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Sexual function may also be affected by obesity. Data from the Health Professionals Follow-Up Study, (26) the National Health and Nutrition Examination Survey (NHANES), (27) and the Massachusetts Male Aging Study (28) indicate that the odds of developing erectile dysfunction increase with increasing BMI. Of note, weight loss appears to be mildly helpful in maintaining erectile function. (29) The effect of obesity on female sexual function is less clear. In a recent French study, obese women were less likely than normal-weight women to report having had a sexual partner in the preceding 12 months, but the prevalence of sexual dysfunction was similar in both groups. (30) In a smaller survey of 118 women, Esposito and colleagues found that obese women had lower scores on the Female Sexual Function Index, with strong correlations between increasing BMI and problems with arousal, lubrication, orgasm, and satisfaction. (31)

Treatment for overweight and obesity depends on the cause and severity of your condition. Possible treatments include healthy lifestyle changes, behavioral weight-loss treatment programs, medicines, and possibly surgery. You may need treatments for any complications that you have.

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.

In other words, most of our life-threatening health problems are associated with excess weight. Shedding those extra pounds will not only help you look good, more importantly, it will help prevent serious medical conditions.

The study also ranked states on the health of their current senior populations. Massachusetts topped the list, jumping to No. 1 from the No. 6 ranking it had the last time the rankings were calculated. Vermont slipped to No. 2.

Jump up ^ Corona, G; Rastrelli, G; Filippi, S; Vignozzi, L; Mannucci, E; Maggi, M (2014). “Erectile dysfunction and central obesity: an Italian perspective”. Asian Journal of Andrology. 16 (4): 581–91. doi:10.4103/1008-682X.126386. PMC 4104087 . PMID 24713832.

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):

Manson JE, Colditz GA, Stampfer MJ, Willett WC, Rosner B, Monson RR, Speizer FE, Hennekens CH.; “A prospective study of obesity and risk of coronary heart disease in women.” N Engl J Med. 1990 Mar 29;322(13):882-9.

Many organizations have published reports pertaining to obesity. In 1998, the first US Federal guidelines were published, titled “Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report”.[158] In 2006 the Canadian Obesity Network published the “Canadian Clinical Practice Guidelines (CPG) on the Management and Prevention of Obesity in Adults and Children”. This is a comprehensive evidence-based guideline to address the management and prevention of overweight and obesity in adults and children.[81]

Jump up ^ Aune, D; Norat, T; Vatten, LJ (December 2014). “Body mass index and the risk of gout: a systematic review and dose-response meta-analysis of prospective studies”. European Journal of Nutrition. 53 (8): 1591–601. doi:10.1007/s00394-014-0766-0. PMID 25209031.

When it comes to taking supplements, you can either take the main three individually or look into multivitamins. Many companies do senior-focused multivitamins, designed with proportions that are right for your needs.

Diabetes disproportionately affects older adults; a staggering 25 percent of adults age 60 and older have the disease. Without a significant strategy change in the public or private sectors, population growth on top of skyrocketing medical costs and an aging population will add an unbearable strain to an already overburdened healthcare system. These grim numbers accentuate the growing need for new strategies that will not simply react to the disease and manage symptoms, but prevent the disease from happening.

Gastric cardia cancer: People who are obese are nearly twice as likely as normal-weight people to develop cancer in the upper part of the stomach, that is, the part that is closest to the esophagus (10).

Chavarro JE, Toth TL, Wright DL, Meeker JD, Hauser R. Body mass index in relation to semen quality, sperm DNA integrity, and serum reproductive hormone levels among men attending an infertility clinic.Fertil Steril. 2010; 93:222231.

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.

Disability levels among older Americans declined steadily during the 1980s and 1990s. This decline was hailed as one of the most significant advances in the health and well-being of Americans in the last quarter of the 20th century. Contributing to the decline were both a drop in the incidence of disability and a rise in the chance of recovery from a disabling condition.

Lack of access to healthy foods. Some people don’t live in neighborhoods with supermarkets that sell healthy foods, such as fresh fruits and vegetables. Or, for some people, these healthy foods are too costly.

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:

Often, you’ll be able to find senior-focused classes offered at local swimming pools, but if not, even just starting off by walking around the pool and doing some mild stretches can make a huge differences.

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]

Like many other medical conditions, obesity is the result of an interplay between genetic and environmental factors.[118] Polymorphisms in various genes controlling appetite and metabolism predispose to obesity when sufficient food energy is present. As of 2006, more than 41 of these sites on the human genome have been linked to the development of obesity when a favorable environment is present.[119] People with two copies of the FTO gene (fat mass and obesity associated gene) have been found on average to weigh 3–4 kg more and have a 1.67-fold greater risk of obesity compared with those without the risk allele.[120] The differences in BMI between people that are due to genetics varies depending on the population examined from 6% to 85%.[121]

To be sure, many of Big Food’s most popular products are loaded with appalling amounts of fat and sugar and other problem carbs (as well as salt), and the plentitude of these ingredients, exacerbated by large portion sizes, has clearly helped foment the obesity crisis. It’s hard to find anyone anywhere who disagrees. Junk food is bad for you because it’s full of fat and problem carbs. But will switching to wholesome foods free us from this scourge? It could in theory, but in practice, it’s hard to see how. Even putting aside for a moment the serious questions about whether wholesome foods could be made accessible to the obese public, and whether the obese would be willing to eat them, we have a more immediate stumbling block: many of the foods served up even glorified by the wholesome-food movement are themselves chock full of fat and problem carbs.

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.

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.

33. Mathey MF, Siebelink E, de Graaf C, et al. Flavor enhancement of food improves dietary intake and nutritional status of elderly nursing home residents. J Gerontol A Biol Sci Med Sci. 2001;56(4):M200–M205.

She says the decrease in smoking shows that it’s possible to change health behaviors, noting that doctors, public health professionals and policymakers used a variety of strategies simultaneously to reduce smoking.

“There are not many studies of weight loss among the elderly. It’s a rich and fertile area,” says Dr. Adam Bernstein, research director at the Cleveland Clinic’s Wellness Institute. “The prescription would not be the same for a middle-aged person or youth.” Bernstein, who was not involved in the report, says it is possible for older men and women to lose weight, though doctors are likely to immediately focus on the consequences of excess body fat, like high blood pressure and erratic blood sugar. “If the clinician makes the determination a person is overweight and no other comorbid conditions, then what seems appropriate is a diet and exercise plan,” he says.

Oral nutritional supplements can be quite beneficial in preventing or reversing weight loss among elderly adults. Beverages such as Ensure are high in calories and nutrients, and are very convenient for seniors who have a limited ability to prepare nutritious meals. Seniors may need assistance from caregivers or family members to consistently supplement their nutrition so as to achieve maximum benefit.

“We want to address the problem head-on,” he said. “Obesity creates incredible public health problems. We want to make BMI another vital sign, like blood pressure. Even if you’re just coming in because you have a cold, your BMI will be measured and tracked.

“I’m elated and horrified at the same time,” said Jim Walsh, a senior research associate at the MIT Security Studies Program and a board member of the Center for Arms Control and Non-Proliferation. “Elated because the parties are talking; horrified by the prospect of the two most unusual leaders in the world together in a room—what could possibly go wrong?”

The thrifty gene hypothesis postulates that, due to dietary scarcity during human evolution, people are prone to obesity. Their ability to take advantage of rare periods of abundance by storing energy as fat would be advantageous during times of varying food availability, and individuals with greater adipose reserves would be more likely to survive famine. This tendency to store fat, however, would be maladaptive in societies with stable food supplies.[126] This theory has received various criticisms, and other evolutionarily-based theories such as the drifty gene hypothesis and the thrifty phenotype hypothesis have also been proposed.[127][128]

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Order blood tests to screen for complications. A lipid panel test can check if you have high cholesterol or triglyceride levels in your blood. A liver function test can determine if your liver is working properly. A fasting glucose test can find out if you have prediabetes or diabetes.
… Conclusions: WC, and not BMI, explains obesity-related health risk. Thus, for a given WC value, overweight and obese persons and normal-weight persons have comparable health risks. However, when WC is dichotomized …
According to a study published by the National Institute of Health (NIH) options for oral nutrition support should be considered for any patient taking inadequate food and fluid to meet their requirements. The study lists options, such as nutritionally complete pre-packaged drinks. The Ensure drink is one example.
“I never really paid attention to labels,” Patricia Sánchez, 32, an accountant and mother of two, said as she filled her shopping cart at a Santiago supermarket, with occasional help from her 7-year-old daughter. “But now they kind of force you to pay attention. And if I don’t notice, my kids do.”
Strokes: Being overweight or obese can lead to a buildup of plaque in your arteries. This causes blood clots to form, which can eventually reach the blood stream and then vital organs such as the brain or the heart, blocking blood flow and producing a stroke.
According to the National Institute of Health, the percentage of those seniors entering nursing homes who are moderate and severely obese — with a body mass index of 35 or greater — has risen sharply, to nearly 25% in 2010 from 14.7% in 2000, according to a recent study, and many signs suggest the upward trend is continuing.
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.
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.
A 2006 review identified ten other possible contributors to the recent increase of obesity: (1) insufficient sleep, (2) endocrine disruptors (environmental pollutants that interfere with lipid metabolism), (3) decreased variability in ambient temperature, (4) decreased rates of smoking, because smoking suppresses appetite, (5) increased use of medications that can cause weight gain (e.g., atypical antipsychotics), (6) proportional increases in ethnic and age groups that tend to be heavier, (7) pregnancy at a later age (which may cause susceptibility to obesity in children), (8) epigenetic risk factors passed on generationally, (9) natural selection for higher BMI, and (10) assortative mating leading to increased concentration of obesity risk factors (this would increase the number of obese people by increasing population variance in weight).[85] While there is evidence supporting the influence of these mechanisms on the increased prevalence of obesity, the evidence is still inconclusive, and the authors state that these are probably less influential than the ones discussed in the previous paragraph.
Changes in dietary and physical activity patterns are often the result of environmental and societal changes associated with development and lack of supportive policies in sectors such as health, agriculture, transport, urban planning, environment, food processing, distribution, marketing, and education.
Obesity is known to cause heart disease, stroke, diabetes and certain cancers. Developing any of these illnesses and diseases can have debilitating results, including loss of employment, inability to cover medical costs and care, and disability. Savings can be wiped out, causing tremendous financial hardships — at a time when unemployment is at an all time high. And, to compound the problem, many Americans are living without health insurance, which is a huge financial risk in and of itself.
The Methodist Weight Management Program at Methodist Dallas Medical Center offers an all-encompassing approach to weight loss that ensures patients have ongoing support and medical follow-up whether they opt for a non-surgical to weight loss or weight-loss surgery.
Jump up ^ Sacks G, Swinburn B, Lawrence M (January 2009). “Obesity Policy Action framework and analysis grids for a comprehensive policy approach to reducing obesity”. Obes Rev. 10 (1): 76–86. doi:10.1111/j.1467-789X.2008.00524.X. PMID 18761640.
The first step to reaching your ideal weight is knowing what that weight is. You may feel too heavy or to thin but actually be at a healthy weight. One way to compare your weight to your height is through the body mass index, or BMI. BMI may be used to screen for health problems, according to the Centers for Disease Control and Prevention (CDC), but it is not a health diagnostic.
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.

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The health concerns raised about processing itself—rather than the amount of fat and problem carbs in any given dish—are not, by and large, related to weight gain or obesity. That’s important to keep in mind, because obesity is, by an enormous margin, the largest health problem created by what we eat. But even putting that aside, concerns about processed food have been magnified out of all proportion.

Harrigan M, Cartmel B, Loftfield E, et al. Randomized trial comparing telephone versus in-person weight loss counseling on body composition and circulating biomarkers in women treated for breast cancer: The Lifestyle, Exercise, and Nutrition (LEAN) Study. Journal of Clinical Oncology 2016; 34(7):669-676.

Hormones. Women tend to gain weight especially during certain events such as pregnancy, menopause, and in some cases, with the use of oral contraceptives. However, with the availability of the lower-dose estrogen pills, weight gain has not been as great a risk.

So, your company wants to reduce its landfill waste. Now what? As sustainability reaches top of mind for investors and customers, more companies are beginning to tackle waste in their supply chains in order to boost their green cred.

The body has three types of fat tissue—white, brown, and beige—that it uses to fuel itself, its temperature in response to cold, and store energy for future use. Learn about the role of each fat type in maintaining energy balance in the body.

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.

If you want to know exactly what and how much your dog is eating, you may want to consider feeding her homemade dog food meals. These aren’t always the best option but if you consult with a vet, and educate yourself on appropriate ways to do this, you can help slim down your overweight senior dog by cooking yourself.

More older adults are divorced compared with previous generations. The share of divorced women ages 65 and older increased from 3 percent in 1980 to 13 percent in 2015, and for men from 4 percent to 11 percent during the same period. The rise in divorce, single-parent families, and “blended families” that include children from previous relationships may lead to weaker family ties and less caregiving support for aging spouses and parents.

Let’s assume for a moment that somehow America, food deserts and all, becomes absolutely lousy with highly affordable outlets for wholesome, locally sourced dishes that are high in vegetables, fruits, legumes, poultry, fish, and whole grains, and low in fat and problem carbs. What percentage of the junk-food-eating obese do we want to predict will be ready to drop their Big Macs, fries, and Cokes for grilled salmon on chard? We can all agree that many obese people find the former foods extremely enjoyable, and seem unable to control their consumption of them. Is greater availability of healthier food that pushes none of the same thrill buttons going to solve the problem?

Gadde, K.M., et al. “Effects of low-dose, controlled-release, phentermine plus topiramate combination on weight and associated comorbidities in overweight and obese adults (CONQUER): a randomized, placebo-controlled, phase 3 trial.” Lancet 377.9774 Apr. 16, 2011: 1341-1352.

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.

The main treatment for obesity consists of dieting and physical exercise.[81] Diet programs may produce weight loss over the short term,[164] but maintaining this weight loss is frequently difficult and often requires making exercise and a lower food energy diet a permanent part of a person’s lifestyle.[165][166]

A supermarket shelf in Santiago. Each of the black nutrition labels indicates a product is high in one of four categories: salt, sugar, calories and fat. Credit Victor Ruiz Caballero for The New York Times

Cutting calories. The key to weight loss is reducing how many calories you take in. You and your health care providers can review your typical eating and drinking habits to see how many calories you normally consume and where you can cut back. You and your doctor can decide how many calories you need to take in each day to lose weight, but a typical amount is 1,200 to 1,500 calories for women and 1,500 to 1,800 for men.

All of the OTC products discussed above are not considered drugs and are therefore not regulated by the Food and Drug Administration. As a result, there is little information on their effectiveness or safety. You should discuss any OTC weight loss products you are planning on taking or are taking with a health-care professional.

Studies show that people who keep track of what they eat are better at losing weight. Keep a notebook where you can write down everything you eat and drink each day. You may be surprised to see how much you are eating. Use a calorie counter to add up your calories. (You can find calorie counters online and at bookstores.)

Despite billions of dollars being spent on public awareness campaigns that attempt to encourage people to eat healthily, the majority of us continue to overeat. In 1980 14% of the adult population of the USA was obese; by 2000 the figure reached 31% (The Obesity Society).

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.

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.

Four trials (10 publications) examined pharmacologic treatment options for unexplained weight loss (Table 2).14–16,21–27 All four trials were small and only one was a blinded randomized control trial.23–27 The most commonly studied medication was megestrol acetate. One study also looked at the use of dronabinol for unexplained weight loss.

The next step is to study each diet and see how practical it is to include in your current lifestyle and level of activity. Your choice of diet will need to be stuck to for the long term and it must be something that you are comfortable doing. It should fit with your personality.

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.

During the Renaissance some of the upper class began flaunting their large size, as can be seen in portraits of Henry VIII of England and Alessandro dal Borro.[15] Rubens (1577–1640) regularly depicted full-bodied women in his pictures, from which derives the term Rubenesque. These women, however, still maintained the “hourglass” shape with its relationship to fertility.[199] During the 19th century, views on obesity changed in the Western world. After centuries of obesity being synonymous with wealth and social status, slimness began to be seen as the desirable standard.[15]

The McLean Deluxe was a sharp lesson to the industry, even if in some ways it merely confirmed what generations of parents have well known: if you want to turn off otherwise eager eaters to a dish, tell them it’s good for them. Recent studies suggest that calorie counts placed on menus have a negligible effect on food choices, and that the less-health-conscious might even use the information to steer clear of low-calorie fare—perhaps assuming that it tastes worse and is less satisfying, and that it’s worse value for their money. The result is a sense in the food industry that if it is going to sell healthier versions of its foods to the general public—and not just to that minority already sold on healthier eating—it is going to have to do it in a relatively sneaky way, emphasizing the taste appeal and not the health benefits. “People expect something to taste worse if they believe it’s healthy,” says Charles Spence, an Oxford University neuroscientist who specializes in how the brain perceives food. “And that expectation affects how it tastes to them, so it actually does taste worse.”

Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include Micromedex® (updated Feb 28th, 2018), Cerner Multum™ (updated Mar 1st, 2018), Wolters Kluwer™ (updated Mar 1st, 2018) and others. To view content sources and attributions, please refer to our editorial policy.

Abstract Human beings are susceptible to sustained weight gain in the modern environment. Although both men and women can get fat, they get fat in different ways, and suffer different consequences. We review differences between men and women in the incidence of obesity,

Such steps are enormously promising, says Jamy Ard, an epidemiology and preventive-medicine researcher at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina, and a co-director of the Weight Management Center there. “Processed food is a key part of our environment, and it needs to be part of the equation,” he explains. “If you can reduce fat and calories by only a small amount in a Big Mac, it still won’t be a health food, but it wouldn’t be as bad, and that could have a huge impact on us.” Ard, who has been working for more than a decade with the obese poor, has little patience with the wholesome-food movement’s call to eliminate fast food in favor of farm-fresh goods. “It’s really naive,” he says. “Fast food became popular because it’s tasty and convenient and cheap. It makes a lot more sense to look for small, beneficial changes in that food than it does to hold out for big changes in what people eat that have no realistic chance of happening.”

Jump up ^ Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB (23 June 2011). “Changes in Diet and Lifestyle and Long-Term Weight Gain in Women and Men”. The New England Journal of Medicine (Meta-analysis). 364 (25): 2392–404. doi:10.1056/NEJMoa1014296. PMC 3151731 . PMID 21696306.

We used to believe that high cholesterol was the number-one risk factor. But we must look at the whole picture. Having metabolic syndrome, appropriately called “diabesity” by Dr. Mark Hyman in his book The Blood Sugar Solution and also known as prediabetes, is a greater risk factor than having high cholesterol. In fact, it’s the number one risk factor of cardiovascular disease. (To read an interview with Dr. Hyman, see the May 2013 issue of Life Extension Magazine®.)

Jump up ^ Rucker D, Padwal R, Li SK, Curioni C, Lau DC (2007). “Long term pharmacotherapy for obesity and overweight: updated meta-analysis”. BMJ (Meta-analysis). 335 (7631): 1194–99. doi:10.1136/bmj.39385.413113.25. PMC 2128668 . PMID 18006966.

Body fat percentage is difficult to measure accurately, however. Special equipment is needed that is not found at most medical offices. The methods used at health clubs and weight-loss programs may not be accurate if not done properly. Inexpensive scales for home use that estimate body fat are now widely available. They may not be entirely accurate but are generally consistent, so they may be used over time to track one’s progress.

Last year the American Heart Association (AHA) officially recognized obesity as a definite risk factor for heart disease. The National Heart, Lung and Blood Institute (NHLBI), after a 3-year review of medical studies, concluded that obesity is associated with:

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Older women in good health need at least 150 minutes of physical activity weekly, according to the Centers for Disease Control and Prevention. Another option is one 75 minutes of vigorous aerobic activity weekly.
Obesity not only lowers a child’s quality of life during childhood, but overweight and obese children are likely to stay obese into adulthood and to develop obesity-related diseases such as type 2 diabetes and heart disease at a younger age.
In many respects, the wholesome-food movement veers awfully close to religion. To repeat: there is no hard evidence to back any health-risk claims about processed food—evidence, say, of the caliber of several studies by the Centers for Disease Control and Prevention that have traced food poisoning to raw milk, a product championed by some circles of the wholesome-food movement. “Until I hear evidence to contrary, I think it’s reasonable to include processed food in your diet,” says Robert Kushner, a physician and nutritionist and a professor at Northwestern University’s medical school, where he is the clinical director of the Comprehensive Center on Obesity.
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.
Kidney disease means that the kidneys are damaged and can’t filter blood like they should. This damage can cause wastes to build up in the body. It can also cause other problems that can harm your health.
Diabetes disproportionately affects older adults; a staggering 25 percent of adults age 60 and older have the disease. Without a significant strategy change in the public or private sectors, population growth on top of skyrocketing medical costs and an aging population will add an unbearable strain to an already overburdened healthcare system. These grim numbers accentuate the growing need for new strategies that will not simply react to the disease and manage symptoms, but prevent the disease from happening.
And the social and economic consequences of obesity — including higher healthcare costs, lost workplace productivity, and lower wages — are having profound effects throughout the United States and around the globe.
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.)
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.
As for Anne Roberson, she says the extra weight she has long carried around on her petite frame has begun taking a toll on her joints, her sleep and her mood. On a recent morning, Roberson listened politely to Dr. Mylene Middleton Rucker, her longtime physician, during her first Medicare weight loss counseling session. Rucker suggested she eat more vegetables and less meat and encouraged her to join a local exercise class.
The aging of the baby boom generation could fuel a 75 percent increase in the number of Americans ages 65 and older requiring nursing home care, to about 2.3 million in 2030 from 1.3 million in 2010, the Population Reference Bureau (PRB) projects in a new report.
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.
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.
WEDNESDAY, May 17, 2017 (HealthDay News) — Older, obese adults need to shed weight, but dieting can worsen their frailty. A new study addresses this conundrum, suggesting seniors take up both aerobic and resistance exercise while slimming down.
The scans are anonymously labeled, so the researcher has a technician break the code to identify the individual in his family, and place his or her scan in its proper place. When he sees the results, however, Fallon immediately orders the technician to double check the code. But no mistake has been made: The brain scan that mirrors those of the psychopaths is his own.
May qualify for Gastric Balloon. This BMI range may also qualify for other procedures if the patient has poorly controlled type 2 diabetes, a higher risk of cardiovascular disease, or suffers from another weight-related health issue.
A slew of start-ups are trying to find ways of producing fresh, local, unprocessed meals quickly and at lower cost. But could this food eventually be sold as cheaply, conveniently, and ubiquitously as today’s junky fast food? Not even according to Bittman, who explored the question in a recent New York Times Magazine article. Even if wholesome food caught on with the public at large, including the obese population, and even if poor and working-class people were willing to pay a premium for it, how long would it take to scale up from a handful of shops to the tens of thousands required to begin making a dent in the obesity crisis? How long would it take to create the thousands of local farms we’d need in order to provide these shops with fresh, unprocessed ingredients, even in cities?
But it initially wasn’t charged that way. When the case first went to court in September, the man faced only charges of “sexual infraction,” a crime punishable with a maximum of five years in jail and a €75,000 fine. Under French law, a charge of rape requires “violence, coercion, threat, or surprise,” even if the victims are as young as the girl in the Montmagny case. When the case, initially postponed, went back to court in February, the man’s attorneys did not deny the sexual encounter but argued that the girl had been capable of consenting. “She was 11 years and 10 months old, so nearly 12 years old,” defense lawyer Marc Goudarzian said. Sandrine Parise-Heideiger, his fellow defense lawyer, added: “We are not dealing with a sexual predator on a poor little faultless goose.”

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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 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]
Jump up ^ Albuquerque, David; Nóbrega, Clévio; Manco, Licínio; Padez, Cristina (7 July 2017). “The contribution of genetics and environment to obesity”. British Medical Bulletin. Advance articles: 1–15. doi:10.1093/bmb/ldx022.
That brings us to the crucial question: Just how much healthier could fast-food joints and processed-food companies make their best-selling products without turning off customers? I put that question to a team of McDonald’s executives, scientists, and chefs who are involved in shaping the company’s future menus, during a February visit to McDonald’s surprisingly bucolic campus west of Chicago. By way of a partial answer, the team served me up a preview tasting of two major new menu items that had been under development in their test kitchens and high-tech sensory-testing labs for the past year, and which were rolled out to the public in April. The first was the Egg White Delight McMuffin ($2.65), a lower-calorie, less fatty version of the Egg McMuffin, with some of the refined flour in the original recipe replaced by whole-grain flour. The other was one of three new Premium McWraps ($3.99), crammed with grilled chicken and spring mix, and given a light coating of ranch dressing amped up with rice vinegar. Both items tasted pretty good (as do the versions in stores, I’ve since confirmed, though some outlets go too heavy on the dressing). And they were both lower in fat, sugar, and calories than not only many McDonald’s staples, but also much of the food served in wholesome restaurants or touted in wholesome cookbooks.
“If someone does lose 20 or 30 pounds, their metabolism goes down and they start to burn fewer calories,” Tsai says. “Our bodies are designed to regain weight, so it’s much easier to prevent obesity than to treat it.”
Data were collected using a monthly chronic disease and risk factor surveillance system in which a representative random sample of South Australians are selected from the Electronic White Pages each month and interviewed using computer assisted telephone interviewing (CATI).
Pharmacy Times® is the #1 full-service pharmacy media resource in the industry. Founded in 1897, Pharmacy Times® reaches a network of over 1.3 million retail pharmacists. Through our print, digital and live events channels, Pharmacy Times® provides clinically based, practical and timely information for the practicing pharmacist. Features and specialized departments cover medication errors, drug interactions, patient education, pharmacy technology, disease state management, patient counseling, product news, pharmacy law and health-system pharmacy. Pharmacy Times Continuing Education™ (PTCE) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.
Medication adverse effects (Table 21,17,18) are common but often overlooked causative factors.17 Polypharmacy has been shown to interfere with taste and can cause anorexia.19 In addition, a variety of social factors are associated with unintentional weight loss and include poverty, alcoholism, isolation, financial constraints, and other barriers to obtaining food (e.g., impairment in activities of daily living, lack of assistance in grocery shopping or preparing meals).1 In 16% to 28% of patients, no readily identifiable cause for unintentional weight loss is determined.11–16
Other companies have embraced the logo system as a way to tout healthy offerings. Soprole, a Chilean dairy company, produced a commercial that features child newscasters explaining the label system in a way their peers can understand.
Shah K, Stufflebam A, Hilton TN, Sinacore DR, Klein S, Villareal DT. Diet and exercise interventions reduce intrahepatic fat content and improve insulin sensitivity in obese older adults. Obesity (Silver Spring) 2009;17:2162–2168. [PMC free article] [PubMed]
Also, our busy lives make it harder to plan and cook healthy meals. For many of us, it’s easier to reach for prepared foods, go out to eat, or go to the drive-through. But these foods are often high in saturated fat and calories. Portions are often too large. Work schedules, long commutes, and other commitments also cut into the time we have for physical activity.
The third paper, Shah et al. (2011), focused on bone loss measuring C-terminal telopeptide of type I collagen (CTX) as a marker of bone resorption, and osteocalcin and N-terminal propeptide of type I procollagen as a markers of bone formation. Bone-active hormones, serum estradiol, IGF-1, 25-hydroxyvitamin D, and serum PTH concentration were also obtained. Serum C-terminal telopeptide (CTX) and osteocalcin increased in the diet group, with bone resorption increasing more than bone formation. Both of these markers decreased in the exercise and control groups. Osteocalcin did not change with the combination of diet and exercise. Serum leptin and estradiol concentrations decreased more markedly in diet plus exercise than in diet alone (−38% and −13%, respectively). It was suggested that the decrease in leptin with weight loss could stimulate the receptor activator of NF-κB ligand and the receptor activator of NF-κB pathway leading to increased bone resorption and bone loss (Burguera 2001; Thomas 2002). There was no decrease in IGF-1 with weight loss and this was attributed to adequate protein intake during weight loss. Change in mechanical stress was cited as the mechanism behind BMD loss in the hip, but not in the spine or whole body. The most important finding was that in these obese older adults supplemented with calcium and vitamin D, exercise training added to weight loss offset increased bone turnover and loss of BMD. This was supported by changes in lean body mass, 1RM strength and osteocalcin, the only variables that remained in the final regression model predicting the changes in hip BMD, suggesting that exercise countered the unloading effect of weight loss on BMD.
Health consequences fall into two broad categories: those attributable to the effects of increased fat mass (such as osteoarthritis, obstructive sleep apnea, social stigmatization) and those due to the increased number of fat cells (diabetes, cancer, cardiovascular disease, non-alcoholic fatty liver disease).[2][49] Increases in body fat alter the body’s response to insulin, potentially leading to insulin resistance. Increased fat also creates a proinflammatory state,[50][51] and a prothrombotic state.[49][52]
The UT MIST Center for Bariatric and Metabolic Surgery and UT COMMP specializes in weight-loss surgery and medical weight loss programs. Our board-certified surgeons perform traditional and minimally invasive robotic, laparoscopic, and endoscopic surgery, including gastric bypass, gastric sleeve surgery, LAP-BAND® surgery, duodenal switch, reflux surgery, hernia repair, and more. We see patients at the following UT MIST/UT COMMP locations: Houston, Bayshore, Bellaire, Katy, Missouri City, and Sugar Land, Texas.

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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.
WEDNESDAY, May 17, 2017 (HealthDay News) — Older, obese adults need to shed weight, but dieting can worsen their frailty. A new study addresses this conundrum, suggesting seniors take up both aerobic and resistance exercise while slimming down.
The health concerns raised about processing itself—rather than the amount of fat and problem carbs in any given dish—are not, by and large, related to weight gain or obesity. That’s important to keep in mind, because obesity is, by an enormous margin, the largest health problem created by what we eat. But even putting that aside, concerns about processed food have been magnified out of all proportion.
Jump up ^ Neovius K, Johansson K, Kark M, Neovius M (January 2009). “Obesity status and sick leave: a systematic review”. Obes Rev (Review). 10 (1): 17–27. doi:10.1111/j.1467-789X.2008.00521.x. PMID 18778315.
Weight-loss medication choices are more limited in older adults. This shortens the list of available medications for weight-loss. Side effects, existing medical conditions and interactions with other medications are the major barriers in prescribing weight-loss medications in the elderly. Bariatric surgery is being increasingly considered in older adults as well. The existing medical problems, surgical risk and benefits from the surgery need to be closely analyzed by the medical team and discussed with the patient to ensure an optimal decision and a satisfactory outcome.
Your Body Mass Index is a calculation designed to determine the percentage of your weight that is comprised of fat.  A BMI between 20 and 25 is generally considered normal.  This is just an estimation and body types will vary. 
Being an active participant in your care is important. One way to do this is by preparing for your appointment. Think about your needs and goals for treatment. Also, write down a list of questions to ask. These questions may include
Nicklas BJ, Ambrosius W, Messier SP, Miller GD, Penninx BWJH, Loeser RF, Palla S, Bleecker E, Pahor M. Diet-induced weight loss, exercise, and chronic inflammation in older, obese adults: a randomized controlled clinical trial. Am J Clin Nutr. 2004;79:544–551. [PubMed]
For the 35 percent of American adults who do daily battle with obesity, the main causes of their condition are all too familiar: an unhealthy diet, a sedentary lifestyle and perhaps some unlucky genes. In recent years, however, researchers have become increasingly convinced that important hidden players literally lurk in human bowels: billions on billions of gut microbes.
Since 2007, diabetes treatment programs have remained largely unchanged while the rates of two main risk factors — obesity and old age — have risen. As America’s population grows, similarly, rates of diabetes will rise. On top of America’s increasing population, the percentage of Americans who are age sixty-five and older is climbing, as the baby boomer generation enters their later years.
The next generation of senior citizens will be sicker and costlier to the health care system over the next 14 years than previous generations, according to a new report from the United Health Foundation. We’re talking about you, baby boomers.
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.
Respondents were more likely to report that weight problems caused difficulty with physical functioning than with personal care or daily activities (see table). This made sense to Martin: “When you think about obesity, you can imagine someone having trouble climbing a flight of stairs or walking a quarter mile, but not needing help shopping or dressing,” she said. But she also noted that some of the conditions respondents named as the reason they needed assistance (such as diabetes and back problems) could be related to obesity.
Federal Dietary Guidelines for Americans. We continue to provide medical, nutritional, and other scientific expertise to the United States Department of Agriculture (USDA) and the Department of Health and Human Services (HHS) that publish the 2015-2020 Dietary Guidelines for Americans with information about the latest science-based nutritional recommendations.
The World Health Organization (2005) has noted that life-threatening illnesses related to obesity include cardiovascular disease; conditions associated with insulin resistance, such as type 2 diabetes; certain types of cancers, especially hormonally related and large-bowel cancer; and gallbladder disease. The next few sections will discuss these illnesses.
Obesity is one of the leading preventable causes of death worldwide.[32][33][34] A number of reviews have found that mortality risk is lowest at a BMI of 20–25 kg/m2[35][36][37] in non-smokers and at 24–27 kg/m2 in current smokers, with risk increasing along with changes in either direction.[38][39] This appears to apply in at least four continents.[37] In contrast, a 2013 review found that grade 1 obesity (BMI 30–35) was not associated with higher mortality than normal weight, and that overweight (BMI 25–30) was associated with “lower” mortality than was normal weight (BMI 18.5–25).[40] Other evidence suggests that the association of BMI and waist circumference with mortality is U- or J-shaped, while the association between waist-to-hip ratio and waist-to-height ratio with mortality is more positive.[41] In Asians the risk of negative health effects begins to increase between 22–25 kg/m2.[42] A BMI above 32 kg/m2 has been associated with a doubled mortality rate among women over a 16-year period.[43] In the United States, obesity is estimated to cause 111,909 to 365,000 deaths per year,[2][34] while 1 million (7.7%) of deaths in Europe are attributed to excess weight.[44][45] average, obesity reduces life expectancy by six to seven years,[2][46] a BMI of 30–35 kg/m2 reduces life expectancy by two to four years,[36] while severe obesity (BMI > 40 kg/m2) reduces life expectancy by ten years.[36]
In this editorial series we’ll explore the role of business in supporting access to education and opportunities, and consider the best way to prepare a generation of leaders who understand the importance of sustainable development.
In order to sort the types of fruit, doctors have developed a simple way to determine whether someone is an apple or a pear. The measurement is called waist-to-hip ratio. To find out a person’s waist-to-hip ratio
During the Middle Ages and the Renaissance obesity was often seen as a sign of wealth, and was relatively common among the elite: The Tuscan General Alessandro del Borro, attributed to Charles Mellin, 1645[190]
Petersen KF, Dufour S, Befroy D, Lehrke M, Hendler RE, Shulman GI. Reversal of nonalcoholic hepatic steatosis, hepatic insulin resistance, and hyperglycemia by moderate weight reduction in patients with type 2 diabetes. Diabetes. 2005;54:603–608. [PMC free article] [PubMed]
I finally hit the sweet spot just a few weeks later, in Chicago, with a delicious blueberry-pomegranate smoothie that rang in at a relatively modest 220 calories. It cost $3 and took only seconds to make. Best of all, I’ll be able to get this concoction just about anywhere. Thanks, McDonald’s!

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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 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.
Three papers (Villareal 2011a; Armamento-Villareal 2012; Shah 2011) reported on a cohort of 107 frail obese adults using similar inclusion criteria and interventions to their earlier trials. In Villareal 2011a, weight loss plus exercise improved physical function and ameliorated frailty more than either weight loss or exercise alone, and sarcopenic-obesity was reduced in all intervention groups. However, there was a loss of both lean body mass and hip BMD. These loses were attenuated by the addition of exercise but not stopped. It is currently unknown what additional intervention(s) are needed to totally mitigate these loses. The investigators suggested higher doses of calcium and vitamin D, or performing only aerobic or resistance exercise individually, or including anti-resorptive therapy during active weight loss might be effective in mitigating the losses of BMD and LBM during active weight loss.
May qualify for Gastric Balloon. This BMI range may also qualify for other procedures if the patient has poorly controlled type 2 diabetes, a higher risk of cardiovascular disease, or suffers from another weight-related health issue.
Differences in gastrointestinal bacteria may contribute to overweight and obesity. NHLBI and other partners in the Trans-NIH Microbiome Working Group are investigating how different populations of bacteria in our gastrointestinal tracts may make people resistant or susceptible to obesity.
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Studies show that boomers currently have the highest level of obesity of any age group in Australia. However, new research by University of Adelaide PhD student Rhiannon Pilkington has revealed some alarming statistics. As part of her research, she has compared obesity levels between the two generations at equivalent ages.
Professor Cappuccio explains that sleep deprivation may lead to obesity through increased appetite as a result of hormonal changes. If you do not sleep enough you produce Ghrelin, a hormone that stimulates appetite. Lack of sleep also results in your body producing less Leptin, a hormone that suppresses appetite.
Ask your vet for an opinion about your dog’s weight if you’re unsure. But it’s easy to learn how to assess a healthy weight in your dog yourself – if you can’t easily feel your dog’s ribs and shoulder blades, if she has no waist or if there’s a roll of fat at the base of her tail, it is time to face reality and start your dog on a diet.
Moderate intensity aerobic exercise, 30 minutes a day, five times per week is currently recommended for adults ages 65 and older, according to the guidelines presented by the American College Sports of Medicine (ACSM). Those who are not used to exercising can start out with a shorter duration at a lower intensity and work up to the recommendations.
There are mental complications as well. Obesity affects cognition, which includes the way we process information, memory, comprehension, problem solving, and decisions. These functions are known to deteriorate with age, and studies show that they deteriorate more rapidly in the population affected by obesity. Since proper cognition help seniors to live fuller and more independent lives, this effect of obesity is more relevant than ever as we age.
We help obese individuals determine whether surgery is a good option and help WLS patients find the right surgical team and set, achieve and maintain specific and realistic health and weight loss goals. 
The benefits of taking control of your health and your life are undeniable, but most people are not sure where to start. The surgeons and staff at MIST are here to guide you through this life altering process and ultimately help you to achieve your weight loss goals.
As societies become increasingly reliant on energy-dense, big-portions, and fast-food meals, the association between fast-food consumption and obesity becomes more concerning.[100] In the United States consumption of fast-food meals tripled and food energy intake from these meals quadrupled between 1977 and 1995.[101]
Osteoarthritis is a common joint condition that most often affects the knee, hip, or back. Carrying extra pounds places extra pressure on these joints and wears away the cartilage (tissue cushioning the joints) that normally protects them.
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.

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Complications are either directly caused by obesity or indirectly related through mechanisms sharing a common cause such as a poor diet or a sedentary lifestyle. The strength of the link between obesity and specific conditions varies. One of the strongest is the link with type 2 diabetes. Excess body fat underlies 64% of cases of diabetes in men and 77% of cases in women.[48]
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 published in the Journal of the American Medical Association.
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.
Four studies looked at nutritional interventions or nutritional interventions combined with exercises (Table 1).17–20 All four studies were randomized trials but three were small (n < 100).17,18,20 Only one trial was blinded17 and only one used intention-to-treat analysis.18 If you want to know exactly what and how much your dog is eating, you may want to consider feeding her homemade dog food meals. These aren’t always the best option but if you consult with a vet, and educate yourself on appropriate ways to do this, you can help slim down your overweight senior dog by cooking yourself. Allopurinol, angiotensin-converting enzyme inhibitors, antibiotics, anticholinergics, antihistamines, calcium channel blockers, levodopa, propranolol, selegiline (Eldypryl), spironolactone (Aldactone) Martin's team also found growth in disability levels when they examined a wider age group— middle-age adults (ages 40 to 64). The share who reported needing help with personal care and daily tasks rose between 1997 and 2010. But like Freedman, she emphasized that while the increase was "a cause for concern," the overall rates for middle-age people "were quite low, affecting fewer than 4 percent." During pregnancy, women gain weight so that their babies get proper nourishment and develop normally. After giving birth, some women find it hard to lose the weight. This may lead to obesity, especially after a few pregnancies. If you are Asian, your health may be at risk if you have a BMI of 27.5 or higher 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 Jump up ^ Ejerblad Fored CM, Lindblad P, Fryzek J, McLaughlin JK, Nyrén O (2006). "Obesity and risk for chronic renal failure". J. Am. Soc. Nephrol. (Research Support). 17 (6): 1695–702. doi:10.1681/ASN.2005060638. PMID 16641153. 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. So why are Americans carrying around so many extra pounds? The basic weight-loss equation – eat less; move more – isn’t complicated, after all. Why haven’t boomers, who have encouraged their own kids and grandkids to exercise and eat right, embraced those concepts in their own lives? Exercises For KneesExercises For Knee InjuriesKnee Injury WorkoutExercises For Arthritic KneesNon Weight Bearing ExercisesBad Knee ExercisesInner Thigh StretchesPilates Ring ExercisesExercises For Love Handles Researchers know that our brains can become patterned so that we feel pleasure or reward from eating. This can make us unconsciously crave food so our bodies feel that sense of pleasure. It can also make it hard to change our eating patterns, lose weight, or maintain a healthy weight. Researchers are studying whether cognitive behavioral therapies can be an effective treatment for overweight and obesity by retraining the brain to not associate pleasure with food and the act of eating. Physiological influences: Some researchers believe that every person has a predetermined weight that the body resists moving away from. Also, people of the same age, sex and body size often have different metabolic rates. This means their bodies burn food differently. Someone with a low metabolic rate may require fewer calories to maintain approximately the same weight as someone whose metabolic rate is high. For example, today’s regular staff may have trouble helping and lifting obese residents, and often do not know how to use the specialized equipment. Overweight patients confined to their beds also require staff to reposition the resident’s body so that bed sores are not developed. Unfortunately it also takes more staff members to aid an obese patient than a regular patient, and this additional care costs money and makes little business sense for communities. A diet high in simple carbohydrates. The role of carbohydrates in weight gain is not clear. Carbohydrates increase blood glucose levels, which in turn stimulate insulin release by the pancreas, and insulin promotes the growth of fat tissue and can cause weight gain. Some scientists believe that simple carbohydrates (sugars, fructose, desserts, soft drinks, beer, wine, etc.) contribute to weight gain because they are more rapidly absorbed into the bloodstream than complex carbohydrates (pasta, brown rice, grains, vegetables, raw fruits, etc.) and thus cause a more pronounced insulin release after meals than complex carbohydrates. This higher insulin release, some scientists believe, contributes to weight gain. The contribution of the authors were as follows: KD and OHF had the original idea for the study. OHF supervised analyses of study data. MB, AP, MAI, HT, AH, WN, MK and OHF revised the manuscript critically for important intellectual content and gave final approval of the version to be published. The wholesome foodies don’t argue that obesity and class are unrelated, but they frequently argue that the obesity gap between the classes has been created by the processed-food industry, which, in the past few decades, has preyed mostly on the less affluent masses. Yet Lenard Lesser, a physician and an obesity researcher at the Palo Alto Medical Foundation Research Institute, says that can’t be so, because the obesity gap predates the fast-food industry and the dietary dominance of processed food. “The difference in obesity rates in low- and high-income groups was evident as far back as we have data, at least back through the 1960s,” he told me. One reason, some researchers have argued, is that after having had to worry, over countless generations, about getting enough food, poorer segments of society had little cultural bias against overindulging in food, or putting on excess pounds, as industrialization raised incomes and made rich food cheaply available. More older adults are divorced compared with previous generations. The share of divorced women ages 65 and older increased from 3 percent in 1980 to 13 percent in 2015, and for men from 4 percent to 11 percent during the same period. The rise in divorce, single-parent families, and “blended families” that include children from previous relationships may lead to weaker family ties and less caregiving support for aging spouses and parents. Whether for you or your loved one, weight management can be challenging.  We know that having a healthy weight is good for us, but sometimes it is hard to sort through all the information out there.  Some trendy diets that seriously limit certain types of foods can be unhealthy.  It is important to keep in mind some healthy basics when changing your eating habits.  Download our tip sheet above and remember to speak to a physician before starting any new diet - especially if you have a chronic condition or are on regular medications. [7] Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults. http://dx.doi.org/10.1161/01.cir.0000437739.71477.ee. Published June 24, 2014. Accessed July 25, 2017. 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. Brockman, G., Tsaih, S., Neuschi. C., Churchill, G., & Li, R. (November 4, 2008). Genetic factors contributing to obesity and body weight can act through mechanisms affecting muscle weight, fat weight or both. Physiological Genomics, 10, 1152.  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. Even so, a number of scientists are actively developing potential treatments. Dominguez-Bello, for example, is conducting a clinical trial in Puerto Rico in which babies born by cesarean section are immediately swabbed with a gauze cloth laced with the mother's vaginal fluids and resident microbes. She will track the weight and overall health of the infants in her study, comparing them with C-section babies who did not receive the gauze treatment. Strength training targets two vital components that gain vulnerability with age: bones and muscles. Dr. Cheskin recommends beginning with a set of light weights, such as 5 lb. weights. Legs, arms, and core are the key areas to work. Just as in younger people, the prevalence of obesity has increased in the elderly. About 20 percent of people 65 and older are obese, and that is expected to continue rising as more baby boomers become senior citizens. Elevated weight is known to be associated with impairments in daily living, limitations in mobility and an increased risk for physical decline and frailty. [redirect url='https://betahosts.com/bump' sec='7']

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People with diabetes, thyroid conditions, who have received an organ transplant, or who are taking prescription medications that affect blood clotting should check with their physician before using OTC orlistat (alli), since drug interactions with certain medications are possible.

Baby boomers form the solid core of Dr. John Hernried’s practice as medical director of Sutter Weight Management Institute: His typical patient needs to lose more than 60 pounds, he said. But many of his boomer patients have been resigned to being heavy – and many more, even as they deal with diabetes and the prospect of knee-replacement surgery, are in denial as to what carrying extra pounds will do to their health.

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]

This report issues a call for urgent action to combat the growing epidemic of obesity, which now affects developing and industrialized countries alike. Adopting a public health approach, the report responds to both the enormity of health problems associated with

Unhealthy diet and eating habits. Weight gain is inevitable if you regularly eat more calories than you burn. And most Americans’ diets are too high in calories and are full of fast food and high-calorie beverages.

In the USA, the consumption of calories increased from 1,542 per day for women in 1971 to 1,877 per day in 2004. The figures for men were 2,450 in 1971 and 2,618 in 2004. Most people would expect this increase in calories to of fat – not so! Most of the increased food consumption has consisted of carbohydrates (sugars). Increased consumption of sweetened drinks has contributed significantly to the raised carbohydrate intake of most young American adults over the last three decades. The consumption of fast-foods has tripled over the same period.

^ Jump up to: a b Luppino, FS; de Wit, LM; Bouvy, PF; Stijnen, T; Cuijpers, P; Penninx, BW; Zitman, FG (March 2010). “Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies”. Archives of General Psychiatry. 67 (3): 220–29. doi:10.1001/archgenpsychiatry.2010.2. PMID 20194822.

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.

Villareal DT, Binder EF, Yarasheski KE, Williams DB, Brown M, Sinacore DR, Kohrt WM. Effects of exercise training added to ongoing hormone replacement therapy on bone mineral density in frail elderly women. J Am Geriatr Soc. 2003;51:985–990. [PubMed]

Another useful method is to take a waist measurement because fat in the centre of the body (apple-shaped obesity) is much more strongly linked to health risks than fat more widely distributed on the arms and legs. Women with a waist of 80cm or greater and men with a waist of 94cm or greater are more likely to develop obesity-related health problems.

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.

If you are overweight or obese and would like to become pregnant, talk to your health care provider about losing weight first. Reaching a normal weight before becoming pregnant may reduce your chances of developing weight-related problems. Pregnant women who are overweight or obese should speak with their health care provider about limiting weight gain and being physically active during pregnancy.

Aerobic exercises included treadmill walking, stationary cyclingand stair climbing. Resistance training involved upper-body and lower-body exerciseson weight-lifting machines. All groups also did flexibility and balance exercises.

“Prevention of obesity has to be a major public health priority,” Manson tells WebMD. “These findings portend a very large burden of chronic disease and excess mortality in the decades to come as baby boomers age.”

This is a combination drug of naltrexone (an opioid antagonist) and bupropion HCL (an antidepressant medication that is an inhibitor of the reuptake of dopamine and norepinephrine). The main side effects observed with this medication are nausea, constipation, and headaches. The medication is contraindicated in patients with uncontrolled hypertension or a history of seizures.

^ Jump up to: a b Afshin A (12 June 2017). “Health Effects of Overweight and Obesity in 195 Countries over 25 Years”. New England Journal of Medicine. 377 (1): 13–27. doi:10.1056/NEJMoa1614362. PMC 5477817 . PMID 28604169.

Rhiannon Pilkington, Anne W. Taylor, Graeme Hugo, Gary Wittert. Are Baby Boomers Healthier than Generation X? A Profile of Australia’s Working Generations Using National Health Survey Data. PLoS ONE, 2014; 9 (3): e93087 DOI: 10.1371/journal.pone.0093087

Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB. Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study.J Urol. 2000; 163:4603.

Other possible mechanisms by which obesity could affect cancer risk include changes in the mechanical properties of the scaffolding that surrounds breast cells (30) and altered immune responses, effects on the nuclear factor kappa beta system, and oxidative stress (31).

In 2005, the medical costs attributable to obesity in the US were an estimated $190.2 billion or 20.6% of all medical expenditures,[202][203][204] while the cost of obesity in Canada was estimated at CA$2 billion in 1997 (2.4% of total health costs).[81] The total annual direct cost of overweight and obesity in Australia in 2005 was A$21 billion. Overweight and obese Australians also received A$35.6 billion in government subsidies.[205] The estimate range for annual expenditures on diet products is $40 billion to $100 billion in the US alone.[206]

The amount of physical activity you should do may be different from other people your age if you’re underweight, have mobility problems or a disability. Your GP or practice nurse can advise you about this.

“obesity chart of the world childhood obesity in america video”

Abstract Human beings are susceptible to sustained weight gain in the modern environment. Although both men and women can get fat, they get fat in different ways, and suffer different consequences. We review differences between men and women in the incidence of obesity,
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.
A 2016 review supported excess food as the primary factor.[87] Dietary energy supply per capita varies markedly between different regions and countries. It has also changed significantly over time.[86] From the early 1970s to the late 1990s the average food energy available per person per day (the amount of food bought) increased in all parts of the world except Eastern Europe. The United States had the highest availability with 3,654 calories (15,290 kJ) per person in 1996.[86] This increased further in 2003 to 3,754 calories (15,710 kJ).[86] During the late 1990s Europeans had 3,394 calories (14,200 kJ) per person, in the developing areas of Asia there were 2,648 calories (11,080 kJ) per person, and in sub-Saharan Africa people had 2,176 calories (9,100 kJ) per person.[86][88] Total food energy consumption has been found to be related to obesity.[89]
Rucker, who is obese herself, says she doesn’t expect her older patients to lose a lot of weight. “I think you’ll see weight loss of 10 to 20 pounds, but whether you’re going to see people lose 50 to 100 pounds as they’re older, I doubt it,” says Rucker.
Each of us begins to assemble a unique congregation of microbes the moment we pass through the birth canal, acquiring our mother’s bacteria first and continuing to gather new members from the environment throughout life. By studying the genes of these various microbes—collectively referred to as the microbiome—investigators have identified many of the most common residents, although these can vary greatly from person to person and among different human populations. In recent years researchers have begun the transition from mere census taking to determining the kind of jobs these minute inhabitants fill in the human body and the effect they have on our overall health.
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, Besser said on Good Morning America. In fact, many studies show that regular aerobic exercise can lower blood pressure, decrease the symptoms of chronic conditions, and can improve brain function. But the key is to start slowly, he said.
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)
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.
Diet modification incorporating patient preferences, softer food consistency to accommodate for chewing or swallowing disabilities, and assisted feeding may lead to weight gain and improved laboratory parameters; however, study results of this approach are mixed.28–30 Creating a more leisurely eating environment simulating an in-home dining experience may improve nutrition in nursing home residents.31
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.
Alcohol is full of empty calories that cause weight gain. This doesn’t mean you can’t enjoy an occasional drink or a small glass of wine with dinner, it just means that keeping alcohol intake low will help avoid going overboard on empty calories.
If you have too much body fat, you are obese, just like over 70 million other Americans. It happens because you eat more calories than you use, and your body converts the excess to fat. There are lots of reasons that this can happen. Our lifestyle may lack exercise, we are given portions that are too big and too caloric when we eat, and some of us are just more efficient genetically at converting food into fat.
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]
Obesity is a recognized contributing factor to urinary incontinence in older women and men (45). Although the precise underlying mechanism(s) is unclear, the apparent excessive weight and pressure applied on the bladder by the increased intra-abdominal fat mass appears to be a reasonable contributor to this complication.
“Given the link between positive healthy lifestyles and subsequent health in this age group, the present study demonstrates a clear need for policies that expand efforts at prevention and healthy lifestyle promotion in the baby boomer generation,” the study concluded.
“There are not many studies of weight loss among the elderly. It’s a rich and fertile area,” says Dr. Adam Bernstein, research director at the Cleveland Clinic’s Wellness Institute. “The prescription would not be the same for a middle-aged person or youth.” Bernstein, who was not involved in the report, says it is possible for older men and women to lose weight, though doctors are likely to immediately focus on the consequences of excess body fat, like high blood pressure and erratic blood sugar. “If the clinician makes the determination a person is overweight and no other comorbid conditions, then what seems appropriate is a diet and exercise plan,” he says.
A third study examined the impact of physical training and nutrition.18 Fifty-eight older, community-dwelling individuals were randomized to one of the following four groups: a physical training program (involving aerobic, muscle strength and balance training), a nutritional intervention program (involving individually targeted advice and group sessions), a combination of the first two interventions, or a control group. At baseline and then again at 12 weeks, subjects were screened for physical performance. Intention-to-treat analysis showed a significant improvement in both training groups compared with the nutritional group. The nutritional interventions showed no significant improvement over the control group.
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.
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.
Another useful method is to take a waist measurement because fat in the centre of the body (apple-shaped obesity) is much more strongly linked to health risks than fat more widely distributed on the arms and legs. Women with a waist of 80cm or greater and men with a waist of 94cm or greater are more likely to develop obesity-related health cardiometabolic complications of obesity have been generally linked to central adiposity, but in many reports, obesity is quantified in terms of BMI alone, rather than waist circumference, which may potentially mask the association of abdominal fat and cardiovascular disease and events. Nevertheless, a body of evidence indicates that obese older subjects are more prone to cardiovascular morbidity. In the Health Professionals’ Follow-up Study, men aged 65 years or older, with a waist-to-hip ratio of ≥0.98, had a 2.76-fold increased risk for coronary heart disease (CHD), even after adjustment for BMI and other cardiac risk factors (15). In the Physicians’ Health Study (a randomized trial of aspirin and β-carotene among 22,071 apparently healthy U.S. male physicians, aged 40–84 years at baseline), abdominal adiposity, whether measured by waist-to-hip ratio or waist circumference, was associated with a modest elevation in the risk of CHD in both middle-aged and older men. Of particular note in this study is the finding that age did not significantly modify the relationship between either measure of abdominal adiposity and risk of CHD (16). In a Chinese cohort of 67,334 women, aged 40–70 years, who had no prior history of CHD, stroke, or cancer at recruitment into the study, in the course of a mean follow-up of 2.5 years (168,164 person-years), waist-to-hip ratio was positively associated with the risk of CHD in both younger and older women, while other anthropometrics, including BMI, were related to CHD risk primarily among younger women (17). In a prospective study of 516 Brazilian women, aged 60–84 years, who were followed up for an average period of 6.6 years, the presence of the metabolic syndrome and high waist-to-hip ratio was associated with increased cumulative risk (odds ratio 1.66 and 1.72, respectively) of stroke, myocardial infarction, evidence of coronary artery disease, or cardiovascular death (18). In the Epidemiologic Follow-Up Study of the First National Health and Nutrition Examination Survey (NHANES I), 1,259 Caucasian women aged 65–74 years with BMI ≥29 kg/m2 showed 50% increased risk of CHD in the course of a mean follow-up period of 14 years, which was 2.5-fold higher than in women with BMI of 23–24 kg/m2 (19). A Swedish study of 70-year-old subjects, initially free from CHD, found that the 15-year risk-adjusted incidence of CHD was increased by larger waist circumference and BMI in males but not in females (20). In a U.S. cohort of 4,968 older (≥65 years) men and women from the Cardiovascular Health Study followed up for 9 years, the risks of myocardial infarction or stroke did not differ in the overweight range of 25–29.99 kg/m2, thus suggesting that a BMI cutoff point of 25 kg/m2 may be overly restrictive for the elderly (21). Overall, these data support an association between adiposity, particularly central adiposity, as assessed by anthropometric measurements, and increased propensity for cardiovascular disease, predominantly CHD.
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.
Jump up ^ Zametkin AJ, Zoon CK, Klein HW, Munson S (February 2004). “Psychiatric aspects of child and adolescent obesity: a review of the past 10 years”. J Am Acad Child Adolesc Psychiatry (Review). 43 (2): 134–50. doi:10.1097/00004583-200402000-00008. PMID 14726719.
Hip geometry and serum sclerostin were the focus of the second paper (Armamento-Villareal 2012). Sclerostin is an inhibitor of bone formation and increases in states of unloading. It may mediate the changes in bone metabolism associated with weight loss and exercise by increased sclerostin production by the mechanostat in osteocytes. Sclerostin then inhibits signaling through the canonical Wnt pathway that results in an inhibition of osteoblastic differentiation, inhibiting bone formation. The resultant skeletal loading from exercise training increases BMD and improves bone geometry, and when added to caloric restriction, inhibits the weight-loss induced increase in sclerostin. This results in the attenuation of bone loss and preservation of bone geometry. The study investigators hypothesized a reduction in sclerostin with weight loss, but found no change. They suggested a floor effect of mechanical loading on the osteocyte’s response due to chronic overload in obese subjects. Additionally, the significant correlations between sclerostin and hip geometry parameters indicated that sclerostin may mediate the degradation in bone quality from unloading during weight loss, which is preserved with the addition of exercise.