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Structure House is the nation’s foremost provider of life-changing weight loss. We are more than just a retreat, wellness spa, diet center, or fitness camp. The Structure House difference is a holistic approach that blends nutrition, fitness and behavioral skills training to create long-term change. So whether you need a short wellness vacation to jump-start your health goals, or an all-inclusive healthy weight loss program, we are here for you.
Baby boomers refer to the 78 million American children born after World War II between 1946 to 1964, about 26 percent of the U.S. population at that time. Other studies have shown increasing life expectancy with future generations, and this may be due to significant improvements in medicine seem during baby boomer’s lifetimes. However, this does not mean they are living healthier.
A third approach to obesity treatment involves research into the social factors that encourage or reinforce weight gain in humans. Researchers are looking at such issues as the advertising and marketing of food products; media stereotypes of obesity; the development of eating disorders in adolescents and adults; and similar questions.
Certain health conditions became more prevalent from 1997 to 2010. Increasing proportions of people ages 40 to 64 attributed their need for help with daily activities or personal care to back or neck problems; other musculoskeletal conditions (problems with muscles or tendons, osteoporosis); diabetes; and depression, anxiety, or emotional problems. The share reporting nervous system conditions (including paralysis, and multiple sclerosis) also grew. People who reported these conditions said that the ailments started in their 30s to 40s.
And while cutting back on the calories can be an important part of the weight loss process, cutting back on the right calories may be even more important. As registered dietician and diabetes educator Amy Campbell told US News and World Report, “One concern for older people is getting enough protein. We need more as we age.” The takeaway? It’s not necessarily about following a specific diet, says Campbell, but instead about choosing a “well-rounded diet with extra protein.”
Another recent study documented rising disability levels among middle-age Americans (ages 40 to 64, a group that included most baby boomers) in recent years.2 The analysis identified a link between trends in obesity and disability, according to Linda Martin, a RAND Corporation demographer and lead author of the study.
Obesity is known to cause heart disease, stroke, diabetes and certain cancers. Developing any of these illnesses and diseases can have debilitating results, including loss of employment, inability to cover medical costs and care, and disability. Savings can be wiped out, causing tremendous financial hardships — at a time when unemployment is at an all time high. And, to compound the problem, many Americans are living without health insurance, which is a huge financial risk in and of itself.
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…
Christensen’s past weight-loss efforts didn’t last, but the latest one did in part because she committed to Weight Watchers and works with a personal trainer. Meanwhile, the Acostas attribute much of their success to the structure of the YMCA program. “It really showed me what I should and should not do,” Elena Acosta says.
“For the baby boomers, nothing will magically happen to change that,” Hamburg said. “Societal change will take time. It’s a matter of education and realizing the danger of going into retirement age with a less healthy life and more chronic disease. For the time being, the boomers are aging into obesity-related illnesses, which will translate into a cost crisis for health care and Medicare.”
“We want to address the problem head-on,” he said. “Obesity creates incredible public health problems. We want to make BMI another vital sign, like blood pressure. Even if you’re just coming in because you have a cold, your BMI will be measured and tracked.
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%).
In people with heart failure, those with a BMI between 30.0 and 34.9 had lower mortality than those with a normal weight. This has been attributed to the fact that people often lose weight as they become progressively more ill.[76] Similar findings have been made in other types of heart disease. People with class I obesity and heart disease do not have greater rates of further heart problems than people of normal weight who also have heart disease. In people with greater degrees of obesity, however, the risk of further cardiovascular events is increased.[77][78] Even after cardiac bypass surgery, no increase in mortality is seen in the overweight and obese.[79] One study found that the improved survival could be explained by the more aggressive treatment obese people receive after a cardiac event.[80] Another found that if one takes into account chronic obstructive pulmonary disease (COPD) in those with PAD, the benefit of obesity no longer exists.[75]

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One of the real difficulties of starting exercise once you’re older is getting into it. If you have joint pain, or arthritis, just moving can be a real challenge. Water-based exercise is great for this, as the water will support your body weight – meaning there far less stress on your joints.
Staying connected is a powerful tool. “Friend” me on Facebook and “Tweet” me on Twitter (@BGrufferman). For more information on living your best life after 50 please visit my website: www.bestofeverythingafter50.com.
Also, our busy lives make it harder to plan and cook healthy meals. For many of us, it’s easier to reach for prepared foods, go out to eat, or go to the drive-through. But these foods are often high in saturated fat and calories. Portions are often too large. Work schedules, long commutes, and other commitments also cut into the time we have for physical activity.
To help the nation’s 13 million obese seniors, the Affordable Care Act included a new Medicare benefit offering face-to-face weight loss counseling in primary care doctors’ offices. It is free for patients, with no copay. But while Medicare now pays doctors to counsel their obese patients, only 50,000 people participated in 2013, the latest year for which data is available.
The study of the effect of infectious agents on metabolism is still in its early stages. Gut flora has been shown to differ between lean and obese humans. There is an indication that gut flora in obese and lean individuals can affect the metabolic potential. This apparent alteration of the metabolic potential is believed to confer a greater capacity to harvest energy contributing to obesity. Whether these differences are the direct cause or the result of obesity has yet to be determined unequivocally.[146]
“It’s typical for older adults to have less of an appetite as they age,” says Moreno. This often occurs, he says, because people become more sedentary and it becomes harder to stimulate hunger. Moreno suggests that a healthy diet for seniors should consist of smaller more frequent meals.
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.
The Obesity Prevention Program works to make healthy choices easier for all Texans wherever they live, work, and play. The Obesity Prevention Program was created in October 2013 by merging the Nutrition, Physical Activity and Obesity Prevention (NPAOP) and Worksite Wellness Programs.
Other methods of estimating body fat and body fat distribution include measurements of skinfold thickness and waist circumference, calculation of waist-to-hip circumference ratios, and techniques such as ultrasound, computed tomography, and magnetic resonance imaging (MRI).
I’m 72, 60-80 lbs overweight. For past 20 yrs I’ve suffered from cancer, serious blood diseases for which I took heavy doses of Predisone, suffered a large DVT/PE’s which left me weakened and overweight (from steroids).
Let’s go shopping. We can start at Whole Foods Market, a critical link in the wholesome-eating food chain. There are three Whole Foods stores within 15 minutes of my house—we’re big on real food in the suburbs west of Boston. Here at the largest of the three, I can choose from more than 21 types of tofu, 62 bins of organic grains and legumes, and 42 different salad greens.
Guar gum preparations have also been promoted as a weight-loss agent. Guar gum is thought to work by leading to a feeling of fullness early in the meal. It has not been scientifically proven and has been associated with abdominal pain, gas, and diarrhea.
I suffer with Crohn’s & im trying to lose 30 lbs… I’m 5’4 almost 50 & always fluctuating between 180-195lbs. I do your chair to chair running/walking excercise but may need supplements for energy. I do take iron….But not motivated feel sluggish with low energy….Any advice is appreciated.
^ Jump up to: a b U.S. Preventive Services Task Force (June 2003). “Behavioral counseling primary care to promote a healthy diet: recommendations and rationale”. Am Fam Physician (Review). 67 (12): 2573–76. PMID 12825847.
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.

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The reason it’s vitally important for you to take alongside exercising is it’s role in wound repair. Vitamin C creates collagen, a component necessary for healing. If there’s any risk of your damaging yourself with exercise, you’ll want to make sure you’re healthy enough to repair it.
Researchers have long known that the human body is home to all manner of microorganisms, but only in the past decade or so have they come to realize that these microbes outnumber our own cells 10 to one. Rapid gene-sequencing techniques have revealed that the biggest and most diverse metropolises of “microbiota” reside in the large intestine and mouth, although impressive communities also flourish in the genital tract and on our skin.
The body mass index (BMI) is a statistical measurement derived from your height and weight. Although it is considered to be a useful way to estimate healthy body weight, it does not measure the percentage of body fat. The BMI measurement can sometimes be misleading – a muscleman may have a high BMI but have much less fat than an unfit person whose BMI is lower. However, in general, the BMI measurement can be a useful indicator for the ‘average person’.
The risks of surgery include the usual complications of infection, blood clots in the lower extremities (deep vein thrombosis) and in the lungs (pulmonary embolism), and anesthesia risk. Specific long-term risks related to obesity surgery include lack of iron absorption and iron deficiency anemia. Vitamin B12 deficiency can also develop and could lead to nerve damage (neuropathies). Rapid weight loss may also be associated with gallstones. Bariatric surgery should be performed at a center with a whole weight-loss program in place that includes dieticians and therapists and follow-up care.
Although there appears to be a consensus on the negative effects of fructose-sweetened beverages there is still some debate over the effects of fructose versus high fructose corn syrup – two studies of note are:
Obesity has also been clearly linked to a lesser quality of life. This becomes even more relevant in the aging adult. Generally, the elderly are already burdened by multiple predicaments that decrease their quality of life. Obesity only adds an additional burden.
Although many cognitive-behavioral programs have been found to help people with arthritis manage their chronic condition, The Arthritis Self-Management Course, designed by a nurse and endorsed by the Arthritis Foundation, has been the most successful (Lorig, 2006). Nurses can make referrals to this program, or become course leaders. Many of the interventions described in the upcoming section on Interventions for Obesity in Older Adults also apply to those having OA. 
Dana Larsen is a writer, artist, editor, dancer and food-enthusiast living in the Pacific Northwest. Originally from Alaska, Dana has a passion for the outdoors and finding life’s next adventure. She graduated with honors from the University of Washington with a degree in English and Communications, and her writing has appeared in a variety of digital and print publications. She loves connecting audiences with ideas and is also an advocate for enhancing care and support for those affected by Alzheimer’s and other dementias. View Dana’s Google Profile.
Frimel TN, Sinacore DR, Villareal DT. Exercise attenuates the weight- loss-induced reduction in muscle mass in frail obese older adults. Med Sci Sports Exerc. 2008;40:1213–1219. [PMC free article] [PubMed]
Low levels of spontaneous physical activity is a major predictor of adipose tissue accumulation in humans, and total body movement, most of which is related to ambulation, is negatively correlated with fat mass (32).
We went into a KFC and found ourselves traversing a maze of signage that put us face-to-face with garish images of various fried foods that presumably had some chicken somewhere deep inside them. “The more they want you to buy something, the bigger they make the image on the menu board,” Lesser explained. Here, what loomed largest was the $19.98 fried-chicken-and-corn family meal, which included biscuits and cake. A few days later, I noticed that McDonald’s places large placards showcasing desserts on the trash bins, apparently calculating that the best time to entice diners with sweets is when they think they’ve finished their meals.

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Sense of thirst can decline with age, so drinking enough water is important for preventing dehydration. Fluids such as soda or fruit juice add a lot of calories, Campbell notes, and it’s not good for people with diabetes to drink juice all day. Instead, she suggests flavored water or water with a slice of lemon. She has good news for coffee and tea lovers: Caffeine is not as dehydrating as once thought.
Citrus Aurantium, a fruit also known as bitter orange, has a long history of medicinal use. One recently discovered quality of Citrus Aurantium is its ability to stimulate the burning of fat within the body. This is known as thermogenesis, or production of heat from fat for energy.
People who carry too much fat around the middle, rather than around the hips, are more likely to have health problems. In women, a waist size of 35 in. (88 cm) or more raises the chance for disease. In men, a waist size of 40 in. (101 cm) or more raises the chance for disease.1
The investigators used the Physical Performance Test, a test that evaluates an individual’s ability to perform tasks, such as walking 50 feet, putting on and removing a coat, standing up from a chair, picking up a penny, climbing a flight of stairs and lifting a book.
Compared with people of normal weight, those who are overweight or obese are at greater risk for many diseases, including diabetes, high blood pressure, cardiovascular disease, stroke, and many cancers. Extreme or severe obesity is also associated with an increased death rate; heart disease, cancer, and diabetes are responsible for most of the excess deaths (1, 2).
Jump up ^ Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Al Mamun A, Bonneux L (January 2003). “Obesity in adulthood and its consequences for life expectancy: A life-table analysis”. Annals of Internal Medicine. 138 (1): 24–32. doi:10.7326/0003-4819-138-1-200301070-00008. PMID 12513041.
Obesity is defined simply as too much body fat. Your body is made up of water, fat, protein, carbohydrate and various vitamins and minerals. If you have too much fat — especially around your waist — you’re at higher risk for health problems, including high blood pressure, high blood cholesterol and diabetes.
Several types of cancer are associated with being overweight. In women, these include cancer of the uterus, gallbladder, cervix, ovary, breast, and colon. Overweight men are at higher risk for developing colorectal cancer and prostate cancer. For some types of cancer, such as colon or breast, it is not clear whether the increased risk is due to the extra weight or to a high-fat, high-calorie diet.
Contributors: Svetlana Stajkovic and Jayna Holroyd-Leduc developed the concept of the review. Elizabeth Aitken conducted the literature search. All of the authors reviewed and critically appraised the literature cited in the manuscript. Svetlana Stajkovic drafted the article, and all of the authors revised the manuscript critically for important intellectual content and approved the final version submitted for publishing.
Engaging in a variety of exercises, such as aerobic exercises, resistance training, and flexibility exercises is essential for healthy aging. Most older, obese adults are able to safely engage in regular physical activity; however, because fitness levels vary, a medical professional is important to determine which exercises are appropriate for an individual’s specific needs. Certain medical conditions, as well as medications, can also affect a person’s tolerance for exercise.
In addition to helping you to lose a substantial amount of weight quickly, bariatric surgery can have a significant impact on obesity health problems.  When evaluating the effect of surgery on obesity health issues, research has found the following (7):
Some people have less access to stores and supermarkets that sell healthy, affordable food such as fruits and vegetables, especially in rural, low-income neighborhoods and communities of color. Supermarket access is associated with a reduced risk for obesity. Choosing healthy foods is difficult for parents who live in areas with an overabundance of unhealthy options like convenience stores and fast food restaurants.
In 2004, the United Kingdom Royal College of Physicians, the Faculty of Public Health and the Royal College of Paediatrics and Child Health released the report “Storing up Problems”, which highlighted the growing problem of obesity in the UK.[159] The same year, the House of Commons Health Select Committee published its “most comprehensive inquiry […] ever undertaken” into the impact of obesity on health and society in the UK and possible approaches to the problem.[160] In 2006, the National Institute for Health and Clinical Excellence (NICE) issued a guideline on the diagnosis and management of obesity, as well as policy implications for non-healthcare organizations such as local councils.[161] A 2007 report produced by Derek Wanless for the King’s Fund warned that unless further action was taken, obesity had the capacity to cripple the National Health Service financially.[162]
That brings us to the crucial question: Just how much healthier could fast-food joints and processed-food companies make their best-selling products without turning off customers? I put that question to a team of McDonald’s executives, scientists, and chefs who are involved in shaping the company’s future menus, during a February visit to McDonald’s surprisingly bucolic campus west of Chicago. By way of a partial answer, the team served me up a preview tasting of two major new menu items that had been under development in their test kitchens and high-tech sensory-testing labs for the past year, and which were rolled out to the public in April. The first was the Egg White Delight McMuffin ($2.65), a lower-calorie, less fatty version of the Egg McMuffin, with some of the refined flour in the original recipe replaced by whole-grain flour. The other was one of three new Premium McWraps ($3.99), crammed with grilled chicken and spring mix, and given a light coating of ranch dressing amped up with rice vinegar. Both items tasted pretty good (as do the versions in stores, I’ve since confirmed, though some outlets go too heavy on the dressing). And they were both lower in fat, sugar, and calories than not only many McDonald’s staples, but also much of the food served in wholesome restaurants or touted in wholesome cookbooks.
May 3, 2016 — Simple heat-based exercise can be just as effective as low-oxygen training to improve physical performance and altitude tolerance, new study reveals. The new work suggests that heat-based exercise … read more
In the old spiritual, “Dem Bones,” each body part is linked to the next one in line: the thigh bone to the knee bone, the knee bone to the leg bone, and so on. But one body “part”-weight-is connected to virtually all of the others. A healthy weight sets the stage for bones, muscles, brain, heart, and others to play their parts smoothly and efficiently for many years.
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 along 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).
Villareal DT, Binder EF, Yarasheski KE, Williams DB, Brown M, Sinacore DR, Kohrt WM. Effects of exercise training added to ongoing hormone replacement therapy on bone mineral density in frail elderly women. J Am Geriatr Soc. 2003;51:985–990. [PubMed]
Use lean meats, low-fat dairy, and vegetables in your dog’s diet. Mixing your dog’s food at home means you will also be able to cut out grains and starches from his diet to make losing weight easier. Lamb, pork and other fatty meats should be avoided or fed on rare occasions. Focus on feeding enough protein and healthy fats to keep your dog satisfied and prevent protein deficiency that would otherwise cause muscle loss. Replacing a large portion of his diet with vegetables because you think it will make him feel satiated, is unwise. Just adding bulk is not enough.
For some people who have obesity and related health problems, bariatric (weight-loss) surgery may be an option. Bariatric surgery has been found to be effective in promoting weight loss and reducing the risk for many health problems. For more information, see the Additional Links section to download or request a copy of the WIN fact sheet Bariatric Surgery for Severe Obesity.
Sexual function may also be affected by obesity. Data from the Health Professionals Follow-Up Study, (26) the National Health and Nutrition Examination Survey (NHANES), (27) and the Massachusetts Male Aging Study (28) indicate that the odds of developing erectile dysfunction increase with increasing BMI. Of note, weight loss appears to be mildly helpful in maintaining erectile function. (29) The effect of obesity on female sexual function is less clear. In a recent French study, obese women were less likely than normal-weight women to report having had a sexual partner in the preceding 12 months, but the prevalence of sexual dysfunction was similar in both groups. (30) In a smaller survey of 118 women, Esposito and colleagues found that obese women had lower scores on the Female Sexual Function Index, with strong correlations between increasing BMI and problems with arousal, lubrication, orgasm, and satisfaction. (31)
A crude population measure of obesity is the body mass index (BMI) which is a simple index of weight-for-height that is commonly used in classifying overweight and obesity in adult populations and individuals – a person’s weight in kilograms is divided by the square of the height in meters (kg/m2). BMI provides the most useful population-level measure of overweight and obesity as it is the same for both sexes and for all ages of adults but it is merely a rough guide because it may not correspond to the same degree of fatness in different individuals.
The table below has already done the math and metric conversions. To use the table, find the appropriate height in the left-hand column. Move across the row to the given weight. The number at the top of the column is the BMI for that height and weight.
Elderly patients with some diseases seem to survive longer when they are affected by excess weight or obesity. The debate is ongoing in the scientific world about whether this is a real phenomenon and if so, what could explain it. Some suggest that the statistics are such only due to the fact that as adults age, those “susceptible” to the harmful effects of obesity may have already succumbed to diseases. Therefore, the elderly population affected by obesity is represented by people that are “resistant” to the negative effects of obesity. To better understand this, let’s make an analogy with smoking and lung cancer.
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.
If your doctor says you’re overweight, that means “you’re slightly over what’s considered healthy,” says Y. Claire Wang, MD. She’s co-director of the Obesity Prevention Initiative at Columbia University.
Which raises a question: If McDonald’s is taking these sorts of steps, albeit in a slow and limited way, why isn’t it more loudly saying so to deflect criticism? While the company has heavily plugged the debut of its new egg-white sandwich and chicken wraps, the ads have left out even a mention of health, the reduced calories and fat, or the inclusion of whole grains. McDonald’s has practically kept secret the fact that it has also begun substituting whole-grain flour for some of the less healthy refined flour in its best-selling Egg McMuffin.
“With this new study, we will be able to discern whether a shift in disability is due to a change in physical or cognitive capacity or to changes in the accommodations people make,” explained Freedman. The accommodations measured include behavior changes (such as bathing less often), asking someone for help, and using assistive devices and home modifications (a bath seat, for example). Among the goals, she said, is to identify the ways people adapt to disabilities that allow them to remain independent as long as possible.
This fact sheet tells you more about the links between excess weight and many conditions. It also explains how reaching and maintaining a normal weight may help you and your loved ones stay healthier as you grow older.
Weight loss medicines are not recommended as a single treatment for weight loss. These medicines can help you lose weight but when combined with lifestyle changes may result in greater weight loss. Some of these medicines should not be used if you have certain conditions or are taking certain medicines. Also, these medicines have side effects. Talk to your doctor if you are pregnant, planning to get pregnant, breast feeding, or have a family history of cardiovascular diseases such as high blood pressure, heart attack, or stroke.

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NIH Obesity Research Task Force and Strategic Plan. We continue to support this larger NIH task force, that is committed to capitalizing on scientific research discoveries to develop new prevention methods and treatments for overweight and obesity. Visit NIH Obesity Research, NHLBI Obesity Research and the Strategic Plan for NIH Obesity Research for more information.
Although there appears to be a consensus on the negative effects of fructose-sweetened beverages there is still some debate over the effects of fructose versus high fructose corn syrup – two studies of note are:
“Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children” (PDF). National Institute for Health and Clinical Excellence(NICE). National Health Services (NHS). 2006. Retrieved April 8, 2009.
NCI supports research on obesity and cancer risk through a variety of activities, including large cooperative initiatives, web and data resources, extramural and intramural epidemiologic studies, basic science, and dissemination and implementation resources. For example, the Transdisciplinary Research on Energetics and Cancer (TREC) initiative links four research centers and a coordination center to investigate how the combined effects of obesity, poor diet, and low levels of physical activity increase cancer risk.
Agricultural policy and techniques in the United States and Europe have led to lower food prices. In the United States, subsidization of corn, soy, wheat, and rice through the U.S. farm bill has made the main sources of processed food cheap compared to fruits and vegetables.[102] Calorie count laws and nutrition facts labels attempt to steer people toward making healthier food choices, including awareness of how much food energy is being consumed.
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.
Your doctor may diagnose overweight and obesity based on your medical history, physical exams that confirm you have a high body mass index (BMI) and possibly a high waist circumference, and tests to rule out other medical conditions.
 The key to successful long-term weight loss is to focus less on “dieting,” which tends to be a short-term fix, and more on lifestyle changes, primarily healthy eating, and regular exercise. Your goal should be to make health, not appearance, your priority, meaning your weight loss lifestyle changes must include both diet and exercise.
Part of the problem is a sedentary lifestyle. Most adults are supposed to get vigorous exercise for 2 1/2 hours a week. That may come doing simple activities four to five times a week like taking a brisk walk, participating in a dance class, or pushing a lawn mower. But the surveyed boomers only exercise enough to raise their heart rates about once a week, if that. Worse, 37 percent don’t strength-train whatsoever, missing out on a crucial activity that fights muscle loss that comes with aging.
Obesity-related inflammation may affect other medical conditions. Researchers know obesity causes inflammation in our bodies. NHLBI is interested in how obesity-related inflammation influences other conditions, such as cardiovascular diseases or asthma.
The publication of this supplement was made possible in part by unrestricted educational grants from Eli Lilly, Ethicon Endo-Surgery, Generex Biotechnology, Hoffmann-La Roche, Johnson & Johnson, LifeScan, Medtronic, MSD, Novo Nordisk, Pfizer, sanofi-aventis, and WorldWIDE.
They found Generation X had significantly poorer levels of self-rated health, and higher levels of obesity and diabetes compared with Boomers, with no real difference in physical activity between the two groups.
Mirtazapine (Remeron), a serotonin antagonist used to treat depression, has gained interest as a possible treatment for unintentional weight loss in older patients because 12% of patients who take this drug for depression report weight gain.36 Although no literature exists to support its use for unintentional weight loss, mirtazapine may be an option for older patients with depression who also have unintentional weight loss. Because dizziness and orthostatic hypotension are possible adverse effects of mirtazapine, caution is warranted in patients at risk of falls.36,37
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.
^ Jump up to: a b U.S. Preventive Services Task Force (June 2003). “Behavioral counseling in primary care to promote a healthy diet: recommendations and rationale”. Am Fam Physician (Review). 67 (12): 2573–76. PMID 12825847.
For those who don’t have the time to make it to support groups, there are now many free or low-cost apps available for the iPhone, iPad, or Android, which help determine and track calories, nutrition, and calorie expenditure. Try LoseIt!, Weight Watchers Mobile, Restaurant Nutrition, 40:30:30, Diet Point, Noom Weight Loss Coach, FitBit, Fooducate, Diet Assistance, Calorie Counter PRO MyNet Diary, Amwell, MyFitnessPal, or 7-Minute Workout.
Obesity results from the accumulation of excess fat on the body. Obesity is considered a chronic (long-term) disease, like high blood pressure or diabetes. It has many serious long-term consequences for your health, and it is a leading cause of preventable deaths in the United States (with tobacco use and high blood pressure). Obesity is defined as having a body mass index (BMI) of greater than 30. The BMI is a measure of your weight relative to your height.
Well, it depends. Weight-loss that is not planned is not uncommon. The elderly are often sicker and need longer periods of time to recover from illness than younger adults. This often results in weight-loss. This type of weight-loss is not healthy. A significant portion of weight lost during illness is muscle loss.
Nutritional supplements are predominantly available in liquid form, but also come in puddings, bars, and soups. Nutritional supplements should provide extra calories but not replace scheduled meals. Liquid oral supplements allow for rapid gastric emptying and can be given two hours before a meal.29 Flavor enhancers such as ham, natural bacon, and roast beef flavors sprinkled on cooked food or added during food preparation may improve food consumption and weight gain, but study results have been mixed.32–34
Jump up ^ Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB (November 2010). “Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis”. Diabetes Care (Meta-analysis, Review). 33 (11): 2477–83. doi:10.2337/dc10-1079. PMC 2963518 . PMID 20693348.
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.)
Too much weight is especially hazardous for an aging body. Obesity exacerbates bone and muscle loss, increases inflammation and significantly raises the risk of diabetes, heart disease and stroke. Excess weight also increases the risk of developing chronic diseases, losing the ability to walk or dying earlier.
Jump up ^ Naude, CE; Schoonees, A; Senekal, M; Young, T; Garner, P; Volmink, J (2014). “Low carbohydrate versus isoenergetic balanced diets for reducing weight and cardiovascular risk: a systematic review and meta-analysis”. Plos One (Research Support). 9 (7): e100652. Bibcode:2014PLoSO…9j0652N. doi:10.1371/journal.pone.0100652. PMC 4090010 . PMID 25007189.
Most text on the National Cancer Institute website may be reproduced or reused freely. The National Cancer Institute should be credited as the source and a link to this page included, e.g., “Obesity and Cancer was originally published by the National Cancer Institute.”
Some patients with obesity do not respond to healthy lifestyle changes and medicines. When these patients develop certain obesity-related complications, they may be eligible for the following surgeries.
People with diabetes, thyroid conditions, who have received an organ transplant, or who are taking prescription medications that affect blood clotting should check with their physician before using OTC orlistat (alli), since drug interactions with certain medications are possible.
The Chinese herb ephedra (Ephedra sinica), combined with caffeine, exercise, and a low-fat diet in physician-supervised weight-loss programs, can cause at least a temporary increase in weight loss. However, the large doses of ephedra required to achieve the desired result can also cause:
A common form of short stature, achondroplasia (dwarfism) is a genetic condition causing a disorder of bone growth. Complications of achondroplasia that need monitoring include (this is not all inclusive) stenosis and compression of the spinal cord, a large opening under the skull, lordosis, kyphosis, spinal stenosis, hydrocephalus, middle ear infections, obesity, and dental crowning. Achondroplasia is caused by mutations of the FGFR3 gene.
Jump up ^ Munger KL, Chitnis T, Ascherio A (2009). “Body size and risk of MS in two cohorts of US women”. Neurology (Comparative Study). 73 (19): 1543–50. doi:10.1212/WNL.0b013e3181c0d6e0. PMC 2777074 . PMID 19901245.

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Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA 2013; 309: 71–82.
“We think it’s the perfect storm of several factors,” says Dr. Scott Kahan, an obesity medicine specialist at George Washington University. Kahan says obese patients and doctors aren’t aware of the benefit, and doctors who want to intervene are often reluctant to do so.
The Chronic Disease Self-Management Program has been developed by Kate Lorig, a nurse, and her colleagues at Stanford University. While this program is not directed specifically at obese older adults, it has been used to help people with heart disease, arthritis, diabetes, and respiratory problems learn to self-manage their conditions through increasing their self-efficacy. It develops confidence in one’s ability to make the changes needed to lead a healthier life style through having participants make an action plan for each week. Each action plan addresses the questions of: what, how much, when, how often, and how confident older adults are that they can carry out the plan. Research has demonstrated that on a scale of one to ten (with ten being the most confident), people who rate themselves as at least a seven are more likely to be able to make the changes to become a more positive self-manager of their chronic condition than are those who score lower on the scale (Lorig et al, 2006). This program can be used as a prototype for nurses helping obese older adults to achieve success in losing weight.
Buying voluntary offsets can and should be a regular part of the casual environmentalist’s lifestyle, just like recycling or carpooling. In this series, we’ll explore the voluntary carbon market, how to participate and why now is the time for action.
Inflammatory cytokines, including tumour necrosis factor-α (TNF-α), interleukin-1 β and interleukin-6 have been implicated in cachexia and weight loss.1 Historically termed cachectin, TNF-α is considered one of the more prominent cytokines and is thought to be a primary mediator of the muscle wasting of cachexia; it is also believed to act synergistically with interleukin-1 β to promote cachexia.1 Cytokines may act both centrally, by inhibiting feeding behaviour, and peripherally, by decreasing gastric motility, gastric emptying and intestinal motility and by modifying gastric secretion.1 Tumour necrosis factor-α levels are elevated in several human disease states associated with cachexia and weight loss, including malignancy, acquired immunodeficiency syndrome, heart failure, rheumatoid arthritis and chronic obstructive pulmonary disease.1
According to a recent study, Americans get 11 percent of their calories, on average, from fast food—a number that’s almost certainly much higher among the less affluent overweight. As a result, the fast-food industry may be uniquely positioned to improve our diets. Research suggests that calorie counts in a meal can be trimmed by as much as 30 percent without eaters noticing—by, for example, reducing portion sizes and swapping in ingredients that contain more fiber and water. Over time, that could be much more than enough to literally tip the scales for many obese people. “The difference between losing weight and not losing weight,” says Robert Kushner, the obesity scientist and clinical director at Northwestern, “is a few hundred calories a day.”
A slew of start-ups are trying to find ways of producing fresh, local, unprocessed meals quickly and at lower cost. But could this food eventually be sold as cheaply, conveniently, and ubiquitously as today’s junky fast food? Not even according to Bittman, who explored the question in a recent New York Times Magazine article. Even if wholesome food caught on with the public at large, including the obese population, and even if poor and working-class people were willing to pay a premium for it, how long would it take to scale up from a handful of shops to the tens of thousands required to begin making a dent in the obesity crisis? How long would it take to create the thousands of local farms we’d need in order to provide these shops with fresh, unprocessed ingredients, even in cities?
Here’s “the tell it like it is” projection for Medicare costs. Medicare spending is projected to grow four times faster between now and 2024 than it grew between 2010 and 2014. Medicare spending is projected to grow almost a full percentage faster than our country’s economy.
A third approach to obesity treatment involves research into the social factors that encourage or reinforce weight gain in humans. Researchers are looking at such issues as the advertising and marketing of food products; media stereotypes of obesity; the development of eating disorders in adolescents and adults; and similar questions.
You don’t have to run a marathon to be active in your golden years. In fact, small changes — such as walking 30 minutes a day or taking a low-impact fitness class your local gym or senior center — can lead to big health rewards.
Learn what key stakeholders engage with most by joining 3BL Media March 12 at 2 p.m. ET for a free, hour-long “Lunch & Learn” webcast. Included will be a review of top performing messaging from companies and nonprofits actively communicating about sustainability and CR, followed by an overview of 3BL Media’s services.
Obesity puts extra stress on your bones, joints, and organs, making them work harder than they should. Too much body fat raises your blood pressure and cholesterol, and makes heart disease and stroke more likely. It also worsens conditions like osteoarthritis, back pain, asthma, and sleep apnea.
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.
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.
This study will examine the effects of a long-term aerobic exercise, resistance exercise, and a combination of both exercise regimens, and the risk for type 2 diabetes, total fatty tissue and abdominal fat in overweight boys and girls. Visit the Resistance and Cardiorespiratory Time-matched Exercise in Youth: A Randomized Clinical Trial (RCT:RCT) for more information and to learn how to participate in this study.
Drinking water should be obvious, but many people of all ages drink less than they should and are dehydrated on a regular basis. Older people are at an especially high risk of being hospitalized due to dehydration. Carrying a water bottle wherever you go and knowing how many full bottles you should drink per day is a good way to start paying attention to your water intake.
In response to this controversial study, the American Journal of Epidemiology published research in March contradicting Flegal’s findings. Using data from the U.S. National Health Interview Survey, Ryan Masters and his colleagues argued people ages 75 to 84 with a grade 1 obesity have a 59 percent higher chance of mortality than their healthy peers. They also stated that mortality risks in obese people increase with age.
As you keep track of calories, look at whether you skip meals, when you eat, how often you eat out, and how many fruits and vegetables you eat. Keep track of when you eat beyond feeling full and if you eat for reasons other than being hungry. This will help you see patterns that you may want to change.
Acupressure and acupuncture can also suppress food cravings. Visualization and meditation can create and reinforce a positive self-image that enhances the patient’s determination to lose weight. By improving physical strength, mental concentration, and emotional serenity, yoga can provide the same benefits. Also, patients who play soft, slow music during meals often find that they eat less food but enjoy it more.
Nearly half of U.S. middle and high schools allow advertising of less healthy foods, which impacts students’ ability to make healthy food choices. Also, foods high in calories, sugars, salt, and fat, and low in nutrients are advertised and marketed extensively toward children and adolescents, while advertising for healthier foods is almost nonexistent in comparison.
Future trials need to address specific exercise training modalities, calcium, Vitamin D and protein supplementation, and/or prescribing anti-resorptive therapy (e.g. in patients with low BMD to start with) during active weight loss. Trials specifically designed to investigate the complex interplay between exercise, caloric restriction, weight loss, diet composition, hormones, growth factors, and inflammatory markers are also needed. Finally, trials need to have adequate sample size with appropriate controls, and long follow-up periods are needed to determine how best to achieve sustained lifestyle change associated with optimal health outcomes in frail, obese older adults. With the 65+ age group representing the fastest growing segment of the population, and with a high prevalence of obesity, these studies should become a priority for public health research.
Cancer. Obesity is also linked to higher rates of certain types of cancer (NIH, 2006). Breast cancer in older women is increasingly being linked to obesity (Sweeney, Blair, Anderson, Lazovich, & Folsom, 2004). Twenty-five to 30% of several major cancers, including breast (postmenopausal), colon, kidney, and esophageal, have been linked to obesity and physical inactivity (Vainio & Bianchini, 2002). Men who are obese are more likely to develop cancer of the colon, rectum, or prostate, than men who are not obese. Cancer of the gallbladder, uterus, cervix, or ovaries are more common in women who are obese compared with women who are not obese (NIH, 2006). Management of obesity is needed to decrease the incidence of these cancers.
Davidson says with the Atkins diet, especially in the induction phase, patients on diabetes medications can experience low blood sugar and diuresis (they may urinate more). While he generally supports very carb-restrictive diets, he says moderate programs are better for many seniors.
White House Task Force on Childhood Obesity. Solving the Problem of Childhood Obesity Within a Generation. White House Task Force on Childhood Obesity Report to the President. Washington, DC: White House Task Force on Childhood Obesity; 2010.
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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In many cases of elderly weight loss, a combination of factors is to blame. Many of these factors can be considered secondary to existing medical conditions. For example, some seniors who suffer from mental illnesses such as psychotic disorders or Alzheimer’s disease experience paranoia and suspicion which prevent them from eating the food they are served. This is actually quite common in long term and psychiatric care facilities. Elderly people with these disorders also expend extra energy pacing and performing other habitual movements.
Yan, L.L, Daviglus, M.L., Liu, K., Pirzada, A., Garside, D.B., Schiffer, L., et al. (2004). Body mass index and health-related quality of life in adults 65 years and older. Obesity Research, 12, 69-76.
Senior weight loss is a possibility when monitored by an instructor who ensures that the exercises are safe and beneficial. It is always good to consult your doctor before enrolling for a weight loss program. Frequent breaks should be taken while working out in the gym. Keeping the body well hydrated by drinking lot of water boosts metabolism and results in weight reduction. Ideal training session is one that begins with stretching, becomes intense and cools down towards the end.
Obesity is a leading preventable cause of death worldwide, with increasing rates in adults and children.[1][13] In 2015, 600 million adults (12%) and 100 million children were obese.[7] Obesity is more common in women than men.[1] Authorities view it as one of the most serious public health problems of the 21st century.[14] Obesity is stigmatized in much of the modern world (particularly in the Western world), though it was seen as a symbol of wealth and fertility at other times in history and still is in some parts of the world.[2][15] In 2013, the American Medical Association classified obesity as a disease.[16][17]
Table 1 summarizes the ten trials that met our inclusion criteria (Villareal 2006a; Villareal 2006b; Villareal 2008; Frimel 2008; Lambert 2008; Shah 2009; Villareal 2011a; Armamento-Villareal 2012; Shah 2011; Kelly 2011). Figure 2 is a schematic representation of the inter-relationships of the mechanisms discussed in these trials. Three papers by Villareal et al. (two in 2006 and one in 2008) reported on the same cohort of 27 participants. The participants were sedentary (≤ 2 exercise sessions per week); with stable body weight (± 2kg) during the preceding year; unchanged medications regimes for at least six months; and mild to moderate frailty as measured by the Physical Performance Test (Brown 2000). The intervention consisted of both diet and exercise (lifestyle intervention). Energy deficit was 500–700 kcal/day supplemented with a daily multivitamin and counseling to consume adequate dietary calcium and vitamin D. The goal was 10% weight loss over the six-month intervention and weight maintenance for an additional six months. Exercise sessions consisted of 90 minutes of aerobic and resistance exercises, three days per week, at a moderate intensity (~75% peak heart rate) and progressed to 80–90% of peak heart rate. Resistance exercise started at 65% of one repetition maximum (1RM) and progressed to ~80% of 1RM.
The fact is, there is simply no clear, credible evidence that any aspect of food processing or storage makes a food uniquely unhealthy. The U.S. population does not suffer from a critical lack of any nutrient because we eat so much processed food. (Sure, health experts urge Americans to get more calcium, potassium, magnesium, fiber, and vitamins A, E, and C, and eating more produce and dairy is a great way to get them, but these ingredients are also available in processed foods, not to mention supplements.) Pollan’s “foodlike substances” are regulated by the U.S. Food and Drug Administration (with some exceptions, which are regulated by other agencies), and their effects on health are further raked over by countless scientists who would get a nice career boost from turning up the hidden dangers in some common food-industry ingredient or technique, in part because any number of advocacy groups and journalists are ready to pounce on the slightest hint of risk.
Before selecting a medication for you, your doctor will consider your health history, as well as possible side effects. Some weight-loss medications can’t be used by women who are pregnant, or people who take certain medications or have chronic health conditions.
The study also ranked states on the health of their current senior populations. Massachusetts topped the list, jumping to No. 1 from the No. 6 ranking it had the last time the rankings were calculated. Vermont slipped to No. 2.
The body mass index (BMI) is commonly used to determine whether someone is affected by excess weight or obesity. This is a measurement is calculated using a person’s weight and height. As the BMI increases, the likelihood of being affected by obesity increases as well. Physicians are required to calculate and record this number in their patient’s chart. As a screening tool, it helps them identify weight issues that need to be addressed. Nevertheless, there are instances where this marker is not completely accurate. This can happen in the young and old alike but for different reasons. As it doesn’t differentiate between the type of excess body weight, it cannot determine if the excess weight consists of muscle or fat.
One of the main causes of health problems in senior dogs is excessive weight gain. It is a normal part of the aging process but can also be caused by underlying issues. It is up to you to take your pet for regular check-ups at the veterinarian to rule out any of the diseases that plague older dogs, but you can also help your old dog maintain a healthy weight with a regular regime of exercises and appropriate senior dog diet.
Older persons present special challenges when making changes in diet and activity levels. In patients over 65, the increase in chronic diseases associated with aging reduces physical activity and exercise capacity, making it more difficult for elderly persons to lose weight. Widowhood, loneliness, isolation, and depression are other factors that need to be addressed during weight-loss programs (Villareal et al., 2005). Participation in these programs by family members, as well as caregiver(s) is especially important if the older person’s vision and hearing are impaired or if there is cognitive impairment.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler’s educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
The research revealed that over a third (36 percent) of U.S. baby boomers are obese.  The study found that only a quarter (25 percent) of  the two generations directly above and below boomers are obese.
Gadde, K.M., et al. “Effects of low-dose, controlled-release, phentermine plus topiramate combination on weight and associated comorbidities in overweight and obese adults (CONQUER): a randomized, placebo-controlled, phase 3 trial.” Lancet 377.9774 Apr. 16, 2011: 1341-1352.
In addition, the researchers evaluated peak oxygen consumption during exertion with treadmill walking. On that test, obese elderly people who both dieted and exercised improved 17 percent from their baseline. The diet-only group showed a 10 percent gain, and the exercise-only group improved about 8 percent.
The thrifty gene hypothesis postulates that, due to dietary scarcity during human evolution, people are prone to obesity. Their ability to take advantage of rare periods of abundance by storing energy as fat would be advantageous during times of varying food availability, and individuals with greater adipose reserves would be more likely to survive famine. This tendency to store fat, however, would be maladaptive in societies with stable food supplies.[126] This theory has received various criticisms, and other evolutionarily-based theories such as the drifty gene hypothesis and the thrifty phenotype hypothesis have also been proposed.[127][128]
Jump up ^ Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB (23 June 2011). “Changes in Diet and Lifestyle and Long-Term Weight Gain in Women and Men”. The New England Journal of Medicine (Meta-analysis). 364 (25): 2392–404. doi:10.1056/NEJMoa1014296. PMC 3151731 . PMID 21696306.

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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.
Thank you for your question! With so many supplements out there it’s not easy to choose. One way to pick a vitamin supplement brand is to look for one that has the USP designation on the label. Supplements that are verified by the United States Pharmacopeia (USP) have met standards of quality, purity, potency, performance, and consistency and are made with current FDA good manufacturing practices. Many major brands carry the USP seal, including Nature Made®, Schiff® and Kirkland Signature™.
Once considered a problem only of high-income countries, obesity rates are rising worldwide and affecting both the developed and developing world.[44] These increases have been felt most dramatically in urban settings.[183] The only remaining region of the world where obesity is not common is sub-Saharan Africa.[2]
n a type of obesity that typically develops in childhood and is characterized by the increased number of fat cells within the body. See also obesity, hypertrophic and obesity, hyperplastic-hypertrophic.
Beige fat tissue is seen in the neck, shoulders, back, chest and abdomen of adults and resembles brown fat tissue. This fat type, which uses carbohydrates and fats to produce heat, increases when children and adults are exposed to cold.
Since fats and bile acids have a negative charge, Chitosan actively attracts and binds them, making them unavailable for absorption. It actually binds up to 12 times its weight of lipids (fats). It’s as if you are not eating the fat at all!
“Obesity wreaks so much havoc on one’s long-term survival capacity that obese adults either don’t live long enough to be included in the survey or they are institutionalized and therefore also excluded. In that sense, the survey data doesn’t capture the population we’re most interested in,” says Masters, a Robert Wood Johnson Foundation Health & Society Scholar at Columbia’s Mailman School and the study’s first author.
Aging baby boomers are smoking and drinking less, but overweight and obesity are on the rise, according to a new report from the U.S. Census Bureau. That’s especially concerning when you consider the many other diseases and disabilities—including arthritis, type-2 diabetes, heart disease and hindered mobility—that can come with excess body weight.
Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. Use of this content is subject to specific Terms of Use & Medical Disclaimers.
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.”
Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss more than a year get regular exercise, even simply walking.
Although testing should be directed toward areas of concern based on the history and physical examination, tests found to be of highest yield in identifying potential causes include stool hemoccult, barium enema, sigmoidoscopy, upper gastrointestinal series, endoscopy and thyroid function tests.5 Computed tomographic screening offers no further information.5 In institutionalized older adults, hemoglobin level, total cholesterol and albumin are useful in making the diagnosis.13 There are a few studies that have looked at TNF-α levels,1 cerebrospinal fluid concentration of amino acids,14 plasma and cerebrospinal fluid cytokine levels,15 and plasma and cerebrospinal fluid neuropeptide levels.16 However, these levels have limited value within routine clinical practice.
Gaining a few pounds during the year may not seem like a big deal. But these pounds can add up over time. How can you tell if your weight could increase your chances of developing health problems? Knowing two numbers may help you understand your risk: your body mass index (BMI) score and your waist size in inches.
In 2000, smoking cessation, diet and exercise could have prevented around 35 percent of the deaths in the United States [source: CDC]. Baby boomers get a gold star for their nonsmoking efforts but fail when it comes to the latter two health initiatives. Being overweight and obese drastically increases a person’s chance of developing chronic diseases, such as heart disease and diabetes. It puts extra wear and tear on the body’s muscles and joints and reduces mobility.
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.
The investigators used the Physical Performance Test, a test that evaluates an individual’s ability to perform tasks, such as walking 50 feet, putting on and removing a coat, standing up from a chair, picking up a penny, climbing a flight of stairs and lifting a book.
Despite these seemingly high percentages, it appears that many Americans underestimate their weight problems. According to the National Center for Health Statistics (NCHS), 64% of U.S. adults are overweight or obese.
The imbalance between calories in and calories out doesn’t need to be large to gain weight, says Dr. Lawrence Cheskin, director of the Johns Hopkins Weight Management Center and associate professor of Health Behavior and Society at Johns Hopkins Bloomberg School of Public Health. As little as 50 extra calories a day can lead to weight gain. So it all adds up quickly, particularly when you’re older. Even if you eat the same amount of food at age 50 as you did at 25, your body will gain weight.
While these are great options, most of the seniors who qualify for programs such as these include low income individuals, minority individuals, older individuals in rural communities, older individuals with limited English proficiency, and older individuals at risk of institutional care.
Both surgical strategies entail changes in how food is processed in the body. While they are successful in helping some people lose weight, they also may cause cramps, diarrhea, and other unpleasant effects, as well as iron deficiency anemia. For more information, go to the article Surgery in the Treatment of Obesity.

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3. Work with an expert in your area to help you find care. A Place for Mom offers free expert Senior Living Advisors. These Advisors are compassionate and can answer a wide range of questions about elder care for your unique situation. They can help be your personal guide through this challenging time.
Children grow at different rates at different times, so it is not always easy to tell if a child is overweight. The CDC BMI growth charts are used to compare a child’s BMI with other children of the same sex and age. It is important that a child’s health care provider evaluates a child’s BMI, growth, and potential health risks due to excess body weight. An online tool for gauging the BMIs of children and teens can be found at: https://nccd.cdc.gov/dnpabmi/Calculator.aspx
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 a 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.)
More than two-thirds of Americans are overweight or obese, and adults over age 64 are no exception. While rates decline slightly at age 75, many seniors are vulnerable to carrying extra pounds due to a combination of factors including slower metabolisms, a tendency to become more sedentary with age and a culture that makes being slender increasingly difficult.
Researchers found almost 39 percent of baby boomers were obese, compared to about 29 percent of adults in the previous generation. Boomers were also more inactive, with 52 percent of them reporting a sedentary lifestyle with no physical activity, compared with 17.4 percent of the previous generation. Baby boomers were also more likely to have diabetes, high blood pressure and high cholesterol than their parents. Overall, 32 percent of adults in the previous generation reported they were in “excellent” health, compared with only 13 percent of baby boomers.
Dennis T. Villareal, Suresh Chode, Nehu Parimi, David R. Sinacore, Tiffany Hilton, Reina Armamento-Villareal, Nicola Napoli, Clifford Qualls, Krupa Shah. Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults. New England Journal of Medicine, 2011; 364 (13): 1218 DOI: 10.1056/NEJMoa1008234
Medicare.com is privately owned and operated by eHealthInsurance Services, Inc. Medicare.com is a non-government resource for those who depend on Medicare, providing Medicare information in a simple and straightforward way.
If you often eat for emotional reasons, you’ll need to find other ways to handle the feelings that usually make you eat. Consider talking with a counselor. She can help you make those shifts in how you think, and how you relate to food and to your body.
In elderly patients who suffer from serious health disease conditions such as cancer or heart disease, the amount of weight loss experienced. Unintentional weight loss may also point to an as of yet undiagnosed condition. Seniors who lose more than 4 percent of their body weight in a year or 10 percent over five years should seek medical attention to address the issue, as this degree of weight loss increases morbidity and mortality.
Another rough way of estimating the amount of a person’s abdominal fat is by measuring the waist circumference. Men with a waist circumference of 40 inches or greater and women with a waist circumference of 35 inches or greater are considered to have increased health risks related to obesity.
These tables give general ranges of healthy weights and overweight for adult height. The tables do not take into account individual conditions. For one thing, they do not distinguish fat from muscle, water, or bone. They are much less helpful than body mass index in identifying risk of health problems related to weight.
observations Obesity is manifested as excess body weight for height. Overweight is determined by a body mass index (BMI) of 25 to 29.9 kg/m2, and obesity is a BMI = 30 kg/m2. Body fat distribution can be assessed by waist-to-hip ratios, with a ratio of greater than 1.0 for men and greater than 0.8 for women signaling increased risk of obesity. Morbidity and mortality are increased in the obese. Complications include predisposition to diabetes mellitus, hypertension, hyperlipidemia, coronary artery disease, cerebrovascular disease, osteoarthritis, sleep apnea, and certain cancers.
Obesity has also been clearly linked to a lesser quality of life. This becomes even more relevant in the aging adult. Generally, the elderly are already burdened by multiple predicaments that decrease their quality of life. Obesity only adds an additional burden.
There is controversy in regard to carbohydrates and weight loss. When carbohydrates are restricted, people often experience rapid initial weight loss within the first two weeks. This weight loss is due mainly to fluid loss. When carbohydrates are added back to the diet, weight gain often occurs, simply due to a regain of the fluid.
This study assesses cardiovascular health and other diseases such as diabetes, blood pressure, cholesterol, and weight, in black men and women who are obese. Based on the results of this assessment, the researchers will develop and test new behavioral weight loss strategies appropriated for this community. Visit the Heart Health Study in Washington D.C. to Develop a Community-Based Behavioral Weight Loss Intervention for more information and to learn how to participate in this study.
The overall goal for older adults who are obese is to help them make permanent lifestyle changes such as dietary modifications, increased exercise, and implementation of community supports. However, the older adult population presents with unique challenges that may prevent them from being able participate in certain physical activities preventing them from being able to lose weight.
Breast cancer: Many studies have shown that, in postmenopausal women, a higher BMI is associated with a modest increase in risk of breast cancer. For example, a 5-unit increase in BMI is associated with a 12% increase in risk (21). Among postmenopausal women, those who are obese have a 20% to 40% increase in risk of developing breast cancer compared with normal-weight women (22). The higher risks are seen mainly in women who have never used menopausal hormone therapy and for tumors that express hormone receptors. Obesity is also a risk factor for breast cancer in men (23).
IsagenixHealth.net is your one-stop platform for learning about the science behind Isagenix products. With regular articles from our Research and Science Team and the Scientific Advisory Board, you can stay abreast of the latest evidence-based updates about weight management, healthy aging, and energy and performance. Keeping up with us is easy — bookmark our page, subscribe via email or RSS, like our Facebook Page, or follow us on Twitter. For more information about Isagenix, visit www.isagenix.com.
Qsymia (combination of phentermine and topiramate) was approved by the FDA in 2012. It is only approved for those with a BMI greater than 27 with weight-related conditions. When combined with diet and exercise, studies have shown that half of the participants lost 10% of their body weight and four-fifths lost 5% (which equates to 12 pounds in a 227 pound person). Topiramate is associated with a high risk of birth defects such as cleft lip and palate. Phentermine (an appetite suppressant) was one of the ingredients in fen-phen and is associated with an elevation in heart rate. Because of these potentially serious side effects, Qsymia is only available through mail order. Other side effects include tingling, dizziness, alterations in taste, insomnia, dry mouth, and constipation.

“diet chart for obesity patient -obesity nos definition”

Some modifications to the WHO definitions have been made by particular organizations.[28] The surgical literature breaks down class II and III obesity into further categories whose exact values are still disputed.[29]
Beginning next year, such ads will be scrubbed entirely from TV, radio and movie theaters between 6 a.m. and 10 p.m. In an effort to encourage breast-feeding, a ban on marketing infant formula kicks in this spring.
The pathophysiology of unintentional weight loss is poorly understood. Multiple studies have looked at inflammatory cytokines such as tumor necrosis factor α, interleukin-1β, and interleukin-6, and gut hormones such as cholecystokinin, glucagon-like peptide, and ghrelin.8 Elevated concentrations of tumor necrosis factor α have been associated with weight loss. It is unclear whether this relationship is a direct cause or a marker for an underlying condition.9
23. Yeh S, Wu SY, Levine DM, et al. Quality of life and stimulation of weight gain after treatment with megestrol acetate: correlation between cytokine levels and nutritional status, appetite in geriatric patients with wasting syndrome. J Nutr Health Aging 2000; 4:246–51 [PubMed]
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.
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.
Douketis, J.D., C. Macie, L. Thabane, and D.F. Williamson. “Systematic Review of Long-Term Weight Loss Studies in Obese Adults: Clinical Significance and Applicability to Clinical Practice.” Int J Obesity (2005): 1153-1167.
A behavior modification program can help you make lifestyle changes and lose weight and keep it off. Steps to take include examining your current habits to find out what factors, stresses or situations may have contributed to your obesity.
One of the goals of the U.S. Department of Health and Human Service’s Healthy People 2010 initiative is to reduce the prevalence of adult obesity to 15% or less. Yet we are moving in the wrong direction — between 1976 and 2000 (a period of time in which most baby boomers came of age and entered middle age), adult obesity more than doubled, from 15% to 31%. The obesity problem is acute among baby boomers, yet many in this generation, particularly men, fail to recognize their weight problems.
The incidence of hypertension, diabetes, and the metabolic syndrome intensifies with age, and aging per se is closely linked to increased prevalence of most of the abnormalities contributing to the metabolic syndrome (3). The incidence of the metabolic syndrome rises with increasing BMI, and a broader waist circumference is more common in men older than 65 years than in younger age-groups (3). The occurrence of the metabolic syndrome reaches peak levels in the 6th decade for men and the 7th decade for women, and a decline is noted only in the 8th decade for men and for some women in different ethnic groups (3). As recently outlined by the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research, older age and obesity are two of the most powerful risk factors for uncontrolled hypertension (4), and high blood pressure, in turn, is a major determinant of mortality and stroke incidence, particularly in senior years. BMI and abdominal obesity are significantly and independently associated with an increase in the prevalence of type 2 diabetes and hypertension, and obesity contributes to the development of hypertension in diabetes in all ages, including old age (5). Hence, separation of abdominal adiposity from its closest sequels, i.e., the metabolic syndrome, hypertension, and diabetes, is somewhat artificial, especially later in life. Adiposity strongly influences these risk factors, which, with passage of time, may directly dominate the occurrence of complications. The strongest support for such a sequence of events is the fact that attempted weight loss is associated with lower all-cause mortality, regardless of age (6).
Associated anxiety can cause you to you crave “comfort” foods that are high in sugar or fat. Meditation and yoga may help you manage stress and become more centered and aware of the daily choices you make.
Diuretic herbs, which increase urine production, can cause short-term weight loss but cannot help patients achieve lasting weight control. The body responds to heightened urine output by increasing thirst to replace lost fluids, and patients who use diuretics for an extended period of time eventually start retaining water again anyway. In moderate doses, psyllium, a mucilaginous herb available in bulk-forming laxatives like Metamucil, absorbs fluid and makes patients feel as if they have eaten enough. Red peppers and mustard help patients lose weight more quickly by accelerating the metabolic rate. They also make people more thirsty, so they crave water instead of food. Walnuts contain serotonin, the brain chemical that tells the body it has eaten enough. Dandelion (Taraxacum officinale) can raise metabolism and counter a desire for sugary foods.