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Obesity puts extra stress on your bones, joints, and organs, making them work harder than they should. Too much body fat raises your blood pressure and cholesterol, and makes heart disease and stroke more likely. It also worsens conditions like osteoarthritis, back pain, asthma, and sleep apnea.
Jump up ^ Weng HH, Bastian LA, Taylor DH, Moser BK, Ostbye T (2004). “Number of children associated with obesity in middle-aged women and men: results from the health and retirement study”. J Women’s Health (Larchmt) (Comparative Study). 13 (1): 85–91. doi:10.1089/154099904322836492. PMID 15006281.
Obesity increases your risk of diabetes, heart disease, stroke, arthritis, and some cancers. If you have obesity, losing even 5 to 10 percent of your weight can delay or prevent some of these diseases. For example, that means losing 10 to 20 pounds if you weigh 200 pounds.
Orlistat (Xenical 120 mg by prescription or Alli 60 mg available over the counter) is a medication approved by the FDA in 1999. Your doctor may prescribe it if you weigh more than 30% over your healthy body weight or have a BMI greater than 30. Over one year, people who followed a weight-loss diet and took orlistat lost an average of 13.4 pounds, almost 8 pounds more than people who used diet alone to lose weight. It works by reducing the absorption of fat from the intestine. Diarrhea and incontinence of stool may be side effects of this medicine.
Fewer studies have examined possible associations between weight loss and cancer risk. Some of these have found decreased risks of breast, endometrial, colon, and prostate cancers among people who have lost weight. However, most of these studies were not able to evaluate whether the weight loss was intentional or unintentional (and possibly related to underlying health problems).
In many cases of elderly weight loss, a combination of factors is to blame. Many of these factors can be considered secondary to existing medical conditions. For example, some seniors who suffer from mental illnesses such as psychotic disorders or Alzheimer’s disease experience paranoia and suspicion which prevent them from eating the food they are served. This is actually quite common in long term and psychiatric care facilities. Elderly people with these disorders also expend extra energy pacing and performing other habitual movements.
Villareal DT, Miller BV, III, Banks M, Fontana L, Sinacore DR, Klein S. Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults. Am J Clin Nutr. 2006b;84:1317–1323. [PubMed]
Introduced in 1991, the McLean Deluxe was perhaps the boldest single effort the food industry has ever undertaken to shift the masses to healthier eating. It was supposed to be a healthier version of the Quarter Pounder, made with extra-lean beef infused with seaweed extract. It reportedly did reasonably well in early taste tests—for what it’s worth, my wife and I were big fans—and McDonald’s pumped the reduced-fat angle to the public for all it was worth. The general reaction varied from lack of interest to mockery to revulsion. The company gamely flogged the sandwich for five years before quietly removing it from the menu.
Medication treatment of obesity should be used only in patients who have health risks related to obesity. Medications should be used in patients with a BMI greater than 30 or in those with a BMI of greater than 27 who have other medical conditions (such as high blood pressure, diabetes, high blood cholesterol) that put them at risk for developing heart disease. Medications should not be used for cosmetic reasons.
According to the World Health Organization (WHO) being overweight or obese is largely preventable. To reach your ideal weight you must reach a balance of calories consumed and calories burned. According to WHO, in your diet you can:
The distribution of your body fat also plays a role in determining your risk of obesity-related health problems. There are at least two different kinds of body fat. Studies conducted in Scandinavia have shown that excess body fat distributed around the waist (apple-shaped figure, intra-abdominal fat) carries more risk than fat distributed on the hips and thighs (pear-shaped figure, fat under the skin).
Surgery to correct obesity (known as bariatric surgery) is a solution for some obese people who cannot lose weight on their own or have severe obesity-related medical problems. Generally, surgery is recommended only for morbidly obese people (body mass index 40 or greater). This means men who are at least 100 pounds overweight and women who are at least 80 pounds overweight.
The numbers are stark. For the next 30 years, it is not enough for the millennial generation to adopt sustainable best practices. Their actions will push our national policy and economy toward sustained economic growth, improved human health and environmental sustainability. But to actually realize these results will require boomer generation engagement.
Walking is a great starting point for people who are elderly and overweight or obese. It’s gentler on the joints because it’s low impact and is equally as effective as a workout. “For burning calories and weight control, that’s just as valuable as going for runs or going to the gym,” says Dr. Cheskin. What matters most is how long you go for and how far, not how fast. If you go for a walk, even at a leisurely pace, you will still burn a good amount of calories, explains Dr. Cheskin.
To measure obesity, researchers commonly use a scale known as the body mass index (BMI). BMI is calculated by dividing a person’s weight (in kilograms) by their height (in meters) squared (commonly expressed as kg/m2). BMI provides a more accurate measure of obesity than weight alone, and for most people it is a fairly good (although indirect) indicator of body fatness. 
Children adopt the habits of their parents. A child who has overweight parents who eat high-calorie foods and are inactive will likely become overweight too. However, if the family adopts healthy food and physical activity habits, the child’s chance of being overweight or obese is reduced.
Let’s go shopping. We can start at Whole Foods Market, a critical link in the wholesome-eating food chain. There are three Whole Foods stores within 15 minutes of my house—we’re big on real food in the suburbs west of Boston. Here at the largest of the three, I can choose from more than 21 types of tofu, 62 bins of organic grains and legumes, and 42 different salad greens.
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.
One of the most serious health risks of obesity is cancer. Overweight women have increased risk of developing cancer of the uterus, gallbladder, cervix, ovary, breast, and colon. Overweight men are at higher risk for developing cancer of the colon, rectum, and prostate. One effective way to reduce the risks of these kinds of cancers is to lose weight through diet, exercise, a medical weight-loss program, or bariatric surgery.
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.
^ Jump up to: a b c d e f Woodhouse R (2008). “Obesity in art: A brief overview”. Front Horm Res. Frontiers of Hormone Research. 36: 271–86. doi:10.1159/000115370. ISBN 978-3-8055-8429-6. PMID 18230908.
Overweight and obesity are linked to more deaths worldwide than underweight. Globally there are more people who are obese than underweight – this occurs in every region except parts of sub-Saharan Africa and Asia.
When it comes to shedding pounds, men have an advantage: They lose weight faster and more easily than women do. Why? In this episode, Molly and Cristen examine the many variables that affect weight loss in general — and female weight loss in particular.
National Heart, Lung, and Blood Institute (NHLBI) (1998). Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (PDF). International Medical Publishing, Inc. ISBN 1-58808-002-1.
Buying voluntary offsets can and should be a regular part of the casual environmentalist’s lifestyle, just like recycling or carpooling. In this series, we’ll explore the voluntary carbon market, how to participate and why now is the time for action.
Sleep apnea is a condition in which a person has one or more pauses in breathing during sleep. A person who has sleep apnea may suffer from daytime sleepiness, difficulty focusing, and even heart failure.
If you are obese, you should have a primary-care physician who follows you closely and monitors you for the known complications of obesity such as diabetes, hypertension, and heart disease. The following are additional indications to see a health-care provider:
^ Jump up to: a b c d Poulain M, Doucet M, Major GC, Drapeau V, Sériès F, Boulet LP, Tremblay A, Maltais F (April 2006). “The effect of obesity on chronic respiratory diseases: pathophysiology and therapeutic strategies”. CMAJ. 174 (9): 1293–99. doi:10.1503/cmaj.051299. PMC 1435949 . PMID 16636330.
Obesity experts suggest that a key to preventing excess weight gain is monitoring fat consumption rather than counting calories, and the National Cholesterol Education Program maintains that only 30% of calories should be derived from fat. Only one-third of those calories should be contained in saturated fats (the kind of fat found in high concentrations in meat, poultry, and dairy products). Because most people eat more than they think they do, keeping a detailed food diary is a useful way to assess eating habits. Eating three balanced, moderate-portion meals a day—with the main meal at mid-day—is a more effective way to prevent obesity than fasting or crash diets. Exercise increases the metabolic rate by creating muscle, which burns more calories than fat. When regular exercise is combined with regular, healthful meals, calories continue to burn at an accelerated rate for several hours. Finally, encouraging healthful habits in children is a key to preventing childhood obesity and the health problems that follow in adulthood.
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.
Assess your weight loss since your last visit. A weight loss of approximately five percent in an overweight patient may improve the function of the fat tissue and help lower bad cholesterol and other substances that can predispose to complications.
Follow a healthy eating plan. Focus on low-calorie, nutrient-dense foods, such as fruits, vegetables and whole grains. Avoid saturated fat and limit sweets and alcohol. Eat three regular meals a day with limited snacking. You can still enjoy small amounts of high-fat, high-calorie as an infrequent treat. Just be sure to choose foods that promote a healthy weight and good health most of the time.
A chart review of 10 000 patients in seven family practice centres in the southeastern United States, where 45 patients (with an average age of 72 years and 30 of whom were women) were identified as having substantial, unexplained weight loss, showed that a comprehensive history and physical examination have the greatest potential for eliciting the cause or causes of weight loss.5 Information about potential physiologic, psychological and social factors (e.g., dementia, immobility, bereavement, low income, social isolation) may prove vital to determining the cause as well as to the outcome (Box 1). All current prescribed and over-the-counter medications should be reviewed.2

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Cancer: Obesity can increase your risk for certaincancers such as colon, endometrial, breast, and gallbladder. Obese and overweight women have two to four times the risk of developing endometrial cancer, regardless of their menopausal status.
This study was a follow up of a one-year lifestyle intervention (Villareal 2011a). The participants remained in the community, with no contact by study personnel, until the 30-month follow-up point. The investigators recruited the first half of the participants who were randomized to the weight loss group (n=13) and diet plus exercise group (n=13) from this previously reported life-style intervention (Villareal 2011a). Of the potential participants available for recruitment, ten (38%) were lost to follow-up. The remaining sixteen participants recruited into the study were representative of the original cohort with regard to age, gender, and other demographic characteristics. Outcomes of interest in the follow-up study were changes in body weight and composition, physical function, quality of life, insulin sensitivity, BMD, and renal and liver function. Participants also completed the Block Brief 2000 Food Frequency Questionnaire (FFQ) to quantify their average daily energy intake over the previous year. Participants were included if they completed at least three days of food records, submitted the FFQ, and had daily energy intakes of more than 500 kcal per day for women, and 800 kcal per day for men. At the 30-month follow-up compared to baseline, weight (101.5 ± 3.8 vs 94.5 ± 3.9 kg) and BMI (36.0 ± 1.7 vs 33.5 ± 1.7 kg/m2) remained significantly below baseline (all p<0.05). Fat free mass (56.7 ± 2.1 vs 56.9 ± 2.2 kg) and appendicular lean mass (24.1 ± 1.0 vs 24.1 ± 1.1kg) remained unchanged when compared to the 12-month point (end of trial) and the 30-month follow-up (all p>0.05). Improvements in the physical performance test (PPT 27 ± 0.7 vs 30.2 ± 0.6), insulin sensitivity (4.1 ± 0.8 vs 3.0 ± 0.6), and insulin area under the curve (12484 ± 2042 vs 9270 ± 1139 min.mg/dl) remained unchanged at 30 months compared to baseline (all p<0.05). Waist circumference and systolic blood pressure remained lower at 30 months compared to baseline (all p<0.05). Whole body and lumbar spine BMD did not change; however, total hip BMD progressively decreased from baseline to 30 months (0.985 ± .026 vs 0.941 ± .024 g/cm2; p<0.05). There were no adverse effects on liver or renal function. Thirteen participants met inclusion requirements for the dietary analysis. At baseline the average caloric intake was 2045 ± 178 kcal per day. At the 30-month follow-up, the FFQ estimated mean daily intake was 1427 ± 142 kcal per day. Overall, participants consumed an average of 619 ± 157 kcal per day less at 30 month follow-up compared to baseline (p<0.05). Doctors sometimes prescribe fluoxetine (Prozac), an antidepressant that can increase weight loss by about 10%. Weight loss may be temporary and side effects of this medication include diarrhea, fatigue, insomnia, nausea, and thirst. Weight-loss drugs currently being developed or tested include ones that can prevent fat absorption or digestion; reduce the desire for food and prompt the body to burn calories more quickly; and regulate the activity of substances that control eating habits and stimulate overeating. People who are overweight or obese often have health problems that may increase the risk for heart disease. These health problems include high blood pressure, high cholesterol, and high blood sugar. In addition, excess weight may cause changes to your heart that make it work harder to send blood to all the cells in your body. In the meantime, other countries in Latin America, among them Ecuador and Brazil, are seeking to borrow elements of Chile’s initiative. Dr. Carlos A. Monteiro, a professor of nutrition and public health at the University of São Paulo in Brazil, said leaders throughout the region could no longer ignore the rising medical costs of diet-related diseases like diabetes and hypertension. You may always have to remain vigilant about your weight. Combining a healthier diet and more activity in a practical and sustainable manner are the best ways to keep the weight you lost off for the long term. For those who don't have the time to make it to support groups, there are now many free or low-cost apps available for the iPhone, iPad, or Android, which help determine and track calories, nutrition, and calorie expenditure. Try LoseIt!, Weight Watchers Mobile, Restaurant Nutrition, 40:30:30, Diet Point, Noom Weight Loss Coach, FitBit, Fooducate, Diet Assistance, Calorie Counter PRO MyNet Diary, Amwell, MyFitnessPal, or 7-Minute Workout.  The key to successful long-term weight loss is to focus less on "dieting," which tends to be a short-term fix, and more on lifestyle changes, primarily healthy eating, and regular exercise. Your goal should be to make health, not appearance, your priority, meaning your weight loss lifestyle changes must include both diet and exercise. Smoking has a significant effect on an individual's weight. Those who quit smoking gain an average of 4.4 kilograms (9.7 lb) for men and 5.0 kilograms (11.0 lb) for women over ten years.[139] However, changing rates of smoking have had little effect on the overall rates of obesity.[140] "Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children" (PDF). National Institute for Health and Clinical Excellence(NICE). National Health Services (NHS). 2006. Retrieved April 8, 2009. "The dramatic increase has serious implications for the long-term health of those individuals and for the finances of our nation," says Rhonda Randall, a senior adviser to the United Health Foundation and chief medical officer at UnitedHealthcare Retiree Solutions, which sells Medicare Advantage plans. Maintaining your ideal body weight is a balancing act between food consumption and calories needed by the body for energy. You are what you eat. The kinds and amounts of food you eat affect your ability to maintain your ideal weight and to lose weight. To help the nation's 13 million obese seniors, the Affordable Care Act included a new Medicare benefit offering face-to-face weight loss counseling in primary care doctors' offices. It is free for patients, with no copay. But while Medicare now pays doctors to counsel their obese patients, only 50,000 people participated in 2013, the latest year for which data is available. Baby boomers are currently in mid-life and over the next several decades they will swell the ranks of those aged 65 and over. Their entry into this age group will have a significant impact in a number of areas but particularly in relation to the type and extent of health services required. Obesity is a major health issue for this cohort as its members are significantly over-represented in both the overweight and obese categories compared to the rest of the population. In addition, they are significantly more likely to have multiple risk factors. This review considers how alterations to lifestyle, initiated by the rapid social changes of the last half century, might have contributed to obesity within this cohort. In providing this broad overview it focuses on how increased affluence and changes to everyday institutions have affected the cultures around food consumption. This includes a consideration of both the internal and external ways in which eating environments are now constructed. This review suggests that further research is needed to identify the factors which facilitate or constrain healthy ageing in the baby boom cohort. Research along these lines also needs to consider both macro- and micro-level changes to the social context within which these factors arise. This is essential as the high levels of obesity in this cohort may reflect both an individual and a structural lag in adapting lifestyles and policies to meet the needs of this very different social environment. Some studies show that even a weight loss of 3 percent in older adults may significantly improve inflammation, blood pressure, cholesterol and blood sugar. However, the senior’s doctor should be consulted before beginning any weight loss program. Here are some typical suggestions for planned weight loss: By all means, let’s protect the environment. But let’s not rule out the possibility of technologically enabled improvements to our diet—indeed, let’s not rule out any food—merely because we are pleased by images of pastoral family farms. Let’s first pick the foods that can most plausibly make us healthier, all things considered, and then figure out how to make them environmentally friendly. Ephedra should not be used by anyone with a history of diabetes, heart disease, or thyroid problems. In fact, an article that appeared in the Journal of the American Medical Association in early 2003 advised against the use of ephedra. You can control many of these risk factors by changing your lifestyle. If you have obesity, your health care provider can help you begin a weight-loss program. A starting goal of losing 5% to 10% of your current weight will reduce your risk of developing diseases. Gaining weight as an adult increases the risk for several cancers, even if the weight gain doesn't result in overweight or obesity. It isn't known exactly how being overweight increases cancer risk. Fat cells may release hormones that affect cell growth, leading to cancer. Also, eating or physical activity habits that may lead to being overweight may also contribute to cancer risk. Any any age, successful, sustainable weight loss takes time. "It needs to be a permanent change" to reap the benefits, Beavers says. The Acostas, who still eat and exercise the way they did when they were enrolled in the program, learned that firsthand. "It becomes a life change," Elena Acosta says. "I could not go back to what I was doing before." Health problems associated with obesity are classified as either nonfatal or life threatening by the World Health Organization (2005). This section will discuss the consequences of obesity on both nonfatal and life-threatening health problems. Interventions to address these particular consequences will be discussed as each consequence is presented. Specific interventions to decrease obesity will be discussed in the following section titled, “Interventions to Address Obesity.” [redirect url='https://betahosts.com/bump' sec='7']

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The less you move around the fewer calories you burn. However, this is not only a question of calories. Physical activity has an effect on how your hormones work, and hormones have an effect on how your body deals with food. Several studies have shown that physical activity has a beneficial effect on your insulin levels – keeping them stable. Unstable insulin levels are closely associated with weight gain.
This entry was posted in Energy, Healthy Aging, Safety, Science News and tagged Bars, exercise, isalean, IsaLean Shake, IsaLean Soup, IsaPro, sarcopenia, seniors, Weight Loss by Isagenix Nutritional Sciences. Bookmark the permalink.
For those who are overweight or obese, losing weight may help reduce the risk of developing osteoarthritis. Weight loss of at least 5 percent of your body weight may decrease stress on your knees, hips, and lower back and lessen inflammation in your body.
Fabius encourages friends and family members to step in and help a loved one who is reluctant to seek medical assistance. He emphasizes that this should be done in a “compassionate manner, so they know you are trying to give them the best advice possible. That connectedness is vital.”
Researchers say current life expectancy predictions were based on obesity rates in 1988-1994, which was the midpoint of the obesity epidemic and included many older adults born in 1885-1976 who had much lower obesity rates over their lifetimes.
Obesity is the most important risk factor for sleep apnea. A person who is overweight may have more fat stored around his or her neck. This may make the airway smaller. A smaller airway can make breathing difficult or loud (because of snoring), or breathing may stop altogether for short periods of time. In addition, fat stored in the neck and throughout the body may produce substances that cause inflammation. Inflammation in the neck is a risk factor for sleep apnea.
Jump up ^ Basen-Engquist, Karen; Chang, Maria (16 November 2010). “Obesity and Cancer Risk: Recent Review and Evidence”. Current Oncology Reports. 13 (1): 71–76. doi:10.1007/s11912-010-0139-7. PMC 3786180 . PMID 21080117.
While there are other measures of obesity, including abdominal fat and waist circumference, researchers generally define it according to body mass index, or BMI. The BMI formula divides an individual’s weight by the square of height, then multiplies the result by 703. The math is not without controversy: Some health experts charge that for people with large muscle mass, the calculations may unfairly skew them into overweight or obese categories.
To find out how boomers’ health compared to that of previous generations, King and his team compared data from a government survey of health and nutrition collected from 2007 to 2010 for baby boomers and from 1988 and 1994 that measured the health of their parents’ generation. Participants were matched based on their ages when the surveys were collected, with an average age of about 54 years.
Obesity traditionally has been defined as a weight at least 20% above the weight corresponding to the lowest death rate for individuals of a specific height, gender, and age (ideal weight). Twenty to forty percent over ideal weight is considered mildly obese; 40-100% over ideal weight is considered moderately obese; and 100% over ideal weight is considered severely, or morbidly, obese. More recent guidelines for obesity use a measurement called BMI (body mass index) which is the individual’s weight multiplied by 703 and then divided by twice the height in inches. BMI of 25.9-29 is considered overweight; BMI over 30 is considered obese. Measurements and comparisons of waist and hip circumference can also provide some information regarding risk factors associated with weight. The higher the ratio, the greater the chance for weight-associated complications. Calipers can be used to measure skin-fold thickness to determine whether tissue is muscle (lean) or adipose tissue (fat).
2018 Healthline Media UK Ltd. All rights reserved. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional.
“Never,” declares Sir David Attenborough in the first episode of Blue Planet II, his latest hallucinatory swath of masterpiece nature television, “has there been a more crucial time to explore what goes on beneath the surface of the seas!” Attenborough is perorating from the prow of the research vessel Alucia as she plies indigo waters, blipping and whirring and swishing her sensors over the deep. “With revolutionary technology we can enter new worlds and shine a light on behaviors in ways that were impossible just a generation ago. We’ve also come to recognize an uncomfortable fact: The health of our oceans is under threat. They’re changing at a faster rate than ever before in human history.”
These tables give general ranges of healthy weights and overweight for adult height. The tables do not take into account individual conditions. For one thing, they do not distinguish fat from muscle, water, or bone. They are much less helpful than body mass index in identifying risk of health problems related to weight.
Being overweight or obese isn’t just a cosmetic issue. Both conditions put your health at risk and can contribute a number of diseases, including diabetes and cancer. That risk only increases in individuals who have a family history of health problems, have a sedentary lifestyle, smoke, or have an unhealthy diet.
Jump up ^ DiBaise JK, Zhang H, Crowell MD, Krajmalnik-Brown R, Decker GA, Rittmann (April 2008). “Gut microbiota and its possible relationship with obesity”. Mayo Clinic Proceedings (Review). 83 (4): 460–69. doi:10.4065/83.4.460. PMID 18380992.
In addition to this study, research published in the journal Nature Communications in 2015 suggests that weight loss is harder when we carry more fat. The scientists suggest that the more fat we carry, the more our bodies appear to produce a protein that blocks our ability to burn fat.
The guidelines are not really different whether weight-loss concerns younger or older adults. First, lifestyle changes are advised, including diet and exercise. In practice, not only calorie restriction but paying close attention to diet composition and an adequate amount of protein in the diet is recommended by many experts. This should always be done under the supervision of experienced physicians to ensure that no harm is done. Also, to counteract muscle loss due to aging, the American College of Sport Medicine guidelines recommend resistance training with muscle-strengthening exercise twice a week. In addition flexibility and balance exercises may be helpful in those at risk for falls. But keep in mind that any exercise regimen needs to be prescribed by a physician to ensure patient safety. In addition, older adults are commonly taking multiple medications. It’s important that physicians take a close look and replace any medications that are known to cause weight gain with other alternatives whenever possible.
Hanna, I. & Wenger, N. (2005). Secondary prevention of coronary heart disease in elderly patients. American Family Physician, 7, 2209-2296. Retrieved September 1, 2008, from www.aafp.org/afp/2005615/2289.html
Jump up ^ Hales, Craig M.; Carroll, Margaret D.; Fryar, Cheryl D.; Ogden, Cynthia L. (October 2017). “Prevalence of Obesity Among Adults and Youth: United States, 2015–2016”. NCHS data brief (288): 1–8. ISSN 1941-4927. PMID 29155689.
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.
Roberts recommends an adequate amount of daily protein: 1 gram of protein for each kg of body weight per day, minimum. Also try to up your protein intake a little more than the average person. Choose a diet that is low in fat and limited in starchy carbs to ensure you’re getting enough calories from the right kinds of foods.

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Papadakis MA, et al. Nutritional disorders. In: Current Medical Diagnosis & Treatment 2014. 53rd ed. New York, N.Y.: The McGraw-Hill Companies; 2014. http://www.accessmedicine.com. Accessed March 9, 2015
Once the family is working together to solve a mutual problem, the results are morelikely to be postive. As it is now, you and your mother are on one side against your father. This really isn’t helpful. The family as a unit can decide whether he needs to live in a different setting. A facility will use a hoyer lift to transfer him. You might look into buying or renting this device or other assistive devices as part of the family effort to deal successfully with this very complex issue.
For people who are considered obese (BMI greater than or equal to 30) or those who are overweight (BMI of 25 to 29.9) and have two or more risk factors, it is recommended that you lose weight. Even a small weight loss (between 5 and 10 percent of your current weight) will help lower your risk of developing diseases associated with obesity. People who are overweight, do not have a high waist measurement, and have fewer than two risk factors may need to prevent further weight gain rather than lose weight.
Several parts of your body, such as your stomach, intestines, pancreas, and fat tissue, use hormones to control how your brain decides if you are hungry or full. Some of these hormones are insulin, leptin, glucagon-like peptide (GLP-1), peptide YY, and ghrelin.
This is the perfect total body exercise for seniors, obese, plus size, and those with limited mobility. You may perform this exercise routine standing or sitting down. Choose the appropriate resistance for you ranging from a pair of light dumbbells to just a couple of water bottles.
To measure obesity, researchers commonly use a scale known as the body mass index (BMI). BMI is calculated by dividing a person’s weight (in kilograms) by their height (in meters) squared (commonly expressed as kg/m2). BMI provides a more accurate measure of obesity than weight alone, and for most people it is a fairly good (although indirect) indicator of body fatness. 
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.
Because the endocrine system produces hormones that help maintain energy balances in the body, the following endocrine disorders or tumors  affecting the endocrine system can cause overweight and obesity.
Assessment should establish the cause, and, if reversible, treat accordingly. When patients state their weight loss is the result of dieting, probe for lifestyle changes. Maintaining weight is difficult, and if the patient is keeping the pounds off easily, dieting may be a coincidental occurrence.
A hiatus hernia is an abnormality in which where part of the stomach protrudes through a defect in the diaphragm and up into the chest. This can increase the possibility of “reflux acid” into the oesophagus, causing heartburn and other symptoms. Obesity is a “risk factor” re. development of a hiatus hernia (Ref. http://bit.ly/wPv1w2).
Another dynamic may be at work, said Martin. Not only could the reported increases in disability reflect actual deteriorating health, but it could also reflect greater awareness of health conditions in the wake of more widespread diagnosis and treatment.

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Hormonal changes, a high-calorie diet and decreased activity causes weight gain in senior women. Weight gain also seems to shift, away from other problem areas, like the hips and legs, and to the midsection. Fortunately, a few lifestyle changes can promote weight loss and help you maintain a healthy weight.
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.
This mechanism was life-saving during our hunter-gatherer days when food was often scarce. However, the boom in plentiful, cheap food, coupled with a general decrease in physical activity, means that those stores of fat are rarely called on. Instead they continue to grow.
Don’t hold your breath. Exhale during the effort part of an exercise. Don’t do too many sit-ups as the weight of the chest may impede your breathing. An alternative position to the sit-up for the overweight exerciser, is to stand with both hands against the wall and round the back while contracting the abdomen.
Waist circumference (WC) is a more accurate predictor of the health problems. Although WC and BMI are related, WC provides an independent prediction of risk. It’s particularly useful in people who are categorized as normal or overweight on the BMI scale.
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Keum N, Greenwood DC, Lee DH, et al. Adult weight gain and adiposity-related cancers: a dose-response meta-analysis of prospective observational studies. Journal of the National Cancer Institute 2015; 107(2). pii: djv088.
Oct. 31, 2013 — As growing numbers of America’s baby boomers reach retirement, neuroscientists are expanding their efforts to understand and treat one of the leading health issues affecting this population: … read more
As with anyone, overweight and obesity can be issues for seniors, Campbell says. “People are living longer, so we’re seeing more of it in older adults.” And, she says, “As we get older, our calorie needs go down. People don’t need to eat as much as they did when they were 20 or 30.” Older women generally need anywhere from 1,600 to calories per day, depending how active they are, Campbell says, while younger women need about 1,800 to 2,200 daily. For older men, the range is 2,000 to 2,800 calories per day, compared with 2,200 to 3,200 calories for younger men.
The most effective treatment for obesity is bariatric surgery.[6] The types of procedures include laparoscopic adjustable gastric banding, Roux-en-Y gastric bypass, vertical-sleeve gastrectomy, and biliopancreatic diversion.[173] Surgery for severe obesity is associated with long-term weight loss, improvement in obesity related conditions,[177] and decreased overall mortality. One study found a weight loss of between 14% and 25% (depending on the type of procedure performed) at 10 years, and a 29% reduction in all cause mortality when compared to standard weight loss measures.[178] Complications occur in about 17% of cases and reoperation is needed in 7% of cases.[177] Due to its cost and risks, researchers are searching for other effective yet less invasive treatments including devices that occupy space in the stomach.[179]
Aging baby boomers are smoking and drinking less, but overweight and obesity are on the rise, according to a new report from the U.S. Census Bureau. That’s especially concerning when you consider the many other diseases and disabilities—including arthritis, type 2 diabetes, heart disease, and hindered mobility—that can come with excess body weight.
Obesity has reached epidemic proportions in the United States. Over two-thirds of adults are overweight or obese, and one in three Americans is obese. The prevalence of obesity in children has increased markedly. Obesity has also been increasing rapidly throughout the world, and the incidence of obesity nearly doubled from 1991 to 1998.
Most of the evidence about obesity in cancer survivors comes from people who were diagnosed with breast, prostate, or colorectal cancer. Research indicates that obesity may worsen several aspects of cancer survivorship, including quality of life, cancer recurrence, cancer progression, and prognosis (survival) (37, 38).
Obesity increases your risk of diabetes, heart disease, stroke, arthritis, and some cancers. If you have obesity, losing even 5 to 10 percent of your weight can delay or prevent some of these diseases. For example, that means losing 10 to 20 pounds if you weigh 200 pounds.
Obesity is defined simply as too much body fat. Your body is made up of water, fat, protein, carbohydrate and various vitamins and minerals. If you have too much fat — especially around your waist — you’re at higher risk for health problems, including high blood pressure, high blood cholesterol and diabetes.
Diabetes does not occur without any warning signs. Before someone’s blood sugar raises to a diabetic level, they will first develop prediabetes, a condition where blood sugar is elevated, but not yet high enough to be considered diabetes. 86 million adults, or 37 percent of the adult population, have prediabetes. Prediabetes is largely influenced by weight and age, which, as described above, are both on the rise.
Instead of a diet, focus on lifestyle changes that will improve your health and achieve the right balance of energy and calories. To lose weight, you need to burn more calories than you take in. You can do it by eating healthy foods in reasonable amounts and becoming more active. And you need to do it every day.
While policy guidelines suggest all adults get their heart rates up at least 150 minutes each week and strengthen their muscles twice a week, less than 8 percent of adults over age 70 do that, according to data from the Centers for Disease Control and Prevention. But exercise – and particularly resistance training – is especially important among older adults to keep muscles and bones healthy. Fortunately, many programs at community centers, in gyms and even online can help older adults learn to move in ways that benefit their quality of life, experts say. Joe Acosta, for one, finds doing body weight exercises like pushups every other day at home helps ward off back pain. Other people his age looking to lose weight, he says, “have to make up their minds that they’re going to be active.”

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Excessive weight can result in many serious, potentially life-threatening health problems, including hypertension, Type II diabetes mellitus (non-insulin dependent diabetes), increased risk for coronary disease, increased unexplained heart attack, hyperlipidemia, infertility, and a higher prevalence of colon, prostate, endometrial, and, possibly, breast cancer. Approximately 300,000 deaths a year are attributed to obesity, prompting leaders in public health, such as former Surgeon General C. Everett Koop, M.D., to label obesity “the second leading cause of preventable deaths in the United States.”
Obesity traditionally has been defined as a weight at least 20% above the weight corresponding to the lowest death rate for individuals of a specific height, gender, and age (ideal weight). Twenty to forty percent over ideal weight is considered mildly obese; 40-100% over ideal weight is considered moderately obese; and 100% over ideal weight is considered severely, or morbidly, obese. More recent guidelines for obesity use a measurement called BMI (body mass index) which is the individual’s weight multiplied by 703 and then divided by twice the height in inches. BMI of 25.9-29 is considered overweight; BMI over 30 is considered obese. Measurements and comparisons of waist and hip circumference can also provide some information regarding risk factors associated with weight. The higher the ratio, the greater the chance for weight-associated complications. Calipers can be used to measure skin-fold thickness to determine whether tissue is muscle (lean) or adipose tissue (fat).
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
In addition to this study, research published in the journal Nature Communications in 2015 suggests that weight loss is harder when we carry more fat. The scientists suggest that the more fat we carry, the more our bodies appear to produce a protein that blocks our ability to burn fat.
Take up a physical hobby like dancing, yoga, or water aerobics instead of — or in addition to — something sedentary like bingo or bridge. Keeping up the physical activity will help you keep the mobility you have and may even increase flexibility and range of movement. And you may even make some new friends.
Lean body mass declines at a rate of 0.3 kg/year (0.66 lb) beginning around the third decade of life. Because lean body mass tends to be replaced by fat, total body weight generally remains stable. Beginning around age 65 to 70, weight loss occurs at a rate of 0.1 to 0.2 kg/year as a result of changes in hormones regulating appetite and satiety, along with decreases in basal metabolic rates.6,8
Feed fats to beat the fat. As you decrease the amount of carbs, you can add a little more fat in the dog’s diet. Dietary fat is not the adipose tissue fat, and it does not make your dog (or you) gain extra layers of bodyfat. However, remember that fat in itself is higher in calories than carbs or protein, so only a small increase (if any) should be considered.
The most effective treatment for obesity is bariatric surgery.[6] The types of procedures include laparoscopic adjustable gastric banding, Roux-en-Y gastric bypass, vertical-sleeve gastrectomy, and biliopancreatic diversion.[173] Surgery for severe obesity is associated with long-term weight loss, improvement in obesity related conditions,[177] and decreased overall mortality. One study found a weight loss of between 14% and 25% (depending on the type of procedure performed) at 10 years, and a 29% reduction in all cause mortality when compared to standard weight loss measures.[178] Complications occur in about 17% of cases and reoperation is needed in 7% of cases.[177] Due to its cost and risks, researchers are searching for other effective yet less invasive treatments including devices that occupy space in the stomach.[179]
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.
Though there are medications available to treat appetite issues, Fabius isn’t a fan of many of them. However, he says there is pharmaceutical research in progress that could change that. “There are promising drugs in the pipeline that can stimulate appetite,” he says.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC’s accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.’s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).
“This is a social issue,” former president Bill Clinton told the audience at a recent summit on obesity, as he accepted an award for the work of his group, the Alliance for a Healthier Generation. “We are trying to turn the Titanic around before it hits the iceberg.”
Individuals with conditions or lifestyle factors that increase their risk of developing coronary heart disease, such as high blood pressure, diabetes, cigarette smoking, high blood cholesterol, or having family members with early onset heart attacks and coronary heart disease
Classes for the obese or seniors should be taught by an experienced yoga teacher adept at adapting the traditional poses for those students who are physically challenged. Many schools, such as the American Yoga Association, have developed programs that teach yoga exercises that can be done in chairs or even in bed. Yoga practitioners say even small movements can have beneficial effects, especially when coupled with deep breathing and instruction in relaxation and meditation.
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.
Osteoarthritis is a common joint condition that most often affects the knee, hip, and lower back joints. Carrying extra pounds places extra pressure on these joints and wear away the cartilage (tissue that cushions the joints) that normally protects them.
Certain health conditions became more prevalent from 1997 to 2010. Increasing proportions of people ages 40 to 64 attributed their need for help with daily activities or personal care to back or neck problems; other musculoskeletal conditions (problems with muscles or tendons, osteoporosis); diabetes; and depression, anxiety, or emotional problems. The share reporting nervous system conditions (including paralysis, Parkinson’s, and multiple sclerosis) also grew. People who reported these conditions said that the ailments started in their 30s to 40s.
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 are a number of physical, psychological, and emotional issues that can arise as a result of obesity. In some instances the consequences of obesity can be life threatening, which is why excessive weight problems should be addressed as soon as possible. Some of the possible consequences of obesity include:
First of all, he needs to be told bluntly that wife, son and daughter are not personal servants of any healthy man. Illness is a different case. He be told to attend to all the work himself, if he does not consider his overweight as problem, and he considers himself as healthy. I suggest all of you withdraw for about half a day, watch from a distance and let him feel the pinch. His thinking needs to be shaken first of all.
Updated by: Laura J. Martin, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
There are many senior food assistance programs available to older adults on a limited or fixed income to help with food delivery, including Meals on Wheels, Elderly Nutrition Program, and the Home-Delivered Nutrition program, which serves frail, homebound or isolated individuals who are age 60 or over. The Congregate Nutrition Program creates an environment for older adults to eat a congregate meal. Sharing meals with other adults can help increase food intake and food enjoyment, which benefits senior nutrition overall.

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Barrington WE, Schenk JM, Etzioni R, et al. Difference in association of obesity with prostate cancer risk between US African American and non-Hispanic white men in the Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA Oncology 2015; 1(3):342-349.
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.
Cushing’s syndrome is a condition in which the body’s adrenal glands make too much of the hormone cortisol. Cushing’s syndrome also can develop if a person takes high doses of certain medicines, such as prednisone, for long periods. People who have Cushing’s syndrome gain weight, have upper-body obesity, a rounded face, fat around the neck, and thin arms and legs.
The job of implementing the rules falls to a group of technical advisers who gather weekly at the Ministry of Health and provide guidance on whether a snack company should remove the dancing cat logo from cookie packages or whether an adult‘s voice should replace the small, childlike one hawking corn chips on a radio spot.
When you are looking for a good reference point for senior nutrition and weight loss guide, sifting through all the media and find the right source of information can prove a challenge. These days, anyone feels like they can make dietary recommendations, but it’s important to ensure that your senior nutrition is well-rounded, and that you understand when weight loss might be appropriate, and when weight loss might indicate a decline in health for your elderly loved one.
Gout is one of the more painful health risks of obesity. Gout is a joint disease caused by high levels of uric acid in the blood. Uric acid sometimes forms into solid stone or crystal masses that become deposited in the joints. Gout is more common in overweight people, and the risk of developing the disorder increases with higher body weights. (Note: Over the short term, some diets may lead to an attack of gout in people who have high levels of uric acid or who have had gout before. If you have a history of gout, check with your doctor or other health professional before trying to lose weight.)
Ironically, weight loss itself, particularly rapid weight loss or loss of a large amount of weight, can make you more likely to get gallstones. Losing weight at a rate of about 1 pound a week is less likely to cause gallstones.
Nutritional supplements are predominantly available in liquid form, but also come in puddings, bars, and soups. Nutritional supplements should provide extra calories but not replace scheduled meals. Liquid oral supplements allow for rapid gastric emptying and can be given two hours before a meal.29 Flavor enhancers such as ham, natural bacon, and roast beef flavors sprinkled on cooked food or added during food preparation may improve food consumption and weight gain, but study results have been mixed.32–34
Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.
The researchers who conducted the earlier CDC study suggested that public health efforts and aggressive treatments aimed at preventing chronic diseases had greatly reduced the obesityobesity-related death risk.
Jump up ^ Poirier P, Giles TD, Bray GA, Hong Y, Stern JS, Pi-Sunyer FX, Eckel RH (May 2006). “Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss”. Arterioscler. Thromb. Vasc. Biol. (Review). 26 (5): 968–76. doi:10.1161/01.ATV.0000216787.85457.f3. PMID 16627822.
Diagnosis of obesity is made by observation and by comparing the patient’s weight to ideal weight charts. Many doctors and obesity researchers refer to the body mass index (BMI), which uses a height-weight relationship to calculate an individual’s ideal weight personal risk of developing obesity-related health problems. Physicians may also obtain direct measurements of an individual’s body fat content by using calipers to measure skin-fold thickness at the back of the upper arm and other sites. The most accurate means of measuring body fat content involves immersing a person in water and measuring relative displacement; however, this method is very impractical and is usually only used in scientific studies requiring very specific assessments. Women whose body fat exceeds 30% and men whose body fat exceeds 25% are generally considered obese.
Over the short term, certain dietary changes may lead to an attack of gout in people who have high levels of uric acid or who have had gout before. If you have a history of gout, check with your doctor before trying to lose weight.
What makes you overeat? Coffee break at work? Going out with friends? Watching TV? Late-afternoon energy lag? Late-night sweet tooth? Are you the one who finishes the last serving of dinner just so there won’t be any leftovers? Do you eat high-calorie fast foods or snacks because you don’t have time or energy to cook? Having some insight into your overeating habits helps you to avoid your problem situations and reach your weight goal.
One of the things seniors often struggle most with is flexibility, and it can be tough to know how to improve this. Yoga or Pilates are great ways to safely do this – as long as you find a teacher who understands the needs of older people.
Obesity is associated with a modest risk for developing rheumatoid arthritis (RA). Given the rapidly increasing prevalence of obesity, this has had a significant impact on RA incidence and may account for much of the recent increase in the incidence of RA.A
Non-prescription orlistat (Alli). Orlistat inhibits fat absorption in the intestine. Until recently, this medication was only available by prescription (Xenical). The over-the-counter medicine is sold at a lower dose than Xenical. But the active ingredient is the same.
The researchers wanted to see what combination of exercise, along with dieting for weight loss, might be best. They randomly assigned 160 obese and sedentary adults, age 65 or older, to one of four groups: weight loss and aerobic training; weight loss and resistance training; or weight loss and a combination of both types of exercise. The fourth group served as controls and didn’t exercise or try to lose weight.
Gaining a few pounds during the year may not seem like a big deal. But these pounds can add up over time. How can you tell if your weight could increase your chances of developing health problems? Knowing two numbers may help you understand your risk: your body mass index (BMI) score and your waist size in inches.
The answers to these questions may reveal important clues about the cat’s weight loss. For example, in some households, pets compete for food, and underfeeding results. Clients may feed a weight-loss diet and continue it even after an optimal weight has been achieved. An arthritic or visually impaired cat may not be able to make it to food bowls that are difficult to access, such as on a countertop or in a dark basement. And an inability to smell food, the administration of certain medications, or a systemic illness can result in a decreased appetite, even in cats being fed a high-quality, palatable food.
During 12 years of follow-up, we observed 1035 incident CVD events and 1902 overall deaths. Obesity was associated with an increased risk of CVD among men (HR 1.57 (95% confidence interval (CI) 1.17, 2.11)) and women (HR 1.49 (95% CI 1.19, 1.86)), compared with normal weight individuals. Overweight and obesity were not associated with mortality in men and women without CVD. Among men with CVD, obesity compared with normal weight, was associated with a lower risk of mortality (HR 0.67 (95% CI 0.49, 0.90)). Overweight and obesity did not influence total life expectancy. However, obesity was associated with 2.6 fewer years (95% CI −4.8, −0.4) lived free from CVD in men and 1.9 (95% CI −3.3, −0.9) in women. Moreover, men and women with obesity lived 2.9 (95% CI 1.1, 4.8) and 1.7 (95% CI 0.6, 2.8) more years suffering from CVD compared with normal weight counterparts.
Other companies and research labs are trying to turn out healthier, more appealing foods by enlisting ultra-high pressure, nanotechnology, vacuums, and edible coatings. At the University of Massachusetts at Amherst’s Center for Foods for Health and Wellness, Fergus Clydesdale, the director of the school’s Food Science Policy Alliance—as well as a spry 70-something who’s happy to tick off all the processed food in his diet—showed me labs where researchers are looking into possibilities that would not only attack obesity but also improve health in other significant ways, for example by isolating ingredients that might lower the risk of cancer and concentrating them in foods. “When you understand foods at the molecular level,” he says, “there’s a lot you can do with food and health that we’re not doing now.”
As you keep track of calories, look at whether you skip meals, when you eat, how often you eat out, and how many fruits and vegetables you eat. Keep track of when you eat beyond feeling full and if you eat for reasons other than being hungry. This will help you see patterns that you may want to change.
“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.”

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Scientific research has shown that increasing low intensity exercise produces a very low risk of injury to the heart of muscle skeletal system. A light- to moderate–intensity activity, such as 5 to 15 minutes of walking per session, 2 to 3 times a week.
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).
What impact will a new administration have on health care? How will access to health care change? Join our sit-down breakfast panel discussion followed by Q&A from the audience. Panelists listed below.
Exercise is important no matter the dog’s age. It might be difficult for your dog to get up and go for a walk if he is overweight and suffering from joint pains due to extra weight but every little counts. Even if you just play fetch for a few minutes, it will have a positive effect on your dog’s journey to weight-loss.
Diet is an important factor in shaping the gut ecosystem. A diet of highly processed foods, for example, has been linked to a less diverse gut community in people. Gordon’s team demonstrated the complex interaction among food, microbes and body weight by feeding their humanized mice a specially prepared unhealthy chow that was high in fat and low in fruits, vegetables and fiber (as opposed to the usual high-fiber, low-fat mouse kibble). Given this “Western diet,” the mice with obese-type microbes proceeded to grow fat even when housed with lean cagemates. The unhealthy diet somehow prevented the virtuous bacteria from moving in and flourishing.
Enlisting support. Get your family and friends on board with your weight-loss goals. Surround yourself with people who will support you and help you, not sabotage your efforts. Make sure they understand how important weight loss is to your health. You might also want to join a weight-loss support group.
Gallup data indicate more than half (53%) of today’s baby boomers (U.S. adults aged 39 to 57) perceive themselves to be either “very” or “somewhat” overweight. This percentage is significantly higher than it is for either the 18- to 39-year-old cohort (30%) or the 75+ year-old cohort (30%), although it is very similar to the percentage for the 58- to 74-year-old category (56%).
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Medication treatment of obesity should be used only in patients who have health risks related to obesity. Medications should be used in patients with a BMI greater than 30 or in those with a BMI of greater than 27 who have other medical conditions (such as high blood pressure, diabetes, high blood cholesterol) that put them at risk for developing heart disease. Medications should not be used for cosmetic reasons.
Simply call us at (866- 363- 0072) to learn more about in-home care, respite care, and other services on this site, or use our local office finder to locate a Comfort Keepers franchise near you. Our professional staff will be happy to explain our customizable in-home care options.
If you are considered to be overweight, losing as little as 5 percent of your body weight may lower your risk for several diseases, including heart disease and type 2 diabetes. If you weigh 200 pounds, this means losing 10 pounds. Slow and steady weight loss of 1/2 to 2 pounds per week, and not more than 3 pounds per week, is the safest way to lose weight.
Some people have less access to stores and supermarkets that sell healthy, affordable food such as fruits and vegetables, especially in rural, low-income neighborhoods and communities of color. Supermarket access is associated with a reduced risk for obesity. Choosing healthy foods is difficult for parents who live in areas with an overabundance of unhealthy options like convenience stores and fast food restaurants.

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A condition in women characterized by irregular or no menstrual periods, acne, obesity, and excess hair growth. PCOS is a disorder of chronically abnormal ovarian function and hyperandrogenism (abnormally elevated androgen levels).
Involuntary weight loss is a predictor of mortality. Studies report that 9% to 38% of people die within 1 to 2½ years following weight loss.1,2 Increased hospitalizations, in-hospital complications, increased risk for institutionalization, increased comorbidities, delayed recovery from injury, delayed wound healing, increased falls, decreased functional abilities, and an overall poorer quality of life are consequences of involuntary weight loss.2,3,8 Mortality is 4 times higher for those with a 5% weight loss within 1 month.6
A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. For information about the SORT evidence rating system, go to https://www.aafp.org/afpsort.
While not a dramatic increase in percentage terms, she described the trend as meaningful in terms of numbers of people. The 1 percent increase represents about 365,000 more people who are having difficulty or who are unable to carry out basic personal care activities and daily tasks central to living independently, she calculated.
Also, being overweight may result in an enlarged gallbladder that doesn’t function normally. An individual’s risk of many diseases increases with weight, so losing weight now through diet, exercise, a medical weight-loss program, or bariatric surgery translates into a lower risk for gallstones and gallbladder disease.
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.
(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.
44. Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB: Sexual function in men older than 50 years of age: results from the health professionals follow-up study. Ann Intern Med 2003; 139: 161– 168 [PubMed]
“The best way to improve functional status and reverse frailty in older adults with obesity is by means of diet and regular exercise using a combination of resistance and aerobic exercise training,” said study leader Dr. Dennis Villareal. He’s a professor of medicine at Baylor College of Medicine in Houston.
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.
Having obese residents increases health risks, and excess weight can also mean loss of mobility for residents, meaning they require crutches, walkers or wheelchairs. This limited ability to exercise or walk increases health risks, not to mention round-the-clock patient care.
It’s time for some straight talk: You weigh more than 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.
“Despite their longer life expectancy over previous generations, U.S. baby boomers have higher rates of chronic disease, more disability and lower self-rated health than members of the previous generation at the same age,” wrote the study’s authors, led by Dr. Dana E. King, professor and chair of family medicine at West Virginia University in Morgantown.

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Offer all help and support to him to help him reduce weight, get him examined and treated medically, if necessary. Call a nutritionist and let him explain all things desired to reduce weight. Let you support him fully in the period.
After the pounds have melted off, you cannot go back to the old diet as the weight will come back again. Continue monitoring your dog’s weight on a bi-weekly basis. You may need to make some adjustments after the ideal weight has been reached. Consult with your vet for the maintenance diet for your senior pet, and be sure to weigh the food you give per day to make tweaking amounts easier in case of future weight gain.
Trim, affluent Americans of course have a right to view dietary questions from their own perspective—that is, in terms of what they need to eat in order to add perhaps a few months onto the already healthy courses of their lives. The pernicious sleight of hand is in willfully confusing what might benefit them—small, elite minority that they are—with what would help most of society. The conversations they have among themselves in The Times, in best-selling books, and at Real Food Daily may not register with the working-class obese. But these conversations unquestionably distort the views of those who are in a position to influence what society does about the obesity problem.
You may sometime hear about grandpa that smoked all his life and is still doing just fine. It doesn’t mean that smoking does not affect people’s health. While everybody else has died from cancer or other lung diseases at a younger age, grandpa is now older and doing well while still smoking like a chimney, as he may just happen to have a sort of resistance to the harmful effects of smoking. This may explain the “obesity paradox” and why some older adults affected by obesity seem to do better than their normal weight counterparts. This said, there is no final word on whether overweight and obesity are protective in the older population and more studies are needed. Nevertheless, reluctance is sometimes seen in implementing weight-loss regimens in the elderly, and it may be due at least in part to these uncertainties.
Here’s “the tell it like it is” projection for Medicare costs. Medicare spending is projected to grow four times faster between now and 2024 than it grew between 2010 and 2014. Medicare spending is projected to grow almost a full percentage faster than our country’s economy.
Literally. The more flexible you are, the more you will enjoy any physical activity you do and the less chance you’ll have of hurting yourself, says Rami Aboumahadi, a nationally certified personal trainer. And at 60+, a less active lifestyle and an increase in aches and pains can make your flexibility plummet. Consider taking a yoga class or even simply adding a few stretches to your day, particularly after you’ve taken a walk or warmed up your muscles in some other way. Get started with these 6 feel-good yoga stretches.
Obesity treatment must acknowledge that even modest weight loss can be beneficial. For example, a modest weight loss of 5%-10% of the initial weight, and long-term maintenance of that weight loss can bring significant health gains, including
Beyond that it’s a good idea to pick a multivitamin for your specific age group. Multivitamins that are marketed to seniors or adults over 50 years old usually contain more calcium and vitamins D and B12 with less iron. Ask your doctor if you need to supplement specific vitamins or minerals in addition to what’s in your multivitamin. Seniors are commonly deficient in vitamin D, for example. And of course, try to get most of your nutrients from healthy foods, such as whole grains, fruits and vegetables, nuts and seeds and lean meat, poultry and fish.
Inflammatory markers in particular have received much attention since the discovery in the 1990’s that adipocytes act as an endocrine organ (Forsythe 2008). It is now widely accepted that weight gain results in adipocyte hypertrophy, which leads to an increased in obesity-related inflammatory markers such as leptin, TNF-a, IL-6, while weight loss results in a decrease in these markers (Forsythe 2008). It is also known that adipocytes are not the only source of inflammatory molecules, with macrophages and muscle also secreting these molecules (Cao 2011). The complex interplay of weight loss and exercise with inflammatory cytokines, growth factors, and regulatory pathways discussed in this review are represented in Figure 2.
Most people are familiar with weight-for-height tables. Although such tables have existed for a long time, in 1943, the Metropolitan Life Insurance Company introduced their based on policyholders’ data to relate weight to disease and mortality. Doctors and nurses (and many others) have used these tables for decades to determine if someone is overweight. The tables usually have a range of acceptable weights for a person of a given height.
Goodwin PJ, Segal RJ, Vallis M, et al. Randomized trial of a telephone-based weight loss intervention in postmenopausal women with breast cancer receiving letrozole: the LISA trial. Journal of Clinical Oncology 2014; 32(21):2231-2239.
Sadly, Wilhelm’s father’s condition wasn’t treatable, and he passed away a few months after being diagnosed with terminal cancer; but not before Wilhelm spent her weekends being his caregiver. “Taking care of my father was not easy on my new marriage, or myself,” she says, “but I would not change a thing. I did what would make my father the happiest. We have to make sacrifices for family.”
In addition to helping you to lose a substantial amount of weight quickly, bariatric surgery can have a significant impact on obesity health problems.  When evaluating the effect of surgery on obesity health issues, research has found the following (7):
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.
Developments in medical research may impact the health, fitness and nutritional advice that appears here. No assurance can be given that the advice contained on HASfit will always include the most recent findings or developments with respect to the particular material.
Lisa Esposito is a Patient Advice reporter at U.S. News. She covers health conditions, drawing on experience as an RN in oncology and other areas and as a research coordinator at the National Institutes of Health. Esposito previously reported on health care with Gannett, and she received her journalism master’s degree at Georgetown University. You can follow her on Twitter, connect with her on LinkedIn or email her at lesposito@usnews.com.
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.
Television food shows routinely feature revered chefs tossing around references to healthy eating, “wellness,” and farm-fresh ingredients, all the while spooning lard, cream, and sugar over everything in sight. (A study published last year in the British Medical Journal found that the recipes in the books of top TV chefs call for “significantly more” fat per portion than what’s contained in ready-to-eat supermarket meals.) Corporate wellness programs, one of the most promising avenues for getting the population to adopt healthy behaviors, are falling prey to this way of thinking as well. Last November, I attended a stress-management seminar for employees of a giant consulting company, and listened to a high-powered professional wellness coach tell the crowded room that it’s okay to eat anything as long as its plant or animal origins aren’t obscured by processing. Thus, she explained, potato chips are perfectly healthy, because they plainly come from potatoes, but Cheetos will make you sick and fat, because what plant or animal is a Cheeto? (For the record, typical potato chips and Cheetos have about equally nightmarish amounts of fat calories per ounce; Cheetos have fewer carbs, though more salt.)
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]
When my father’s final hour came, Wilhelm says, “I kissed my father on the cheek and told him I loved him. He grunted so I knew he heard me.” Saying goodbye, she says, was heartbreaking, especially knowing that there may have been more doctors could have done to help her father (at least before the cancer had spread).
Eating too much or eating too little during your pregnancy can change your baby’s DNA and can affect how your child stores and uses fat later in life. Also, studies have shown that obese fathers have DNA changes in their sperm that can be passed on to their children.
If you are more than 20% overweight then most likely your health would benefit greatly from 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:
JoAnn Manson, MD, chief of preventive medicine at Harvard University’s Brigham and Women’s Hospital, and her Harvard colleagues took a look at last year’s CDC findings soon after they were published. They excluded smokers and people who might have already been ill when enrolled in the trial.
BMI is frequently used in population studies because of its ease of determination and well-supported association with mortality and health effects. However, other measures of excess adipose tissue, such as waist circumference, waist-to-hip ratio and others are also used. Individuals may need to use additional factors to assess their individual risk including family history, level of physical activity, smoking and dietary habits.
Excessive body weight is associated with various diseases and conditions, particularly cardiovascular diseases, diabetes mellitus type 2, obstructive sleep apnea, certain types of cancer, osteoarthritis[2] and asthma.[2][30] As a result, obesity has been found to reduce life expectancy.[2]
Brain. Several medicines change the way the brain regulates the urge to eat, which can help to decrease appetite. Some examples of these medicines are diethylpropion, phendimetrazine, lorcaserin, naltrexone/bupropion, and liraglutide.
Under-nutrition and obesity often exist side-by-side within the same country, the same community and even within the same household and this double burden is caused by inadequate pre-natal, infant and young child nutrition followed by exposure to high-fat, energy-dense, micronutrient-poor foods and lack of physical activity.
Commonly referred to as GERD or acid reflux, is a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. The liquid can inflame and damage the lining (cause esophagitis) of the esophagus although visible signs of inflammation occur in a minority of patients.