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Jump up ^ Flegal KM, Carroll MD, Ogden CL, Johnson CL (October 2002). “Prevalence and trends in obesity among US adults, 1999–2000”. JAMA. 288 (14): 1723–27. doi:10.1001/jama.288.14.1723. PMID 12365955.

“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.

“So we compared the survival of respondents with a normal or overweight BMI to respondents in [various] grades of obesity. Mortality risk increases in a successive manner, with higher BMI conferring a higher mortality risk,” he said. “These results are consistent with existing evidence. So, yes, ‘how’ obese one is certainly matters, in a logically consistent way.”

But research shows that other factors can correlate with excessive weight gain, too. Obese boomers are about half as likely to have a college degree as boomers who are at a healthy weight, according to the UCLA data. They are more likely to be low-income and less likely to own their own homes. And they’re 35 percent more likely to smoke.

It’s important for your senior to maintain body weight once they are advanced in age, experiencing frailty, or undergoing treatments for cancer. Weight loss for seniors who are advanced in age is typically not recommended, and rapid weight loss in older adults can indicate a medical problem, malnourishment, or an issue with ease of eating or dental problems.

In June 2012, the FDA approved Belviq (lorcaserin hydrochloride) as a weight-loss medication. The medication works by controlling appetite (via serotonin activation). According to the FDA data, nearly half the patients using the medication lost at least 5% of their starting weight, which is more than double that lost by patients in the control group. This was only true for patients without type 2 diabetes.

Gallup data indicate that more than half (53%) of today’s baby boomers (U.S. adults aged 39 to 57) perceive themselves to be either “very” or “somewhat” overweight. This percentage is significantly higher than it is for either the 18- to 39-year-old cohort (30%) or the 75+ year-old cohort (30%), although it is very similar to the percentage for the 58- to 74-year-old category (56%).

The report notes that the number of Americans ages 65 and older is on course to more than double from 46 million today to over 98 million by 2060, while the 65-and-older age group’s share of the total population will rise to nearly 24 percent from 15 percent.

You may always have to remain vigilant about your weight. Combining a healthier diet and more activity in a practical and sustainable manner are the best ways to keep the weight you lost off for the long term.

The association between obesity and cancer is not quite as clear as that for diabetes and cardiovascular disease. This is due in part to the fact that cancer is not a single disease but a collection of individual diseases.

If your dog’s underactive thyroid is left untreated, it can lead to a significant decrease of quality of life. The metabolism of all cellular functions is regulated by the thyroid gland and hypothyroidism, if untreated, will progress over months and years, eventually resulting in end-stage disease.

Structure House offered me the opportunity to leave my chaotic world of eating and go to a safe place to build new habits that would last a lifetime. An initial four week stay and two additional visits over a one year period helped me to lose 170 pounds and learn lifelong habits to continue being healthy.    

Jump up ^ Poirier P, Giles TD, Bray GA, Hong Y, Stern JS, Pi-Sunyer FX, Eckel RH (May 2006). “Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss”. Arterioscler. Thromb. Vasc. Biol. (Review). 26 (5): 968–76. doi:10.1161/01.ATV.0000216787.85457.f3. PMID 16627822.

Your mother is enabling him to maintain his current weight. She probably doesn’t recognize her part in the problem but suggesting that she manage her responses may help her recognize that she is part of the problem.

In summary, a comprehensive history together with a physical examination should be the first step in eliciting the cause or causes of the weight loss. This step includes screening for potential risk factors and assessing current medications. Computed tomographic screening is of limited value. Instead, diagnostic testing should be directed toward areas of concern based on the history and physical examination.

HEIDI L. GADDEY, MD, is associate program director at the Ehrling Bergquist Family Medicine Residency Program, Offutt Air Force Base, Neb. At the time this article was written she was associate program director at the David Grant Medical Center Family Medicine Residency Program, Travis Air Force Base, Calif….

Appetite suppressing medications are popular because we need help in controlling food intake. Relying on drugs does not solve the problem. Often these over-the-counter and prescription medications work for a few weeks, becoming ineffective as the body learns to ignore them-a process known as tolerance.

Sudden or rapid weight loss is considered to be a significant risk factor for seniors. It can be a sign of a serious health condition, and is invariably associated with a decline in overall health and an increase in mortality (9% to 38% within two years). Frail seniors more than 20 percent below their ideal body weight are more susceptible to a wide range of health problems, injuries and complications. They experience a marked decline in the ability to perform activities of daily living, and must often be relocated to care facilities as a result.

This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings through its clearinghouses and education programs to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.

Much of the food isn’t all that different from what I can get in any other supermarket, but sprinkled throughout are items that scream “wholesome.” One that catches my eye today, sitting prominently on an impulse-buy rack near the checkout counter, is Vegan Cheesy Salad Booster, from Living Intentions, whose package emphasizes the fact that the food is enhanced with spirulina, chlorella, and sea vegetables. The label also proudly lets me know that the contents are raw—no processing!—and that they don’t contain any genetically modified ingredients. What the stuff does contain, though, is more than three times the fat content per ounce as the beef patty in a Big Mac (more than two-thirds of the calories come from fat), and four times the sodium.

NAEM’s EHS Compliance Management Conference focuses on the core of EHS responsibilities and brings together a diverse group of cross-industry EHS professionals. Attend this conference for case studies and interactive dialogue on emerging trends and issues in EHS management including EHS auditing, data management, risk management, and staffing challenges. This is the conference you won’t want to miss.

Abstract The barriers to the evaluation and treatment of obesity by health-care providers include a lack of awareness of obesity as an independent risk factor for morbidity and mortality and inadequate training in the medical management of obesity. However, the

Jump up ^ WHO Expert, Consultation (Jan 10, 2004). “Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies”. Lancet. 363 (9403): 157–63. doi:10.1016/s0140-6736(03)15268-3. PMID 14726171.

The AP’s poll was conducted from June 3-12 by Knowledge Networks of Menlo Park, Calif., and involved online interviews with 1,416 adults, including 1,078 baby boomers born between 1946 and 1964. Knowledge Networks used traditional telephone and mail sampling methods to randomly recruit respondents. People selected who had no Internet access were given it free.

Obesity is one of the top health problems facing Americans today. More two-thirds of adults are overweight or obese and carrying around this extra weight contributes to more than 300,000 deaths every year.

American Obesity Association: This group itself is not for profit, but it is made up of several types of sponsors, including professional groups such as the American College of Nutrition as well as health-insurance interests, for-profit companies such as drug and biotechnology companies, and weight-loss interests such as Jenny Craig, Inc., and Weight Watchers, Inc. The group’s purpose is to change the way obesity is perceived and to end discrimination against obese people, as well as to find more effective strategies for preventing and “curing” obesity. It uses lobbying, advocacy, and education to achieve these goals.

Children: A healthy weight is usually when your child’s BMI is at the 5th percentile up to less than the 85th percentile based on growth charts for children who are the same age and sex. To figure out your child’s BMI, use the Center for Disease Control and Prevention (CDC) BMI Percentile Calculator for Child and Teen and compare the BMI with the table below.

Being overweight or obese isn’t just a cosmetic issue. Both conditions put your health at risk and can contribute a number of diseases, including diabetes and cancer. That risk only increases in individuals who have a family history of health problems, have a sedentary lifestyle, smoke, or have an unhealthy diet.

Obesity means having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person’s weight is greater than what’s considered healthy for his or her height.

There are a number of physical, psychological, and emotional issues that can arise as a result of obesity. In some instances the consequences of obesity can be life threatening, which is why excessive weight problems should be addressed as soon as possible. Some of the possible consequences of obesity include:

Long-term compliance was an important factor in ranking diets, Davidson says: “What can be a lifelong change instead of just a short-term fix for the patient?” Therefore, he says, “it’s really more about variety and food choices, as opposed to portion sizes, that are applicable to an elderly individual. So it’s the kind of diet I prefer for those patients.”

Three years ago, when Nicole Wilhelm, a public relations executive in Jacksonville, Florida, was in the throes of wedding planning, she visited her 68-year-old father in Lucerne Valley, California. It quickly became apparent that something was wrong, says Wilhelm.

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Screen time is a major factor contributing to childhood obesity. It takes away from the time children spend being physically active, leads to increased snacking in front of the TV, and influences children with advertisements for unhealthy foods.
“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?”
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.
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.
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 happ…
Most medications that promote weight loss work by suppressing the appetite. Some medications used in the past have been shown to be unsafe and are no longer available. The newer appetite-suppressing medications are thought to be safe, but they do have side effects and may interact with certain other drugs. They are used only under the supervision of a health-care professional.
Jump up ^ Johnston, Bradley C.; Kanters, Steve; Bandayrel, Kristofer; Wu, Ping; Naji, Faysal; Siemieniuk, Reed A.; Ball, Geoff C.; Busse, Jason W.; Thorlund, Kristian; Guyatt, Gordon; Jansen, Jeroen P.; Mills, Edward J. (3 September 2014). “Comparison of Weight Loss Among Named Diet Programs in Overweight and Obese Adults”. JAMA. 312 (9): 923–33. doi:10.1001/jama.2014.10397. PMID 25182101.
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Eating oatmeal for breakfast is heart healthy, filling, and satisfying. In addition to lowering and maintaining healthy cholesterol, oatmeal is packed full of fiber, which keeps your bathroom schedule regular and promotes weight loss. Mix up the flavors by adding different fruits, nuts and spices for variety.
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.
In summary, initial treatment for unexplained weight loss should be targeted at addressing identified risk factors, although evidence of benefit is limited. Medications that are not clearly required and that may be contributing to the weight loss should be discontinued or appropriate alternatives considered. The role for specific nutritional interventions targeted at increasing caloric intake and improving weight is unclear. There is also minimal evidence to support use of pharmacologic agents. Megestrol acetate may be effective for older adults living in care facilities when used in conjunction with feeding assistance, but further study is required.
The prevalence of obesity in the United States (US) is increasing in all age groups. During the past 30 years, the proportion of older adults who are obese has doubled (Patterson, Frank, Kristal, & White 2004). The increased number of obese older adults is seen both as an increase in the total number of older obese persons in our population and as an increase in the percentage of the population that is obese (Villareal, Apovian, Kushner, & Klein, 2005). In spite of the increase in obesity among older adults, it is important to note that the majority of older adults are not obese and continue to lead active and healthy lives. The goal of this article is to raise nurses’ awareness of the challenges of obesity in older adults. This article will describe the prevalence and causes of obesity among older adults, as well as the consequences of obesity in older adults. Recommendations for interventions to address obesity will be provided. Differences between two groups of older persons, those 50 to 65 years of age, and those over 65 years of age, will be addressed.
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.
At the study’s outset, participants had evidence of frailty and impaired physical function based on their Physical Performance Test and on measures of their peak aerobic capacity using an exercise stress test and a questionnaire about their physical function.
* eHealth’s Medicare Choice and Impact report examines user sessions from more than 30,000 eHealth Medicare visitors who used the company’s Medicare prescription drug coverage comparison tool in the fourth quarter of 2016, including Medicare’s 2017 Annual Election Period (October 15 – December 7, 2016).
Jump up ^ Aune, D; Sen, A; Prasad, M; Norat, T; Janszky, I; Tonstad, S; Romundstad, P; Vatten, LJ (4 May 2016). “BMI and all cause mortality: systematic review and non-linear dose-response meta-analysis of 230 cohort studies with 3.74 million deaths among 30.3 million participants”. BMJ (Clinical research ed.). 353: i2156. doi:10.1136/bmj.i2156. PMC 4856854 . PMID 27146380.
Likewise, increasing your activity level is largely a matter of changing your attitude. You don’t have to become a marathon runner. Thirty minutes of aerobic activity five days a week will make a significant difference in your health. Look for ways to increase your activity level doing things you enjoy.

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Abstract The barriers to the evaluation and treatment of obesity by health-care providers include a lack of awareness of obesity as an independent risk factor for morbidity and mortality and inadequate training in the medical management of obesity. However, the

• Functional. Decreased daily living skills and poverty negatively impact shopping and cooking. Poorly fitting, or lack of, dentures makes eating difficult. Caregiver neglect is another factor; the quality of the relationship between the person being fed and the feeder is a predictor of food intake.4 Loneliness and social isolation also are linked to decreased food intake.

Heart-healthy eating. Learn about which foods and nutrients are part of a healthy eating pattern. It’s important to eat the right amount of calories to maintain a healthy weight. If you need to lose weight, try to reduce your total daily calories gradually. Use the Body Weight Planner to find out your daily calorie needs and to set goals. Visit healthy recipes and plan for success. Talk with your doctor before beginning any diet or eating plan. Visit Chose My Plate or 2015-2020 Dietary Guidelines for Americans for more information.

Type 2 diabetes has doubled in the U.S. in the past 15 years, and is highest among adults over age 65, according to the Centers for Disease Control and Prevention. And diabetes is a well known risk factor in heart disease, kidney disease, stroke and other serious medical conditions.

Jebb S. and Wells J. Measuring body composition in adults and children In:Peter G. Kopelman; Ian D. Caterson; Michael J. Stock; William H. Dietz (2005). Clinical obesity in adults and children: In Adults and Children. Blackwell Publishing. pp. 12–28. ISBN 1-4051-1672-2.

The prevalence of obesity is increasing in all age groups. According to a 2001 census and the projection made by the United Nations (1996 revision), the elderly constitute 7.5% of the Indian population, and by all indications 21% of the Indian population will be 60 years and above by 2050. Medical science discoveries, improved lifestyle, and social conditions during the past few decades have increased the life span of man. Life expectancy at birth in developed countries is over 70 years. Questions have risen about the relation between obesity in old age and total or disease-specific mortality, the definition of obesity in the elderly, its clinical relevance, and about the need for its treatment. Information about changes in body composition and fat distribution among the elderly will help us better understand the relationships between obesity and morbidity in the elderly.

Gout is a disease that affects the joints that is caused by high levels of a substance called uric acid in the blood. The large amount of uric acid can form into solid or crystal-like masses that deposit in the joints. Gout is more common in overweight people and the risk of developing the disorder increases with higher body weights.

In Sacramento, 56 percent of obese baby boomers have high blood pressure, the UCLA figures show, compared with 23 percent of boomers with a normal body weight. More than one-fifth of obese baby boomers in the region have diabetes. Forty percent suffer from arthritis: Not surprisingly, the number of boomers using assistive devices, such as canes and walkers, is on the rise, as well. Almost 20 percent of obese boomers can’t work due to disability.

5. Graham M, Knight B. The many causes of involuntary weight loss: a 3-step approach to the diagnosis. www.hcplive.com/general/publications/Resident-and-Staff/2006/2006-11/2006-11_04. December 22, 2009.

Because they are energy-intense foods, fat and sugar and other problem carbs trip the pleasure and reward meters placed in our brains by evolution the millions of years during which starvation was an ever-present threat. We’re born enjoying the stimulating sensations these ingredients provide, and exposure strengthens the associations, ensuring that we come to crave them and, all too often, eat more of them than we should. Processed food is not an essential part of this story: recent examinations of ancient human remains in Egypt, Peru, and elsewhere have repeatedly revealed hardened arteries, suggesting that pre-industrial diets, at least of the affluent, may not have been the epitome of healthy eating that the Pollanites make them out to be. People who want to lose weight and keep it off are almost always advised by those who run successful long-term weight-loss programs to transition to a diet high in lean protein, complex carbs such as whole grains and legumes, and the sort of fiber vegetables are loaded with. Because these ingredients provide us with the calories we need without the big, fast bursts of energy, they can be satiating without pushing the primitive reward buttons that nudge us to eat too much.

The rate of obesity also increases with age at least up to 50 or 60 years old[185] and severe obesity in the United States, Australia, and Canada is increasing faster than the overall rate of obesity.[29][186][187]

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It’s important for your senior to maintain body once they are advanced in age, experiencing frailty, or undergoing treatments for cancer. Weight loss for seniors who are advanced in age is typically not recommended, and rapid weight loss in older adults can indicate a medical problem, malnourishment, or an issue with ease of eating or dental problems.

Jump up ^ Nestle M, Jacobson MF (2000). “Halting the obesity epidemic: a public health policy approach”. Public Health Rep (Research Support). 115 (1): 12–24. doi:10.1093/phr/115.1.12. PMC 1308552 . PMID 10968581.

In earlier historical periods obesity was rare, and achievable only by a small elite, although already recognised as a problem for health. But as prosperity increased in the Early Modern period, it affected increasingly larger groups of the population.[182]

For an overweight or obese senior, getting healthy improves your quality and length of life. Losing weight as a senior citizen can be difficult, particularly when dealing with unexpected aches and pains, dwindling energy and new nutrition needs. Still, you can fight off the weight gain that can naturally occur as you age with a two-pronged weight-loss plan that includes regular physical activity — both cardio and strength training — and a nutritious diet plan.

Monitor your weight regularly. People who weigh themselves at least once a week are more successful in keeping off excess pounds. Monitoring your weight can tell you whether your efforts are working and can help you detect small weight gains before they become big problems.

A follow-up study was recently released in the American Journal of Public Health, in which Masters and his colleagues found that obesity accounts for 18 percent of deaths in people ages 40 to 85. This estimate is more than four times higher than researchers previously thought. Due to environmental factors—more sedentary lifestyle, processed foods—the study says each generation is obese for a longer period than the former, a factor not considered in previous estimates.

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.

Dogs are not only a source of loving companionship, they are also the key to getting daily exercise. Dogs need to be walked at least a few times a day, and also love to play outside. Just by taking good care of your dog, you will be more active, which can help trim off those extra pounds.

Jump up ^ Dannenberg AL, Burton DC, Jackson RJ (2004). “Economic and environmental costs of obesity: The impact on airlines”. American journal of preventive medicine (Letter). 27 (3): 264. doi:10.1016/j.amepre.2004.06.004. PMID 15450642.

Karlson, E., Mandl, L., Aweh, G., Sangha, O., Liang, M., & Grodstein, F. (2003). Total hip replacement due to osteoarthritis: The importance of age, obesity, and other modifiable risk factors. American Journal of Medicine,114, 93-98.

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.

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.

That was the goal for Pamela Christensen, a 65-year-old technology manager in Garden City, New York, who’s lost – and kept off – 35 pounds since joining a gym two years ago. Since then, she’s relieved her joint discomfort, ditched her cane and boosted her stamina. “I didn’t want to be the grandma who everybody says, ‘She can’t get on the floor with us,'” Christensen says. “And little by little, I am less that person.”

Updated by: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

“Despite their longer life expectancy over previous generations, U.S. baby boomers have higher rates of chronic disease, more disability and lower self-rated health than members of the previous generation at the same age,” wrote the study’s authors, led by Dr. Dana E. King, professor and chair of family medicine at West Virginia University in Morgantown.

In 1997 the WHO formally recognized obesity as a global epidemic.[94] As of 2008 the WHO estimates that at least 500 million adults (greater than 10%) are obese, with higher rates among women than men.[183] The percentage of adults affected in the United States as of 2015-2016 is about 39.6% overall (37.9% of males and 41.1% of females).[184]

Losing excess weight after delivery may help women reduce their health risks. For example, if a woman developed gestational diabetes, losing weight may lower her risk of developing diabetes later in life.

Appetite suppressing medications are popular because we need help in controlling food intake. Relying on drugs does not solve the problem. Often these over-the-counter and prescription medications work for a few weeks, becoming ineffective as the body learns to ignore them-a process known as tolerance.

Mar. 14, 2014 — The ACE I/D gene and how its variations — the ID, DD, and II genotypes — cause some seniors’ to lose out on the benefits of exercise, new research shows. These findings suggest that the ACE … read more

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.

Jump up ^ Christakis NA, Fowler JH (2007). “The Spread of Obesity in a Large Social Network over 32 Years”. New England Journal of Medicine (Research Support). 357 (4): 370–79. doi:10.1056/NEJMsa066082. PMID 17652652.

Including calisthenic exercises such as sit-ups, push-ups, and pull-ups is an option, but excess bodyweight significantly limits the number of repetitions that overweight or obese clients can perform. Therefore, these activities may limit improvement and be embarrassing for them to attempt. Designing programs that include the use of machines or free-weight equipment may avoid this problem, because resistance loads can be easily adjusted to match each client’s strength level. For example, the free-weight bench press works the same muscles as push-ups do, and the weight-assisted chin and dip machine is nearly identical to pull-ups in its effect on the muscles worked. Although your client may not have the strength to complete push-ups or pull-ups, load assignments in the bench press and weight-assisted chin and dip machine, respectively, can be reduced enough to enable him or her to perform the 8 to 12 reps recommended in chapter 4.

Setting realistic goals. When you have to lose a significant amount of weight, you may set goals that are unrealistic, such as trying to lose too much too fast. Don’t set yourself up for failure. Set daily or weekly goals for exercise and weight loss. Make small changes in your diet instead of attempting drastic changes that you’re not likely to stick with for the long haul.

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.

Given that unintentional weight loss is a common condition among older adults and is associated with adverse outcomes, our objective was to review the evidence regarding risk factors, differential diagnosis, prognosis, investigation and treatment of unintentional weight loss in this population. In this review, we use the term “unexplained weight loss” to refer to unintentional weight loss for which there is no specific organic cause.

One of the most serious health risks of obesity is heart disease. In the United States, heart disease is a leading cause of death and disability for adult men and women. Excess weight is directly linked to heart disease: the higher the BMI, the higher the blood pressure, LDL “bad” cholesterol levels, and triglycerides (blood fats). All of these are key risk factors for coronary artery disease (a waxy plaque buildup in the arteries), angina (chest pain caused by decreased oxygen to the heart), heart attack, and congestive heart failure (inadequate heart function).

For women, a waist circumference over 35 inches (88 cm) along with a body mass index of 25 or more (“overweight” classification) places you at a high risk for obesity health problems.  If your waist is over 35 inches, the higher your BMI, the higher your risks.

Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 2008; 371(9612):569-578.

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Genetic studies have found that overweight and obesity can run in families, so it is possible that our genes or DNA can cause these conditions. Research studies have found that certain DNA elements are associated with obesity.
Health is one of the greatest influences on a person’s quality of life, so if you’re ready to make important changes that will lead to better long-term health, contact the weight-loss specialists at UT MIST Center for Bariatric and Metabolic Surgery in Houston. Request your consultation online or phone (713) 892-5500.
Older adults are working longer. By 2014, 23 percent of men and about 15 percent of women ages 65 and older were in the labor force, and these levels are projected to rise further by 2022, to 27 percent for men and 20 percent for women.
After my excursion to Whole Foods, I drive a few minutes to a Trader Joe’s, also known for an emphasis on wholesome foods. Here at the register I’m confronted with a large display of a snack food called “Inner Peas,” consisting of peas that are breaded in cornmeal and rice flour, fried in sunflower oil, and then sprinkled with salt. By weight, the snack has six times as much fat as it does protein, along with loads of carbohydrates. I can’t recall ever seeing anything at any fast-food restaurant that represents as big an obesogenic crime against the vegetable kingdom. (A spokesperson for Trader Joe’s said the company does not consider itself a “ ‘wholesome food’ grocery retailer.” Living Intentions did not respond to a request for comment.)
Your emotions, and how you handle them, also matter. Many people eat when they’re mad, sad, bored, or stressed. Weight problems can add to that. If you feel badly or are self-conscious about your body, that can hold you back from the full life that people of all sizes deserve. In turn, you eat more, seeking comfort.
Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.
While Americans are consuming more calories, they are not expending them with enough physical activity. Physical activity is an important element in modifying and shaping behaviors. The influence of television, computers and other technologies discourage physical activity and add to the problem of obesity in our society.
Federal guidelines on physical activity recommend that you get at least 150 minutes a week of moderate aerobic activity (like biking or brisk walking). To lose weight, or to maintain weight loss, you may need to be active for up to 300 minutes per week. You also need to do activities to strengthen muscles (like push-ups or sit-ups) at least twice a week. See the Additional Links section for a hyperlink to these guidelines.
And yet those final days provided the father-daughter time she had always longed for. “I made meals for him, did his laundry, cleaned the house, drank beer on the porch with him, and just enjoyed his undivided attention,” she “We listened to his jazz records, and a lot of Louis Prima, and he told me stories about the ‘Old Vegas’ and how much better that was than today’s version.”
He kind of rolls off the bed into a wheelchair and she has to push him to the bathroom where he walks the one step from the wheelchair to the toilet to use it. I have tried talking to his doctor numerous times and his doctor just tells him to take more pain medication for his problems. Hello? Pain medication is not going to help him lose weight, or move better. My father refuses to believe that his weight is a problem. He won’t listen to my mother, myself, or my brother.
Certain medications may cause you to gain weight. These include some corticosteroids, antidepressants, and seizure medications. Medication can slow the rate at which your body burns calories, increase your appetite, or cause your body to hold extra water. All of these factors can lead to weight gain. If weight gain is a side effect of a medication you are taking, talk to your doctor about potentially switching to a different medication that isn’t associated with weight gain. 
Scientists have made tremendous strides in understanding obesity and in improving the medication treatment of this important disease. In time, better, safer, and more effective obesity medications will be available. But currently there is still no “magic cure” for obesity. The best and safest way to lose fat and keep it off is through a commitment to a lifelong process of proper diet and regular exercise. Medications should be considered helpful adjuncts to diet and exercise for patients whose health risk from obesity clearly outweigh the potential side effects of the medications. Medications should be prescribed by doctors familiar with the patients’ conditions and with the use of the medications. Medication(s) and other “herbal” preparations with unproven effectiveness and safety should be avoided.
Next the question of how to deal with the additional weight. I tend to take a tough love position. While he may be helpless with regard to losing weight, you and your mother are also helpless to help him reduce the pounds. Help your mother set limits on what she will do for him. She can refuse to cook foods that are fatty. She can refuse to bring him his meals, and insist that he find a way to get to the table on his own. She can place a urinal near his wheelchair and insist that he manage that need without her assistance.

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The BMI does not tke count for mass of muscle versus mass of fat. A BMI both below and above the so-called normal values can be healthy if there is little fat, but well developed muscle mass. And a person with a BMI less that 18.5 can be too fat if the muscle mass is very scant, but much fat.
A prospective trial in four long-term care facilities examined the role of megestrol acetate and optimal feeding assistance.21 For 63 days, megestrol (400 mg/d) was given to 17 residents who were eating less than 75% of most meals. They received either usual care or optimal feeding assistance. Results suggest that megestrol in combination with optimal mealtime feeding assistance significantly increased oral intake in frail long-term care residents but was not effective under usual care conditions.
Obesity traditionally has been defined as a weight at least 20% above the weight corresponding to the lowest death rate for individuals of a specific height, gender, and age (ideal weight). Twenty to forty percent over ideal weight is considered mildly obese; 40-100% over ideal weight is considered moderately obese; and 100% over ideal weight is considered severely, or morbidly, obese. More recent guidelines for obesity use a measurement called BMI (body mass index) which is the individual’s weight multiplied by 703 and then divided by twice the height in inches. BMI of 25.9-29 is considered overweight; BMI over 30 is considered obese. Measurements and comparisons of waist and hip circumference can also provide some information regarding risk factors associated with weight. The higher the ratio, the greater the chance for weight-associated complications. Calipers can be used to measure skin-fold thickness to determine whether tissue is muscle (lean) or adipose tissue (fat).
Incorporate a strength-training routine two to three times a week to help maintain the muscle mass that you naturally lose. After a five- to 10-minute warmup consisting of a brisk walk to loosen the muscles, do body-weight exercises such as squatting over a chair, wall pushups and toe stands or calf raises. The CDC recommends two sets of 10 repetitions for each exercise. Once you feel stronger, move onto slightly more difficult exercises such as bicep curls and overhead presses with light weights, as well as hip abductions to target the lower body. Sit on a chair during upper-body exercises and hold onto the chair back during lower-body exercises for stability. End each strength session with stretches for all major muscle groups.
It’s never too late to begin a weight-control and exercise program. Along with a healthy diet, engaging in individually-appropriate physical activity—aerobics, resistance training, and flexibility exercises—can provide seniors a way toward feeling younger.
Inspired by the experience nonetheless, I tried again two months later at L.A.’s Real Food Daily, a popular vegan restaurant near Hollywood. I was initially wary of a low-calorie juice made almost entirely from green vegetables, but the server assured me it was a popular treat. I like to brag that I can eat anything, and I scarf down all sorts of raw vegetables like candy, but I could stomach only about a third of this oddly foamy, bitter concoction. It smelled like lawn clippings and tasted like liquid celery. It goes for $7.95, and I waited 10 minutes for it.
Researchers now know more about visceral fat, which is deep in the abdomen of overweight and obese patients. Visceral fat releases factors that promote inflammation. Chronic obesity-related inflammation is thought to lead to insulin  resistance and diabetes, changes in the liver or non-alcoholic fatty acid liver disease, and cancers. More research is needed to understand what triggers inflammation in some obese patients and to find new treatments.
^ Jump up to: a b Tsigos C, Hainer V, Basdevant A, Finer N, Fried M, Mathus-Vliegen E, Micic D, Maislos M, Roman G, Schutz Y, Toplak H, Zahorska-Markiewicz B (April 2008). “Management of Obesity in Adults: European Clinical Practice Guidelines” (PDF). The European Journal of Obesity. 1 (2): 106–16. doi:10.1159/000126822. PMID 20054170. Archived from the original (PDF) on 2012-04-26.
For an overweight or obese senior, getting healthy improves your quality and length of life. Losing weight as a senior citizen can be difficult, particularly when dealing with unexpected aches and pains, dwindling energy and new nutrition needs. Still, you can fight off the weight gain that can naturally occur as you age with a two-pronged weight-loss plan that includes regular physical activity — both cardio and strength training — and a nutritious diet plan.
Obesity harms virtually every aspect of health, from shortening life and contributing to chronic conditions such as diabetes and cardiovascular disease to interfering with sexual function, breathing, mood, and social interactions. Obesity isn’t necessarily a permanent condition. Diet, exercise, medications and even surgery can lead to weight loss. Yet it is much much harder to lose weight than it is to gain it. Prevention of obesity, beginning at an early age and extending across a lifespan could vastly improve individual and public health, reduce suffering, and save billions of dollars each year in health care costs.
Public perceptions in Western society regarding healthy body weight differ from those regarding the weight that is considered ideal  – and both have changed since the beginning of the 20th century. The weight that is viewed as an ideal has become lower since the 1920s. This is illustrated by the fact that the average height of Miss America pageant winners increased by 2% from 1922 to 1999, while their average weight decreased by 12%.[197] On the other hand, people’s views concerning healthy weight have changed in the opposite direction. In Britain, the weight at which people considered themselves to be overweight was significantly higher in 2007 than in 1999.[198] These changes are believed to be due to increasing rates of adiposity leading to increased acceptance of extra body fat as being normal.[198]
Putting a loved one in senior living can be challenging, but finding care for family members who are obese can not only be challenging, but time-consuming and costly. Learn more about America’s next big problem with the aging nation: rising obesity in seniors.
Several medications to stimulate appetite are available, but none have been shown to reduce mortality in older patients with unintentional weight loss.17,27 Megestrol (Megace), the most commonly studied medication, has been shown to improve appetite and increase weight gain in patients with cancer and AIDS cachexia35; however, studies in older patients are limited, and there are insufficient data to define an optimal dose.27,35 Adverse effects of megestrol include gastrointestinal upset, insomnia, impotence, hypertension, thromboembolic events, and adrenal insufficiency. Therefore, megestrol may not be appropriate for all patients, and the risks vs. benefits and patient preferences should be considered.18
The ad prompted a fierce backlash online that went viral. In one counterattack, the Chilean actor Pablo Schwartz posted a video of himself pondering a mound of white powder. “Everyone says cocaine is bad, of course, but would you snort a quarter kilo at once?” he asks before inhaling a bump and then adding “It’s all about portion.”
A team from the University of Barcelona (UB) led by Dr Juan Carlos Laguna published a study in the journal Hepatology that provides clues to the molecular mechanism through which fructose (a type of sugar) in beverages may alter lipid energy metabolism and cause fatty liver and metabolic syndrome.
Fructose is mainly metabolized in the liver, the target organ of the metabolic alterations caused by the consumption of this sugar. In this study, rats receiving fructose-containing beverages presented a pathology similar to metabolic syndrome, which in the short term causes lipid accumulation (hypertriglyceridemia) and fatty liver, and eventually leads to hypertension, resistance to insulin, diabetes and obesity.
PCOS is a condition that affects about 5-10 percent of women of childbearing age. Women who have PCOS are often obese, have excess hair growth, and have reproductive problems and other health issues due to high levels of hormones called androgens.
Psychological factors. For some people, emotions influence eating habits. Many people eat excessively in response to emotions such as boredom, sadness, stress, or anger. While most overweight people have no more psychological disturbances than normal weight people, about 30% of the people who seek treatment for serious weight problems have difficulties with binge eating.
Jump up ^ Bellows-Riecken KH, Rhodes RE (February 2008). “A birth of inactivity? A review of physical activity and parenthood”. Prev Med (Review). 46 (2): 99–110. doi:10.1016/j.ypmed.2007.08.003. PMID 17919713.
^ Jump up to: a b c d Poulain M, Doucet M, Major GC, Drapeau V, Sériès F, Boulet LP, Tremblay A, Maltais F (April 2006). “The effect of obesity on chronic respiratory diseases: pathophysiology and therapeutic strategies”. CMAJ. 174 (9): 1293–99. doi:10.1503/cmaj.051299. PMC 1435949 . PMID 16636330.
Unintentional weight loss appears to be associated with an increased risk of death among both older adults living in care facilties and community-dwelling older adults. In general, the impact on life expectancy of treating the weight loss remains unclear.
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
With the onset of the Industrial Revolution it was realized that the military and economic might of nations were dependent on both the body size and strength of their soldiers and workers.[94] Increasing the average body mass index from what is now considered underweight to what is now the normal range played a significant role in the development of industrialized societies.[94] Height and weight thus both increased through the 19th century in the developed world. During the 20th century, as populations reached their genetic potential for height, weight began increasing much more than height, resulting in obesity.[94] In the 1950s increasing wealth in the developed world decreased child mortality, but as body weight increased heart and kidney disease became more common.[94][195] During this time period, insurance companies realized the connection between weight and life expectancy and increased premiums for the obese.[2]
And many times, their primary care physicians have been reluctant to bring up the patients’ weight problems: Studies show that half of obese people say their doctors have never told them to lose weight.
Jump up ^ Ejerblad E, 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.
Evaluation of risks for heart disease in school children. The multigenerational Muscatine Heart Study followed children from 1970 to 1991 to study school-aged children for heart disease risk factors and to follow them throughout childhood into adulthood. The study continues to evaluate heart disease risk factors in the children of the initial study participants. Visit Muscatine Heart Study for more information about the results of this study.
Over half of non-Hispanic black women (57.2 percent), almost half of Hispanic women (46.9 percent), over 1 in 3 non-Hispanic white women (38.2 percent), and about 1 in 8 (12.4) percent non-Hispanic Asian women had obesity.
Overweight and obesity and their associated health problems have a significant economic impact on health systems and the medical costs associated with overweight and obesity have both direct and indirect costs – direct medical costs may include preventive, diagnostic, and treatment services related to obesity, while indirect costs relate to loss of income from decreased productivity, restricted activity, absenteeism, and bed days and the income lost by premature death.
An early hint that gut microbes might play a role in obesity came from studies comparing intestinal bacteria in obese and lean individuals. In studies of twins who were both lean or both obese, researchers found that the gut community in lean people was like a rain forest brimming with many species but that the community in obese people was less diverse—more like a nutrient-overloaded pond where relatively few species dominate. Lean individuals, for example, tended to have a wider variety of Bacteroidetes, a large tribe of microbes that specialize in breaking down bulky plant starches and fibers into shorter molecules that the body can use as a source of energy.
The condition most strongly influenced by body weight is type 2 diabetes. In the Nurses’ Health Study, which followed 114,000 middle-age women for 14 years, the risk of developing diabetes was 93 times higher among women who had a body mass index (BMI) of 35 or higher at the start of the study, compared with women with BMIs lower than 22. (2) Weight gain during adulthood also increased diabetes risk, even among women with BMIs in the healthy range. The Health Professionals Follow-Up Study found a similar association in men. (3)
Jensen, M.D., D.H. Ryan, C.M. Apovian, et al. “2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and Obesity Society.” Circulation 129 (2014): S102.
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 consist 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.
Boomers have a lot to gain by losing a little. Many already have obesity-related health conditions, such as diabetes or high blood pressure. Recent research indicates that an average reduction of 3.74 pounds (1.7 kilograms) per person would result in 178,000 fewer cases of coronary heart disease and 890,000 fewer diabetics [source: Goodwin].

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Other companies and research labs are trying to turn out healthier, more appealing foods by enlisting ultra-high pressure, nanotechnology, vacuums, and edible coatings. At the University of Massachusetts at Amherst’s Center for Foods for Health and Wellness, Fergus Clydesdale, the director of the school’s Food Science Policy Alliance—as well as a spry 70-something who’s happy to tick off all the processed food in his diet—showed me labs where researchers are looking into possibilities that would not only attack obesity but also improve health in other significant ways, for example by isolating ingredients that might lower the risk of cancer and concentrating them in foods. “When you understand foods at the molecular level,” he says, “there’s a lot you can do with food and health that we’re not doing now.”
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]
University of Adelaide. “Gen X obesity a major problem for healthcare, workforce: Australian study.” ScienceDaily. ScienceDaily, 27 March 2014. .
Munsell MF, Sprague BL, Berry DA, Chisholm G, Trentham-Dietz A. Body mass index and breast cancer risk according to postmenopausal estrogen-progestin use and hormone receptor status. Epidemiologic Reviews 2014; 36:114-136.
Weight loss can be intentional, such as from dieting and exercise, or unintentional and be a manifestation of illness. Weight loss can result from a decrease in body fluid, muscle mass, or fat. A decrease in body fluid can come from medications, fluid loss, lack of fluid intake, or illnesses such as diabetes. A decrease in body fat can be intentionally caused by exercise and dieting, such as for overweight or obesity. Weight loss is normal after pregnancy. Other causes of weight loss include, but are not limited to, cancer, viral infection (such as CMV or HIV), gastroenteritis, parasite infection, depression, bowel diseases, and overactive thyroid (hyperthyroidism).
According to an article in Annals of Pharmacotherapy, some medications cause weight gain. “Clinically significant weight gain is associated with some commonly prescribed medicines. There is wide interindividual variation in response and variation of the degree of weight gain within drug classes. Where possible, alternative therapy should be selected, especially for individuals predisposed to overweight and obesity.” (The Annals of Pharmacotherapy: Vol. 39, No. 12, pp. 2046-2054. DOI 10.1345/aph.1G33)
“Everyone’s mother and brother has been telling them to eat more fruit and vegetables forever, and the numbers are only getting worse. We’re not going to solve this problem by telling people to eat unprocessed food.”
Health problems associated with obesity are classified as either nonfatal or life threatening by the World Health Organization (2005). This section will discuss the consequences of obesity on both nonfatal and life-threatening health problems. Interventions to address these particular consequences will be discussed as each consequence is presented. Specific interventions to decrease obesity will be discussed in the following section titled, “Interventions to Address Obesity.”
Before we look at ways to beat the bulge, it is time to get real. Dogs are fatter than ever. It’s estimated that 53% of all dogs in the US are overweight or obese. That’s more than 40 million dogs. There are so many overweight dogs in the world that when we see a dog that is at a healthy weight, we immediately think she is too skinny unhealthy.
The National Institute on Aging, part of the National Institutes of Health, recommends four types of exercises that older Americans should include in their workout: endurance activities, such as walking, biking, or swimming; strength training, such as light weightlifting, to reduce age-related muscle loss; stretching, to maintain flexibility; and balance exercises, to reduce the likelihood of falls.
Excess food portions. Americans are surrounded by huge food portions in restaurants, fast food outlets, gas stations, movie theaters, supermarkets, and even home. Eating large portions means too much energy IN. Over time, this will cause weight gain if it isn’t balanced with physical activity.
^ Jump up to: a b Chang SH, Stoll CR, Song J, Varela JE, Eagon CJ, Colditz GA (2014). “The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012”. JAMA Surgery (Meta-analysis, Review). 149 (3): 275–87. doi:10.1001/jamasurg.2013.3654. PMC 3962512 . PMID 24352617.
Today 72 percent of boomer men and 67 percent of boomer women are overweight or obese. By 2030, this generation will experience almost double the incident of having all three chronic conditions of hypertension, heart disease and diabetes. These three chronic health conditions are tied to this generation’s weight gain. The boomer generation is in a weight crisis that is about to go over the health care cliff.
A baseline evaluation for unexplained, unintentional weight loss in older adults includes history, physical examination, laboratory tests, chest radiography, fecal occult blood testing, and possibly abdominal ultrasonography.
Weight can affect a person’s self-esteem. Excess weight is clearly visible and may attract ridicule. The amount of weight loss needed to improve your health may be much less than your total weight-loss goal. Your health can be greatly improved by a loss of five to 10 percent of your starting weight. That doesn’t mean you have to stop there, but it does mean that an initial goal of losing five to 10 percent of your starting weight is both realistic and valuable.
A blood pressure of 120/80 mm Hg (often referred to as “120 over 80”) is considered normal. If the top number (systolic blood pressure) is consistently 140 or higher or the bottom number (diastolic blood pressure) is 90 or higher, you are considered to have high blood pressure.
Usually, periodic attacks of headaches on one or both sides of the head. These may be accompanied by nausea, vomiting, increased sensitivity of the eyes to light (photophobia), increased sensitivity to sound (phonophobia), dizziness, blurred vision, cognitive disturbances, and other symptoms. Some migraines do not include headache, and migraines may or may not be preceded by an aura.
For the past year, President Trump has worked with the Republican Congress to dismantle crucial parts of Obama’s legacy, including affordable health care, progressive taxation, climate-change regulation, oversight of the financial system, and immigration reform. Discussions of Medicare and Medicaid cuts surfacing in recent weeks suggest that an effort to roll back Lyndon Johnson’s Great Society might be next.
But the industry rarely faces opponents like Senator Girardi. A trained surgeon with a flair for the theatrical, he is a key figure in the governing coalition of President Michelle Bachelet. During the long fight over the food law, Senator Girardi, 56, publicly assailed big food companies as “21st century pedophiles” and before Ms. Bachelet took office, spent weeks protesting outside the presidential palace with placards that accused her predecessor, Sebastián Piñera, of destroying the nation’s health by vetoing an earlier version of the legislation.
In 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.
Body mass index (BMI) is used to determine if you or your child are underweight, healthy, or overweight or obese. Children are underweight if their BMI is below the 5th percentile, healthy weight if their BMI is between the 5th to less than the 85th percentile, overweight if their BMI is the 85th percentile to less than the 95th percentile, and obese if their BMI is the 95th percentile or above. Adults are underweight if their BMI is below 18.5, healthy weight if their BMI is 18.5 to 24.9, overweight if their BMI is 25 to 29.9, and obese if their BMI is 30 or above. *A child’s BMI percentile is calculated by comparing your child’s BMI to growth charts for children who are the same age and sex as your child.
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]
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
23. Najarian RM, Sullivan LM, Kannel WB, Wilson PW, D’Agostino RB, Wolf PA: Metabolic syndrome compared with type 2 diabetes mellitus as a risk factor for stroke: the Framingham Offspring Study. Arch Intern Med 2006; 166: 106– 111 [PubMed]
Previous research had indicated that an elevated BMI (Body Mass Index) at age 65 and older wouldn’t impact one’s lifespan and that it may actually extend it. But a new study has discovered the contrary, finding that, as obese Americans grow older, their risk of death grows greater.

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Frequency of eating. The relationship between frequency of eating (how often you eat) and weight is somewhat controversial. There are many reports of overweight people eating less often than people with normal weight. Scientists have observed that people who eat small meals four or five times daily, have lower cholesterol levels and lower and/or more stable blood sugar levels than people who eat less frequently (two or three large meals daily). One possible explanation is that small frequent meals produce stable insulin levels, whereas large meals cause large spikes of insulin after meals.

The body has three types of fat tissue—white, brown, and beige—that it uses to fuel itself, regulate 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.

Obesity may increase the risk of PCOS, but the effect is modest. However, a history of weight gain often precedes the development of the clinical features of PCOS, and following a healthy lifestyle has been shown to reduce body weight, abdominal fat, reduce testoste­rone, improve insulin resistance, and decrease hirsutism in women with PCOS.F

What makes Sacred Heart Senior Living so different, comfortable and easy isn’t just one thing, it’s every little thing. Our difference is the people, the atmosphere, the personal touch, the services and the peace of mind.

It’s important to know where one stands with their weight, as it is extremely relevant not only for the treatment, but also for the prevention of many chronic diseases. As we discussed so far, just screening for overweight or obesity isn’t a simple task, and obesity can be missed or overestimated in the elderly population even more so than in younger adults.

Other reasons for not being active include relying on cars instead of walking, fewer physical demands at work or at home because of modern technology and conveniences, and lack of physical education in schools for children.

Armamento-Villareal R, Sadler C, Napoli N, Shah K, Chode S, Sinacore DR, Qualls C, Villareal DT. Weight loss in obese older adults increases serum sclerostin and impairs hip geometry but both are prevented by exercise training. J Bone Miner Res. 2012;27:1215–1221. [PMC free article] [PubMed]

Other measurements that reflect the distribution of body fat—that is, whether more fat is carried around the hips or the abdomen—are increasingly being used with BMI as indicators of obesity and disease risks. These measurements include waist circumference and the waist-to-hip ratio (the waist circumference divided by the hip circumference).

In the cases of making the stomach smaller, vertically banded gastroplasty is the most common procedure, where the esophagus is banded early in the stomach. The other procedure is gastric banding, where an inflatable pouch causes gastric constriction. Changing the volume in the ring that encircles the stomach can change the amount of constriction. Gastric bypass essentially causes weight loss by bypassing the stomach.

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

[2] Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. The Journal of the American Medical Association. 2016;315(21):2284–2291. Available at http://jama.jamanetwork.com/article.aspx?articleid=2526639 or https://www.ncbi.nlm.nih.gov/pubmed/27272580.

Hoyo C, Cook MB, Kamangar F, et al. Body mass index in relation to oesophageal and oesophagogastric junction adenocarcinomas: a pooled analysis from the International BEACON Consortium. International Journal of Epidemiology 2012; 41(6):1706-1718.

1. Land a job. At a new online magazine for approximately the same salary you earned in 1992, but whatever. You have bills to pay, MRIs to undergo, kids to feed, you are doing this solo, and at this point you have no idea that the company’s offer of $34,000 a year is a fraction of the $200,000 a man in your same position later tells you he was making.

At the study’s outset, participants had evidence of frailty and impaired physical function based on their Physical Performance Test and on measures of their peak aerobic capacity using an exercise stress test and a questionnaire about their physical function.

The BMI does not tke count for mass of muscle versus mass of fat. A BMI both below and above the so-called normal values can be healthy if there is little fat, but well developed muscle mass. And a person with a BMI less that 18.5 can be too fat if the muscle mass is very scant, but much fat.

According to the U.S. National Library of Medicine, about 13% of adults experience unintentional or involuntary weight loss. Problematic weight loss can be defined as a loss of 5% of body weight in one month or 10% over a period of six months or longer. For example, if you weighed 126 pounds at the beginning of the month and 118 pounds at the end of the month, you would have experienced over a 6% weight loss within a month, which could be problematic weight loss. Involuntary weight loss may be associated with chronic conditions and could result in functional decline, ulcers and worsening cognitive disorders. According to the Mayo Clinic, malnutrition in older adults can result in

Several reputable and trustworthy non-profit and governmental organizations have endorsed bariatric surgery for the right patients. Organizations publishing official statements about weight loss surgery include…

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph’s Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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Melvin Delgado is codirector of the Center for Addictions Research and Services, chair of macro-practice, and professor of social work at the Boston University School of Social Work. He brings almost forty years of practice, research, and scholarship focused on Puerto Rican and other Latino groups in the United States. Bilingual and bicultural, he has focused his professional and academic career on developing urban-based outreach and service delivery models that are culturally competent, stressing participatory democratic principles, and tapping cultural strengths and assets. He is the author of more than twenty books, including Latino Small Businesses and the American Dream: Community Social Work Practice and Economic and Social Development and Social Work Practice with Latinos: A Cultural Assets Paradigm and Social Work Practice with Immigrant and Refugee Youth in the United States.

Jump up ^ DiBaise JK, Zhang H, Crowell MD, Krajmalnik-Brown R, Decker GA, Rittmann BE (April 2008). “Gut microbiota and its possible relationship with obesity”. Mayo Clinic Proceedings (Review). 83 (4): 460–69. doi:10.4065/83.4.460. PMID 18380992.

Jump up ^ Berrington de Gonzalez A, Hartge P, Cerhan JR, Flint AJ, Hannan L, MacInnis RJ, Moore SC, Tobias GS, Anton-Culver H, Freeman LB, Beeson WL, Clipp SL, English DR, Folsom AR, Freedman DM, Giles G, Hakansson N, Henderson KD, Hoffman-Bolton J, Hoppin JA, Koenig KL, Lee IM, Linet MS, Park Y, Pocobelli G, Schatzkin A, Sesso HD, Weiderpass E, Willcox BJ, Wolk A, Zeleniuch-Jacquotte A, Willett WC, Thun MJ (2010). “Body-mass index and mortality among 1.46 million white adults”. The New England Journal of Medicine. 363 (23): 2211–19. doi:10.1056/NEJMoa1000367. PMC 3066051 . PMID 21121834.

Trim, affluent Americans of course have a right to view dietary questions from their own perspective—that is, in terms of what they need to eat in order to add perhaps a few months onto the already healthy courses of their lives. The pernicious sleight of hand is in willfully confusing what might benefit them—small, elite minority that they are—with what would help most of society. The conversations they have among themselves in The Times, in best-selling books, and at Real Food Daily may not register with the working-class obese. But these conversations unquestionably distort the views of those who are in a position to influence what society does about the obesity problem.

Although a biological link between obesity and depression has not yet been definitively identified, possible mechanisms include activation of inflammation, changes in the hypothalamic-pituitary-adrenal axis, insulin resistance, and social or cultural factors.

But the industry rarely faces opponents like Senator Girardi. A trained surgeon with a flair for the theatrical, he is a key figure in the governing coalition of President Michelle Bachelet. During the long fight over the food law, Senator Girardi, 56, publicly assailed big food companies as “21st century pedophiles” and before Ms. Bachelet took office, spent weeks protesting outside the presidential palace with placards that accused her predecessor, Sebastián Piñera, of destroying the nation’s health by vetoing an earlier version of the legislation.

^ Jump up to: a b c Colquitt, JL; Pickett, K; Loveman, E; Frampton, GK (Aug 8, 2014). “Surgery for weight loss in adults”. The Cochrane Database of Systematic Reviews (Meta-analysis, Review). 8 (8): CD003641. doi:10.1002/14651858.CD003641.pub4. PMID 25105982.

Much of the food isn’t all that different from what I can get in any other supermarket, but sprinkled throughout are items that scream “wholesome.” One that catches my eye today, sitting prominently on an impulse-buy rack near the checkout counter, is Vegan Cheesy Salad Booster, from Living Intentions, whose package emphasizes the fact that the food is enhanced with spirulina, chlorella, and sea vegetables. The label also proudly lets me know that the contents are raw—no processing!—and that they don’t contain any genetically modified ingredients. What the stuff does contain, though, is more than three times the fat content per ounce as the beef patty in a Big Mac (more than two-thirds of the calories come from fat), and four times the sodium.

OK..grossly unfair to blame the Boomers for the rise in Obesity and the cost..as a nation we have been going down this road now for nearly 20 years. What has the government done? nothing….what has big food done?..not much unless people refuse to buy their crap. To blame the rising med costs just on Obesity is also a simplistic view. The American diet is crap..yes.Big Food is producing nasty foods with ingredients banned in most civilized countries…add GMO’s and we have yet another health care nightmare on the horizon…but Big Pharma is also getting more and more of us on their nasty drugs which is also causing health care problems. Obesity is the “new normal”…get over it…unless we have a proper national strategy to combat this..it is just going to get worse…and yes..I am a Boomer…but not part of the 72% of the fat / obese crowd.

For older people, losing weight is about disease prevention, staying healthy, and feeling good. One of the biggest misconceptions people have, says Roberts, is someone thinks they have to be an ideal weight to be healthy. She says even modest weight loss, such as 10 percent of excess body weight, has significant improvements in someone’s health. If you get down one weight classification and are still overweight, Roberts says, you’re already decreasing your risk for disease. Losing weight has a positive snowball effect: It gets easier as you continue to shed pounds, and it improves your overall mood and outlook.

Common side effects of megestrol acetate include hypertension, gastrointestinal upset, insomnia and impotence; reported serious adverse events include adrenal insufficiency and thromboembolic events.28

Yet these hurdles can be waved away, if one only has the proper mind-set. Bittman argued two years ago in The Times that there’s no excuse for anyone, food-desert-bound or not, to eat fast food rather than wholesome food, because even if it’s not perfectly fresh and locally grown, lower-end wholesome food—when purchased judiciously at the supermarket and cooked at home—can be cheaper than fast food. Sure, there’s the matter of all the time, effort, schedule coordination, and ability it takes to shop, cook, serve, and clean up. But anyone who whines about that extra work, Bittman chided, just doesn’t want to give up their excessive TV watching. (An “important benefit of paying more for better-quality food is that you’re apt to eat less of it,” Pollan helpfully noted in his 2008 book, In Defense of Food.) It’s remarkable how easy it is to remake the disadvantaged in one’s own image.

Jump up ^ Gortmaker SL, Must A, Sobol AM, Peterson K, Colditz GA, Dietz WH (April 1996). “Television viewing as a cause of increasing obesity among children in the United States, 1986–1990”. Arch Pediatr Adolesc Med (Review). 150 (4): 356–62. doi:10.1001/archpedi.1996.02170290022003. PMID 8634729.

At an individual level, a combination of excessive food energy intake and a lack of physical activity is thought to explain most cases of obesity.[81] A limited number of cases are due primarily to genetics, medical reasons, or psychiatric illness.[9] In contrast, increasing rates of obesity at a societal level are felt to be due to an easily accessible and palatable diet,[82] increased reliance on cars, and mechanized manufacturing.[83][84]

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.

Many people insist that the steps the food industry has already taken to offer less-obesogenic fare are no more than cynical ploys to fool customers into eating the same old crap under healthy guise. In his 3,500-word New York Times Magazine article on the prospects for healthier fast food, Mark Bittman lauded a new niche of vegan chain restaurants while devoting just one line to the major “quick serve” restaurants’ contribution to better health: “I’m not talking about token gestures, like the McDonald’s fruit-and-yogurt parfait, whose calories are more than 50 percent sugar.” Never mind that 80 percent of a farm-fresh apple’s calories come from sugar; that almost any obesity expert would heartily approve of the yogurt parfait as a step in the right direction for most fast-food-dessert eaters; and that many of the desserts Bittman glorifies in his own writing make the parfait look like arugula, nutrition-wise. (His recipe for corn-and-blueberry crisp, for example, calls for adding two-thirds of a cup of brown sugar to a lot of other problem carbs, along with five tablespoons of butter.)

A cross-sectional study of 68 community-dwelling older adults in the midwestern United States (with an average age of 86 years and 51 of whom were women) showed that depression (using the Geriatric Depression Scale) was independently associated with weight loss (OR 1.65, 95% CI 1.12–2.43).12 Another prospective study (n = 309) found that psychiatric and psychological diseases are one of the primary reasons for unexplained weight loss.9

Follow a healthy eating plan. Focus on low-calorie, nutrient-dense foods, such as fruits, vegetables and whole grains. Avoid saturated fat and limit sweets and alcohol. Eat three regular meals a day with limited snacking. You can still enjoy small amounts of high-fat, high-calorie foods as an infrequent treat. Just be sure to choose foods that promote a healthy weight and good health most of the time.

Measure your waist circumference if you are an adult. If your waist circumference is greater than 35 inches for women or greater than 40 inches for men, you may be at risk for heart disease, stroke, or type 2 diabetes. South Asians and South and Central Americans have a higher risk of complications, so waist circumference should be smaller than 35 for man and 31 for women. To correctly measure your waist, stand and place a tape measure around your middle, just above your hip bones. Measure your waist just after you breathe out. Visit Assessing Your Weight for more information.

“Despite their longer life expectancy over previous generations, U.S. baby boomers have higher rates of chronic disease, more disability and lower self-rated health than members of the previous generation at the same age,” wrote the study’s authors, led by Dr. Dana E. King, professor and chair of family medicine at West Virginia University in Morgantown.

The first class (category) of medication used for weight control cause symptoms that mimic the sympathetic nervous system. They cause the body to feel “under stress” or “nervous.” As a result, the major side effect of this class of medication is high blood pressure. This class of medication includes sibutramine (Meridia, which was taken off the market in the U.S. in October 2010 due to safety concerns) and phentermine (Adipex P). These medications also decrease appetite and create a sensation of fullness. Hunger and fullness (satiety) are regulated by brain chemicals called neurotransmitters. Examples of neurotransmitters include serotonin, norepinephrine, and dopamine. Anti-obesity medications that suppress appetite do so by increasing the level of these neurotransmitters at the junction (called synapse) between nerve endings in the brain.

Fruits are a delicious source of natural sugars, antioxidants, vitamins, minerals and fiber. Keeping fruit on hand as a go to snack and dessert is a healthy and low calorie way to satisfy a sweet tooth. Be sure to ask your doctor about which fruits may interact with any medication.

36. Barzilay JI, Blaum Carolina , Moore T, Xue QL, Hirsch CH, Walstom JD, Frird LP: Insulin resistance and inflammation as precursor of frailty: the Cardiovascular Health Study. Arch Intern Med 2007; 167; 635– 641 [PubMed]

Medical experts report that obesity raises the risk of developing some cancers, sleep apnea and respiratory problems, osteoarthritis, diabetes and coronary heart disease.  Obese Medicare beneficiaries are estimated to cost 34% more than their non-obese/overweight peers. According to the Poll, approximately 77 million US baby boomers may be eligible for Medicare coverage.

University of Adelaide. “Gen X obesity a major problem for healthcare, workforce: Australian study.” ScienceDaily. ScienceDaily, 27 March 2014. .

The study by Martin and her colleagues, prepared for a 2012 conference organized by the U.S. Department of Health and Human Services, was based on data from the 1997 to 2010 National Health Interview Survey. This survey collected health information from a nationally representative sample of older Americans who do not live in nursing homes or other institutions, including measuring the weight and height of a subset of the respondents.

Waist circumference is a less-common method used to measure obesity in an individual. This simple measurement indicates obesity and morbid obesity in adults by measuring your waist. To find your waist circumference, wrap a tape measure around the area above your hip bone and below your rib cage.

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While policy guidelines suggest all adults get their heart rates up at least 150 minutes each week and strengthen their muscles twice a week, less than 8 percent of adults over age 70 do that, according to data from the Centers for Disease Control and Prevention. But exercise – and particularly resistance training – is especially important among older adults to keep muscles and bones healthy. Fortunately, many programs at community centers, in gyms and even online can help older adults learn to move in ways that benefit their quality of life, experts say. Joe Acosta, for one, finds doing body weight exercises like pushups every other day at home helps ward off back pain. Other people his age looking to lose weight, he says, “have to make up their minds that they’re going to be active.”

You should consult with your physician before initiating any exercise program. Set realistic goals and make sure they are measurable. Involving your family or friends can also help to maintain your physical activity level and reach your goals.

“why is the obesity rate so high in america _morbid obesity procedure code”

This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings through its clearinghouses and education programs to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.
Weight loss can be intentional, such as from dieting and exercise, or unintentional and be a manifestation of illness. Weight loss can result from a decrease in body fluid, muscle mass, or fat. A decrease in body fluid can come from medications, fluid loss, lack of fluid intake, or illnesses such as diabetes. A decrease in body fat can be intentionally caused by exercise and dieting, such as for overweight or obesity. Weight loss is normal after pregnancy. Other causes of weight loss include, but are not limited to, cancer, viral infection (such as CMV or HIV), gastroenteritis, parasite infection, depression, bowel diseases, and overactive thyroid (hyperthyroidism).
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.
Madeira Beach is looking beautiful, the weather is great, and things have returned almost completely to normal. We thank everyone for their concern and prayers, and also thank the authorities and utility folks who have done such a great job!
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.
With the arrival of televisions, computers, video games, remote controls, washing machines, dish washers and other modern convenience devices, people are commonly are leading a much more sedentary lifestyle compared to their parents and grandparents.
My husband and I went there and stayed for 4 weeks. We are both in our early 70’s and were not what I would consider to be in “working out condition”. The owners were so kind and sweet and they went out of their way to modify the program for us and to set aside time and activities outside of their standard clients.
Obesity, or even being overweight, increases the load placed on joints, especially the knee and hip joints. Breakdown in cartilage, resulting from the increased weight on joints, may result in pain and further functional disability (Lorig & Fries, 2006). Leveille, Wee, and Iezzoni (2005) reported that the relative risk of arthritis in people who are obese increases over time. People with arthritis are particularly vulnerable to the stress-pain-depression cycle mentioned above, in which the pain and stiffness caused by the disease leads to decreased mobility, thereby increasing stress, pain, and depression and likely decreasing quality of life (Newman, 2002). Obese older people above the age of 50 who have arthritis are more likely to say their condition limits their activities than non-obese adults in this age group (Center on an Aging Society, 2003).
Given that many older adults suffer from obesity, you will likely have some of these clients coming to you for help in losing fat and increasing muscle mass and strength. Of course, strength training along with sensible eating can be instrumental in bringing about desired changes in overall body composition. Using the workouts in chapter 4, you can easily adjust training loads or resistances to match current strength levels while selecting exercises that can be performed safely on sturdy and properly sized machine and free-weight equipment.
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Arthritis and osteoarthritis. Arthritis is the leading cause disability in older adults. A high body mass index (BMI) is an associated risk factor for knee osteoarthritis (OA) in older persons (Villareal et al., 2005). By 65 years of age the prevalence of osteoarthritis is 68% in women and 58% in men. This age-related increase in the prevalence of OA may reflect bodily changes as a result of a lifetime of being overweight which results in strain on weight-bearing joints (Villareal et al.).
Beers, Mark H., MD, and Robert Berkow, MD, editors. “Nutritional Disorders: Obesity.” Section 1, Chapter 5. In The Merck Manual of Diagnosis and Therapy. Whitehouse Station, NJ: Merck Research Laboratories, 2004.
It doesn’t guarantee that you’ll lose all of your excess weight or that you’ll keep it off long term. Weight-loss success after surgery depends on your commitment to making lifelong changes in your eating and exercise habits.
Likewise, increasing your activity level is largely a matter of changing your attitude. You don’t have to become a marathon runner. Thirty minutes of aerobic activity five days a week will make a significant difference in your health. Look for ways to increase your activity level doing things you enjoy.
Credentials: Diets which are created or endorsed by medical professionals are more likely to provide good advice. This does not mean any diet endorsed by a professional is good but it does have a better chance of being healthy.
One of the two major types of diabetes, the type in which the beta cells of the pancreas produce insulin but the body is unable to use it effectively because the cells of the body are resistant to the action of insulin. Although this type of diabetes may not carry the same risk of death from ketoacidosis, it otherwise involves many of the same risks of complications as does type 1 diabetes (in which there is a lack of insulin).