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The World Health Organization (WHO) predicts that overweight and obesity may soon replace more traditional public health concerns such as undernutrition and infectious diseases as the most significant cause of poor health.[151] Obesity is a public health and policy problem because of its prevalence, costs, and health effects.[152] The United States Preventive Services Task Force recommends screening for all adults followed by behavioral interventions in those who are obese.[153] Public health efforts seek to understand and correct the environmental factors responsible for the increasing prevalence of obesity in the population. Solutions look at changing the factors that cause excess food energy consumption and inhibit physical activity. Efforts include federally reimbursed meal programs in schools, limiting direct junk food marketing to children,[154] and decreasing access to sugar-sweetened beverages in schools.[155] The World Health Organization recommends the taxing of sugary drinks.[156] When constructing urban environments, efforts have been made to increase access to parks and to develop pedestrian routes.[157]
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.
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
The WHO defines an adult who has a BMI between 25 and 29.9 as overweight – an adult who has a BMI of 30 or higher is considered obese – a BMI below 18.5 is considered underweight, and between 18.5 to 24.9 a healthy weight .
A full thyroid panel is needed to identify hypothyroidism in dogs. Your vet will put your dog on thyroid supplementation and ask you to bring him in for periodic re-testing. If all goes well, he should slim down and get back some of his energy, keeping in mind that senior dogs aren’t as active as when they were younger.
Fiber is another essential component of a good diet for seniors, says Moreno. Fiber helps to regulate digestion, prevents constipation, and may help with weight loss. Good sources of fiber include raw fruits and vegetables, whole grains, and legumes.
Gastric bypass surgery. In gastric bypass (Roux-en-Y gastric bypass), the surgeon creates a small pouch at the top of your stomach. The small intestine is then cut a short distance below the main stomach and connected to the new pouch. Food and liquid flow directly from the pouch into this part of the intestine, bypassing most of your stomach.
To lose weight and keep it off for a lifetime, you must first find a weight loss program that suits your needs and can guide you through the necessary lifestyle changes. The cornerstones of a good program include a personalized diet and exercise regimen that address any pre-existing conditions you may have, such as diabetes and high blood pressure.
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.
The main ingredients in most herbal fen/phen products are ephedrine and St. John’s wort. Ephedrine acts like amphetamines in stimulating the central nervous system and the heart. Ephedrine promotes weight loss in part by an increase the body’s temperature, and when this happens, the body burns more calories. Ephedrine use has been associated with high blood pressure, heart-rhythm irregularities, strokes, insomnia, seizures tremors, and nervousness. There have been reports of deaths in young individuals taking ephedrine. St. John’s wort has been used in Europe to treat mild depression but not obesity. The action, effectiveness, and side effects of St. John’s wort either alone or in combination with other agents have not been adequately studied.
The prevalence of renal failure increases with age, and obesity is a significant risk factor for end-stage renal disease (46). Compiled data from 57 prospective studies clearly links obesity to mortality of kidney disease, such that death of renal disease increased progressively with BMI (47). Although age-specific trends were not provided, hazard ratio in this analysis was based on subjects up to the age of 79 years. A recent report indicated that increased waist-to-hip ratio was a significant and independent predictor of chronic renal disease in elderly Taiwanese (48). In a cross-sectional study in African Americans, increasing age and waist circumference were associated with increased chronic kidney disease (49). Collectively, this information suggests that obesity, particularly abdominal adiposity, imparts a negative effect on renal disease in the older population.
Perform 20-30 minutes of moderate exercise five to seven days a week, preferably daily. Types of exercise include stationary bicycling, walking or jogging on a treadmill, stair climbing machines, jogging, and swimming.
The good news is that losing a small amount of weight can reduce your chances of developing heart disease or a stroke. Reducing your weight by 10% can decrease your chance of developing heart disease.
For example, fat “cushions” the release of various flavors on the tongue, unveiling them gradually and allowing them to linger. When fat is removed, flavors tend to immediately inundate the tongue and then quickly flee, which we register as a much less satisfying experience. Fona’s experts can reproduce the “temporal profile” of the flavors in fattier foods by adding edible compounds derived from plants that slow the release of flavor molecules; by replacing the flavors with similarly flavored compounds that come on and leave more slowly; or by enlisting “phantom aromas” that create the sensation of certain tastes even when those tastes are not present on the tongue. (For example, the smell of vanilla can essentially mask reductions in sugar of up to 25 percent.) One triumph of this sort of engineering is the modern protein drink, a staple of many successful weight-loss programs and a favorite of those trying to build muscle. “Seven years ago they were unpalatable,” Sobel said. “Today we can mask the astringent flavors and eggy aromas by adding natural ingredients.”
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.
Thanks for sharing the details. It’s crucial for seniors to eat a nutritious diet every day or consult a professional to make a diet plan for them. You are spot on. The number of calories needed may vary based on sex, weight, or age.
Exercise and strength training can optimize overall health and quality of life. Lower impact activities such as walking, swimming, and bicycling are generally safe for many older adults, even those who have chronic conditions such as heart disease or high blood pressure. But the key is to start slowly. Warming up and cooling down by walking and stretching before and after each session is important to minimize any soreness or potential injury.
The longer a person is overweight, the harder it becomes for them to lose weight. Many have wondered whether obesity itself becomes a permanent state, i.e. does obesity promote obesity?. Researchers from the University of Michigan and the National Council of Science and Technology (COINCET) in Argentina, reported in the Journal of Clinical Investigation that in animal experiments, obesity seems to become a self-perpetuating state.
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
Some people have tried combining more than one weight-loss drug or combining a weight-loss drug with other drugs for the purposes of losing weight. The safety and effectiveness of such drug “cocktails” is not known.
The survey from the Robert Wood Johnson Foundation and Trust for America’s Health also found that despite first lady Michelle Obama’s best efforts, nearly one of three children and teens ages two to 19 is overweight or obese.
The bottom line is that you burn fewer calories in your 50s, 60s, or 70s doing the same activities, and the same number of them, that you did in your 20s, 30s, or 40s. The key to weight gain is to compensate by adjusting your food intake, exercising, and generally becoming more physically active.
Deciding what to do about your obesity in terms of treatment varies from person to person. If you or someone you know has obesity, addressing this issue early is an essential part of success. It is important to talk to your physician about your weight and work with him/her when deciding which treatment is right for you. There are several methods available to address your obesity.
The table Risks of Obesity-Associated Diseases by BMI and Waist Circumference provides you with an idea of whether your BMI combined with your waist circumference increases your risk for developing obesity-associated diseases or conditions.
It can be done. My millennial generation kids did it for me. But it was not easy. We boomers are very sure of ourselves and self-focused. Appreciating how hard it will be for my generation to change, I wrote “The Boomer Generation Diet Book.”
Jump up ^ Pestana IA, Greenfield JM, Walsh M, Donatucci CF, Erdmann D (October 2009). “Management of “buried” penis in adulthood: an overview”. Plast. Reconstr. Surg. (Review). 124 (4): 1186–95. doi:10.1097/PRS.0b013e3181b5a37f. PMID 19935302.
If the food industry is to quietly sell healthier products to its mainstream, mostly non-health-conscious customers, it must find ways to deliver the eating experience that fat and problem carbs provide in foods that have fewer of those ingredients. There is no way to do that with farm-fresh produce and wholesome meat, other than reducing portion size. But processing technology gives the food industry a potent tool for trimming unwanted ingredients while preserving the sensations they deliver.
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.

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There are many possible pathophysiological mechanisms involved in the development and maintenance of obesity.[148] This field of research had been almost unapproached until the leptin gene was discovered in 1994 by J. M. Friedman’s While leptin and ghrelin are produced peripherally, they control appetite through their actions on the central nervous system. In particular, they and other appetite-related hormones act on the hypothalamus, a region of the brain central to the regulation of food intake and energy expenditure. There are several circuits within the hypothalamus that contribute to its role in integrating appetite, the melanocortin pathway being the most well understood.[148] The circuit begins with an area of the hypothalamus, the arcuate nucleus, that has outputs to the lateral hypothalamus (LH) and ventromedial hypothalamus (VMH), the brain’s feeding and satiety centers, respectively.[150]
Doctors sometimes prescribe fluoxetine (Prozac), an antidepressant that can increase weight loss by about 10%. Weight loss may be temporary and side effects of this medication include diarrhea, fatigue, insomnia, nausea, and thirst. Weight-loss drugs currently being developed or tested include ones that can prevent fat absorption or digestion; reduce the desire for food and prompt the body to burn calories more quickly; and regulate the activity of substances that control eating habits and stimulate overeating.
Certain medications. Some medications can lead to weight gain if you don’t compensate through diet or activity. These medications include some antidepressants, anti-seizure medications, diabetes medications, antipsychotic medications, steroids and beta blockers.
Sato F, Tamura Y, Watada H, Kumashiro N, Igarashi Y, Uchino H, Maehara T, Kyogoku S, Sunayama S, Sato H, Hirose T, Tanaka Y, Kawamori R. Effects of diet-induced moderate weight reduction on intrahepatic and intramyocellular triglycerides and glucose metabolism in obese subjects. J Clin Endocrinol Metab. 2007;92:3326–3329. [PubMed]
Excessive body weight is associated with various diseases and conditions, particularly cardiovascular diseases, diabetes mellitus type 2, obstructive sleep apnea, certain types of cancer, osteoarthritis[2] and asthma.[2][30] As a result, obesity has been found to reduce life expectancy.[2]
Just wanted to post a heartfelt thanks to Doug for this fantastic site and all the work he does for seniors! Seriously overweight but otherwise healthy at 75, I ordered the DVD set and began on September 1, 2016. I started counting calories while eating healthy, and use the DVDs (rotating them) and my exercise bike almost every day. I have lost twenty pounds and many inches, but this has also beneficially affected my sleep, my digestion, and my relationships. Yes, I get sore, but follow his suggestions about that; I look on my soreness as a badge of honor when it happens! I feel so much stronger, so much more flexible, and so proud of myself that the weight loss is just an added bonus, not the primary goal anymore. Doug is a wonderful person and deserves our thanks!
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.
Some studies have shown that people who eat wholesomely tend to be healthier than people who live on fast food and other processed food (particularly meat), but the problem with such studies is obvious: substantial nondietary differences exist between these groups, such as propensity to exercise, smoking rates, air quality, access to health care, and much more. (Some researchers say they’ve tried to control for these factors, but that’s a claim most scientists don’t put much faith in.) What’s more, the people in these groups are sometimes eating entirely different foods, not the same sorts of foods subjected to different levels of processing. It’s comparing apples to Whoppers, instead of Whoppers to hand-ground, grass-fed-beef burgers with heirloom tomatoes, garlic aioli, and artisanal cheese. For all these reasons, such findings linking food type and health are considered highly unreliable, and constantly contradict one another, as is true of most epidemiological studies that try to tackle broad nutritional questions.
Glass, T., Rasmussen, M., & Schwartz, B. (2006). Neighborhoods and obesity in older adults: The Baltimore memory study. American Journal of Preventive Medicine, 31(6), 455-463. Retrieved November 12, 2008 from: www.pubmedcentral.nih.gov/articlerender.
Strokes: Being overweight or obese can lead to a buildup of plaque in your arteries. This causes blood clots to form, which can eventually reach the blood stream and then vital organs such as the brain or the heart, blocking blood flow and producing a stroke.
According to the National Institutes of Health (NIH) “Not everyone gains weight when they stop smoking. Among people who do, the average weight gain is between 6 and 8 pounds. Roughly 10 percent of people who stop smoking gain a large amount of weight – 30 pounds or more.”

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Food advertising. Americans are surrounded by ads from food companies. Often children are the targets of advertising for high-calorie, high-fat snacks, and sugary drinks. The goal of these ads is to sway people to buy these high-calorie foods.
Waters DL, Vawter R, Qualls C, Chode S, Armamento-Villareal R, Villareal DT. Long-term weight maintenance of weight loss after lifestyle intervention in frail, obese older adults. J Nutr Health Aging. 2013;17:3–7. [PMC free article] [PubMed]
Jump up ^ Marantz PR, Bird ED, Alderman MH (March 2008). “A call for higher standards of evidence for dietary guidelines”. Am J Prev Med. 34 (3): 234–40. doi:10.1016/j.amepre.2007.11.017. PMID 18312812.
Sacramento trainer Lorri Ann Code – founder of Mama Boot Camp, which has helped hundreds of local women lose weight – thinks that people get trapped in a cycle of eating too many empty calories, then feeling too sluggish to exercise.
Overweight and obesity are known to increase blood pressure. High blood pressure is the leading cause of strokes. Excess weight also increases your chances of developing other problems linked to strokes, including high cholesterol, high blood sugar, and heart disease.
Talking to your health care provider openly and honestly about your weight concerns is one of the best things you can do for your health. In some cases, you may be referred to an obesity specialist — if one is available in your area. You may also be referred to a behavioral counselor, dietitian or nutrition specialist.
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.
I’ve developed a menengioma and I’ve had a smalk stroke. Finally…I’m suffering severe chronic pain from severely arthritic (bone on bone) knees and acutely painful arthritis of the lumbar spine. Alk this, pkus severe Fibromyalgia. I’ve become more and more sedentary and withdrawn, due to the pain….and can hardly walk a block. I entered a pain management program a few years ago and am following a carefully monitored program of opoid meds….without which, I’d be unable to live independently, and I’d be in a wheelchair.
Obesity is a complex disorder involving an excessive amount of body fat. Obesity isn’t just a cosmetic concern. It increases your risk of diseases and health problems, such as heart disease, diabetes and high blood pressure.
Jump up ^ Howard NJ, Taylor AW, Gill TK, Chittleborough CR (2008). “Severe obesity: Investigating the socio-demographics within the extremes of body mass index”. Obesity Research & Clinical Practice. 2 (1): I–II. doi:10.1016/j.orcp.2008.01.001. PMID 24351678.
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.
Hip geometry and serum sclerostin were the focus of the second paper (Armamento-Villareal 2012). Sclerostin is an inhibitor of bone formation and increases in states of unloading. It may mediate the changes in bone metabolism associated with weight loss and exercise by increased sclerostin production by the mechanostat in osteocytes. Sclerostin then inhibits signaling through the canonical Wnt pathway that results in an inhibition of osteoblastic differentiation, inhibiting bone formation. The resultant skeletal loading from exercise training increases BMD and improves bone geometry, and when added to caloric restriction, inhibits the weight-loss induced increase in sclerostin. This results in the attenuation of bone loss and preservation of bone geometry. The study investigators hypothesized a reduction in sclerostin with weight loss, but found no change. They suggested a floor effect of mechanical loading on the osteocyte’s response due to chronic overload in obese subjects. Additionally, the significant correlations between sclerostin and hip geometry parameters indicated that sclerostin may mediate the degradation in bone quality from unloading during weight loss, which is preserved with the addition of exercise.
Adapted with permission from The clinical and cost-effectiveness of medical nutrition therapies: evidence and estimates of potential medical savings from the use of selected nutritional intervention. June 1996. Summary report prepared for the Nutrition Screening Initiative, a project of the American Academy of Family Physicians, the American Dietetic Association, and the National Council on Aging, Inc.
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 energy contributing to obesity. Whether these differences are the direct cause or the result of obesity has yet to be determined unequivocally.[146]
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.
Villareal DT, Shah K, Banks MR, Sinacore DR, Klein S. Effect of weight loss and exercise therapy on bone metabolism and mass in obese older adults: a one-year randomized controlled trial. J Clin Endocrinol Metab. 2008;93:2181–2187. [PMC free article] [PubMed]
Weight-loss teas contain strong botanical laxatives (Senna, cascara sagrada) and diuretics (Rhamnus purshiana) that cause diarrhea and loss of water from the body. Diarrhea and water loss lead to the depletion of sodium and potassium and can lead to dehydration. Although an individual’s weight may decrease, the loss is due to a decrease in fluid and is only temporary. Moreover, low sodium and potassium levels may cause abnormal heart rhythms and can even lead to death.
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
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.
Recent statistics have initially confirmed this grim health trend. A survey sponsored by the National Institute on Aging examined the health status of 20,000 baby boomers between 51 and 56. Stacked up against the previous generation during the same age bracket, baby boomers lagged behind. The younger set actually reported the most consistent pain and chronic health conditions [source: National Institute on Aging]. Even with low-impact activities of climbing stairs, getting up from a chair and lifting their arms over their heads, baby boomers reported less mobility than their predecessors [source: The Washington Post]. In addition, boomers have a higher prevalence of alcoholism and psychiatric problems [source: Soldo et al].
Environment plays a key role in shaping an individual’s habits and lifestyle. There are many environmental influences that can impact your health decisions. Today’s society has developed a more sedentary lifestyle. Walking has been replaced by driving cars, physical activity has been replaced by technology and nutrition has been overcome by convenience foods.
potentially abused by patients. While most of the immediate side-effects of these drugs are harmless, the long-term effects of these drugs, in many cases, are unknown. Two drugs, dexfenfluramine hydrochloride (Redux) and fenfluramine (Pondimin) as well as a combination fenfluramine-phentermine (Fen/Phen) drug, were taken off the market when they were shown to cause potentially fatal heart defects. In November 1997, the United States Food and Drug Administration (FDA) approved a new weight-loss drug, sibutramine (Meridia). Available only with a doctor’s prescription, Meridia can significantly elevate blood pressure and cause dry mouth, headache, constipation, and insomnia. This medication should not be used by patients with a history of congestive heart failure, heart disease, stroke, or uncontrolled high blood pressure.
May 26, 2015 — Obesity may be tougher on male immune systems than females, a new study in mice suggests. With the risk for obesity-associated diseases significantly higher for men than women, researchers compared … read more
Jump up ^ Sacks G, Swinburn B, Lawrence M (January 2009). “Obesity Policy Action framework and analysis grids for a comprehensive policy approach to reducing obesity”. Obes Rev. 10 (1): 76–86. doi:10.1111/j.1467-789X.2008.00524.X. PMID 18761640.
Obesity not only lowers a child’s quality of life during childhood, but overweight and obese children are likely to stay obese into adulthood and to develop obesity-related diseases such as type 2 diabetes and heart disease at a younger age.
Well-publicized concerns over childhood obesity have led to a gradual leveling out of those numbers across the country; boomers are now the most likely group to be obese in California. They are approaching their senior years with large numbers already dealing with disability and chronic poor health related to excess weight. They face potentially shortened life spans – and an overburdened health care system faces additional spikes in cost.
Obesity and Cardiovascular Death. In a meta-analysis of 26 observational studies that included 390,000 men and women, several racial and ethnic groups, and samples from the U.S. and other countries, obesity was significantly associated with death from CAD and cardiovascular disease. Women with BMIs of 30 or higher had a 62 percent greater risk of dying early from CAD and also had a 53 percent higher risk of dying early from any type of cardiovascular disease, compared with women who had BMIs in the normal range (18.5 to 24.9). Men with BMIs of 30 or higher had similarly elevated risks. (11)
Despite billions of dollars being spent on public awareness campaigns that attempt to encourage people to eat healthily, the majority of us continue to overeat. In 1980 14% of the adult population of the USA was obese; by 2000 the figure reached 31% (The Obesity Society).
Fewer studies have examined possible associations between weight loss and cancer risk. Some of these have found decreased risks of breast, endometrial, colon, and prostate cancers among people who have lost weight. However, most of these studies were not able to evaluate whether the weight loss was intentional or unintentional (and possibly related to underlying health problems).
Other possible mechanisms by which obesity could affect cancer risk include changes in the mechanical properties of the scaffolding that surrounds breast cells (30) and altered immune responses, effects on the nuclear factor kappa beta system, and oxidative stress (31).

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Obesity is an epidemic in the United States and in other developed countries. More than two-thirds of Americans are overweight, including at least one in five children. Nearly one-third are obese. Obesity is on the rise in our society because food is abundant and most of us are employed in positions that require little to no physical activity. On the bright side, recent data suggest that childhood obesity, while still high, may no longer be on the rise.
Reducing the national debt and government fiscal responsibility is a major baby boomer focus. Yet Social Security and Medicare now represent two-thirds of the annual federal budget. Medicare alone equals about 25 percent of all government spending. The “tell like it is” numbers are squarely pointing the finger at the boomer generation as the cause of spiraling government expenditures. Their lifestyle, and its unintended weight-related health consequences, is the greatest threat to our country’s ability to balance its budget and the future prosperity of our children and grandchildren.
The patient’s past medical history is notable for osteoporosis, a left hip fracture three years ago, osteoarthritis, hypothyroidism and hyper-cholesterolemia. She is taking levothyroxine, a statin and a bisphosphonate plus vitamin D and calcium. She recently started taking nonsteroidal anti-inflammatory medications (NSAIDs) as needed for knee pain. She is an ex-smoker and does not drink alcohol. On examination, her weight was 121 lbs (55 kg), with a body mass index (BMI) of 22. She also had osteoarthritic changes in the knees. Results of investigations, including radiograph of the chest, complete blood count, electrolytes, creatinine, thyroid stimulating hormone and albumin are within normal limits.
Community programs to prevent obesity. Based on the results of research studies, the NHLBI, with a multidisciplinary team of researchers, dieticians, public health experts and community center representatives, developed programs such as We Can!® and Aim for a Healthy Weight to promote a healthy lifestyle. 
Obesity can lead to social stigmatization and disadvantages in employment.[200] When compared to their normal weight counterparts, obese workers on average have higher rates of absenteeism from work and take more disability leave, thus increasing costs for employers and decreasing productivity.[209] A study examining Duke University employees found that people with a BMI over 40 kg/m2 filed twice as many workers’ compensation claims as those whose BMI was 18.5–24.9 kg/m2. They also had more than 12 times as many lost work days. The most common injuries in this group were due to falls and lifting, thus affecting the lower extremities, wrists or hands, and backs.[210] The Alabama State Employees’ Insurance Board approved a controversial plan to charge obese workers $25 a month for health insurance that would otherwise be free unless they take steps to lose weight and improve their health. These measures started in January 2010 and apply to those state workers whose BMI exceeds 35 kg/m2 and who fail to make improvements in their health after one year.[211]
Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.
In Martin’s view, these disability trends are “sobering and bear watching,” but she also offered a few reasons for optimism. She pointed to evidence of improved diagnosis and treatment of diabetes and other chronic conditions related to obesity. “The negative consequences might decline because of therapy.” And the level of obesity among adults appears to have stopped climbing in recent years.
I’m in the NYC Marathon in November to celebrate my 55th birthday and raise money for the Pancreatic Cancer Action Network, in memory of a friend who succumbed to the disease last year. Here’s an update on my training schedule for this week:
You can blame a lot of your weight gain on your metabolism. Beginning as early as your mid-twenties, body fat begins to increase while muscle mass decreases. And less muscle mass translates into a slower metabolic rate.
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 at your local gym or senior center — can lead to big health rewards.
In a one-year, randomized, controlled trial, researchers from Washington University School of Medicine in St. Louis evaluated independent and combined effects of weight loss through calorie reduction and exercise in nearly 100 obese older adults with an average age of 70. The study, published in the March issue of New England Journal of Medicine, randomized subjects into one of four groups:

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Disability levels among older Americans declined steadily during the 1980s and 1990s. This decline was hailed as one of the most significant advances in the health and well-being of Americans in the last quarter of the 20th century. Contributing to the decline were both a drop in the incidence of disability and a rise in the chance of recovery from a disabling condition.
Children: A healthy weight is usually when your child’s BMI is at the 5th percentile up to 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.
Avoid deep-fried foods, which have high fat content, and items such as ice cream and cheese that are made from dairy fat. Fast food is packed with salt and non-healthy fats, so always favor homemade meals. Remember, drinks like soda are a huge source of calories in your diet. If you’re fighting obesity or any of its associated diseases such as diabetes, you may also want to avoid inflammatory foods such as those containing gluten or dairy.
Villareal DT, Chode S, Parimi N, Sinacore DR, Hilton T, Armamento-Villareal R, Napoli N, Qualls C, Shah K. Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med. 2011a;364:1218–1229. [PMC free article] [PubMed]
Wilhelm’s father fit into that statistic. “Two days before my wedding, my father showed up, and this time he had a dramatic loss in weight,” she says, estimating that he lost an additional 30 pounds, adding to the 20 pounds lost in previous months. “I could not believe how frail he looked–I had never seen him this skinny. could not believe the man looking at me was the father that used to put me on his shoulders when I was a little girl. I really had no idea what to do.”
Carbohydrates from food are broken down into the sugar glucose, which is used as a source of energy. Once the energy needs are fulfilled, glucose molecules are stored in the liver and muscles as glycogen, a special energy starch. When glycogen stores become full, extra glucose is converted into fat and cholesterol.
This is the perfect total body exercise for seniors, obese, plus size, and those with limited mobility. You may perform this exercise routine standing or sitting down. Choose the appropriate resistance for you ranging from a pair of light dumbbells to just a couple of water bottles.
It’s hard to change habits. You have to be ready. Make sure this is the right time for you. Are you ready to make a plan and stay on it? Do you have the support of your family and friends? Do you know what your first steps will be? Becoming healthier and staying that way is a lifelong effort.
Your whole body feels it, from your joints to your heart, blood pressure, blood sugar, and other systems. The extra fat cells produce inflammation and various hormones, which boosts your odds of chronic medical conditions.
Shah K, Armamento-Villareal R, Parimi N, Chode S, Sinacore DR, Hilton TN, Napoli N, Qualls C, Villareal DT. Exercise training in obese older adults prevents increase in bone turnover and attenuates decrease in hip bone mineral density induced by weight loss despite decline in bone-active hormones. J Bone Miner Res. 2011;26:2851–2859. [PMC free article] [PubMed]
Obesity is best defined by using the body mass index. The body mass index is calculated using a person’s height and weight. The body mass index (BMI) equals a person’s weight in kilograms (kg) divided by their height in meters (m) squared. Since BMI describes body weight relative to height, it is strongly correlated with total body fat content in adults. An adult who has a BMI of 25-29.9 is considered overweight, and an adult who has a BMI over 30 is considered obese. A BMI of 18.5-24.9 is considered normal weight.
Jump up ^ Wright JD, Kennedy-Stephenson J, Wang CY, McDowell MA, Johnson CL (February 2004). “Trends in intake of energy and macronutrients – United States, 1971–2000”. MMWR Morb Mortal Wkly Rep. 53 (4): 80–82. PMID 14762332.
Just as in younger people, the prevalence of obesity has increased in the elderly. About 20 percent of people 65 and older are obese, and that is expected to continue rising as more baby boomers become senior citizens. Elevated weight is known to be associated with impairments in daily living, limitations in mobility and an increased risk for physical decline and frailty.
Kavousi M, Elias-Smale S, Rutten JH, Leening MJ, Vliegenthart R, Verwoert GC et al. Evaluation of newer risk markers for coronary heart disease risk classification: a cohort study. Ann Intern Med 2012; 156: 438–444.
The goal of obesity treatment is to reach and stay at a healthy weight. You may need to work with a team of health professionals — including a dietitian, behavior counselor or an obesity specialist — to help you understand and make changes in your eating and activity habits.
If you’re struggling to be interested in food or you’ve lost the motivation to eat, try to eat with friends or family as often as possible. Lunch clubs are also a great way to make mealtimes more social.

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Classes for the obese or seniors should be taught by an experienced yoga teacher adept at adapting the traditional poses for those students who are physically challenged. Many schools, such as the American Yoga Association, have developed programs that teach yoga exercises that can be done in chairs or even in bed. Yoga practitioners say even small movements can have beneficial effects, especially when coupled with deep breathing and instruction in relaxation and meditation.
Many explanations have been put forth for associations between BMI and social class. It is thought that in developed countries, the wealthy are able to afford more nutritious food, they are under greater social pressure to remain slim, and have more opportunities along with greater expectations for physical fitness. In undeveloped countries the ability to afford food, high energy expenditure with physical labor, and cultural values favoring a larger body size are believed to contribute to the observed patterns.[134] Attitudes toward body weight held by people in one’s life may also play a role in obesity. A correlation in BMI changes over time has been found among friends, siblings, and spouses.[136] Stress and perceived low social status appear to increase risk of obesity.[135][137][138]
According to the World Health Organization (WHO) being overweight or obese is largely preventable. To reach your ideal weight you must reach a balance of calories consumed and calories burned. According to WHO, in your diet you can:
You can blame a lot of your weight gain on your metabolism. Beginning as early as your mid-twenties, body fat begins to increase while muscle mass decreases. And less muscle mass translates into a slower metabolic rate.
Depression may be one of the most common effects of obesity. Many obese people suffer emotional distress. Because of the emphasis on physical appearance in our culture, which equates slimness with beauty, obese people may feel unattractive. They also are subjected to prejudice, ridicule, and discrimination, which may make them feel ashamed or rejected.
Based on evidence from a large cohort study that involved 4010 persons aged 65 years and older from 11 cities in Europe, the most common independent factors associated with unexplained weight loss are those related to food intake. Specifically, they are eating less than one meal per day (odds ratio [OR] 4.2, 95% confidence interval [CI] 2.8–6.4), eating less overall (OR 2.8, 95% CI 1.8–4.4), reduced appetite (OR 2.5, 95% CI 1.9–3.4), severe malnutrition (OR 7.1, 95% CI 4.2–11.9) and problems swallowing food (OR 2.8, 95% CI 1.8–4.4). Other factors were flare-ups of chronic diseases (OR 1.5, 95% CI 1.1–2.1), hospital admission in the last 90 days (OR 2.1, 95% CI 1.6–2.7), constipation (OR 1.9, 95% CI 1.3–2.7), falls (OR 1.5, 95% CI 1.2–1.9), pressure ulcers (OR 1.5, 95% CI 1.2–1.9) and daily pain (OR 1.3, 95% CI 1.0–1.6)7 (Box 1).
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Among a cohort of 250 residents of a Dutch nursing home, after adjusting for age and sex, a significant relationship was seen between body weight and mobility (p < 0.0001), appetite (p < 0.001), thirst (p < 0.01) and consumption of extra food (p < 0.0001).10 In multivariate analysis, only difficulties in bringing food to the mouth and chewing were significantly associated with weight loss. Similarly, in a cross-sectional study involving 109 patients (99% male) admitted to a geriatric rehabilitation unit in the United States, oral problems were the strongest predictor of substantial, involuntary weight loss in the year before admission.11 The next step is to study each diet and see how practical it is to include in your current lifestyle and level of activity. Your choice of diet will need to be stuck to for the long term and it must be something that you are comfortable doing. It should fit with your personality. 31. Beydoun MA, Beydoun HA, Wang Y: Obesity and central obesity as risk factors for incident dementia and its subtypes: a systematic review and meta-analysis. Obes Rev 2008; 9: 204– 218 [PMC free article] [PubMed] 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. Jump up ^ Diercks DB, Roe MT, Mulgund J, Pollack CV, Kirk JD, Gibler WB, Ohman EM, Smith SC, Boden WE, Peterson ED (July 2006). "The obesity paradox in non-ST-segment elevation acute coronary syndromes: Results from the Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the American College of Cardiology/American Heart Association Guidelines Quality Improvement Initiative". Am Heart J (Research Support). 152 (1): 140–48. doi:10.1016/j.ahj.2005.09.024. PMID 16824844. Diagnosis of obesity is made by observation and by comparing the patient's weight to ideal weight charts. Many doctors and obesity researchers refer to the body mass index (BMI), which uses a height-weight relationship to calculate an individual's ideal weight and personal risk of developing obesity-related health problems. Physicians may also obtain direct measurements of an individual's body fat content by using calipers to measure skin-fold thickness at the back of the upper arm and other sites. The most accurate means of measuring body fat content involves immersing a person in water and measuring relative displacement; however, this method is very impractical and is usually only used in scientific studies requiring very specific assessments. Women whose body fat exceeds 30% and men whose body fat exceeds 25% are generally considered obese. Building on the above point, reduce your dog’s food meal portion size. Weigh your dog the day you start and again in two weeks. If she has not lost any weight, reduce the food some more. You can continue to gradually reduce her food until you see a difference on the scale, then continue feeding that amount. Jump up ^ Barness LA, Opitz JM, Gilbert-Barness E (December 2007). "Obesity: genetic, molecular, and environmental aspects". American Journal of Medical Genetics. 143A (24): 3016–34. doi:10.1002/ajmg.a.32035. PMID 18000969. A new appreciation for the impact of gut microbes on body weight has intensified concerns about the profligate use of antibiotics in children. Blaser has shown that when young mice are given low doses of antibiotics, similar to what farmers give livestock, they develop about 15 percent more body fat than mice that are not given such drugs. Antibiotics may annihilate some of the bacteria that help us maintain a healthy body weight. “Antibiotics are like a fire in the forest,” Dominguez-Bello says. “The baby is forming a forest. If you have a fire in a forest that is new, you get extinction.” When Laurie Cox, a graduate student in Blaser's laboratory, combined a high-fat diet with the antibiotics, the mice became obese. “There's a synergy,” Blaser explains. He notes that antibiotic use varies greatly from state to state in the U.S., as does the prevalence of obesity, and intriguingly, the two maps line up—with both rates highest in parts of the South. Neuhouser ML, Aragaki AK, Prentice RL, et al. Overweight, obesity, and postmenopausal invasive breast cancer risk: A secondary analysis of the Women's Health Initiative randomized clinical trials. JAMA Oncology 2015; 1(5):611-621. Primarily obesity is a result of an imbalance between our energy intake and our energy output. We generally take in too many calories, and burn too few. For some people, this is the simple and only answer to their dilemma.  All they need to do is adjust how much they are taking in, to the amount of activity they perform during the day. For most people though, in addition to just calorie counting, losing or maintaining a good weight involves other factors including genetics, physiology, culture, and psychological disposition. 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. If the most-influential voices in our food culture today get their way, we will achieve a genuine food revolution. Too bad it would be one tailored to the dubious health fantasies of a small, elite minority. And too bad it would largely exclude the obese masses, who would continue to sicken and die early. Despite the best efforts of a small army of wholesome-food heroes, there is no reasonable scenario under which these foods could become cheap and plentiful enough to serve as the core diet for most of the obese population—even in the unlikely case that your typical junk-food eater would be willing and able to break lifelong habits to embrace kale and yellow beets. And many of the dishes glorified by the wholesome-food movement are, in any case, as caloric and obesogenic as anything served in a Burger King. If you're struggling to be interested in food or you've lost the motivation to eat, try to eat with friends or family as often as possible. Lunch clubs are also a great way to make mealtimes more social. 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.) 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. Dietary modification is the cornerstone of treating cardiovascular disease in older adults who are obese. Grundy (2004) has described obesity as a major underlying factor contributing to atherosclerotic cardiovascular disease (ASCVD) and a factor associated with multiple other ASCVD risk factors, including elevated blood pressure, hypertriglyceridemia, low high-density lipoproteins, high cholesterol, and high fasting plasma glucose. It is also a risk factor for type 2 diabetes. Even though there is a strong association between obesity and ASCVD, the relationship underlying the mechanism is not well understood. fact that obesity acts on so many metabolic pathways, producing so many potential risk factors, makes it challenging to delineate the specific mechanism by which obesity contributes to ASCVD. Gundy suggested that the fundamental question for controlling cardiovascular diseases related to obesity is: how can we intervene at the public health level to reduce the high prevalence of obesity in the general population. He added that indeed, “This approach offers the greatest possibility for reducing the cardiovascular risk that accompanies obesity” (p. 2600). The widely disseminated Healthy People 2010 (U.S. Department of Health and Human Services, n.d.) challenges individuals, communities, professionals, and indeed all of us, to take specific steps to reduce obesity to ensure that good health, as well as long life, are enjoyed by all. Dietary modification is the cornerstone of treating cardiovascular disease in older adults who are obese. Interventions to decrease obesity are presented in the next section titled, “Interventions to Address Obesity." [redirect url='https://betahosts.com/bump' sec='7']

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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.
Most of the data about whether avoiding weight gain or losing weight reduces cancer risk comes from cohort and case-control studies. As with observational studies of obesity and cancer risk, these studies can be difficult to interpret because who lose weight or avoid weight gain may differ in other ways from people who do not.
In 2005, the medical costs attributable to obesity in the US were an estimated $190.2 billion or 20.6% of all medical expenditures,[202][203][204] while the cost of obesity in Canada was estimated at CA$2 billion in 1997 (2.4% of total health costs).[81] The total annual direct cost of overweight and obesity in Australia in 2005 was A$21 billion. Overweight and obese Australians also received A$35.6 billion in government subsidies.[205] The estimate range for annual expenditures on diet products is $40 billion to $100 billion in the US alone.[206]
The job of implementing the rules falls to a group of technical advisers who gather weekly at the Ministry of Health and provide guidance on whether a snack company should remove the dancing cat logo from cookie packages or whether an adult‘s voice should replace the small, childlike one hawking corn chips on a radio spot.
Medical weight management programs and bariatric surgery may be recommended to reverse these life-altering and life-threatening health conditions and to help your adolescent get started on the path to lifelong health.
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.
Among a cohort of 250 residents of a Dutch nursing home, after adjusting for age and sex, a significant relationship was seen between body weight and mobility (p < 0.0001), appetite (p < 0.001), thirst (p < 0.01) and consumption of extra food (p < 0.0001).10 In multivariate analysis, only difficulties in bringing food to the mouth and chewing were significantly associated with weight loss. Similarly, in a cross-sectional study involving 109 patients (99% male) admitted to a geriatric rehabilitation unit in the United States, oral problems were the strongest predictor of substantial, involuntary weight loss in the year before admission.11 In 2016, an estimated 41 million children under the age of 5 years were overweight or obese. Once considered a high-income country problem, overweight and obesity are now on the rise in low- and middle-income countries, particularly in urban settings. In Africa, the number of overweight children under 5 has increased by nearly 50 per cent since 2000. Nearly half of the children under 5 who were overweight or obese in 2016 lived in Asia. For individuals who are moderately obese, medically supervised behavior modification and weight loss are required. While doctors will put most moderately obese patients on a balanced, low-calorie diet (1200-1500 calories a day), they may recommend that certain individuals follow a very-low-calorie liquid protein diet (400-700 calories) for as long as three months. This therapy, however, should not be confused with commercial liquid protein diets or commercial weight-loss shakes and drinks. Doctors tailor these diets to specific patients, monitor patients carefully, and use them for only a short period of time. In addition to reducing the amount and type of calories consumed by the patient, doctors will recommend professional therapists or psychiatrists who can help the individual effectively change his or her behavior in regard to eating. 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.) Meal replacements. These plans suggest that you replace one or two meals with their products — such as low-calorie shakes or meal bars — and eat healthy snacks and a healthy, balanced third meal that's low in fat and calories. In the short term, this type of diet can help you lose weight. Keep in mind that these diets likely won't teach you how to change your overall lifestyle, though, so you may have to keep this up if you want to keep your weight off. A recent study indicated that central obesity, assessed by several anthropometric indicators, is associated with the presence of erectile dysfunction in men >60 years, but not in younger men (42). Although age appeared to be the major determinant of erectile dysfunction in NHANES, obesity had an independent contributory effect, increasing the odds ratio for impotence by 1.6 (43). In a cross-sectional analysis of men >50 years of age in the U.S. Health Professionals’ Study, obesity independent of other confounding factors increased the risk of erectile dysfunction by 30% (44).
Compete blood count, erythrocyte sedimentation rate, C-reactive protein level, serum glucose level, thyroid-stimulating hormone level, urinalysis, age-appropriate cancer screening, chest radiography, abdominal ultrasonography
Being overweight is one of the risk factors for osteoarthritis, along with joint injury, older age, and genetic factors. Extra weight may place extra pressure on joints and cartilage (the hard but slippery tissue that covers the ends of your bones at a joint), causing them to wear away. In addition, people with more body fat may have higher blood levels of substances that cause inflammation. Inflamed joints may raise the risk for osteoarthritis.
Getting the correct ratios of protein, carbohydrates, and good-quality fats can help in weight loss via enhancement of the metabolism. Support groups that are informed about healthy, nutritious, and balanced diets can offer an individual the support he or she needs to maintain this type of eating regimen.
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.
Unfortunately, the problem of obesity among seniors is increasing as the population ages. Not only is this troubling at the individual level, but it also has significant implications for society at large due to the burden it creates for the health care system.
Brinton LA, Cook MB, McCormack V, et al. Anthropometric and hormonal risk factors for male breast cancer: male breast cancer pooling project results. Journal of the National Cancer Institute 2014; 106(3):djt465.
Jump up ^ Imaz I, Martínez-Cervell C, García-Alvarez EE, Sendra-Gutiérrez JM, González-Enríquez J (July 2008). “Safety and effectiveness of the intragastric balloon for obesity. A meta-analysis”. Obes Surg. 18 (7): 841–46. doi:10.1007/s11695-007-9331-8. PMID 18459025.
Doctors may also note how a person carries excess weight on his or her body. Studies have shown that this factor may indicate whether or not an individual has a predisposition to develop certain diseases or conditions that may accompany obesity. “Apple-shaped” individuals who store most of their weight around the waist and abdomen are at greater risk for cancer, heart disease, stroke, and diabetes than “pear-shaped” people whose extra pounds settle primarily in their hips and thighs.
Appropriate nutritional counseling through referral to a registered dietitian is recommended to ensure that the older adult’s daily nutritional requirements are met during weight-loss programs. The benefits and risks of weight reduction in older adults should be carefully considered. Loss of lean body mass, which is already diminished in older adults, may not be appropriate in persons over 65 years of age because the loss of fat-free mass in older adults is associated with significant morbidity and mortality (Flood & Newman, 2007). A weight loss program that minimizes muscle and bone loss is recommended for the older adult who is obese and who has functional impairments or metabolic complications that might be improved by weight loss (Villareal et al., 2005). This is best achieved through a moderate reduction in daily calorie intake (500-750 kcal/d). Appropriate nutritional counseling through referral to a registered dietitian is recommended to ensure that the older adult’s daily nutritional requirements are met during weight-loss programs. It is important that the diet continue to contain 1.0g/kg of protein and include 1500mg Ca/d, as well as 1000 IU vitamin D/d (Villareal et al.).
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.
Villareal, D., Apovian, C., Kushner, R., & Klein, S. (2005). Obesity in older adults: technical Review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. American Journal of Clinical Nutrition,82(5), 923-934. Retrieved October 19, 2008,from www.ajcn.org/cgi/content/full/82/5/923.

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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.
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.
Obese people often have chronic low-level inflammation, which can, over time, cause DNA damage that leads to cancer. Overweight and obese individuals are more likely than normal-weight individuals to have conditions or disorders that are linked to or that cause chronic local inflammation and that are risk factors for certain cancers (26). For example, chronic local inflammation induced by gastroesophageal reflux disease or Barrett esophagus is a likely cause of esophageal adenocarcinoma. Obesity is a risk factor for gallstones, a condition characterized by chronic gallbladder inflammation, and a history of gallstones is a strong risk factor for gallbladder cancer (27). Chronic ulcerative colitis (a chronic inflammatory condition) and hepatitis (a disease of the liver causing inflammation) are risk factors for different types of liver cancer (28).
Jump up ^ Brownson RC, Boehmer TK, Luke DA (2005). “Declining rates of physical activity in the United States: what are the contributors?”. Annu Rev Public Health (Review). 26: 421–43. doi:10.1146/annurev.publhealth.26.021304.144437. PMID 15760296.
The results of all the scrutiny of processed food are hardly scary, although some groups and writers try to make them appear that way. The Pew Charitable Trusts’ Food Additives Project, for example, has bemoaned the fact that the FDA directly reviews only about 70 percent of the ingredients found in food, permitting the rest to pass as “generally recognized as safe” by panels of experts convened by manufacturers. But the only actual risk the project calls out on its Web site or in its publications is a quote from a Times article noting that bromine, which has been in U.S. foods for eight decades, is regarded as suspicious by many because flame retardants containing bromine have been linked to health risks. There is no conclusive evidence that bromine itself is a threat.
In general, women collect fat in their hips and buttocks, giving their figures a “pear” shape. Men, on the other hand, usually collect fat around the belly, giving them more of an “apple” shape. (This is not a hard and fast rule; some men are pear-shaped and some women become apple-shaped, particularly after menopause.)
The body mass index (BMI) is commonly used to determine whether someone is affected by excess weight or obesity. This is a measurement that 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.
Some people have tried combining more than one weight-loss drug or combining a weight-loss drug with other drugs for the purposes of losing weight. The safety and effectiveness of such drug “cocktails” is not known.
According to a study published by the National Institute of Health (NIH) options for oral nutrition support should be considered for any patient taking inadequate food and fluid to meet their requirements. The study lists options, as nutritionally complete pre-packaged drinks. The Ensure drink is one example.
This report issues a call for urgent action to combat the growing epidemic of obesity, which now affects developing and industrialized countries alike. Adopting a public health approach, the report responds to both the enormity of health problems associated with
Lipoplasty is a surgical procedure in which high-frequency sound waves are used to liquefy fat before it is removed with gentle suction. Lipoplasty does not prevent weight regain. Lipoplasty has a good safety record; risks of the procedure include infection, skin discoloration, and blood clots.

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The correlation between social class and BMI varies globally. A review in 1989 found that in developed countries women of a high social class were less likely to be obese. No significant differences were seen among men of different social classes. In the developing world, women, men, and children from high social classes had greater rates of obesity.[133] An update of this review carried out in 2007 found the same relationships, but they were weaker. The decrease in strength of correlation was felt to be due to the effects of globalization.[134] Among developed countries, levels of adult obesity, and percentage of teenage children who are overweight, are correlated with income inequality. A similar relationship is seen among US states: more adults, even in higher social classes, are obese in more unequal states.[135]
Hormones that are released during sleep control appetite and the body’s use of energy. For example, insulin controls the rise and fall of blood sugar levels during sleep. People who don’t get enough sleep have insulin and blood sugar levels that are similar to those in people who are likely to have diabetes.
In an article published in JAMA (Journal of the American Medical Association), the authors said they found that in the brain that regulate appetite became active when people consumed glucose, but remained inactive when they ingested fructose. When those regions become active, they release hormones that produce feelings of satiety (fullness) – in other words, the hormones tell you to stop eating.
Ask your vet for an opinion about your dog’s weight if you’re unsure. But it’s easy to learn how to assess a healthy weight in your dog yourself – if you can’t easily feel your dog’s ribs and shoulder blades, if she has no waist or if there’s a roll of fat at the base of her tail, it is time to face reality and start your dog on a diet.
“In older, obese people, it may be more important to improve physical function and quality of life, rather than to reverse or treat risk factors for cardiovascular disease,” says Villareal, now chief of geriatrics at the New Mexico Veterans Affairs Health Care System and professor of medicine at the University of New Mexico School of Medicine, both in Albuquerque. “Combining exercise and weight loss isn’t designed so much to extend their life expectancy as it is to improve their quality of life during their remaining years and to help seniors avoid being admitted to a nursing home.”
Nov. 23, 2016 — Older baby boomers—those born between 1945 and 1954—are the “stroke-healthiest generation,” according to a new study that found the lowest incidence of ischemic stroke in this age group … read more
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.
As women get older, belly fat is a common problem. Consuming monounsaturated fats can combat this problem by increasing your basal metabolic rate. Foods rich in this type of fat include avocados, almonds and peanuts. Vegetable-based oils, like canola oil and olive oil, are a few other options. Supplement high-fat foods, like butter, with these healthy options for increased fat loss.
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.
The guidelines are not really different whether weight-loss concerns younger or older adults. First, lifestyle changes are advised, including diet and exercise. In practice, not only calorie restriction but paying close attention to diet composition and an adequate amount of protein in the diet is recommended by many experts. This should always be done under the supervision of experienced physicians to ensure that no harm is done. Also, to counteract muscle loss due to aging, the American College of Sport Medicine guidelines recommend resistance training with muscle-strengthening exercise twice a week. In addition flexibility and balance exercises may be helpful in those at risk for falls. But keep in mind that any exercise regimen needs to be prescribed by a physician to ensure patient safety. In addition, older adults are commonly taking multiple medications. It’s important that physicians take a close look and replace any medications that are known to cause weight gain with other alternatives whenever possible.
Ancient Greek medicine recognizes obesity as a medical disorder, and records that the Ancient Egyptians saw it in the same way.[182] Hippocrates wrote that “Corpulence is not only a disease itself, but the harbinger of others”.[2] The Indian surgeon Sushruta (6th century BCE) related obesity to diabetes and heart disorders.[191] He recommended physical work to help cure it and its side effects.[191] For most of human history mankind struggled with food scarcity.[192] Obesity has thus historically been viewed as a sign of wealth and prosperity. It was common among high officials in Europe in the Middle Ages and the Renaissance[190] as well as in Ancient East Asian civilizations.[193] In the 17th century, English medical author Tobias Venner is credited with being one of the first to refer to the term as a societal disease in a published English language book.[182][194]
People with a body mass index (BMI) of 30 or higher are considered obese. The term “obesity” is used to describe the health condition of anyone significantly above his or her ideal healthy weight. Don’t be discouraged by the term. It simply means you are 20% or more above your ideal weight, and you are not alone.
There is a long waiting list for elderly obese residents as typically only a few overweight residents are allowed per home and it makes little financial sense for most senior living communities to offer obese care. In fact, Medicaid, which covers more than 60% of all nursing home residents, does not cover the specialized equipment necessary for obese patients.
A critically ill person that has to stay in the Intensive Care Unit would burn muscle during the disease process much more than expected regardless of the degree of obesity. This is a very interesting study area for many scientists interested in nutrition. In addition, even if not very severe, any illness resulting in unplanned weight-loss will decrease muscle mass. Therefore, it is important to pay close attention to rehabilitation and proper nutrition during and after an illness, especially in the elderly that already have lesser muscle reserves.
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…
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.
Whether for you or your loved one, weight management can be challenging.  We know that having a healthy weight is good for us, but sometimes it is hard to sort through all the information out there.  Some trendy diets that seriously limit certain types of foods can be unhealthy.  It is important to keep in mind some healthy basics when changing your eating habits.  Download our tip sheet above and remember to speak to a physician before starting any new diet – especially if you have a chronic condition or are on regular medications.
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).
Slow and steady changes to your dog’s diet are more likely to result in long-term success. Reducing the amount of food your dog eats per day too drastically might slow your dog’s metabolism, making it more difficult to lose weight.
The program should provide long-term strategies for dealing with weight problems that may come up in the future. These strategies might include things like establishing a support system and establishing a physical activity routine.
A 2016 study summarizing worldwide estimates of the fractions of different cancers attributable to overweight/obesity reported that, compared with other countries, the United States had the highest fractions attributable to overweight/obesity for colorectal cancer, pancreatic cancer, and postmenopausal breast cancer (33).
2. Have your first story out of the gate, about how hard it is to get a job when you’re a middle-aged woman, go so viral that it gets picked up by others and lands you on TV and on the New York Times online op-ed page while simultaneously, in that same paper, sparking a mean-spirited backlash. Immediately get a raise, to $80,000.
A 5-10% weight reduction every six months is more achievable, sustainable and sufficient enough to reduce the risk of associated diseases. Gradual and steady weight loss will lead to better blood sugar control, lower blood pressure, decreased cholesterol and less stress on weight-bearing joints.
The new Census Bureau report shows that the average cost of a private room in a nursing home in 2010 was $83,585 a year—and less than one fifth of older men and women have the finances to live in a home for more than three years. Medicaid covers long-term care for qualified, low-income seniors, but as the number of people in that group grows, the costs will hurt.
Be wary of quick fixes. You may be tempted by fad diets that promise fast and easy weight loss. The reality, however, is that there are no magic foods or quick fixes. Fad diets may help in the short term, but the long-term results don’t appear to be any better than other diets.
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.
Washington University School of Medicine. (2011, March 30). Diet-exercise combo best for obese seniors. ScienceDaily. Retrieved March 9, 2018 from www.sciencedaily.com/releases/2011/03/110330192212.htm
People who are overweight or obese often have health problems that may increase the risk for heart disease. These health problems include high blood pressure, high cholesterol, and high blood sugar. In addition, excess weight may cause changes to your heart that make it work harder to send blood to all the cells in your body.
Metabolic syndrome – The National Cholesterol Education Program has identified metabolic syndrome as a complex risk factor for cardiovascular disease. Metabolic syndrome consists of six major components: abdominal obesity, elevated blood cholesterol, elevated blood pressure, insulin resistance with or without glucose intolerance, elevation of certain blood components that indicate inflammation, and elevation of certain clotting factors in the blood. In the US, approximately one-third of overweight or obese persons exhibit metabolic syndrome.

“obesity chart for toddlers obesity map”

a condition in which body fat stores are enlarged to an extent which impairs health. Develops when food intake is in excess of energy requirements. The most common nutritional disorder worldwide, and the incidence is increasing. Defined in terms of body mass index and circumference at the waist. See also body composition, body waist-to-hip ratio.
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.
For starters, it’s even more important than ever to actually follow the advice to talk to your doc before beginning any new exercise regimen. “Medical problems, such as heart disease and metabolic disease, become more common after age 60, so it becomes much more important to have a medical checkup before attempting a fat loss plan,” says Huizenga. Then there’s the fact that over the age of 60, your oxygen intake may be reduced by as much as one-third of what it was when you were 25, causing you to have a tougher time taking deep breaths when you’re exercising at a moderate to high intensity, and making it crucial to ease in to a new plan. Finally, this is the decade when your hips, knees, and other key joints are more likely to develop arthritis, which means that your old go-to running or aerobics workouts may need to be swapped for swimming and/or gentle walking plans.
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.
Compete blood count, erythrocyte sedimentation rate, C-reactive protein level, serum glucose level, thyroid-stimulating hormone level, urinalysis, age-appropriate cancer screening, chest radiography, abdominal ultrasonography
Because unintentional weight loss is a nonspecific condition and no published guidelines exist for evaluation and management, the appropriate workup, if any, is difficult to determine. This article focuses on the evaluation, diagnosis, and potential treatments of unintentional weight loss in patients older than 65 years.
Three papers (Villareal 2011a; Armamento-Villareal 2012; Shah 2011) reported on a cohort of 107 frail obese adults using similar inclusion criteria and interventions to their earlier trials. In Villareal 2011a, weight loss plus exercise improved physical function and ameliorated frailty more than either weight loss or exercise alone, and sarcopenic-obesity was reduced in all intervention groups. However, there was a loss of both lean body mass and hip BMD. These loses were attenuated by the addition of exercise but not stopped. It is currently unknown what additional intervention(s) are needed to totally mitigate these loses. The investigators suggested higher doses of calcium and vitamin D, or performing only aerobic or resistance exercise individually, or including anti-resorptive therapy during active weight loss might be effective in mitigating the losses of BMD and LBM during active weight loss.
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.
The longer a person is overweight, the harder it becomes for them to lose weight. Many have wondered whether obesity itself becomes a permanent state, i.e. does obesity promote obesity?. Researchers from the University of Michigan and the National Council of Science and Technology (COINCET) in Argentina, reported in the Journal of Clinical Investigation that in animal experiments, obesity seems to become a self-perpetuating state.
These changes often result in appetite reduction, increased satiety and a decline in the natural appreciation of food. Collectively, these conditions contribute to a condition referred to as the “anorexia of aging.” To further exacerbate the problem, older adults show a reduced ability to adapt to periods of under- or overeating. They gain or lose weight quickly, and do not easily return to their original weight following such periods. This makes the elderly population much more susceptible to unintended (and lasting) changes in weight.
Perform 20-30 minutes of moderate exercise five to seven days a week, preferably daily. Types of exercise include stationary bicycling, walking or jogging on a treadmill, stair climbing machines, jogging, and swimming.
Learning about your condition. Education about obesity can help you learn more about why you became obese and what you can do about it. You may feel more empowered to take control and stick to your treatment plan. Read reputable self-help books and consider talking about them with your doctor or therapist.
Obesity is not just a cosmetic consideration; it is harmful to one’s health. In the United States, roughly 112,000 deaths per year are directly related to obesity, and most of these deaths are in patients with a BMI over 30. For patients with a BMI over 40, life expectancy is reduced significantly. Obesity also increases the risk of developing a number of chronic diseases, including the following:
^ Jump up to: a b c d e Dibaise JK, Foxx-Orenstein AE (July 2013). “Role of the gastroenterologist in managing obesity”. Expert Review of Gastroenterology & Hepatology (Review). 7 (5): 439–51. doi:10.1586/17474124.2013.811061. PMID 23899283.