperity. It was common among high officials in Europe in the Middle Ages and the Renaissance[190] as well as in Ancient East Asian civilizations.[193] In the 17th century, English medical author Tobias Venner is credited with being one of the first to refer to the term as a societal disease in a published English language book.[182][194]
Children in low- and middle-income countries are more vulnerable to inadequate pre-natal, infant, and young child nutrition. At the same time, these children are exposed to high-fat, high-sugar, high-salt, energy-dense, and micronutrient-poor foods, which tend to be lower in cost but also lower in nutrient quality. These dietary patterns, in conjunction with lower levels of physical activity, result in sharp increases in childhood obesity while undernutrition issues remain unsolved.
In 1850, the average man had a normal body mass index (BMI) of 23. Fast forward to 2000, and the male frame elongated and ballooned to a BMI of 28.2, teetering on the brink of obesity [source: Kolata]. According to the Centers for Disease Control and Prevention (CDC), adults aged 40 to 59 — aka baby boomers — have the highest prevalence of obesity. Of that group, 40 percent of men and 41 percent of women were obese in 2007 [source: CDC]. Their parents, however, had a lower overall obesity rate.
The good news is that you can take steps to lose weight. And losing even some weight can make a big difference to your health and how you feel. You may not have to lose as much as you might think in order to start seeing health benefits.
As care providers for older adults, nurses are in a position to assist older adults who are obese in adopting changes to promote a healthier lifestyle. The primary goal is to achieve sustained lifestyle changes through dietary modifications, exercise, and use of community supports (Villareal et al., 2005). Strategies that promote lifestyle modifications include helping older adults who are obese to overcome barriers related to dietary changes and physical activity. Two well-developed programs, as well as general considerations to facilitate safe dietary changes and safe increases in physical activity, will be discussed below.
As you age, you tend to lose muscle, especially if you’re less active. Muscle loss can slow down the rate at which your body burns calories. If you don’t reduce your calorie intake as you get older, you may gain weight. Midlife weight gain in women is mainly due to aging and lifestyle, but menopause also plays a role. Many women gain around five pounds during menopause and have more fat around the waist than they did before.
Some decades shopping consisted of walking down the road to the high street where one could find the grocers, bakers, banks, etc. As large out-of-town supermarkets and shopping malls started to appear, people moved from using their feet to driving their cars to get their provisions. In some countries, such as the USA, dependence on the car has become so strong that many people will drive even if their destination is only half-a-mile away.
Another rough way of estimating the amount of a person’s abdominal fat is by measuring the waist circumference. Men with a waist circumference of 40 inches or greater and women with a waist circumference of 35 inches or greater are considered to have increased health risks related to obesity.
^ Jump up to: a b Caballero B (March 2001). “Introduction. Symposium: Obesity in developing countries: biological and ecological factors”. J. Nutr. (Review). 131 (3): 866S–70S. doi:10.1093/jn/131.3.866s. PMID 11238776.
“It’s clear that the progress we’ve made in fighting obesity is fragile — and that we’re at a critical juncture where continuation of the policies that show promise and increased support and resources could truly help bend the rising tide of obesity rates,” said John Auerbach, president and CEO of Trust for America’s Health, a national healthcare organization that partnered with TRWF to generate the report.
In 2005, James Fallon’s life started to resemble the plot of a well-honed joke or big-screen thriller: A neuroscientist is working in his laboratory one day when he thinks he has stumbled upon a big mistake. He is researching Alzheimer’s and using his healthy family members’ brain scans as a control, while simultaneously reviewing the fMRIs of murderous psychopaths for a side project. It appears, though, that one of the killers’ scans has been shuffled into the wrong batch.
One retrospective uncontrolled observational study of dronabinol was identified (starting dose 2.5 mg nightly for one week; dose could be increased to 2.5 mg twice daily 30 min. before lunch and dinner at the discretion of the physician).22 Treatment showed a trend toward weight gain among the 28 long-term care residents, who were treated for 12 weeks. No controlled trials of dronabinol were identified; therefore, this medication cannot be recommended.
Although the prevalence of obesity in persons who are over 80 years of age  is about one-half that of older adults between the ages of 50 and 59, the fact is that more than 15% of the older American population is obese (Villareal et al., 2005). Moreover, as the aging population increases in number, so too will the number of chronic illnesses, which often accompany aging, increase in our society (Flood & Newman, 2007). Chronic conditions, such as arthritis, diabetes, hypertension, and heart disease, are among some of the most common, debilitating, and costly chronic conditions in older adults. These conditions are frequently accentuated by obesity (Federal Interagency Forum on Aging, 2006).
The physical performance test entailed such tasks as picking up a penny, walking 50 feet, standing up from a chair, lifting a book, climbing a flight of stairs and donning and removing a coat, the magazine report noted.
Visscher TL, Seidell JC, Molarius A, van der Kuip D, Hofman A, Witteman JC. A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: the Rotterdam study. Int J Obes Relat Metab Disord 2001; 25: 1730–1735.
Weight control and complementary health practices: What the science says. National Center for Complementary and Integrative Health. http://nccih.nih.gov/health/providers/digest/weightloss-science. Accessed March 9, 2015.

“obesity levels _obesity bmi measure”

Unfortunately, it’s common to regain weight no matter what obesity treatment methods you try. If you take weight-loss medications, you’ll probably regain weight when you stop taking them. You might even regain weight after weight-loss surgery if you continue to overeat or overindulge in high-calorie foods. But that doesn’t mean your weight-loss efforts are futile.
People who carry too much fat around the middle, rather than around the hips, are more likely to have health problems. In women, a waist size of 35 in. (88 cm) or more raises the chance for disease. In men, a waist size of 40 in. (101 cm) or more raises the chance for disease.1
To lose weight, seniors should implement a nutritious diet that include more fruits and vegetables. Consuming calcium, vitamins, protein rich foods like whole grains, whole wheat, cereals, lentils and eggs release the energy required for any physical activity. Senior weight loss is possible and can be achieved with a nutritious diet and regular work out.
“Generation X appears to have developed both obesity and diabetes much sooner when compared with Baby Boomers, which is a major concern on a number of fronts,” says co-author and University of Adelaide PhD student Rhiannon Pilkington, who is a member of the University’s Population Research & Outcome Studies group, School of Medicine.
A Dutch study recently released in the Annals of Internal Medicine reported that people who are overweight at age 40 will shave three years off life expectancy on average. Being obese at age 40 shortens life expectancy by six to seven years.
Overweight and obesity are increasingly common conditions in the United States. They are caused by the increase in the size and the amount of fat cells in the body. Doctors measure body mass index (BMI) and waist circumference to screen and diagnose overweight and obesity. Obesity is a serious medical condition that can cause complications such as metabolic syndrome, high blood pressure, atherosclerosis, heart disease, diabetes, high blood cholesterol, cancers and sleep disorders. Treatment depends on the cause and severity of your condition and whether you have complications. Treatments include lifestyle changes, such as heart-healthy eating and increased physical activity, and Food and Drug Administration (FDA)-approved weight-loss medicines. For some people, surgery may be a treatment option.
The mechanism for excessive weight gain is clear—more calories are consumed than the body burns, and the excess calories are stored as fat (adipose) tissue. However, the exact cause is not as clear and likely arises from a complex combination of factors. Genetic factors significantly influence how the body regulates the appetite and the rate at which it turns food into energy (metabolic rate). Studies of adoptees confirm this relationship—the majority of adoptees followed a pattern of weight gain that more closely resembled that of their birth parents than their adoptive parents. A genetic predisposition to weight gain, however, does not automatically mean that a person will be obese. Eating habits and patterns of physical activity also play a significant role in the amount of weight a person gains. Recent studies have indicated that the amount of fat in a person’s diet may have a greater impact on weight than the number of calories it contains. Carbohydrates like cereals, breads, fruits, and vegetables and protein (fish, lean meat, turkey breast, skim milk) are converted to fuel almost as soon as they are consumed. Most fat calories are immediately stored in fat cells, which add to the body’s weight and girth as they expand and multiply. A sedentary lifestyle, particularly prevalent in affluent societies, such as in the United States, can contribute to weight gain. Psychological factors, such as depression and low self-esteem may, in some cases, also play a role in weight gain.
This phenomenon is by no means limited to packaged food at upscale supermarkets. Back in February, when I was at Real Food Daily in Los Angeles, I ordered the “Sea Cake” along with my green-vegetable smoothie. It was intensely delicious in a way that set off alarm bells. RFD wouldn’t provide precise information about the ingredients, but I found a recipe online for “Tofu ‘Fish’ Cakes,” which seem very close to what I ate. Essentially, they consist of some tofu mixed with a lot of refined carbs (the RFD version contains at least some unrefined carbs) along with oil and soy milk, all fried in oil and served with a soy-and-oil-based tartar sauce. (Tofu and other forms of soy are high in protein, but per 100 calories, tofu is as fatty as many cuts of beef.) L.A. being to the wholesome-food movement what Hawaii is to Spam, I ate at two other mega-popular wholesome-food restaurants while I was in the area. At Café Gratitude I enjoyed the kale chips and herb-cornmeal-crusted eggplant parmesan, and at Akasha I indulged in a spiced-lamb-sausage flatbread pizza. Both are pricey orgies of fat and carbs.
The next consideration is how do you actually lost the weight? Here we rely on the same tried and true method – eating less and exercising more to burn more calories. Unfortunately, this requires lifestyle changes. It takes a lot of patience, support and perseverance to make permanent changes.
High blood pressure and high cholesterol, which are risk factors for cardiovascular disease (CVD). In one study, 70 percent of obese children had at least one CVD risk factor, while 39 percent had two or more.
Before your doctor will prescribe medicines or surgery, he or she will probably want you to work on healthier eating and activity for at least 6 months. Even if your doctor gives you medicines or recommends surgery, you will need to keep your new healthy habits for the rest of your life.
Skin conditions. Brown, Wimpenny, and Maughan (2004) found skin problems, including itching, skin breakdown, redness, and rashes, in 75% of the obese population they sampled. The two main causes of the reported skin problems were perspiration and friction. Groin, limbs, and under breasts were identified as the most troubling areas. Older adults who are obese and have skin problems face additional complications because their skin naturally loses about 20% of its dermal thickness with age (Baranoski, 2001). This combination of older age, fragile skin, and obesity increases the risk for pressure sores (Flood & Newman, 2007).
We suggest that a simple, rapid screening tool—the waist-to-height ratio (WHTR)—could help to overcome debates about the use of different body mass index (BMI) boundary values for assessing health risks in different populations. There are six reasons for our proposal:
Instead, dropping pounds can often feel harder than ever. After all, that stiff back that keeps you from bounding out of bed in the morning can make it less inspiring to go to the gym, a busy schedule can prompt you to eat on the run, and those 10 pounds you gained in your 40s can become an extra 20 pounds in your 50s and, well, you get the idea. (Want to lose weight but are short on time? Then check out Fit in 10, the new fitness program that only takes 10 minutes.)
A Senior Workout should start slowly with exercises that match your aging parents recent activity levels. Those moderately active can begin with relatively moderate-intensity aerobic activity. They should avoid vigorous intensity activities, such as shoveling snow or running. Senior adults with a low level of fitness can begin with light senior exercises.
A 73-year-old woman presents to your clinic complaining of unintentional weight loss. She reports having lost 15 lbs (6.8 kg) over the past year. Previously, her weight was 135 lbs (61.3 kg) and now it is 120 lbs (54.5 kg). She reports that she is eating three meals per day as usual.
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“In older, obese people, it may be more important to improve physical function and quality of life, rather than to reverse or treat risk factors for cardiovascular disease,” says Villareal, now chief of geriatrics at the New Mexico Veterans Affairs Health Care System and professor of medicine at the University of New Mexico School of Medicine, both in Albuquerque. “Combining exercise and weight loss isn’t designed so much to extend their life expectancy as it is to improve their quality of life during their remaining years and to help seniors avoid being admitted to a nursing home.”
“Woe to you, because you build tombs for the prophets, and it was your ancestors who killed them.” Jesus’s rebuke to the Pharisees descended upon me on a cold January morning in 2017, in West Potomac Park in Washington, D.C. On that Monday, the national holiday dedicated to the man at whose memorial I stood, the capital bustled in anticipation of a more pressing political event. That’s why I was at the park, pondering this granite stone of hope, carved out of a mountain of despair. The memorial to Martin Luther King Jr. cast its shadow over me, its presence just as conflicted as those tombs.
For older adults, being mildly overweight causes little harm, physicians say. But too much weight is especially hazardous for an aging body. Obesity increases inflammation, exacerbates bone and muscle loss and significantly raises the risk of heart disease, stroke and diabetes.
It is important to understand what “healthy weight” means. Healthy weight is defined as a body mass index (BMI) equal to or greater than 19 and less than 25 among all people 20 years of age or over. Generally, obesity is defined as a body mass index (BMI) equal to or greater than 30, which approximates 30 pounds of excess weight.
Doctors generally agree that the more obese a person is the more likely he or she is to have health problems. People who are 20% or more overweight can gain significant health benefits from losing weight. obesity experts believe that people who are less than 20% above their healthy weight should still try to lose weight if they have any of the following risk factors.
But research shows that other factors can correlate with excessive weight gain, too. Obese boomers are about half as likely to have a college degree as boomers who are at a healthy weight, according to the UCLA data. They are more likely to be low-income and less likely to own their own homes. And they’re 35 percent more likely to smoke.
Hold on, you may be thinking. Leaving fat, sugar, and salt aside, what about all the nasty things that wholesome foods do not, by definition, contain and processed foods do? A central claim of the wholesome-food movement is that wholesome is healthier because it doesn’t have the artificial flavors, preservatives, other additives, or genetically modified ingredients found in industrialized food; because it isn’t subjected to the physical transformations that processed foods go through; and because it doesn’t sit around for days, weeks, or months, as industrialized food sometimes does. (This is the complaint against the McDonald’s smoothie, which contains artificial flavors and texture additives, and which is pre-mixed.)
By placing wholesome eating directly at odds with healthier processed foods, the Pollanites threaten to derail the reformation of fast food just as it’s starting to gain traction. At McDonald’s, “Chef Dan”—that is, Dan Coudreaut, the executive chef and director of culinary innovation—told me of the dilemma the movement has caused him as he has tried to make the menu healthier. “Some want us to have healthier food, but others want us to have minimally processed ingredients, which can mean more fat,” he explained. “It’s becoming a balancing act for us.” That the chef with arguably the most influence in the world over the diet of the obese would even consider adding fat to his menu to placate wholesome foodies is a pretty good sign that something has gone terribly wrong with our approach to the obesity crisis.
Weight loss can be intentional, such as from dieting and exercise, or unintentional and be a manifestation of illness. Weight loss can result from a decrease in body fluid, muscle mass, or fat. A decrease in body fluid can come from medications, fluid loss, lack of fluid intake, or illnesses such as diabetes. A decrease in body fat can be intentionally caused by exercise and dieting, such as for overweight or obesity. Weight loss is normal after pregnancy. Other causes of weight loss include, but are not limited to, cancer, viral infection (such as CMV or HIV), gastroenteritis, parasite infection, depression, bowel diseases, and overactive thyroid (hyperthyroidism).

“waist measurement obesity calculator _senior cat food weight loss”

Surgery. In general, weight-loss surgery (called bariatric surgery) may be considered if your BMI is 40 or greater, or your BMI is 30-35 or greater and you have at least one medical condition directly related to obesity. In addition, you must have participated in a structured weight loss program without success.
Obesity-related illnesses now cost $147 billion each year, according to research from the Centers for Disease Control and Prevention (CDC). According to the CDC, medical costs associated with obesity increased from 6.5 percent of all medical spending in 1998 to about 9 percent in 2006.
The BMI equals a person’s weight in kilograms divided by height in meters squared (BMI = kg/m2). To calculate the BMI using pounds, divide the weight in pounds by the height in inches squared and multiply the result by 703.
Jump up ^ Chiolero A, Faeh D, Paccaud F, Cornuz J (1 April 2008). “Consequences of smoking for body weight, body fat distribution, and insulin resistance”. Am. J. Clin. Nutr. (Review). 87 (4): 801–09. doi:10.1093/ajcn/87.4.801. PMID 18400700.
B1: Beriberi / Wernicke–Korsakoff syndrome (Wernicke’s encephalopathy Korsakoff’s syndrome) B2: Riboflavin deficiency B3: Pellagra (Niacin deficiency) B6: Pyridoxine deficiency B7: Biotin deficiency B9: Folate deficiency B12: Vitamin B12 deficiency
A retrospective chart review of 96 residents in six intermediate care facilities in the United States found an association between anorexia and poor weight status and confusion in 42 residents.8 A prospective six-month study involving 309 residents of an intermediate nursing home in suburban midwestern United States found the primary reasons for weight changes to be acute illness, dementia and changes in the mucous membranes of the mouth and gums.9
Engaging in a variety of exercises, such as aerobic exercises, resistance training, and flexibility exercises is essential for healthy aging. Most older, obese adults are able to safely engage in regular physical activity; however, because fitness levels vary, a medical professional is important to determine which exercises are appropriate for an individual’s specific needs. Certain medical conditions, as well as medications, can also affect a person’s tolerance for exercise.
Energy imbalances can cause overweight and obesity. An energy imbalance means that your energy IN does not equal your energy OUT. This energy is measured in calories. Energy IN is the amount of calories you get from food and drinks. Energy OUT is the amount of calories that your body uses for things such as breathing, digesting, being physically active, and regulating body temperature.
Treatment for sleep apnea usually includes the use of mechanical ventilation devices to keep the airway open by delivering continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP).
But the industry rarely faces opponents like Senator Girardi. A trained surgeon with a flair for the theatrical, he is a key figure in the governing coalition of President Michelle Bachelet. During the long fight over the food law, Senator Girardi, 56, publicly assailed big food companies as “21st century pedophiles” and before Ms. Bachelet took office, spent weeks protesting outside the presidential palace with placards that accused her predecessor, Sebastián Piñera, of destroying the nation’s health by vetoing an earlier version of the legislation.
Other methods of estimating body fat and body fat distribution include measurements of skinfold thickness and waist circumference, calculation of waist-to-hip circumference ratios, and techniques such as ultrasound, computed tomography, and magnetic resonance imaging (MRI).
It is also easy to understand why many senior men and women are debilitated by obesity—nonexercising adults lose over 5 pounds (2.3 kg) of muscle and add about 15 pounds (6.8 kg) of fat each decade, bringing about an increase in body fat that may be 50 percent greater than the increase in bodyweight (Evans and Rosenberg 1992). Thus, older clients may come to you with simply too much fat and too little muscle, which makes every one of their physical tasks more strenuous, almost as if they are driving a semitrailer truck with a motor scooter engine. Fortunately, sensible strength training can remediate this situation (Campbell et al. 1994; Westcott 2009).
One study even found that adults between ages 60 and 74 were four times more likely to be depressed if they were obese [source: Pappas]. And obesity and aging joints is not a good mix, meaning that creaking knees will suffer more wear and tear when holding up someone who enjoys an extra trip back to the buffet table.
Association of obesity, high blood pressure and risk of disease of the blood vessels of the heart. NHLBI’s multigenerational landmark Framingham Heart Study found that obesity increases the risk for high blood pressure, as well as heart and cardiovascular diseases. Visit the Framingham Heart Study for more information about all research activities and advances from this study.
Phenylpropanolamine (Acutrim, Dextarim) is the only nonprescription weight-loss drug approved by the FDA These over-the-counter diet aids can boost weight loss by 5%. Combined with diet and exercise and used only with a doctor’s approval, prescription anti-obesity medications enable some patients to lose 10% more weight than they otherwise would. Most patients regain lost weight after discontinuing use of either prescription medications or nonprescription weight-loss products.
This review excluded 11% of the retrieved references because they were not written in English. The overall quality of the literature retrieved was low. As a result, there is insufficient evidence to support the routine use of either nutritional interventions or pharmacologic treatments to help address unintentional weight loss. High-quality, adequately powered trials are needed to determine what interventions are effective at addressing unintentional weight loss and the associated clinical outcomes, such as mortality.
There is some debate, however, about whether it’s good for elderly people to lose weight, even if they are obese. Some studies have found an association between weight loss in seniors and mortality risk, but Villareal says many of those studies did not distinguish between voluntary weight loss and involuntary weight loss that may be related to illness.
After my excursion to Whole Foods, I drive a few minutes to a Trader Joe’s, also known for an emphasis on wholesome foods. Here at the register I’m confronted with a large display of a snack food called “Inner Peas,” consisting of peas that are breaded in cornmeal and rice flour, fried in sunflower oil, and then sprinkled with salt. By weight, the snack has six times as much fat as it does protein, along with loads of carbohydrates. I can’t recall ever seeing anything at any fast-food restaurant that represents as big an obesogenic crime against the vegetable kingdom. (A spokesperson for Trader Joe’s said the company does not consider itself a “ ‘wholesome food’ grocery retailer.” Living Intentions did not respond to a request for comment.)
For females, a waist circumference of 35 inches or greater is considered unhealthy. For men, a waist circumference of 40 inches or is considered unhealthy. There is not a classification chart or various ranges used with this method to determine obesity. Only the simple thresholds for men and women noted above apply.
Almost any of the commercial weight-loss programs can work but only if they motivate you sufficiently to decrease the amount of calories you eat or increase the amount of calories you burn each day (or both). What elements of a weight-loss program should a consumer look for in judging its potential for safe and successful weight loss? A responsible and safe weight-loss program should be able to document for you the five following features:
For the past year, President Trump has worked with the Republican Congress to dismantle crucial parts of Obama’s legacy, including affordable health care, progressive taxation, climate-change regulation, oversight of the financial system, and immigration reform. Discussions of Medicare and Medicaid cuts surfacing in recent weeks suggest that an effort to roll back Lyndon Johnson’s Great Society might be next.
Everyone needs a goal and positive reasons to achieve that goal. Even losing a few pounds can provide you with cardiovascular benefits, so every step in the right direction is a step toward healthier living. Consider these reasons to work toward maintaining a healthy weight.
Among those who gleefully rank such things, the McLean Deluxe reigns as McDonald’s worst product failure of all time, eclipsing McPasta, the McHotdog, and the McAfrica (don’t ask). When I brought up the McLean Deluxe to the innovation team at McDonald’s, I faced the first and only uncomfortable silence of the day. Finally, Greg Watson, a senior vice president, cleared his throat and told me that neither he nor anyone else in the room was at the company at the time, and he didn’t know that much about it. “It sounds to me like it was ahead of its time,” he added. “If we had something like that in the future, we would never launch it like that again.”
The percentage of overweight and obese Americans 65 and older has grown: 72% of older men and 67% of older women are now overweight or obese. Baby boomers started reaching age 65 in 2011, and the report, which was funded by the National Institutes of Health, also shows many of these older Americans are not financially prepared to pay for long-term care in nursing homes. That’s concerning, since America’s aging population, which is now around 40 million, is estimated to double by 2050.
Currently, 7% of the world’s population is over 65 years of age. This figure is projected to rise to 12% by 2030. In the US it is projected to rise from 12% (35 million) to 20% (71 million) by 2030 (Yan et al., 2004). These substantial increases among older adults suggest that obesity among older Americans is likely to become a greater problem in the future (Center on an Aging Society, 2003). By 2000, the prevalence of obesity in people 50 to 69 years of age had increased to 22.9%, and for those above 70 years of age to 15%, representing increases of 56% and 36% respectively, since 1991 (Villareal et al., 2005).
The first step must be to evaluate each diet to confirm whether it is actually good for your health. There is little point in undertaking a diet which will allow you to eat all your favorite foods but will not make you any healthier. Once you have removed the diets which are not actually healthy your list will be much shorter.
“It’s typical for older adults to have less of an appetite as they age,” says Moreno. This often occurs, he says, because people become more sedentary and it becomes harder to stimulate hunger. Moreno suggests that a healthy diet for seniors should consist of smaller more frequent meals.
[1] How are overweight and obesity diagnosed? National Heart, Lung, and Blood Institute website. http://www.nhlbi.nih.gov/health/health-topics/topics/obe/diagnosis.html. Updated July 13, 2012. Accessed October 4, 2012.
Jump up ^ Mary Jones. “Case Study: Cataplexy and SOREMPs Without Excessive Daytime Sleepiness in Prader Willi Syndrome. Is This the Beginning of Narcolepsy in a Five Year Old?”. European Society of Sleep Technologists. Archived from the original on April 13, 2009. Retrieved April 6, 2009.

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If you are Asian, your health may be at risk if you have a BMI of 27.5 or and you have unhealthy eating patterns and too little physical activity. Also, health problems are seen with a smaller waist size. In Asian women, a waist size of 32 in. (80 cm) or more raises the chance for disease. In Asian men, a waist size of 36 in. (90 cm) or more raises the chance for disease.2
Despite these seemingly high percentages, it appears that many Americans underestimate their weight problems. According to the National Center for Health Statistics (NCHS), 64% of U.S. adults are overweight or obese.
But the industry rarely faces opponents like Senator Girardi. A trained surgeon with a flair for the theatrical, he is a key figure in the governing coalition of President Michelle Bachelet. During the long fight over the food law, Senator Girardi, 56, publicly assailed big food companies as “21st century pedophiles” and before Ms. Bachelet took office, spent weeks protesting outside the presidential palace with placards that accused her predecessor, Sebastián Piñera, of destroying the nation’s health by vetoing an earlier version of the legislation.
In fact, McDonald’s has quietly been making healthy changes for years, shrinking portion sizes, reducing some fats, trimming average salt content by more than 10 percent in the past couple of years alone, and adding fruits, vegetables, low-fat dairy, and oatmeal to its menu. In May, the chain dropped its Angus third-pounders and announced a new line of quarter-pound burgers, to be served on buns containing whole grains. Outside the core fast-food customer base, Americans are becoming more health-conscious. Public backlash against fast food could lead to regulatory efforts, and in any case, the fast-food industry has every incentive to maintain broad appeal. “We think a lot about how we can bring nutritionally balanced meals that include enough protein, along with the tastes and satisfaction that have an appetite-tiding effect,” said Barbara Booth, the company’s director of sensory science.
In June 2012, the FDA approved Belviq (lorcaserin hydrochloride) as a weight-loss medication. The medication works by controlling appetite (via serotonin activation). According to the FDA data, nearly half the patients using the medication lost at least 5% of their starting weight, which is more than double that lost by patients in the control group. This was only true for patients without type 2 diabetes.
It’s time for some straight talk: You weigh more than you did ten years ago, or even five years ago. The extra pounds didn’t arrive all at once but accumulated gradually before you even realized they were climbing on board. Now you’re looking at some serious extra poundage. But that’s to be expected as you get older, right? Wrong.
Jump up ^ Gortmaker SL, Must A, Sobol AM, Peterson K, Colditz GA, Dietz WH (April 1996). “Television viewing as a cause of increasing obesity among children in the United States, 1986–1990”. Arch Pediatr Adolesc Med (Review). 150 (4): 356–62. doi:10.1001/archpedi.1996.02170290022003. PMID 8634729.
Sex: Men have more muscle than women, on average. Because muscle burns more calories than other types of tissue, men use more calories than women, even at rest. Thus, women are more likely than men to gain weight with the same calorie intake.
Saccharin (Sweet’N Low) and aspartame (Equal) are sugar substitutes that provide little or no calories. They may be used as a substitute for table sugar. Using saccharin instead of a teaspoonful of sugar eliminates 33 calories from the diet. People with phenylketonuria (a serious genetic disease in which an individual is unable to break down and eliminate an amino acid, phenylalanine) should not use aspartame because it contains phenylalanine.
Inactivity. If you’re not very active, you don’t burn as many calories. With a sedentary lifestyle, you can easily take in more calories every day than you burn through exercise and routine daily activities. Having medical problems, such as arthritis, can lead to decreased activity, which contributes to weight gain.
Excess weight impairs respiratory function via mechanical and metabolic pathways. The accumulation of abdominal fat, for example, may limit the descent of the diaphragm, and in turn, lung expansion, while the accumulation of visceral fat can reduce the flexibility of the chest wall, sap respiratory muscle strength, and narrow airways in the lungs. (32) Cytokines generated by the low-grade inflammatory state that accompanies obesity may also impede lung function.
The patient’s past medical history is notable for osteoporosis, a left hip fracture three years ago, osteoarthritis, hypothyroidism and hyper-cholesterolemia. She is taking levothyroxine, a statin and a bisphosphonate plus vitamin D and calcium. She recently started taking nonsteroidal anti-inflammatory medications (NSAIDs) as needed for knee pain. She is an ex-smoker and does not drink alcohol. On examination, her weight was 121 lbs (55 kg), with a body mass index (BMI) of 22. She also had osteoarthritic changes in the knees. Results of investigations, including radiograph of the chest, complete blood count, electrolytes, creatinine, thyroid stimulating hormone and albumin are within normal limits.
Nov. 4, 2013 — Thanks to a wave of aging baby boomers, epidemics of diabetes and obesity, and the Affordable Care Act, which aims to bring health care coverage to millions more Americans, the United States faces a … read more
Seniors are prone to different kinds of health disorders including cardiovascular problems, high blood sugar levels, hypertension, kidney and liver troubles or joint pains. These tend to be a hindrance when considering to lose weight. Yet, senior weight loss is definitely a possibility. With the present day health and wellness programs, diet, muscle training and weight loss exercises designed with seniors in mind, they can easily maintain a balanced weight and look fit.
Nearly 70 percent of adults over age 60 are overweight or obese, putting them at higher risk of diabetes and other diseases, according to a new study in the Journal of the American Medical Association.
In summary, determination of potential contributing factors to weight loss should not focus solely on disease-related processes. Functional issues, medications, issues with intake, and psychological and social factors also need to be considered.
Excess weight, especially obesity, diminishes almost every aspect of health, from reproductive and respiratory function to memory and mood. Obesity increases the risk of several debilitating, and deadly diseases, including diabetes, heart disease, and some cancers. It does this through a variety of pathways, some as straightforward as the mechanical stress of carrying extra pounds and some involving complex changes in hormones and metabolism. Obesity decreases the quality and length of life, and increases individual, national, and global healthcare costs. The good news, though, is that weight loss can curtail some obesity-related risks. (1) Losing as little as 5 to 10 percent of body weight offers meaningful health benefits to people who are obese, even if they never achieve their “ideal” weight, and even if they only begin to lose weight later in life.
Heart attack. A prospective study found that the risk of developing coronary artery disease increased three to four times in women who had a BMI greater than 29. A Finnish study showed that for every 1 kilogram (2.2 pounds) increase in body weight, the risk of death from coronary artery disease increased by 1%. In patients who have already had a heart attack, obesity is associated with an increased likelihood of a second heart attack.
Strolling through a Chilean supermarket can be visually jarring. Boxes of Nesquik chocolate powder no longer include Nestle’s hyperkinetic bunny. Gone, too, are the dancing candies that enliven packages of M&Ms the world over.
Jump up ^ Wamberg, Louise; Pedersen, Steen B.; Rejnmark, Lars; Richelsen, Bjørn (2015). “Causes of Vitamin D Deficiency and Effect of Vitamin D Supplementation on Metabolic Complications in Obesity: a Review”. Current Obesity Reports. 4 (4): 429–40. doi:10.1007/s13679-015-0176-5. ISSN 2162-4968. PMID 26353882.
Weight gain occurs when you eat more calories than your body uses up. If the food you eat provides more calories than your body needs, the excess is converted to fat. Initially, fat cells increase in size. When they can no longer expand, they increase in number. If you lose weight, the size of the fat cells decreases, but the number of cells does not.
At what stage of life a person becomes obese can affect his or her ability to lose weight. In childhood, excess calories are converted into new fat cells (hyperplastic obesity), while excess calories consumed in adulthood only serve to expand existing fat cells (hypertrophic obesity). Since dieting and exercise can only reduce the size of fat cells, not eliminate them, persons who were obese as children can have great difficulty losing weight, since they may have up to five times as many fat cells as someone who became overweight as an adult.
Adults: A healthy weight for adults is usually when your BMI is 18.5 to less than 25. To figure out your BMI, use the National Heart, Lung, and Blood Institute’s online BMI calculator and compare it with the table below. You can also download the BMI calculator app for iPhone and Android. Even if your BMI is in the healthy range, it is possible to be diagnosed as obese if you have a large waist circumference that suggests increased amounts of fat in your abdomen that can lead to complications.
Resistance training is essential to preserve lean muscle and bone density or even regain lost muscle. Seniors should perform resistance-training exercises two to three times weekly. The trainings should consist of 8 to 10 different strength exercises with 8 to 12 repetitions each. Again, it’s best to start out slow, with lighter weights and fewer repetitions.
Of course, this is a tip for anyone trying to lose weight and boost her overall health, but it’s especially important as we get older. That’s because as we age, the hypothalamus (which controls our hunger and thirst) becomes desensitized, dulling our thirst signals, says Matt Essex, founder of ActiveRx Aging Centers in Arizona. “Plus, many older people avoid drinking water so they can avoid running to the bathroom constantly,” adds Christen Cooper, RD, a dietitian in Pleasantville, NY. “This is especially true for men with prostate issues and women with bladder limitations.” (If you’re dealing with bladder issues, here’s help.) Since water is key for digestion and metabolism—and our bodies can easily mistake thirst for hunger, which causes us to eat more than we actually need—it’s important to make sure you’re getting enough. You might set an alarm on your phone at regular intervals so you’re reminded to keep sipping throughout the day.
As you age, your metabolism slows down. This causes weight gain in women. Fight weight gain by using a reduced-calorie diet. Diet requirements will vary by height and weight, however. MayoClinic.com offers its Healthy Pyramid Tool, allowing women to calculate daily calorie and food serving requirements. As a general rule, you need to consume fruits, vegetables and whole grain carbohydrates. Lean protein sources, like nuts and fresh water fish, are also eaten. Fats are consumed in moderation, however, should come from healthy sources, like olive oil.
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Before selecting a medication for you, your doctor will consider your health history, as well as possible side effects. Some weight-loss medications can’t be used by women who are pregnant, or people who take certain medications or have chronic health conditions.
Frail elderly people face different issues. “One concern for older people is getting enough protein,” Campbell says. “We need more as we age.” A lack of protein puts people at risk for lower immune function and osteoporosis.
“Woe to you, because you build tombs for the prophets, and it was your ancestors who killed them.” Jesus’s rebuke to the Pharisees descended upon me on a cold January morning in 2017, in West Potomac Park in Washington, D.C. On that Monday, the national holiday dedicated to the man at whose memorial I stood, the capital bustled in anticipation of a more pressing political event. That’s why I was at the park, pondering this granite stone of hope, carved out of a mountain of despair. The memorial to Martin Luther King Jr. cast its shadow over me, its presence just as conflicted as those tombs.

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Ben Sheidler, a spokesman for Coca-Cola, said the company had created 32 new beverages in the last 18 months, and that 65 percent of its drinks portfolio in Chile could now be described as having low or reduced sugar.
About 80 percent of people with type 2 diabetes are overweight or obese.5 It isn’t clear why people who are overweight are more likely to develop this disease. It may be that being overweight causes cells to change, making them resistant to the hormone insulin. Insulin carries sugar from blood to the cells, where it is used for energy. When a person is insulin resistant, blood sugar cannot be taken up by the cells, resulting in high blood sugar. In addition, the cells that produce insulin must work extra hard to try to keep blood sugar normal. This may cause these cells to gradually fail.
Patterson, R., Frank, L., Kristal, A., & White, E. (2004). A comprehensive examination of health conditions  associated with obesity in older adults. American Journal of Preventive Medicine, 27, 385-390.
Jump up ^ Bellows-Riecken KH, Rhodes RE (February 2008). “A birth of inactivity? A review of physical activity and parenthood”. Prev Med (Review). 46 (2): 99–110. doi:10.1016/j.ypmed.2007.08.003. PMID 17919713.
Table 1 summarizes the ten trials that met our inclusion criteria (Villareal 2006a; Villareal 2006b; Villareal 2008; Frimel 2008; Lambert 2008; Shah 2009; Villareal 2011a; Armamento-Villareal 2012; Shah 2011; Kelly 2011). Figure 2 is a schematic representation of the inter-relationships of the mechanisms discussed in these trials. Three papers by Villareal et al. (two in 2006 and one in 2008) reported on the same cohort of 27 participants. The participants were sedentary (≤ 2 exercise sessions per week); with stable body weight (± 2kg) during the preceding year; unchanged medications regimes for at least six months; and mild to moderate frailty as measured by the Physical Performance Test (Brown 2000). The intervention consisted of both diet and exercise (lifestyle intervention). Energy deficit was 500–700 kcal/day supplemented with a daily multivitamin and counseling to consume adequate dietary calcium and vitamin D. The goal was 10% weight loss over the six-month intervention and weight maintenance for an additional six months. Exercise sessions consisted of 90 minutes of aerobic and resistance exercises, three days per week, at a moderate intensity (~75% peak heart rate) and progressed to 80–90% of peak heart rate. Resistance exercise started at 65% of one repetition maximum (1RM) and progressed to ~80% of 1RM.
A new survey revealed the number of overweight and obese baby boomers rose from 61% in 2003 to 72% in 2012, while younger adults ages 18 to 47 saw just a 2% increase in obesity rates during the same period, in the Sacramento, CA, area. Researchers also found one-fifth of obese baby boomers in the area had diabetes. Fifty-six percent had hypertension, compared with 23% of their normal-weight counterparts. UCLA Center for Health Policy Research
11. Von Muhlen D, Safii S, Jassal SK, Svartberg J, Barrett-Connor E: Associations between the metabolic syndrome and bone health in older men and women: the Rancho Bernardo Study. Osteoporos Int 2007; 18: 1337– 1344 [PubMed]
Skin calipers: This method measures the skinfold thickness of the layer of fat just under the skin in several parts of the body with calipers (a metal tool similar to forceps); the results are then used to calculate the percentage of body fat.
Exercise and strength training can optimize overall health and quality of life. Lower impact activities such as walking, swimming, and bicycling are generally safe for many older adults, even those who have chronic conditions such as heart disease or high blood pressure. But the key is to start slowly. Warming up and cooling down by walking and stretching before and after each session is important to minimize any soreness or potential injury.
In summary, initial treatment for unexplained weight loss should be targeted at addressing identified risk factors, although evidence of benefit is limited. Medications that are not clearly required and that may be contributing to the weight loss should be discontinued or appropriate alternatives considered. The role for specific nutritional interventions targeted at increasing caloric intake and improving weight is unclear. There is also minimal evidence to support use of pharmacologic agents. Megestrol acetate may be effective for older adults living in care facilities when used in conjunction with feeding assistance, but further study is required.
Beige fat tissue is seen in the neck, shoulders, back, chest and abdomen of adults and resembles brown fat tissue. This fat type, which uses carbohydrates and fats to produce heat, increases when children and adults are exposed to cold.
If you are more than 20% overweight then most likely your health would benefit greatly losing weight. Experts in the area of morbid obesity believe that those who are less than 20% above a healthy weight range should still try to lose weight if they have any of the following risk factors:
Results from the National Health and Nutrition Examination Survey (NHANES) showed that in 2011–2014, nearly 70% of U.S. adults age 20 years or older were overweight or obese and more than one-third (36.5%) were obese (3). In 1988–1994, by contrast, only 56% of adults aged 20 years or older were overweight or obese.
Agricultural policy and techniques in the United States and Europe have led to lower food prices. In the United States, subsidization of corn, soy, wheat, and rice through the U.S. farm bill has made the main sources of processed food cheap compared to fruits and vegetables.[102] Calorie count laws and nutrition facts labels attempt to steer people toward making healthier food choices, including awareness of how much food energy is being consumed.
Some people have tried combining more than one weight-loss drug or combining a weight-loss drug with other drugs for the purposes of losing weight. The safety and effectiveness of such drug “cocktails” is not known.
Kavousi M, Elias-Smale S, Rutten JH, Leening MJ, Vliegenthart R, Verwoert GC et al. Evaluation of newer risk markers for coronary heart disease risk classification: a cohort study. Ann Intern Med 2012; 156: 438–444.
Most people who have type 2 diabetes are overweight or obese. You can cut your risk of developing type 2 diabetes by losing weight, eating a balanced diet, getting adequate sleep, and exercising more.
Federal dietary guidelines and the MyPlate website recommend many tips for healthy eating that may also help you control your weight (see the Additional Links section for hyperlinks). Here are a few examples:
An enormous amount of media space has been dedicated to promoting the notion that all processed food, and only processed food, is making us sickly and overweight. In this narrative, the food-industrial complex—particularly the fast-food industry—has turned all the powers of food-processing science loose on engineering its offerings to addict us to fat, sugar, and salt, causing or at least heavily contributing to the obesity crisis. The wares of these pimps and pushers, we are told, are to be universally shunned.
Although testing should be directed toward areas of concern based on the history and physical examination, tests found to be of highest yield in identifying potential causes include stool hemoccult, barium enema, sigmoidoscopy, upper gastrointestinal series, endoscopy and thyroid function tests.5 Computed tomographic screening offers no further information.5 In institutionalized older adults, hemoglobin level, total cholesterol and albumin are useful in making the diagnosis.13 There are a few studies that have looked at TNF-α levels,1 cerebrospinal fluid concentration of amino acids,14 plasma and cerebrospinal fluid cytokine levels,15 and plasma and cerebrospinal fluid neuropeptide levels.16 However, these levels have limited value within routine clinical practice.
The Program targets large segments of the population by promoting: (1) strategies to reduce environmental barriers to healthy living, and (2) administrative policies that facilitate healthy choices.    
Chronic constipation: Many older adults suffer from chronic constipation, which may result from inadequate nutrition. Caregivers should ensure that the seniors in their care are eating properly and addressing any issues with regularity of bowel movements.
More than 30% of adults (50% of baby boomers) have this condition. The bad news is metabolic syndrome can kill you before you ever develop diabetes. Because it changes your cholesterol profile, increases inflammation, and raises your blood pressure levels in ways that are similar to those of diabetes, it can cause a heart attack or stroke.
In the United States, the number of obese older adults has reached disturbing heights—now affecting approximately 20 percent of those ages 65 and older—and is only expected to rise as more “baby boomers” become senior citizens.
Low levels of spontaneous physical activity is a major predictor of adipose tissue accumulation in humans, and total body movement, most of which is related to ambulation, is negatively correlated with fat mass (32).
[2] Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. The Journal of the American Medical Association. 2016;315(21):2284–2291. Available at http://jama.jamanetwork.com/article.aspx?articleid=2526639 or https://www.ncbi.nlm.nih.gov/pubmed/27272580.
Nov. 23, 2016 — Older baby boomers—those born between 1945 and 1954—are the “stroke-healthiest generation,” according to a new study that found the lowest incidence of ischemic stroke in this age group … read more
Jump up ^ Pestana IA, Greenfield JM, Walsh M, Donatucci CF, Erdmann D (October 2009). “Management of “buried” penis in adulthood: an overview”. Plast. Reconstr. Surg. (Review). 124 (4): 1186–95. doi:10.1097/PRS.0b013e3181b5a37f. PMID 19935302.

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[2] Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. The Journal of the American Medical Association. 2016;315(21):2284–2291. Available at http://jama.jamanetwork.com/article.aspx?articleid=2526639 or https://www.ncbi.nlm.nih.gov/pubmed/27272580.
But it also takes physical activity to shed pounds. That’s especially important as people start to age and dieting alone could cost them precious muscle in addition to fat, says Dr. Jack Rejeski a professor in exercise and aging at Wake Forest University. Muscles become flabbier over time until people find themselves on the verge of disability, like a canoe that floats peacefully until it gets too near a waterfall to pull back, he says.
An electronic database search was conducted on MEDLINE and PubMed (both clinical and general) for English language articles, with no cutoff dates. Searches were conducted on 20, 23 and 26–27 January 2012, and again on 18 April, 24 May 2012 and 2 July 2012 to capture newly published material. Two broad search areas were categorized: (1) weight loss through caloric restriction, exercise or both; and (2) long-term maintenance of weight loss, feasibility and safety among older adults. In order to cast the widest net for these two areas of interest, five separate overlapping searches were performed, using the keywords: obese, obesity, older adults, elderly, weight loss, body composition, caloric restriction, lifestyle intervention, diet, exercise, function, long-term feasibility, maintenance, and safety.
Adopted by the World Health Assembly in 2004, the “WHO Global Strategy on Diet, Physical Activity and Health” describes the actions needed to support healthy diets and regular physical activity. The Strategy calls upon all stakeholders to take action at global, regional and local levels to improve diets and physical activity patterns at the population level.
For many of us, life gets better—easier, even—as we get older. We get more comfortable and confident in our own skin. We weed out what doesn’t work for us and invite more of what does work into our lives. There’s a certain clarity that inspires us not to sweat the small stuff so much and to keep the big picture in mind.
Fat cells, especially those stored around the waist,secrete hormones and other substances that fire inflammation. Although inflammation is an essential component of the immune system and part of the healing process, inappropriate inflammation causes a variety of health problems. Inflammation can make the body less responsive to insulin and change the way the body metabolizes fats and carbohydrates, leading to higher blood sugar levels and, eventually, to diabetes and its many complications. (5) Several large trials have shown that moderate weight loss can prevent or delay the start of diabetes in people who are at high risk. (6-8)
Obesity is mostly preventable through a combination of social changes and personal choices.[1] Changes to diet and exercising are the main treatments.[2] Diet quality can be improved by reducing the consumption of energy-dense foods, such as those high in fat and sugars, and by increasing the intake of dietary fiber.[1] Medications may be used, along with a suitable diet, to reduce appetite or decrease fat absorption.[5] If diet, exercise, and medication are not effective, a gastric balloon or surgery may be performed to reduce stomach volume or length of the intestines, leading to feeling full earlier or a reduced ability to absorb nutrients from food.[6][12]
Getting the correct ratios of protein, carbohydrates, and good-quality fats can help in weight loss via enhancement of the metabolism. Support groups that are informed about healthy, nutritious, and balanced diets can offer an individual the support he or she needs to maintain this type of eating regimen.
Exercise and a healthy diet are key in treating obesity. On its website, The Obesity Action Coalition writes, “modifying behaviors that contributed to developing obesity is one way to treat the disease…either alone or in conjunction with other treatments.” The educational and lobbying organization, which has more than 50,000 members, cites “increasing physical activity” and “becoming educated about the body and how to nourish it appropriately” among those actions.
The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the U.S. Air Force Medical Department or the U.S. Air Force at large.
Fortunately, there are lots of weight-loss options available for boomers, and all the good ones revolve around an age-old formula for shedding pounds: eating less and exercising more. That’s something any generation can get behind.
Kavousi M, Elias-Smale S, Rutten JH, Leening MJ, Vliegenthart R, Verwoert GC et al. Evaluation of newer risk markers for coronary heart disease risk classification: a cohort study. Ann Intern Med 2012; 156: 438–444.
For starters, it’s even more important than ever to actually follow the advice to talk to your doc before beginning any new exercise regimen. “Medical problems, such as heart disease and metabolic disease, become more common after age 60, so it becomes much more important to have a medical checkup before attempting a fat loss plan,” says Huizenga. Then there’s the fact that over the age of 60, your oxygen intake may be reduced by as much as one-third of what it was when you were 25, causing you to have a tougher time taking deep breaths when you’re exercising at a moderate to high intensity, and making it crucial to ease in to a new plan. Finally, this is the decade when your hips, knees, and other key joints are more likely to develop arthritis, which means that your old go-to running or aerobics workouts may need to be swapped for swimming and/or gentle walking plans.
Medical treatment of obesity focuses on lifestyle changes such as eating less and increasing activity level. There are medications that can promote weight loss, although they work only in conjunction with eating less and exercising more.
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It’s best to work muscles to the point of fatigue, without overstraining, while taking enough time between workouts to allow the muscles to rest and recover. (Some examples of strength training exercises can be seen in Kathy Coover’s at-home workout. See KC Workout.pdf.)
Although there are genetic, behavioral and hormonal influences on body weight, obesity occurs when you take in more calories than you burn through exercise and normal daily activities. Your body stores these excess calories as fat.
The treatment plan for weight loss involves eating fewer calories than your body needs, getting aerobic exercise for 30 minutes most days of the week and learning the skills to change unhealthy behaviors.
Most adolescents fall short of the Physical Activity Guidelines for Americans recommendation of at least 60 minutes of aerobic physical activity each day. Only 18% of students in grades 9—12 met this recommendation in 2007. Daily, quality physical education in school can help students meet the guidelines, however, in 2009 only 33% had access to and attended daily physical education classes.
Thank you for your question! With so many supplements out there it’s not easy to choose. One way to pick a vitamin supplement brand is to look for one that has the USP designation on the label. Supplements that are verified by the United States Pharmacopeia (USP) have met standards of quality, purity, potency, performance, and consistency and are made with current FDA good manufacturing practices. Many major brands carry the USP seal, including Nature Made®, Schiff® and Kirkland Signature™.
Lead researcher, Racher Batterham, explained that people who carry the FTO gene tend to eat too much, prefer high-energy, fatty foods, and are usually obese. They also appear to take much longer to reach satiety (feeling of being full).
A third approach to obesity treatment involves research into the social factors that encourage or reinforce weight gain in humans. Researchers are looking at such issues as the advertising and marketing of food products; media stereotypes of obesity; the development of eating disorders in adolescents and adults; and similar questions.
This phenomenon is by no means limited to packaged food at upscale supermarkets. Back in February, when I was at Real Food Daily in Los Angeles, I ordered the “Sea Cake” along with my green-vegetable smoothie. It was intensely delicious in a way that set off alarm bells. RFD wouldn’t provide precise information about the ingredients, but I found a recipe online for “Tofu ‘Fish’ Cakes,” which seem very close to what I ate. Essentially, they consist of some tofu mixed with a lot of refined carbs (the RFD version contains at least some unrefined carbs) along with oil and soy milk, all fried in oil and served with a soy-and-oil-based tartar sauce. (Tofu and other forms of soy are high in protein, but per 100 calories, tofu is as fatty as many cuts of beef.) L.A. being to the wholesome-food movement what Hawaii is to Spam, I ate at two other mega-popular wholesome-food restaurants while I was in the area. At Café Gratitude I enjoyed the kale chips and herb-cornmeal-crusted eggplant parmesan, and at Akasha I indulged in a spiced-lamb-sausage flatbread pizza. Both are pricey orgies of fat and carbs.
Heart disease – Atherosclerosis (hardening of the arteries) is present 10 times more often in obese people compared to those who are not obese. Coronary artery disease is also more prevalent because fatty deposits build up in arteries that supply the heart. Narrowed arteries and reduced blood flow to the heart can cause chest pain (angina) or a heart attack. Blood clots can also form in narrowed arteries and cause a stroke.
Obesity hypoventilation syndrome (OHS) is a condition in which an inability to breathe deeply enough and quickly enough results in a low level of oxygen and a high level of carbon dioxide in the blood.
(For the above numbers the reference male is 5’10 and weighs 154 pounds. The reference woman is 5’4 and weighs 126 pounds. If your body measurements vary from these reference numbers, your caloric needs may also vary.)  You may find out more about how much to eat for weight loss by using the government’s supertracker tool.
In Pandora’s Lunchbox, Melanie Warner assiduously catalogs every concern that could possibly be raised about the health threats of food processing, leveling accusations so vague, weakly supported, tired, or insignificant that only someone already convinced of the guilt of processed food could find them troubling. While ripping the covers off the breakfast-cereal conspiracy, for example, Warner reveals that much of the nutritional value claimed by these products comes not from natural ingredients but from added vitamins that are chemically synthesized, which must be bad for us because, well, they’re chemically synthesized. It’s the tautology at the heart of the movement: processed foods are unhealthy because they aren’t natural, full stop.
Individuals with obesity may suffer devastating health problems, face reduced life expectancy, and experience stigma and discrimination. Obesity is a strong risk factor for type 2 diabetes, fatty liver disease, and many other disorders within the NIDDK’s mission.
Researchers have long known that the human body is home to all manner of microorganisms, but only in the past decade or so have they come to realize that these microbes outnumber our own cells 10 to one. Rapid gene-sequencing techniques have revealed that the biggest and most diverse metropolises of “microbiota” reside in the large intestine and mouth, although impressive communities also flourish in the genital tract and on our skin.
Babies of overweight or obese mothers are at an increased risk of being born too soon, being stillborn (dead in the womb after 20 weeks of pregnancy), and having neural tube defects (defects of the brain and spinal cord).
Children grow at different rates at different times, so it is not always easy to tell if a child is overweight. The CDC BMI growth charts are used to compare a child’s BMI with other children of the same sex and age. It is important that a child’s health care provider evaluates a child’s BMI, growth, and potential health risks due to excess body weight. An online tool for gauging the BMIs of children and teens can be found at: https://nccd.cdc.gov/dnpabmi/Calculator.aspx
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Waist circumference is another widely used measurement to determine abdominal fat content. An excess of abdominal fat, when out of proportion to total body fat, is considered a predictor of risk factors related to obesity. Men with a waist measurement exceeding 40 inches are considered at risk. Women are at risk with a waist measurement of 35 inches or greater.
To prevent losing too much muscle and bone mass when losing weight, older adults should focus on getting plenty of protein, calcium and vitamin D in their diets, Beavers says. One study found that adults between ages 52 and 75 built muscle best if they ate 1.5 grams of protein per kilogram of body weight daily – or double the Institute of Health’s recommended intake. For a 180-pound person, that’s about 120 grams, or about the amount of two chicken breasts, three eggs and one Greek yogurt.

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For a male of average height, a BMI of 40 or more means that they have an excess of 100 or more extra pounds on their frame; for a female of average height, a 40+ BMI means about 85 or more extra pounds.
Keep moving. Even though regular aerobic exercise is the most efficient way to burn calories and shed excess weight, any extra movement helps burn calories. Making simple changes throughout your day can add up to big benefits. Park farther from store entrances, rev up your household chores, garden, get up and move around periodically, and wear a pedometer to track how many steps you actually take over the course of a day.
It’s commonly known and scientifically proven that obesity predisposes to many diseases. In fact, the majority of organs and body systems are negatively affected by obesity. Most commonly, diabetes, hypertension, high cholesterol, heart disease and certain cancers are encountered in patients affected by obesity. As we age, physical disability is also a major problem due to the effect of weight on joints. Nevertheless, scientists have described a phenomenon called “the obesity paradox.” Although at younger age, overweight and obesity are clearly associated with a shorter lifespan, it seems that at older age, this is not always true. Some studies have shown that the “ideal” protective weight might be higher in the older population.
Keep in mind, though, that weight-loss medication is meant to be used along with diet, exercise and behavior changes, not instead of them. If you don’t make these other changes in your life, medication is unlikely to work.
Obesity is an epidemic in the United States and in other developed countries. More than two-thirds of Americans are overweight, including at least one in five children. Nearly one-third are obese. Obesity is on the rise in our society because food is abundant and most of us are employed in positions that require little to no physical activity. On the bright side, recent data suggest that childhood obesity, while still high, may no longer be on the rise.
observations Obesity is manifested as excess body weight for height. Overweight is determined by a body mass index (BMI) of 25 to 29.9 kg/m2, and obesity is a BMI = 30 kg/m2. Body fat distribution can be assessed by waist-to-hip ratios, with a ratio of greater than 1.0 for men and greater than 0.8 for women signaling increased risk of obesity. Morbidity and mortality are increased in the obese. Complications include predisposition to diabetes mellitus, hypertension, hyperlipidemia, coronary artery disease, cerebrovascular disease, osteoarthritis, sleep apnea, and certain cancers.
Strolling through a Chilean supermarket can be visually jarring. Boxes of Nesquik chocolate powder no longer include Nestle’s hyperkinetic bunny. Gone, too, are the candies that enliven packages of M&Ms the world over.
White fat tissue can be found around the kidneys and under the skin in the buttocks, thighs, and abdomen. This fat type stores energy, makes hormone  that control the way the body regulates urges to eat or stop eating, and makes inflammatory  substances that can lead to complications.
Chitosan is a special fiber found in the shell of shellfish like crabs and lobsters. Fiber and its use as a weight loss aid have been the topic of considerable study in the last several decades. Increasing dietary fiber intake naturally decreases fat intake, because fiber-rich foods are relatively low in fat and cholesterol. In addition, increasing fiber usually decreases LDL (bad cholesterol) and increases HDL (good cholesterol), reducing the risk of heart disease.
Jump up ^ Zhang, Y; Proenca, R; Maffei, M; Barone, M; Leopold, L; Friedman, JM (Dec 1, 1994). “Positional cloning of the mouse obese gene and its human homologue”. Nature (Research Support). 372 (6505): 425–32. Bibcode:1994Natur.372..425Z. doi:10.1038/372425a0. PMID 7984236.
“There is the potential for obesity-related health problems to propel many from the workforce early, or to drastically reduce their ability to work. If ongoing generations continue down this path of developing what were once considered to be age-related conditions earlier in life, the consequences for healthcare costs will be enormous.”
…high-calorie, processed food is less expensive and quicker to prepare than fresh fruits and vegetables. Poverty and lower levels of education have also been linked to obesity (NIH, 2006). It has been suggested that one reason why poverty and lower educational levels are risk factors for obesity is that high-calorie, processed food is less expensive and quicker to prepare than fresh fruits and vegetables (NIH, 2006). Through observation and the anecdotes patients have shared with me, I have come to believe the social environment indeed contributes to the increasing prevalence of obesity. To date, only a few research studies have focused on this factor.
Just wanted to say thank you for your ebook of exercises for seniors. Lots of free things offered on the web are worthless. Your ebook has inspired me and helped me to begin an exercise program that I’ve been able to stick with. Thank you for making this resource available.”
Lambert et al. (2008) recruited 16 obese frail, older men and women, and also used a similar inclusion criteria and interventions to Villareal (2006a), although the intervention was only three months. A vastus lateralis biopsy was used to quantify mRNA expression of interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-α), Toll-like receptor 4 (TLR-4) and mechano growth factor (MGF). Serum IL-6 and TNF-α were also obtained. Body weight and FFM significantly decreased in the weight loss group, while FFM increased in the exercise group. Toll-like receptor 4 mRNA significantly decreased in the exercise group, but did not change in the weight loss group. IL-6 and TNF-α mRNA decreased and MGF mRNA increased in the exercise group, but not in the weight loss group. It was concluded that cytokine gene expression appeared to be derived from muscle, as serum concentrations of TNF-α and IL-6 did not change with exercise. The investigators proposed that exercising muscle contraction decreased muscle inflammatory cytokine expression, whereas weight loss had no effect. The proposed mechanism was down regulation of TLR-4 mRNA (Flynn 2006). The study investigators also suggested that the lack of a significant effect of weight loss on TNFα-mRNA may indicate that a threshold of weight loss is needed. They concluded that exercise, but not weight loss, down regulates mRNA expression of TLR-4, TNF-α and IL-6, which is related to increased muscle catabolism, while up-regulating mRNA expression of MGF in skeletal muscle.
Perhaps more worrisome was the level of mobility problems they found. In 2010, a greater proportion than in 1997 told interviewers that they had difficulty with at least one of nine physical functions examined. Specifically, about 40 percent of the respondents said that a health problem made it difficult for them to kneel or stoop; stand for two hours; walk one-quarter mile; climb 10 steps without resting; sit for two hours; lift and carry 10 pounds; reach over the head; push or pull a large object; or grasp small objects.
It is also easy to understand why many senior men and women are debilitated by obesity—nonexercising adults lose over 5 pounds (2.3 kg) of muscle and add about 15 pounds (6.8 kg) of fat each decade, bringing about an increase in body fat that may be 50 percent greater than the increase in bodyweight (Evans and Rosenberg 1992). Thus, older clients may come to you with simply too much fat and too little muscle, which makes every one of their physical tasks more strenuous, almost as if they are driving a semitrailer truck with a motor scooter engine. Fortunately, sensible strength training can remediate this situation (Campbell et al. 1994; Westcott 2009).
This study will see if personalized lifestyle education delivered to teens and young adults via smart phones, can improve body mass measurements as well as current care methods. Visit the EMPower: Electronic Media Powering Positive Health Changes in Youth for more information and to learn how to participate in this study.
Fiber keeps things moving in our digestive tracts, which helps eliminate unused and harmful substances. Keeping a healthy flow of digestion promotes weight loss while reducing inflammation. Getting fiber from plenty of fruits and vegetables in your diet is best, but adding a gentle fiber supplement can also increase weight loss.
26. Yeh SS, Wu SY, Lee TP, et al. Improvement in quality-of-life measures and stimulation of weight gain after treatment with megestrol acetate oral suspension in geriatric cachexia: results of a double-blind, placebo-controlled study. J Am Geriatr Soc 2000;48:485–92 [PubMed]
Because of the weight and size of their bodies, obese people have difficulty moving, including getting up, getting down, and engaging in all types of ambulatory activities. In choosing equipment, then, obese adults typically prefer upright or recumbent stationary cycles that support their weight instead of treadmills and stair-climbing machines that do not. Therefore, for your overweight clients, try to include machine exercises that can accommodate their larger frames and that are structurally sturdy enough to support their weight (plus that of the load or weight that they are using). Avoid exercises such as the machine hip/leg press because of the challenges it presents in getting into position to perform the exercise as well as simply getting into and out of the machine.
The study followed more than 4,000 men and women for 18 years and found that those who were overweight, measured by a body mass index (BMI) of 25-29, or obese, with a BMI of 30 or higher, were more likely to develop type 2 diabetes.
Results from this carefully designed study show the “diet-exercise group” preserved more lean muscle and bone density when compared to the other groups. They also gained significantly better physical function and were less frail than other groups, outperforming in all measured parameters. (See Figure A: Results of Physical Performance Test (PPT).)

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People with a body mass index (BMI) of 30 or higher are considered obese. The term “obesity” is used to describe the health condition of anyone significantly above his or her ideal healthy weight. Don’t be discouraged by the term. It simply means you are 20% or more above your ideal weight, and you are not alone.

Following a sensible diet can help prevent excess weight gain. But it’s also important to note that older adults occasionally have naturally occurring loss of taste or difficulty chewing that can make adhering to certain dietary recommendations challenging.

Severe obesity afflicts between 4% and 6% of all youth in the United States, and the prevalence is increasing. Despite the serious immediate and long-term cardiovascular, metabolic, and other health consequences of severe pediatric obesity, current treatments

Baseline investigations include laboratory studies and imaging. Recommended laboratory tests include complete blood count, basic metabolic panel, liver function tests, thyroid function tests, C-reactive protein levels, erythrocyte sedimentation rate, glucose measurement, lactate dehydrogenase measurement, and urinalysis.1 Chest radiography and fecal occult blood testing should also be performed. Abdominal ultrasonography may be considered.1

A retrospective chart review in a 718-bed long-term care facility in the eastern United States, where 41 residents (24 women with a mean age of 80 years) had recently lost weight found that more than 75% of them had been prescribed a medication that could potentially contribute to weight loss (Box 2).2 However, when reviewing possible causes of weight loss, no physicians changed medications in an attempt to reverse this problem. Instead, many ordered additional medications to help stimulate appetite.

Obese people consistently under-report their food consumption as compared to people of normal weight.[103] This is supported both by tests of people carried out in a calorimeter room[104] and by direct observation.

Some people have tried combining more than one weight-loss drug or combining a weight-loss drug with other drugs for the purposes of losing weight. The safety and effectiveness of such drug “cocktails” is not known.

Hedlund J, Hansson L-O, örtqvist Å. Short-and long-term prognosis for middle-aged and elderly patients hospitalized with community-acquired pneumonia: impact of nutritional and inflammatory factors. Scand J Infect Dis 1995; 27: 32–37.

Luckily, many weight-loss options are available, even for people who have tried earnestly but unsuccessfully to lose weight through diet, exercise, or prior weight-loss surgery. At the Houston UT MIST Center for Bariatric and Metabolic Surgery, our team of specialists can help you understand the causes and health risks of obesity, as well as the wide range of treatment options available to help you reach your target weight-loss goal and prevent obesity-related health risks.

Bittman is hardly alone in his reflexive dismissals. No sooner had McDonald’s and Burger King rolled out their egg-white sandwich and turkey burger, respectively, than a spate of articles popped up hooting that the new dishes weren’t healthier because they trimmed a mere 50 and 100 calories from their standard counterparts, the Egg McMuffin and the Whopper. Apparently these writers didn’t understand, or chose to ignore, the fact that a reduction of 50 or 100 calories in a single dish places an eater exactly on track to eliminate a few hundred calories a day from his or her diet—the critical threshold needed for long-term weight loss. Any bigger reduction would risk leaving someone too hungry to stick to a diet program. It’s just the sort of small step in the right direction we should be aiming for, because the obese are much more likely to take it than they are to make a big leap to wholesome or very-low-calorie foods.

Jump up ^ Satcher D (2001). The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity. U.S. Dept. of Health and Human Services, Public Health Service, Office of Surgeon General. ISBN 978-0-16-051005-2.

Diuretic herbs, which increase urine production, can cause short-term weight loss but cannot help patients achieve lasting weight control. The body responds to heightened urine output by increasing thirst to replace lost fluids, and patients who use diuretics for an extended period of time eventually start retaining water again anyway. In moderate doses, psyllium, a mucilaginous herb available in bulk-forming laxatives like Metamucil, absorbs fluid and makes patients feel as if they have eaten enough. Red peppers and mustard help patients lose weight more quickly by accelerating the metabolic rate. They also make people more thirsty, so they crave water instead of food. Walnuts contain serotonin, the brain chemical that tells the body it has eaten enough. Dandelion (Taraxacum officinale) can raise metabolism and counter a desire for sugary foods.

A new federally funded national study has been designed to answer this sort of question, according to Freedman. The National Health and Aging Trends Study led by Johns Hopkins University researchers, is following more than 8,000 older Americans annually, to explore how their daily lives change as they age. Rather than relying exclusively on reports from participants, researchers are also giving short performance tests to measure physical and cognitive function.

For the better part of 71 years, Joe Acosta ate what he wanted or what his wife prepared for him – often, large portions of fried foods. As a result, he carried 30-some pounds of extra weight and flirted with diabetes. “I was having problems watching what I put in my body,” says Acosta, a retired U.S. Postal Service employee in Brooklyn, New York.

In addition to suffering from poor physical health, overweight and obese children can often be targets of early social discrimination. The psychological stress of social stigmatization can cause low self-esteem which, in turn, can hinder academic and social functioning, and persist into adulthood. While research is still being conducted, there have been some studies showing that obese children are not learning as well as those who are not obese. Further, physical fitness has been shown to be associated with higher achievement.

Larson-Meyer DE, Heilbronn LK, Redman LM, Newcomer BR, Frisard MI, Anton S, Smith SR, Alfonso A, Ravussin Effect of calorie restriction with or without exercise on insulin sensitivity, beta-cell function, fat cell size, and ectopic lipid in overweight subjects. Diabetes Care. 2006;29:1337–1344. [PMC free article] [PubMed]

It’s best to work muscles to the point of fatigue, without overstraining, while taking enough time between workouts to allow the muscles to rest and recover. (Some examples of strength training exercises can be seen in Kathy Coover’s at-home workout. See KC Workout.pdf.)

Dr. Ryan Masters and Dr. Bruce Link at Columbia University’s Mailman School of Public Health, in collaboration with Dr. Daniel Powers at the University of Texas, published the results of the study online this week in the American Journal of Epidemiology.

Because unintentional weight loss is a nonspecific condition and no published guidelines exist for evaluation and management, the appropriate workup, if any, is difficult to determine. This article focuses on the evaluation, diagnosis, and potential treatments of unintentional weight loss in patients older than 65 years.

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A version of this article appears in print on February 8, 2018, on Page A1 of the New York edition with the headline: Waging a Sweeping War on Obesity, Chile Slays Tony the Tiger. Order Reprints| Today’s Paper|Subscribe
For the past year, President Trump has worked with the Republican Congress to dismantle crucial parts of Obama’s legacy, including affordable health care, progressive taxation, climate-change regulation, oversight of the financial system, and immigration reform. Discussions of Medicare and Medicaid cuts surfacing in recent weeks suggest that an effort to roll back Lyndon Johnson’s Great Society might be next.
For obese seniors, dieting and together are more effective at improving physical performance and reducing frailty than either alone. Although weight loss alone and exercise alone improve physical function, neither is as effective as diet and exercise together, which improved physical performance in seniors by 21 percent.
Other non-prescription diet pills. Over-the-counter diet pills often contain ingredients that can increase heart rate and blood pressure. It is not clear how effective they are in producing weight loss that can be maintained over time. Common side effects include feeling jittery and nervous and having heart palpitations. Some experts believe they may be associated with an increased risk of stroke.
Americans are consuming more calories on average than in past decades. The increase in calories has also decreased the nutrients consumed that are needed for a healthy diet. This behavioral problem also relates to the increase in portion sizes at home and when dining out.
Urinary incontinence, the unintentional leakage of urine. Chronic obesity can weaken pelvic muscles, making it harder to maintain bladder control. While it can happen to both sexes, it usually affects women as they age.
Since the food law was enacted two years ago, it has forced multinational behemoths like Kellogg to remove iconic cartoon characters from sugary cereal boxes and banned the sale of candy like Kinder Surprise that use trinkets to lure young consumers. The law prohibits the sale of junk food like ice cream, chocolate and potato chips in Chilean schools and proscribes such products from being advertised during television programs or on websites aimed at young audiences.
When the BMI is above 25, a person is considered overweight. When it’s above 30, the person is obese. Although BMI is useful for men and women, it does have limitations. For example, BMI may overestimate body fat in individuals who have a highly muscular build such as athletes and underestimate it in people who have lost muscle (for example, those who are recovering from surgery or cancer).
Cereal bars, yogurts and juice boxes, products long advertised as “healthy,” “natural” or “fortified with vitamins and minerals,” now carry one or more of the black warning labels. A bottle of Great Value brand light ranch dressing displays all four warning logos — marking it as high in salt, sugar, calories and fat.
* eHealth’s Medicare Choice and Impact report examines user sessions from more than 30,000 eHealth Medicare visitors who used the company’s Medicare prescription drug coverage comparison tool in the fourth quarter of 2016, including Medicare’s 2017 Annual Election Period (October 15 – December 7, 2016).
I have two people I am taking care of, My sister who has progressive brain damage from radiation for brain cancer and my Mother who has Scleroderma with Pulmonary Hypertension and gastroparesis as side effects of the Scleroderma. My Sister can be very manipulative, but I think a lot of it is based on fear and we are working on one thing at a time. One thing is that the suggestions you have been given are really good. I would focus on one change at a time. Maybe first focus on providing your dad with a healthier diet by getting a referral to a nutritionist from his doctor. Secondly see about getting transportation via cabulance or public disabled access. Secondly see about getting him a power chair to help with mobility and getting him more freedom. Also there is an exercise program called “Sit and Be Fit” which you can find online and it is exercise program for people who use wheelchairs or have limited mobility. The urinal is a good idea or even asking for his doctor to order a commode which can be by his bedside will help as well. One thing is that everyone has to be on the same page. If you all are thinking you have a better idea then it won’t work. Also since a lot of your dad’s behavior or refusal to try things may be fear based it is important to encourage him. Take one step at a time. I wish you the best.
Genetics. A person is more likely to develop obesity if one or both parents are obese. Genetics also affect hormones involved in fat regulation. For example, one genetic cause of obesity is leptin deficiency. Leptin is a hormone produced in fat cells and also in the placenta. Leptin controls weight by signaling the brain to eat less when body fat stores are too high. If, for some reason, the body cannot produce enough leptin or leptin cannot signal the brain to eat less, this control is lost, and obesity occurs. The role of leptin replacement as a treatment for obesity is currently being explored.
More than two-thirds of Americans are overweight or obese, and adults over age 64 are no exception. While rates decline slightly at age 75, many seniors are vulnerable to carrying extra pounds due to a combination of factors including slower metabolisms, a tendency to become more sedentary with age and a culture that makes being slender increasingly difficult.
Part of the problem is a sedentary lifestyle. Most adults are supposed to get vigorous exercise for 2 1/2 hours a week. That may come from doing simple activities four to five times a week like taking a brisk walk, participating in a dance class, or pushing a lawn mower. But the surveyed boomers only exercise enough to raise their heart rates about once a week, if that. Worse, 37 percent don’t strength-train whatsoever, missing out on a crucial activity that fights muscle loss that comes with aging.
Set doable goals that don’t change too much at once. Consecutive goals that can move you ahead in small steps, are the best way to reach a distant point. When starting a new lifestyle, try to avoid changing too much at once. Slow changes lead to success. Remember, quick weight loss methods do not provide lasting results.
Jump up ^ Salmon J, Timperio A (2007). “Prevalence, trends and environmental influences on child and youth physical activity”. Med Sport Sci (Review). Medicine and Sport Science. 50: 183–99. doi:10.1159/000101391. ISBN 978-3-318-01396-2. PMID 17387258.
Take the first step to managing your weight from the comfort of your home. Use our BMI calculator to help you determine whether or not you are considered obese. If you are obese, or have one or more risk factors for obesity, our physicians can help. In cases of severe obesity, surgery may be an option. Learn more about obesity treatments at Stanford.
Bittman is hardly alone in his reflexive dismissals. No sooner had McDonald’s and Burger King rolled out their egg-white sandwich and turkey burger, respectively, than a spate of articles popped up hooting that the new dishes weren’t healthier because they trimmed a mere 50 and 100 calories from their standard counterparts, the Egg McMuffin and the Whopper. Apparently these writers didn’t understand, or chose to ignore, the fact that a reduction of 50 or 100 calories in a single dish places an eater exactly on track to eliminate a few hundred calories a day from his or her diet—the critical threshold needed for long-term weight loss. Any bigger reduction would risk leaving someone too hungry to stick to a diet program. It’s just the sort of small step in the right direction we should be aiming for, because the obese are much more likely to take it than they are to make a big leap to wholesome or very-low-calorie foods.
Given that unintentional weight loss is a common condition among older adults and is associated with adverse outcomes, our objective was to review the evidence regarding risk factors, differential diagnosis, prognosis, investigation and treatment of unintentional weight loss in this population. In this review, we use the term “unexplained weight loss” to refer to unintentional weight loss for which there is no specific organic cause.
The main ingredients in most herbal fen/phen products are ephedrine and St. John’s wort. Ephedrine acts like amphetamines in stimulating the central nervous system and the heart. Ephedrine promotes weight loss in part by an increase the body’s temperature, and when this happens, the body burns more calories. Ephedrine use has been associated with high blood pressure, heart-rhythm irregularities, strokes, insomnia, seizures tremors, and nervousness. There have been reports of deaths in young individuals taking ephedrine. St. John’s wort has been used in Europe to treat mild depression but not obesity. The action, effectiveness, and side effects of St. John’s wort either alone or in combination with other agents have not been adequately studied.
Jump up ^ Flegal KM, Troiano RP, Pamuk ER, Kuczmarski RJ, Campbell SM (November 1995). “The influence of smoking cessation on the prevalence of overweight in the United States”. N. Engl. J. Med. 333 (18): 1165–70. doi:10.1056/NEJM199511023331801. PMID 7565970.
The study of the effect of infectious agents on metabolism is still in its early stages. Gut flora has been shown to differ between lean and obese humans. There is an indication that gut flora in obese and lean individuals can affect the metabolic potential. This apparent alteration of the metabolic potential is believed to confer a greater capacity to harvest energy contributing to obesity. Whether these differences are the direct cause or the result of obesity has yet to be determined unequivocally.[146]
Next, ask the owner about specific body systems and other clinical signs. Cats with abdominal pain may lie in an unusual position or object to being held in a way that puts pressure on the abdomen. Vomiting and diarrhea may help localize the problem to the GI tract, although these are nonspecific signs of many conditions.
^ Jump up to: a b Global BMI Mortality Collaboration; Di Angelantonio, E; Bhupathiraju, ShN; Wormser, D; Gao, P; Kaptoge, S; Berrington De Gonzalez, A; Cairns, B. J; Huxley, R; Jackson, ChL; Joshy, G; Lewington, S; Manson, J. E; Murphy, N; Patel, A. V; Samet, J. M; Woodward, M; Zheng, W; Zhou, M; Bansal, N; Barricarte, A; Carter, B; Cerhan, J. R; Smith, G. D; Fang, X; Franco, O. H; Green, J; Halsey, J; Hildebrand, J. S; et al. (13 July 2016). “Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents”. Lancet. 388 (10046): 776–86. doi:10.1016/S0140-6736(16)30175-1. PMC 4995441 . PMID 27423262.