Sugar drinks are the largest source of added sugar in the diets of children and adolescents. Increasing consumption of these high caloric beverages that offer little or no nutrients is associated with the increasing rates of childhood obesity.
Weight loss occurs when more calories are expended than are consumed. Healthy animals can experience weight loss, but in a geriatric cat, a subtle decrease in weight can also be the first indication of illness. For example, cats with small intestinal disease may lose weight before exhibiting anorexia, vomiting, or diarrhea. Unfortunately, weight changes in older cats are often attributed merely to aging, so clients may not seek veterinary care or veterinarians may inadvertently delay a diagnostic workup until marked weight loss is evident or additional clinical signs arise. Starting with a detailed history, work your way through a complete workup in these patients.
“Baby boomers who are not obese and younger generations are going to have to foot the trillions of dollars in health care costs for the millions of unhealthy boomers,” Slome explains. “Healthy boomers approaching retirement have very little time left to develop a plan so they are not left depending on already strapped government programs or forced to deplete whatever retirement savings they managed to squirrel away.”
33. Koster A, Patel KV, Visser M, van Eijk JT, Kanaya AM, de Rekeneire N, Newman AB, Tylavsky FA, Kritchevsky SB, Harris TB: Health, Aging and Body Composition Study. Joint effects of adiposity and physical activity on incident mobility limitation in older adults. J Am Geriatr Soc 2008; 56: 636– 643 [PubMed]
Meningioma: The risk of this slow-growing brain tumor that arises in the membranes surrounding the brain and the spinal cord is increased by about 50% in people who are obese and about 20% in people who are overweight (16).
Bioelectric impedance analysis (BIA): There are two methods of the BIA. One involves standing on a special scale with footpads. A harmless amount of electrical current is sent through the body, and then percentage of body fat is calculated. The other type of BIA involves electrodes that are typically placed on a wrist and an ankle and on the back of the right hand and on the top of the foot. The change in voltage between the electrodes is measured. The person’s body fat percentage is then calculated from the results of the BIA. Early on, this method showed variable results. Newer equipment and methods of analysis seem to have improved this method.
For females, a waist circumference of 35 inches or greater is considered unhealthy. For men, a waist circumference of 40 inches or greater is considered unhealthy. There is not a classification chart or various ranges used with this method to determine obesity. Only the simple thresholds for men and women noted above apply.
A disorder of lipoprotein metabolism, including lipoprotein overproduction or deficiency. Dyslipidemias may be manifested by elevation of the total cholesterol, the “bad” low-density lipoprotein (LDL) cholesterol and the triglyceride concentrations, and a decrease in the “good” high-density lipoprotein (HDL) cholesterol concentration in the blood. Dyslipidemia comes under consideration in many situations including diabetes, a common cause of lipidemia. For adults with diabetes, it been recommended that the levels of LDL, HDL, and total cholesterol, and triglyceride be measured every year. Optimal LDL cholesterol levels for adults with diabetes are less than 100 mg/dL (2.60 mmol/L), optimal HDL cholesterol levels are e4qual to or greater than 40 mg/dL (1.02 mmol/L), and desirable triglyceride levels are less than 150 mg/dL (1.7 mmol/L).
nursing considerations Nursing interventions are aimed at reinforcement of long-term life-style changes, including a balanced diet and regular exercise. Instruction is aimed at developing mutually agreed-on diet and exercise goals and successful management of blood pressure, lipid levels, and glucose levels.
Well-publicized concerns over childhood obesity have led to a gradual leveling out of those numbers across the country; boomers are now the most likely group to be obese in California. They are approaching their senior years with large numbers already dealing with disability and chronic poor health related to excess weight. They face potentially shortened life spans – and an overburdened health care system faces additional spikes in cost.
For several months, the duo learned how to read nutrition labels and measure healthy portion sizes; traded fried foods for broiled, baked or steamed varieties; and kept food diaries. They also took Zumba classes, swam and participated in resistance-training activities regularly.
BMI is a measurement used to indicate obesity and morbid obesity in adults. BMI is calculated by dividing a person’s weight in kilograms by his or her height in meters squared. An adult with a BMI of 30 or greater is considered to have obesity. To calculate your BMI, please click here.
Factors that may contribute to weight gain among adults and youth include genes, eating habits, physical inactivity, TV, computer, phone, and other screen time, sleep habits, medical conditions or medications, and where and how people live, including their access to healthy foods and safe places to be active.1,6
Exercise. People who are overweight or obese need to get at least 150 minutes a week of moderate-intensity physical activity to prevent further weight gain or to maintain the loss of a modest amount of weight. To achieve more-significant weight loss, you may need to exercise 300 minutes or more a week. You probably will need to gradually increase the amount you exercise as your endurance and fitness improve.
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 email@example.com.
“Phen-fen” and Redux: These prescription drugs have been removed from the market in the United States and many other countries. They are linked to heart-valve problems and pulmonary hypertension. Pulmonary hypertension affects the blood vessels in the lungs and is often fatal.
“Woe to you, because you build tombs for the prophets, and it was your ancestors who killed them.” Jesus’s rebuke to the Pharisees descended upon me on a cold January morning in 2017, in West Potomac Park in Washington, D.C. On that Monday, the national holiday dedicated to the man at whose memorial I stood, the capital bustled in anticipation of a more pressing political event. That’s why I was at the park, pondering this granite stone of hope, carved out of a mountain of despair. The memorial to Martin Luther King Jr. cast its shadow over me, its presence just as conflicted as those tombs.
Kay Paggi, GCM, LPC, CGC, MA, is in private practice as a geriatric care manager and is on the advisory board for the Emeritus Program at Richland College. She has worked with seniors for nearly 20 years as a licensed professional counselor, certified gerontological counselor, and certified geriatric care manager.
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.
The World Health Organization (WHO) predicts that overweight and obesity may soon replace more traditional public health concerns such as undernutrition and infectious diseases as the most significant cause of poor health. Obesity is a public health and policy problem because of its prevalence, costs, and health effects. The United States Preventive Services Task Force recommends screening for all adults followed by behavioral interventions in those who are obese. Public health efforts seek to understand and correct the environmental factors responsible for the increasing prevalence of obesity in the population. Solutions look at changing the factors that cause excess food energy consumption and inhibit physical activity. Efforts include federally reimbursed meal programs in schools, limiting direct junk food marketing to children, and decreasing access to sugar-sweetened beverages in schools. The World Health Organization recommends the taxing of sugary drinks. When constructing urban environments, efforts have been made to increase access to parks and to develop pedestrian routes.
Thus McDonald’s silence on the nutritional profiles of its new menu items. “We’re not making any health claims,” Watson said. “We’re just saying it’s new, it tastes great, come on in and enjoy it. Maybe once the product is well seated with customers, we’ll change that message.” If customers learn that they can eat healthier foods at McDonald’s without even realizing it, he added, they’ll be more likely to try healthier foods there than at other restaurants. The same reasoning presumably explains why the promotions and ads for the Carl’s Jr. grilled-cod sandwich offer not a word related to healthfulness, and why there wasn’t a whiff of health cheerleading surrounding the turkey burger brought out earlier this year by Burger King (which is not yet calling the sandwich a permanent addition).
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.
Gallbladder cancer: Compared with normal-weight people, people who are overweight have a slight (about 20%) increase in risk of gallbladder cancer, and people who are obese have a 60% increase in risk of gallbladder cancer (19, 20). The risk increase is greater in women than men.
First of all, hats off to your mom. She’s got her hands full. So when she gets upset, everyone should be understanding to her plite. And, your father should be appreciative of the sacrifices she’s making in time and energy to care for him. I think he should be made fully aware of the issues he’s creating in the rest of the family’s lives as well. Especially your mom’s as primary caregiver. Let him know that you love him and care about his well being, but that he is not alone in this equation. He has to consider others. Also let him know what alternatives are be explored, if no changes can be made. For health purposes, I suggest cleaning out the cabinets and refrigerator of unhealthy foods and replacing with healthy alternatives (lots of vegetables and fruits). Maybe explore different recipes to make eating healthy more appealing. If he’s in a wheelchair and not very mobile, he probably won’t be going shopping for food. Thus, his caregiver is in charge. He may grumble for a short while, but it will be well worth it in the long run. His attitude may even change for the better, because he will start to feel better about himself.
Finally, cumulative attrition of the most vulnerable fraction of the obese population brought about by premature mortality of those subjects who do not survive the late-midlife years leaves only the most biologically advantaged obese survivors for “nonbiased” epidemiological analysis of obesity in advanced years. If one accepts that obesity increases mortality in younger years, attempted comparison between age-matched obese and lean humans in the older age inevitably leads to the study of two highly unequal cohorts of which only one has been subjected to the Darwinian process of obesity-related attrition.
“The problem with using only primary care providers,” says Bonnie Modugno, a registered dietician in Santa Monica, Calif., “is that they completely ruled out direct reimbursement for the population of providers who are uniquely qualified and experienced working with weight management. I think that was a big mistake.”
The U.S. Food and Drug Administration approved orlistat capsules, branded as alli, as an over-the-counter (OTC) treatment for overweight adults in February 2007. The drug had previously been approved in 1999 as a prescription weight loss aid, whose brand name is Xenical. The OTC preparation has a lower dosage than prescription Xenical.
Another job vacancy associated with obesity might be one normally filled by a stomach bacterium called Helicobacter pylori. Research by Martin Blaser of New York University suggests that it helps to regulate appetite by modulating levels of ghrelin—a hunger-stimulating hormone. H. pylori was once abundant in the American digestive tract but is now rare, thanks to more hygienic living conditions and the use of antibiotics, says Blaser, author of a new book entitled Missing Microbes.
Ben Sheidler, a spokesman for Coca-Cola, said the company had created 32 new beverages in the last 18 months, and that 65 percent of its drinks portfolio in Chile could now be described as having low or reduced sugar.
“We’re all creatures of habit,” Campbell says. So, she says, imagine you’re 75 years old and have to change your habits and incorporate new foods like tofu. Although most diets offer plenty of online and printed resources, they can be overwhelming. “It’s hard sometimes to pick up a book and say, ‘what should I be eating,'” she says. For older adults, it can help to work with dietitians.
The interaction between diet and gut bacteria can predispose us to obesity from the day we are born, as can the mode by which we enter the world. Studies have shown that both formula-fed babies and infants delivered by cesarean section have a higher risk for obesity and diabetes than those who are breast-fed or delivered vaginally. Working together, Rob Knight of the University of Colorado Boulder and Maria Gloria Dominguez-Bello of N.Y.U. have found that as newborns traverse the birth canal, they swallow bacteria that will later help them digest milk. C-section babies skip this bacterial baptism. Babies raised on formula face a different disadvantage: they do not get substances in breast milk that nurture beneficial bacteria and limit colonization by harmful ones. According to a recent Canadian study, babies drinking formula have bacteria in their gut that are not seen in breast-fed babies until solid foods are introduced. Their presence before the gut and immune system are mature, says Dominguez-Bello, may be one reason these babies are more susceptible to allergies, asthma, eczema and celiac disease, as well as obesity.
Glass, T., Rasmussen, M., & Schwartz, B. (2006). Neighborhoods and obesity in older adults: The Baltimore memory study. American Journal of Preventive Medicine, 31(6), 455-463. Retrieved November 12, 2008 from: www.pubmedcentral.nih.gov/articlerender.