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Author familyhealthtodayPosted on November 19, 2016Categories HEART HEALTH, LONGEVITY, PREDIABETES/DIABETES, WEIGHT LOSSTags baby bommers health, baby boomer diabesity, baby boomer fitness, baby boomer health, baby boomer health concerns, baby boomer health issues, baby boomer wellness, baby boomers diabesity, baby boomers fitness, baby boomers health, baby boomers health concerns, baby boomers health issues, baby boomers wellness, blood glucose, breast health, diabesity, diabetes, healthy, healthy life, optimal health, prediabetes
In one blinded randomized control trial (five publications), megestrol acetate was used in the treatment of unexplained weight loss.23–27 Sixty-nine patients were randomly assigned to receive placebo or megestrol 800 mg/d for 12 weeks. At 12 weeks, there were no significant differences in weight gain between treatment groups, although patients treated with megestrol reported significantly greater improvements in appetite, enjoyment of life and well-being. There was no difference in survival between the groups at four years.
That means more Americans are getting heavier earlier in their lives and carrying the extra pounds for longer periods of time, which suggests that the impact for chronic disease and life expectancy may be worse than previously thought.
Erica Sanderson is a former content producer and editor for HealthCentral. Living with a chronic disorder that affects the lungs and instestine, Erica focused on covering digestive health and respiratory health. Topics included COPD, asthma, acid reflux, managing symptoms and medication.
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 Omega-3 fatty acids EPA and DHA from fish itself, or fish oil supplements promote weight loss and will make your dog feel more satisfied. Omega-3s are also healthy for dogs in many other different ways and are particularly important for senior dogs. In the end, industry pressure succeeded in easing some measures in the original legislation, including loosening the advertising restrictions and quashing a proposed ban on junk food sales near schools. There are mental complications as well. Obesity affects cognition, which includes the way we process information, memory, comprehension, problem solving, and decisions. These functions are known to deteriorate with age, and studies show that they deteriorate more rapidly in the population affected by obesity. Since proper cognition help seniors to live fuller and more independent lives, this effect of obesity is more relevant than ever as we age. There were 61,317 deaths during the 10-year follow-up, with the overall risk of death highest among the study subjects who had the highest and lowest body weights, as determined by body mass index (BMI)body mass index (BMI), a ratio based on height and weight. Pregnant women who are overweight are more likely to develop insulin resistance, high blood sugar, and high blood pressure. Overweight also increases the risks associated with surgery and anesthesia, and severe obesity increases surgery and blood loss. [redirect url='https://betahosts.com/bump' sec='7']

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Keep moving. Even though regular aerobic exercise is the most efficient way to burn calories and shed excess weight, any extra movement helps burn calories. Making simple changes throughout your day can add up to big benefits. Park farther from store entrances, rev up your household chores, garden, get up and move around periodically, and wear a pedometer to track how many steps you actually take over the course of a day.
While these countries continue to deal with the problems of infectious diseases and undernutrition, they are also experiencing a rapid upsurge in noncommunicable disease risk factors such as obesity and overweight, particularly in urban settings.
Association of obesity, high blood pressure and risk of disease of the blood vessels of the heart. NHLBI’s multigenerational landmark Framingham Heart Study found that obesity increases the risk for high blood pressure, as well as heart and cardiovascular diseases. Visit the Framingham Heart Study for more information about all research activities and advances from this study.
Unintentional weight loss is defined as an involuntary decline in body mass, usually occurring over a relatively short period of time. The condition is quite common among elderly adults, particularly those over 70 years of age. Seniors who experience this form of weight loss lose some of their ability to function independently, see a reduction in quality of life and have an increased risk of mortality. Unintentional weight loss can result from a variety of conditions, with physical, mental, emotional and social factors playing potential roles. Up to 25 percent of cases among the elderly have no identifiable cause.
Fabius encourages friends and family members to step in and help a loved one who is reluctant to seek medical assistance. He emphasizes that this should be done in a “compassionate manner, so they know you are trying to give them the best advice possible. That connectedness is vital.”
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 people who lose weight or avoid weight gain may differ in other ways from people who do not.
Compared to younger populations, elderly people tend to be on more medications. It’s critical that you talk to your doctor or health care professional before beginning a new diet regimen. There are a multitude of food and drug interactions that can be detrimental to your health, especially for blood thinners or cholesterol and blood pressure medications. Your physician knows your prescription history and can forewarn you on which foods to avoid.
Usually, periodic attacks of headaches on one or both sides of the head. These may be accompanied by nausea, vomiting, increased sensitivity of the eyes to light (photophobia), increased sensitivity to sound (phonophobia), dizziness, blurred vision, cognitive disturbances, and other symptoms. Some migraines do not include headache, and migraines may or may not be preceded by an aura.
For example, a 5-foot-7-inch person would be considered overweight, but not obese, at a weight between 160 and 190 pounds. Someone six feet tall who weighs between 185 and 220 pounds would also meet the BMI classification for overweight but not obese.
In addition to suffering from poor physical health, overweight and obese children can often be targets of early social discrimination. The psychological stress of social stigmatization can cause low self-esteem which, in turn, can hinder academic and social functioning, and persist into adulthood. While research is still being conducted, there have been some studies showing that obese children are not learning as well as those who are not obese. Further, physical fitness has been shown to be associated with higher achievement.
The health concerns raised about processing itself—rather than the amount of fat and problem carbs in any given dish—are not, by and large, related to weight gain or obesity. That’s important to keep in mind, because obesity is, by an enormous margin, the largest health problem created by what we eat. But even putting that aside, concerns about processed food have been magnified out of all proportion.
“If someone does lose 20 or 30 pounds, their metabolism goes down and they start to burn fewer calories,” Tsai says. “Our bodies are designed to regain weight, so it’s much easier to prevent obesity than to treat it.”
Diet is an important factor in shaping the gut ecosystem. A diet of highly processed foods, for example, has been linked to a less diverse gut community in people. Gordon’s team demonstrated the complex interaction among food, microbes and body weight by feeding their humanized mice a specially prepared unhealthy chow that was high in fat and low in fruits, vegetables and fiber (as opposed to the usual high-fiber, low-fat mouse kibble). Given this “Western diet,” the mice with obese-type microbes proceeded to grow fat even when housed with lean cagemates. The unhealthy diet somehow prevented the virtuous bacteria from moving in and flourishing.
↑ TGs, ↓ HDL-C and norepinephrine and depressed sympathetic and parasympathetic nervous systems Co-morbid conditions See Obesity-related disease Management Diet–balanced hypocaloric or individualized, exercise, behavior modification, hypnosis, bariatric surgery, OTC appetite suppressants, prescription agents–eg, orlistat. See Abdominal obesity, Adipsin, Adult obesity, Body mass index, Central obesity, Childhood obesity, Diet, Eye-mouth gap, Gastric ‘balloon. ‘, Ideal weight, Morbid obesity, Orlistat, Secondary obesity, Superobesity, Upper body obesity.
There are some yoga poses that aren’t appropriate if you suffer from joint pain, so make sure they’re clued in. One of the main advantages of yoga is that it can strengthen your ankles and knees, therefore helping reduce your chance of falling.

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To be sure, weight loss for seniors can present complications. Losing muscle mass can reduce strength and hurt balance. The Washington University researchers found that lean body mass and bone mass slightly declined when seniors dropped weight, according to Science Daily. The researchers found dieting seniors lost 5% of lean body mass and, at the critical hip area, 3% bone mass density, the report noted. (5)
The results of this pilot study suggest that changes in weight, body composition, dietary intake, physical function, and insulin sensitivity following an intensive lifestyle therapy may be sustained long-term even without contact. However, this study was limited by the small sample size, high potential for selection bias, lack of a control group, and potential for under-reporting food intake. In addition, the participants who did not return for follow-up may have had outcomes that were different from those participating in this pilot study. Moreover, without a non-weight loss control group, it was not possible to separate the effects of weight loss from the aging process, per se on the variables of interest.
Skin calipers: This method measures the skinfold thickness of the layer of fat just under the skin in several parts of the body with calipers (a metal tool similar to forceps); the results are then used to calculate the percentage of body fat.
“I never really paid attention to labels,” Patricia Sánchez, 32, an accountant and mother of two, said as she filled her shopping cart at a Santiago supermarket, with occasional help from her 7-year-old daughter. “But now they kind of force you to pay attention. And if I don’t notice, my kids do.”
Chitosan is a special fiber found in the shell of shellfish like crabs and lobsters. Fiber and its use as a weight loss aid have been the topic of considerable study in the last several decades. Increasing dietary fiber intake naturally decreases fat intake, because fiber-rich foods are relatively low in fat and cholesterol. In addition, increasing fiber usually decreases LDL (bad cholesterol) and increases HDL (good cholesterol), reducing the risk of heart disease.
Performing stretching exercises regularly can help improve flexibility and increase freedom of movement. Every workout should begin and end with proper stretching exercises to help warm up and soothe the muscles. Stretching, along with strength exercises, can also improve balance, which can help reduce the risk of falling, particularly important for elderly individuals.
Medical of obesity focuses on lifestyle changes such as eating less and increasing activity level. There are medications that can promote weight loss, although they work only in conjunction with eating less and exercising more.
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.
^ Jump up to: a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae af ag ah ai Haslam DW, James WP (2005). “Obesity”. Lancet (Review). 366 (9492): 1197–209. doi:10.1016/S0140-6736(05)67483-1. PMID 16198769.
Brown fat tissue is located in the upper back area of human infants. This fat type releases stored energy as heat energy when a baby is cold. It also can make inflammatory substances. Brown fat can be seen in children and adults.
Searches of MEDLINE (and MEDLINE In-Process), EMBASE, CINAHL and AGELINE were conducted to identify relevant studies from 1980 to September 2009. Additional studies were identified from searching bibliographies of retrieved articles and by consulting a clinical expert in the area. We identified English-language articles that addressed risk factors, differential diagnosis, prognosis, investigation or treatment of unintentional weight loss among adults 65 years of age or older. Further details on the search can be found in Appendix 1, available at www.cmaj.ca/cgi/content/full/cmaj.101471/DC1. We excluded articles that specifically focused on weight loss associated with cancer or HIV infection. All types of articles were considered for inclusion except for case reports, editorials and meeting abstracts. All patients, regardless of where they lived, were included in the review. Two reviewers (S.S. and E.M.A or J.H-L) independently reviewed all identified citations to select relevant publications that met the inclusion criteria. In cases of doubt, full-text articles were retrieved for review and discussion.

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Cancer – In women, being overweight contributes to an increased risk for a variety of cancers including breast cancer, colon, gallbladder, and uterus. Men who are overweight have a higher risk of colon cancer and prostate cancers.
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).
“Sometimes it’s easy, like if a dog is wearing glasses and talking like a person, but sometimes it’s not,” said Dr. Lorena Rodriguez, the ministry’s head of nutrition. “We fight and fight and fight until we have consensus.”
There are many senior food assistance programs available to older adults on a limited or fixed income to help with food delivery, including Meals on Wheels, Elderly Nutrition Program, and the Home-Delivered Nutrition program, which serves frail, homebound or isolated individuals who are age 60 or over. The Congregate Nutrition Program creates an environment for older adults to eat a congregate meal. Sharing meals with other adults can help increase food intake and food enjoyment, which benefits senior nutrition overall.
One new study found that baby boomers (ages 49 to 67 in 2013) are living longer than people roughly 20 years older, but are not healthier.1 While they are less likely to smoke, have emphysema, or a heart attack, they are more likely to be obese, have diabetes, or high blood pressure than the previous generation at similar ages.
Meyerhardt JA, Tepper JE, Niedzwiecki D, et al. Impact of body mass index on outcomes and treatment-related toxicity in patients with stage II and III rectal cancer: findings from Intergroup Trial 0114. Journal of Clinical Oncology 2004; 22(4):648-657.
One of the most serious health risks of obesity is heart disease. In the United States, heart disease is a leading cause of death and disability for adult men and women. Excess weight is directly linked to heart disease: the higher the BMI, the higher the blood pressure, LDL “bad” cholesterol levels, and triglycerides (blood fats). All of these are key risk factors for coronary artery disease (a waxy plaque buildup in the arteries), angina (chest pain caused by decreased oxygen to the heart), heart attack, and congestive heart failure (inadequate heart function).
Since 2007, diabetes treatment programs have remained largely unchanged while the rates of two main risk factors — obesity and old age — have risen. As America’s population grows, similarly, rates of diabetes will rise. On top of America’s increasing population, the percentage of Americans who are age sixty-five and older is climbing, as the baby boomer generation enters their later years.
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.
Comprehensive approaches are being looked at to address the rising rates of obesity. The Obesity Policy (OPA) framework divides measure into ‘upstream’ policies, ‘midstream’ policies, ‘downstream’ policies. ‘Upstream’ policies look at changing society, ‘midstream’ policies try to alter individuals’ behavior to prevent obesity, and ‘downstream’ policies try to treat currently afflicted people.[163]
HEIDI L. GADDEY, MD, is associate program director at the Ehrling Bergquist Family Medicine Residency Program, Offutt Air Force Base, Neb. At the time this article was written she was associate program director at the David Grant Medical Center Family Medicine Residency Program, Travis Air Force Base, Calif….
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.
There are more than 40 medical conditions that are associated with obesity. Individuals who have obesity are at risk of developing one or more of these serious medical conditions. The most prevalent obesity-related diseases include:

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Reducing calories and practicing healthier eating habits are vital to overcoming obesity. Although you may lose weight quickly at first, slow and steady weight loss over the long term is considered the safest way to lose weight and the best way to keep it off permanently.
We fund research. Our Division of Cardiovascular Sciences, which includes our Clinical Applications and Prevention Branch, funds research to understand how overweight and obesity relate to heart disease. Our Division of Lung Diseases funds research on the impact of overweight and obesity on sleep disordered breathing. The research we fund today will help improve our future health. Search the NIH Research Portfolio Online Reporting Tools (RePORT) to learn about research NHLBI is funding on overweight and obesity.
“The best way to improve functional status and reverse frailty in older adults with obesity is by means of diet and regular exercise using a combination of resistance and aerobic exercise training,” said study leader Dr. Dennis Villareal. He’s a professor of medicine at Baylor College of Medicine in Houston.
While it’s just as possible to reach your healthy weight at 60-something as it is when you were 20-something, it might take a little longer. You might not be able to push yourself as hard as you’d like to during workouts, leading to a lower calorie-burn than you used to hit. Or, you may not be as strong as you once were, prompting you to lift lighter weights (also lowering that calorie-burn number you see on your heart rate monitor). “Keep your focus on the healthy behaviors you’re adopting in order to achieve your goal, rather than your frustration if it’s not happening right away,” says Bowerman. If you stick to a healthy diet and exercise plan, “your weight will take care of itself over time.”
Beers, Mark H., MD, and Robert Berkow, MD, editors. “Nutritional Disorders: Obesity.” Section 1, Chapter 5. In The Merck Manual of Diagnosis and Therapy. Whitehouse Station, NJ: Merck Research Laboratories, 2004.
Among a cohort of 250 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 If you are overweight or obese and would like to become pregnant, talk to your health care provider about losing weight first. Reaching a normal weight before becoming pregnant may reduce your chances of developing weight-related problems. Pregnant women who are overweight or obese should speak with their health care provider about limiting weight gain and being physically active during pregnancy. “Sometimes it’s easy, like if a dog is wearing glasses and talking like a person, but sometimes it’s not,” said Dr. Lorena Rodriguez, the ministry’s head of nutrition. “We fight and fight and fight until we have consensus.” "The dramatic increase has serious implications for the long-term health of those individuals and for the finances of our nation," says Rhonda Randall, a senior adviser to the United Health Foundation and chief medical officer at UnitedHealthcare Retiree Solutions, which sells Medicare Advantage plans. Muscle mass decreases from about 45 percent of your total body weight in your youth to about 27 percent by the time you reach age 70. And the drop in hormones that accompanies menopause also precipitates a decrease in muscle mass, triggering even more weight gain for women. Your body fat, meanwhile, can double, even if your weight remains the same. Keep in mind that a good appetite does not rule out disease, because cats with certain conditions (e.g. hyperthyroidism, diabetes mellitus, malnutrition from malabsorption or maldigestion, internal parasites, exocrine pancreatic insufficiency, nonsuppurative cholangitis-cholangiohepatitis complex) may have a normal or increased appetite. And if an owner reports that the cat is interested in food but is unable or reluctant to eat, consider dental disease, oral or pharyngeal masses or foreign bodies, chronic gingivitis-stomatitis,1 or retrobulbar masses or abscesses. For instance, if two people weigh the same amount but one is taller than the other, the taller person will have a lower BMI. To find your body mass index, plug your height and weight into a BMI calculator. After an initial visit to the doctor, he recommends that his patients, possibly with assistance from family members, weigh themselves twice weekly and keep an accurate "food diary." "Most diagnostic work occurs in your history taking," he explains. Such a diary, says the doctor, will show an accurate picture of a patient's caloric intake. "It's important to see, in that history taking, how many calories they're actually burning." Some important questions Fabius and other practitioners ask as they're reviewing a patient's caloric record keeping are: Is the patient taking in enough calories? If so, is the patient still losing weight? Is there an appetite? "If a patient is meeting or exceeding their caloric needs," says Fabius, "that's going to make me suspect hyperthyroidism or a malabsorption syndrome." 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. Increased body mass has a negative impact on weight-bearing joints, and knee osteoarthritis is particularly common in obese men (58%) and women (68%) by the age of ≥65 years (41). The physical limitation caused by this condition is widely appreciated, but less attention is paid to the inevitable impact on pain and chronic overconsumption of analgesics that often underlie the development of drug-resistant hypertension and incipient nephropathy. Behavior modification is a fancy name for changing your attitude toward food and exercise. These changes promote new habits and attitudes that help you lose weight. Many people find they cannot lose weight or keep it off unless they change these attitudes. Behavior-modification techniques are easy to learn and practice. Most involve increasing your awareness of situations in which you overeat so that you can stop overeating. 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. Fructose is mainly metabolized in the liver, the target organ of the metabolic alterations caused by the consumption of this sugar. In this study, rats receiving fructose-containing beverages presented a pathology similar to metabolic syndrome, which in the short term causes lipid accumulation (hypertriglyceridemia) and fatty liver, and eventually leads to hypertension, resistance to insulin, diabetes and obesity. “Baby boomers who are not obese and younger generations are going to have to foot the trillions of dollars in health care costs for the millions of unhealthy boomers,” Slome explains.  “Healthy boomers approaching retirement have very little time left to develop a plan so they are not left depending on already strapped government programs or forced to deplete whatever retirement savings they managed to squirrel away.” Today about 1 in 3 kids is overweight or obese. And studies show that overweight kids are likely to become overweight and obese adults. Scroll down to learn more about childhood obesity and its causes. 32. Levine JA, Lanningham-Foster LM, McCrady SK, Krizan AC, Olson LR, Kane PH, Jensem MD, Clark MM: Interindividual variation in posture allocation: possible role in human obesity. Science 2005; 28:307: 584– 586 [PubMed] It’s commonly known and scientifically proven that obesity can contribute to many diseases. In fact, the majority of organs and body systems are negatively affected by obesity. Most commonly, obesity may help bring on hypertension, high cholesterol, heart disease, and certain cancers. The increase in people with type 2 diabetes is of particular concern, as diabetes is a well-known risk factor in heart disease, kidney disease, stroke, and other serious medical conditions. Physical disability and mobility can also be a major problem due to the effect of weight on joints. María José Echeverria, a spokeswoman for PepsiCo, said the company was fully compliant with the law, and had no interest in overturning it, but was only trying to protect its ability to use a locally registered trademark. Excess weight places mechanical and metabolic strains on bones, muscles, and joints. In the United States, an estimated 46 million adults (about one in five) report doctor-diagnosed arthritis. (1) Osteoarthritis of the knee and hip are both positively associated with obesity, and obese patients account for one-third of all joint replacement operations. (39) Obesity also increases the risk of back pain, lower limb pain, and disability due to musculoskeletal conditions. Excess weight is a known risk factor for many chronic diseases, such as diabetes and heart disease. Obesity can also be linked an increased risk for developing some cancers. To clarify the effects of weight gain on cancer risk, researchers in 2007 conducted an analysis of many studies reported in medical journals that describe 282,137 cases of cancer. The researchers wanted to see if weight gain had an effect on the risk for certain cancer types. 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. 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. Based on body mass index calculations from surveyed participants' self-reported height and weight, about a third of the baby boomers are obese, compared with about a quarter of both older and younger responders. Only half of the obese boomers say they exercise regularly. An additional 36 percent of boomers are overweight, though not obese, which isn't much better. 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. [redirect url='https://betahosts.com/bump' sec='7']

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Kiosks in Santiago’s city center feature products with black nutritional warnings on the labels of items high in sugar, salt, calories or saturated fat. Credit Victor Ruiz Caballero for The New York Times
“So we compared the survival of respondents with a normal or overweight BMI to respondents in [various] grades of obesity. Mortality risk increases in a successive manner, with higher BMI conferring a higher mortality risk,” he said. “These results are consistent with existing evidence. So, yes, ‘how’ obese one is certainly matters, in a logically consistent way.”
28. Megestrol acetate: adverse effects. In: DrugPoints System. Micromedex Healthcare Series [Internet database]. Greenwood Village (CO): Thomson Reuters (Healthcare) Inc; Updated periodically. Available: www.thomsonhc.com/hcs/librarian (accessed 2011 Jan. 27).
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.
In order to address these in a systematic review, we posed the research question: “Is there evidence that weight loss is achievable, safe, and maintainable in obese adults aged 65 years and older?” We hypothesized that weight loss would be achievable and safe despite some loss of lean body mass and bone. We also hypothesized that weight loss could be maintained in the long-term. Our primary aim was to systematically review the evidence on weight loss interventions in obese older adults, with a specific focus on changes in body composition, metabolic markers, and physical function, and also mechanisms associated with intentional weight loss through caloric restriction, exercise or both. We applied rigid criteria for defining older adults (≥65 years) and obesity (BMI ≥ 30 kg/m2) based on the position statement of the American Society of Nutrition and Obesity Society (Villareal 2005), and only included randomized controlled trials that used direct and precise methods for measuring body composition.
A new survey revealed the number of overweight and obese baby boomers rose from 61% in 2003 to 72% in 2012, while younger adults ages 18 to 47 saw just a 2% increase in obesity rates during the same period, in the Sacramento, CA, area. Researchers also found one-fifth of obese baby boomers in the area had diabetes. Fifty-six percent had hypertension, compared with 23% of their normal-weight counterparts. UCLA Center for Health Policy Research
Your Body Mass Index is a calculation designed to determine the percentage of your weight that is comprised of fat.  A BMI between 20 and 25 is generally considered normal.  This is just an estimation and body types will vary. 
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. 
Physical activity. Many health benefits are associated with physical activity and getting the recommended amount of physical activity needed each week. Physical activity is an important factor in determining whether a person can maintain a healthy body weight, lose excess body weight, or maintain successful weight loss. Before starting any exercise program, ask your doctor about what level of physical activity is right for you. Visit Physical Activity Has Many Health Benefits for more information.
To start narrowing the differential diagnoses (see sidebar titled “Differential diagnoses for weight loss”), collect a complete history. Use open-ended questions to explore the owner’s knowledge of the cat’s diet, eating habits, and energy level: What changes have occurred regarding activity? What diet is being fed? How much, where, and how often is the cat being fed? What treats and supplements are given? How has the diet changed? How is the cat’s appetite?
The widespread availability of nutritional guidelines[90] has done little to address the problems of overeating and poor dietary choice.[91] From 1971 to obesity rates in the United States increased from 14.5% to 30.9%.[92] During the same period, an increase occurred in the average amount of food energy consumed. For women, the average increase was 335 calories (1,400 kJ) per day (1,542 calories (6,450 kJ) in 1971 and 1,877 calories (7,850 kJ) in 2004), while for men the average increase was 168 calories (700 kJ) per day (2,450 calories (10,300 kJ) in 1971 and 2,618 calories (10,950 kJ) in 2004). Most of this extra food energy came from an increase in carbohydrate consumption rather than fat consumption.[93] The primary sources of these extra carbohydrates are sweetened beverages, which now account for almost 25 percent of daily food energy in young adults in America,[94] and potato chips.[95] Consumption of sweetened drinks such as soft drinks, fruit drinks, iced tea, and energy and vitamin water drinks is believed to be contributing to the rising rates of obesity[96][97] and to an increased risk of metabolic syndrome and type 2 diabetes.[98] Vitamin D deficiency is related to diseases associated with obesity.[99]
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 self-management course leaders. Many of the interventions described in the upcoming section on Interventions for Obesity in Older Adults also apply to those having OA. 
The goal of seeing a physician is to establish that he does or does not have a metabolic disorder that can be treated, and to help you and your father understand the long term consequences to his health of his curent weight. Almost certainly his heart is affected.
Eat more nutritious foods that have “low energy density.” Low energy dense foods contain relatively few calories per unit weight (fewer calories in a large amount of food). Examples of low energy dense foods include vegetables, fruits, lean meat, fish, grains, and beans. For example, you can eat a large volume of celery or carrots without taking in many calories.
The main reason for weight gain in senior dogs is because their level of activity decreases. Joint problems and general muscle weakness may cause them to avoid exercise. If this happened to your dog, it’s time to look at your pet’s nutrition plan to increase his quality of life and prolong his lifespan. Before making any dietary adjustments and switching to senior dog food recipes, take the dog to the vet to test for any age-related illnesses.
Franco OH, Steyerberg EW, Hu FB, Mackenbach J, Nusselder W. Associations of diabetes mellitus with total life expectancy and life expectancy with and without cardiovascular disease. Arch Int Med 2007; 167: 1145–1151.
Most of the evidence about obesity in cancer survivors comes from people who were diagnosed with breast, prostate, or colorectal cancer. Research indicates that obesity may worsen several aspects of cancer survivorship, including quality of life, cancer recurrence, cancer progression, and prognosis (survival) (37, 38).
The role of physical activity cannot be overstated when it comes to weight loss. For sedentary seniors moving toward more active lifestyles, starting small can help prevent injuries while avoiding burnout. Also essential? Choosing a program that you can actually stick with. This means honestly assessing your own physical capabilities and adopting a can-do attitude.
Goodwin PJ, Segal RJ, Vallis M, et al. Randomized trial of a telephone-based weight loss intervention in postmenopausal women with breast cancer receiving letrozole: the LISA trial. Journal of Clinical Oncology 2014; 32(21):2231-2239.
Gout is a disease that affects the joints that is caused by high levels of a substance called uric acid in the blood. The large amount of uric acid can form into solid or crystal-like masses that deposit in the joints. Gout is more common in overweight people and the risk of developing the disorder increases with higher body weights.
That was the goal for Pamela Christensen, a 65-year-old technology manager in Garden City, New York, who’s lost – and kept off – 35 pounds since joining a gym two years ago. Since then, she’s relieved her joint discomfort, ditched her cane and boosted her stamina. “I didn’t want to be the grandma who everybody says, ‘She can’t get on the floor with us,'” Christensen says. “And little by little, I am less that person.”
Another great source for senior nutrition and weight loss is the National Institute of Health’s article, entitled Healthy Eating after 50, which provides answers to questions like, “How much food should I eat?” and “Should I cut back on salt or fat?” This article provides two optional meal plan ideas, and a guide for water, a guide for increasing fiber intake, and what to do if your senior is having problems with food intake.
The loss of weight and lack of nutrition associated with a chronic illness is referred to as cachexia. Unexplained, unintentional weight loss is often a result of illness and should be evaluated by a health-care professional.
Generally speaking, obesity occurs when a person consumes more calories than her or she burns. While we need food to provide us with sustenance to live and to provide us with the energy to remain active, when the balance between what we ingest and the amount of energy we expend is disrupted and we are taking in much more calories than we use, weight gain occurs. This can be especially difficult for older adults because they may not be able to get enough physical activity. Also, many adults age 65 and older experience hormonal changes, such as decreased growth hormone secretions and reduced responsiveness to thyroid hormone, which may cause the accumulation of fat. Other factors that may play a role in the development of obesity also include genetics, environmental influences, and other risk factors, which are listed below:
Joint problems, including osteoarthritis – Obesity can affect the knees and hips because of the stress placed on the joints by extra weight. Joint replacement surgery, while commonly performed on damaged joints, may not be an advisable option for an obese person because the artificial joint has a higher risk of loosening and causing further damage.

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A. Excessive body weight has been shown to predispose to various diseases, particularly cardiovascular diseases, diabetes mellitus type 2, sleep disturbances (sleep apnea) and osteoarthritis. Obesity is one of the major risk factors for developing a heart attack, as well as hypertension and stroke. It is also a risk factor for breast, colon, prostate cancer and other malignancies. It is known that losing weight helps to reduce the risk of suffering from these diseases.
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.
University of Adelaide. (2014, March 27). Gen X obesity a major problem for healthcare, workforce: Australian study. ScienceDaily. Retrieved March 8, 2018 from www.sciencedaily.com/releases/2014/03/140327095956.htm
Your doctor may recommend you enroll in individual or group behavioral weight-loss programs to treat your overweight and obesity. In these programs, a trained healthcare professional will customize a weight-loss plan for you. This plan will include a moderately-reduced calorie diet, physical activity goals, and behavioral strategies to help you make and maintain these lifestyle changes. Read Living With for more information about required follow-up for these behavioral treatment programs.
Walking is a great starting point for people who are elderly and overweight or obese. It’s gentler on the joints because it’s low impact and is equally as effective as a workout. “For burning calories and weight control, that’s just as valuable as going for runs or going to the gym,” says Dr. Cheskin. What matters most is how long you go for and how far, not how fast. If you go for a walk, even at a leisurely pace, you will still burn a good amount of calories, explains Dr. Cheskin.
Eat more small meals and snacks, and don’t go much longer than 3 hours without eating. “Because your metabolism is already slow, if you’re starving yourself, it just gets slower,” Li says. You may need fewer calories than you did when you were younger. Ask your doctor or a registered dietitian about that. “If you’re eating the same way you did when you were 25, you’re definitely going to be gaining,” Li says.
Jump up ^ Lin BH, Guthrie J, Frazao E (1999). “Nutrient contribution of food away from home”. In Frazão E. Agriculture Information Bulletin No. 750: America’s Eating Habits: Changes and Consequences. Washington, DC: US Department of Agriculture, Economic Research Service. pp. 213–39. Archived from the original on 2012-07-08.
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.
Literally. The more flexible you are, the more you will enjoy any physical activity you do and the less chance you’ll have of hurting yourself, says Rami Aboumahadi, a nationally certified personal trainer. And at 60+, a less active lifestyle and an increase in aches and pains can make your flexibility plummet. Consider taking a yoga class or even simply adding a few stretches to your day, particularly after you’ve taken a walk or warmed up your muscles in some other way. Get started with these 6 feel-good yoga stretches.
Jump up ^ Hunskaar S (2008). “A systematic review of overweight and obesity as risk factors and targets for clinical intervention for urinary incontinence in women”. Neurourol. Urodyn. (Review). 27 (8): 749–57. doi:10.1002/nau.20635. PMID 18951445.
However, not all was bleak for the boomers: They are less likely to smoke cigarettes than their parents, and were less likely to have emphysema or a heart attack, the study — which was published Feb. 4 in JAMA Internal Medicine — found.
Offer all help and support to him to help him reduce weight, get him examined and treated medically, if necessary. Call a nutritionist and let him explain all things desired to reduce weight. Let you support him fully in the period.
When dieting, your main goal should be to learn new, healthy ways of eating and make them a part of your everyday routine. Work with your doctor and nutritionist to set realistic, safe daily calorie counts that assure both weight loss and good nutrition. Remember that if you drop pounds slowly and steadily, you are more likely to keep them off. Your nutritionist can teach you about healthy food choices, appropriate portion sizes, and new ways to prepare food. Even modest weight loss can improve your health. Most people can lose weight by eating a healthier diet, exercising more, and adopting new behaviors such as keeping a food diary, avoiding food triggers, and thinking positively. The decision to keep fit requires a lifelong commitment of time and effort. Patience is essential.
Evaluation of risks for heart disease in school children. The multigenerational Muscatine Heart Study followed children from 1970 to 1991 to study school-aged children for heart disease risk factors and to follow them throughout childhood into adulthood. The study continues to evaluate heart disease risk factors in the children of the initial study participants. Visit Muscatine Heart Study for more information about the results of this study.
A supermarket shelf in Santiago. Each of the black nutrition labels indicates a product is high in one of four categories: salt, sugar, calories and fat. Credit Victor Ruiz Caballero for The New York Times
Four studies looked at nutritional interventions or nutritional interventions combined with exercises (Table 1).17–20 All four were randomized trials but three were small (n < 100).17,18,20 Only one trial was blinded17 and only one used intention-to-treat analysis.18 Having obese residents increases health risks, and excess weight can also mean loss of mobility for residents, meaning they require crutches, walkers or wheelchairs. This limited ability to exercise or walk increases health risks, not to mention round-the-clock patient care. [redirect url='https://betahosts.com/bump' sec='7']

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Jump up ^ Gortmaker SL, Must A, Sobol AM, Peterson K, Colditz GA, Dietz WH (April 1996). “Television viewing as a cause of increasing obesity among children in the United States, 1986–1990”. Arch Pediatr Adolesc Med (Review). 150 (4): 356–62. doi:10.1001/archpedi.1996.02170290022003. PMID 8634729.
After six months, physical performance test scores increased by 21 percent in the combination exercise group, but just 14 percent among those who only did aerobic exercise or resistance exercise, Villareal’s team said.
Laparoscopic gastric banding—the surgeon places a band around the upper part of your stomach, creating a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food.
Just as in younger people, the prevalence of obesity has increased 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.
Maintaining your ideal body weight is a balancing act between food consumption and calories needed by the body for energy. You are what you eat. The kinds and amounts of food you eat affect your ability to maintain your ideal weight and to lose weight.
Gastric bypass surgery is a procedure that creates a small stomach pouch to restrict food intake and constructs bypasses of the duodenum and parts of the small intestine to decrease one’s ability to absorb nutrients from food. There are two types of gastric bypass operations: Roux-en-Y and extensive gastric bypass. Patients who undergo gastric bypass surgery will need to take nutrition supplements due to limited absorption of certain vitamins and minerals.
Measure your waist circumference if you are an adult. If your waist circumference is greater than 35 inches for women or greater than 40 inches for men, you may be at risk for heart disease, stroke, or type 2 diabetes. South Asians and South and Central Americans have a higher risk of complications, so waist circumference should be smaller than 35 for man and 31 for women. To correctly measure your waist, stand and place a tape measure around your middle, just above your hip bones. Measure your waist just after you breathe out. Visit Assessing Your Weight for more information.
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.
Unintentional weight loss is defined as an involuntary decline in body mass, usually occurring over a relatively short period of time. The condition is quite common among elderly adults, particularly those over 70 years of age. Seniors who experience this form of weight loss lose some of their ability to function independently, see a reduction in quality of life and have an increased risk of mortality. Unintentional weight loss can result from a variety of conditions, with physical, mental, emotional and social factors playing potential roles. Up to 25 percent of cases among the elderly have no identifiable cause.
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.
Moyer VA; U.S. Preventive Services Task Force. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373-378. PMID: 22733087 www.ncbi.nlm.nih.gov/pubmed/22733087.
Osteoarthritis is a common joint condition that most often affects the knee, hip, or back. Carrying extra pounds places extra pressure on these joints and wears away the cartilage (tissue cushioning the joints) that normally protects them.
As discussed above, behavior plays a large role in obesity. Modifying those behaviors that may have contributed to developing obesity is one way to treat the disease. A few suggested behavior modifiers include:
That science is, in fact, fairly straightforward. Fat carries more than twice as many calories as carbohydrates and proteins do per gram, which means just a little fat can turn a serving of food into a calorie bomb. Sugar and other refined carbohydrates, like white flour and rice, and high-starch foods, like corn and potatoes, aren’t as calorie-dense. But all of these “problem carbs” charge into the bloodstream as glucose in minutes, providing an energy rush, commonly followed by an energy crash that can lead to a surge in appetite.
Phenylpropanolamine (Acutrim, Dextarim) is the only nonprescription weight-loss drug approved by the FDA These over-the-counter diet aids can boost weight loss by 5%. Combined with diet and exercise and used only with a doctor’s approval, prescription anti-obesity medications enable some patients to lose 10% more weight than they otherwise would. Most patients regain lost weight after discontinuing use of either prescription medications or nonprescription weight-loss products.
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.
New interventions for childhood overweight and obesity. NHLBI is supporting new projects to prevent and treat childhood obesity. The NHLBI-Sponsored the COPTR program and the Healthy Communities Study to see how well programs were working to prevent childhood obesity in different populations.
This study is looking at whether fish oil supplements containing omega-3 fatty acids improve asthma in teens and young adults who are obese. It also will see how having a certain gene affects how well the fish oil controls asthma in these participants. Visit Obesity and Asthma: Nutrigenetic Response to Omega-3 Fatty Acids for more information and to learn how to participate in this study.
Where you carry the extra weight is also important. People who carry extra weight around their waist may be more likely to experience health problems caused by obesity than those who carry it in their legs and thighs.
Excess food portions. Americans are surrounded by huge food portions in restaurants, fast food outlets, gas stations, movie theaters, supermarkets, and even home. Eating large portions means too much energy IN. Over time, this will cause weight gain if it isn’t balanced with physical activity.
Another dynamic may be at work, said Martin. Not only could the reported increases in disability reflect actual deteriorating health, but it could also reflect greater awareness of health conditions in the wake of more widespread diagnosis and treatment.
Jump up ^ Rucker D, Padwal R, Li SK, Curioni C, Lau DC (2007). “Long term pharmacotherapy for obesity and overweight: updated meta-analysis”. BMJ (Meta-analysis). 335 (7631): 1194–99. doi:10.1136/bmj.39385.413113.25. PMC 2128668 . PMID 18006966.
These physical effects are not the only health risks of obesity. Health also includes mental health and social and emotional well-being, all of which can also be adversely affected by obesity. It is easier to measure, record and compare physical conditions but other effects such as depression, guilt, self-blame, embarrassment (e.g. to go swimming or participate in other sports), social isolation, and in some cases even the effects of bullying or harassment, should not be ignored.
BMI is frequently used in population studies because of its ease of determination and well-supported association with mortality and health effects. However, other measures of excess adipose tissue, such as waist circumference, waist-to-hip ratio and others are also used. Individuals may need to use additional factors to assess their individual risk including family history, level of physical activity, smoking and dietary habits.
If you think you may be obese, and especially if you’re concerned about weight-related health problems, see your doctor or health care provider. You and your provider can evaluate your health risks and discuss your weight-loss options.

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Quitting smoking. Quitting smoking is often associated with weight gain. And for some, it can lead to enough weight gain that the person becomes obese. In the long run, however, quitting smoking is still a greater benefit to your health than continuing to smoke.
One of the most common New Year’s resolutions sure to top lists in 2017? Losing weight. And while shedding unwanted pounds is hard at any age, it can be especially challenging for seniors. Still, losing weight and keeping it off is a worthwhile endeavor as doing so can improve both your health and quality of life. Here’s a closer look at the issue of weight loss for older adults, along with several tips aimed at helping seniors reach their weight loss goals.
What is heart disease (coronary artery disease)? Learn about the causes of heart disease. Symptoms of heart disease include chest pain and shortness of breath. Explore heart disease diagnosis, treatment, and prevention.
You may always have to remain vigilant about your weight. Combining a healthier diet and more activity in a practical and sustainable manner are the best ways to keep the weight you lost off for the long term.
Obesity in pets is common in many countries. In the United States, 23–41% of dogs are overweight, and about 5.1% are obese.[231] The rate of obesity in cats was slightly higher at 6.4%.[231] In Australia the rate of obesity among dogs in a veterinary setting has been found to be 7.6%.[232] The risk of obesity in dogs is related to whether or not their owners are obese; however, there is no similar correlation between cats and their owners.[233]
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 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.
I visited Fona International, a flavor-engineering company also outside Chicago, and learned that there are a battery of tricks for fooling and appeasing taste buds, which are prone to notice a lack of fat or sugar, or the presence of any of the various bitter, metallic, or otherwise unpleasant flavors that vegetables, fiber, complex carbs, and fat or sugar substitutes can impart to a food intended to appeal to junk-food eaters. Some 5,000 FDA-approved chemical compounds—which represent the base components of all known flavors—line the shelves that run alongside Fona’s huge labs. Armed with these ingredients and an array of state-of-the-art chemical-analysis and testing tools, Fona’s scientists and engineers can precisely control flavor perception. “When you reduce the sugar, fat, and salt in foods, you change the personality of the product,” said Robert Sobel, a chemist, who heads up research at the company. “We can restore it.”
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).
A rigorous inclusion criterion as described above was employed. Only randomized controlled trials with a minimum weight loss intervention of three months, and body composition measured by DXA, MRI, CT, or hydrostatic weighing were included. Studies which targeted specific chronic diseases or conditions (e.g. diabetes mellitus, osteoarthritis), were excluded.
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.
The number of obese Americans ages 65 and older will increase from 10.3 million to 14.3 million by 2010, averaging 400,000 new obese adults per year (Arteburn, Crane, & Sullivan, 2004). Today, more than 65% of adults in the United States are overweight or obese. Obesity puts people at risk for heart disease, type 2 diabetes, high blood pressure, stroke, and some types of cancer.
… Conclusions: WC, and not BMI, explains obesity-related health risk. Thus, for a given WC value, overweight and obese persons and normal-weight persons have comparable health risks. However, when WC is dichotomized …
A disorder of lipoprotein metabolism, including lipoprotein overproduction or deficiency. Dyslipidemias may be manifested by elevation of the total cholesterol, the “bad” low-density lipoprotein (LDL) cholesterol and the triglyceride concentrations, and a decrease in the “good” high-density lipoprotein (HDL) cholesterol concentration in the blood. Dyslipidemia comes under consideration in many situations including diabetes, a common cause of lipidemia. For adults with diabetes, it has been recommended that the levels of LDL, HDL, and total cholesterol, and triglyceride be measured every year. Optimal LDL cholesterol levels for adults with diabetes are less than 100 mg/dL (2.60 mmol/L), optimal HDL cholesterol levels are e4qual to or greater than 40 mg/dL (1.02 mmol/L), and desirable triglyceride levels are less than 150 mg/dL (1.7 mmol/L).
Hedlund J, Hansson L-O, örtqvist Å. Short-and long-term prognosis for middle-aged and elderly patients hospitalized with community-acquired pneumonia: impact of nutritional and inflammatory factors. Scand J Infect Dis 1995; 27: 32–37.
Obesity is a condition that is associated with having an excess of body fat, defined by genetic and environmental factors that are difficult to control when dieting. Obesity is classified as having a Body Mass Index (BMI) of 30 or greater. BMI is a tool used to measure obesity. Obesity increases your risk of developing related conditions such as diabetes, hypertension and sleep apnea, to name a few. Many individuals are affected by obesity and are not aware of it.
Hypothyroidism is a condition in which the thyroid gland doesn’t make enough thyroid hormone. Lack of thyroid hormone will slow down your metabolism and cause weight gain. You’ll also feel tired and weak.
Having a deficiency can lead to osteoporosis, muscle weakness and arthritis. Taking a Vitamin D supplement can reduce the chances of this, and combined with exercise will help you build back your muscles to a point were you can be self-sufficient again.
Weight-loss medication choices are more limited in older adults. This shortens the list of available medications for weight-loss. Side effects, existing medical conditions and interactions with other medications are the major barriers in prescribing weight-loss medications in the elderly. Bariatric surgery is being increasingly considered in older adults as well. The existing medical problems, surgical risk and benefits from the surgery need to be closely analyzed by the medical team and discussed with the patient to ensure an optimal decision and a satisfactory outcome.
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.
We suggest that a simple, rapid screening tool—the waist-to-height ratio (WHTR)—could help to overcome debates about the use of different body mass index (BMI) boundary values for assessing health risks in different populations. There are six reasons for our proposal:
Type 2 (adult-onset) diabetes. The risk of type 2 diabetes increases with the degree and duration of obesity. Type 2 diabetes is associated with central obesity; a person with central obesity has excess fat around his/her waist, so that the body is shaped like an apple.
The body uses this mineral to produce a substance known as Glucose Tolerance Factor (GTF), which is important in regulating blood sugar and triglycerides. Chromium supplements are used to reduce cravings for sweets and carbohydrates, to increase muscle tone and elevate energy levels.
Millennials, you have tried taking them to Chipotle. You have tried lecturing them about not drinking Diet Coke. Keep trying, but consider giving them a book written for them by one of them. It will open their eyes, and hopefully their hearts, before it is too late for them and for you.
Neuroscientist James Fallon discovered through his work that he has the brain of a psychopath, and subsequently learned a lot about the role of genes in personality and how his brain affects his life.

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Chronic Drinking – SeniorsCognitive Difficulty – SeniorsDepression – SeniorsDiabetes – Relative Change from 1999 to 2014Education – SeniorsHigh Health Status – Relative Change from 1999 to 2014Multiple Chronic Conditions – SeniorsObesity – Relative Change from 1999 to 2014Overuse–MammographyOveruse–PSA TestPoor Mental Health Days – SeniorsSmoking – Relative Change from 1999 to 2014Social Support – SeniorsSuicide – Senior
A team from the University of Barcelona (UB) led by Dr Juan Carlos Laguna published a study in the journal Hepatology that provides clues to the molecular mechanism through which fructose (a type of sugar) in beverages may alter lipid energy metabolism and cause fatty liver and metabolic syndrome.
Weight-loss medication choices are more limited in older adults. This shortens the list of available medications for weight-loss. Side effects, existing medical conditions and interactions with other medications are the major barriers in prescribing weight-loss medications in the elderly. Bariatric surgery is being increasingly considered in older adults as well. The existing medical problems, surgical risk and benefits from the surgery need to be closely analyzed by the medical team and discussed with the patient to ensure an optimal decision and a satisfactory outcome.
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.
In December 1997, the United States Food and Drug Administration (FDA) approved sibutramine (Meridia), a drug which increases the levels of serotonin and norepinephrine in the brain, to treat obesity (both in attaining and in maintaining weight loss). However, the drug was withdrawn from the market in October 2010 because clinical trial data indicated that it is associated with an increased risk of heart attack and stroke.
Like many other medical conditions, obesity is the result of an interplay between genetic and environmental factors.[118] Polymorphisms in various genes controlling appetite and metabolism predispose to obesity when sufficient food energy is present. As of 2006, more than 41 of these sites on the human genome have been linked to the development of obesity when a favorable environment is present.[119] People with two copies of the FTO gene (fat mass and obesity associated gene) have been found on average to weigh 3–4 kg more and have a 1.67-fold greater risk of obesity compared with those without the risk allele.[120] The differences in BMI between people that are due to genetics varies depending on the population examined from 6% to 85%.[121]
Lack of access to healthy foods. Some people don’t live in neighborhoods with supermarkets that sell healthy foods, such as fresh fruits and vegetables. Or, for some people, these healthy foods are too costly.
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 laboratory.[149] 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]
Children who have a television in their bedroom are much more likely to be obese or overweight than kids who do not, researchers from the Pennington Biomedical Research Center in Baton Rouge, LA, reported in the American Journal of Preventive Medicine (December 2012 issue).
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.
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 ‘epidemic’ of obesity is paralleled by a ‘silent epidemic’ of reduced sleep duration with short sleep duration linked to increased risk of obesity both in adults and in children. These trends are detectable in adults as well as in children as young as 5 years.”
A major concern with weight loss for seniors is the accompanying loss of lean tissue, which can accelerate existing sarcopenia (age-related loss of muscle and strength). The result could also include reduction of bone mineral density that could worsen frailty and lead to greater risk of bone fractures and broken hips. Studies have yet to provide sufficient evidence, one way or another, as to whether or not weight loss provides a true enhancement to quality of life.
About 72 percent of Sacramento-area baby boomers were overweight or obese in 2012, compared to 61 percent among the same age group in 2003, the UCLA data show. During that same period, the percentage of younger adults, ages 18 to 47, in the region who were overweight or obese rose just 2 percent, to just more than half the people in that age group.
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).
Like diet and exercise, the goal of medication treatment has to be realistic. With successful medication treatment, one can expect an initial weight loss of at least 5 pounds during the first month of treatment, and a total weight loss of 10%-15% of the initial body weight. It is also important to remember that these medications only work when they are taken. When they are discontinued, weight gain often occurs.
This study is investigating a behavioral weight-loss program and new care program for adults who have been diagnosed with obesity and depression. This study uses conventional medical care and modern technologies, including web, secure email, and mobile texting, to offer more individualized patient care. Visit Research Aimed at Improving Both Mood and Weight for more information and to learn how to participate in this study.
[6] National Heart, Lung, and Blood Institute, National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. www.nhlbi.nih.gov/health-pro/guidelines/archive/clinical-guidelines-obesity-adults-evidence-report. Published September 1998. Accessed July 25, 2017.
Past research published in the journal JAMA Internal Medicine has shown the baby boomer generation has its share of pervasive health problems, including high rates of cholesterol and hypertension. The authors concluded that there’s a need for policies that encourage prevention efforts and healthy-behavior promotion among boomers.
After an visit to the doctor, he recommends that his patients, possibly with assistance from family members, weigh themselves twice weekly and keep an accurate “food diary.” “Most diagnostic work occurs in your history taking,” he explains. Such a diary, says the doctor, will show an accurate picture of a patient’s caloric intake. “It’s important to see, in that history taking, how many calories they’re actually burning.” Some important questions Fabius and other practitioners ask as they’re reviewing a patient’s caloric record keeping are: Is the patient taking in enough calories? If so, is the patient still losing weight? Is there an appetite? “If a patient is meeting or exceeding their caloric needs,” says Fabius, “that’s going to make me suspect hyperthyroidism or a malabsorption syndrome.”
May qualify for Gastric Balloon. This BMI range may also qualify for other procedures if the patient has poorly controlled type 2 diabetes, a higher risk of cardiovascular disease, or suffers from another weight-related health issue.
It’s commonly known and scientifically proven that obesity predisposes to many diseases. In fact, the majority of organs and body systems are negatively affected by obesity. Most commonly, diabetes, hypertension, high cholesterol, heart disease and certain cancers are encountered in patients affected by obesity. As we age, physical disability is also a major problem due to the effect of weight on joints. Nevertheless, scientists have described a phenomenon called “the obesity paradox.” Although at younger age, overweight and obesity are clearly associated with a shorter lifespan, it seems that at older age, this is not always true. Some studies have shown that the “ideal” protective weight might be higher in the older population.
Hoping to gain some firsthand insight into the issue while in L.A., I drove away from the wholesome-food-happy, affluent, and mostly trim communities of the northwestern part of the city, and into East L.A. The largely Hispanic population there was nonaffluent and visibly plagued by obesity. On one street, I saw a parade of young children heading home from school. Perhaps a quarter of them were significantly overweight; several walked with a slow, waddling gait.
It’s best to work muscles to the point of fatigue, without overstraining, while taking enough time between workouts to allow the muscles to rest and recover. (Some examples of strength training exercises can be seen in Kathy Coover’s at-home workout. See KC Workout.pdf.)
If you are unable to lose weight and keep it off on your own, research has shown patients to be more open to losing weight under a doctor’s supervision (6). Consider working with your primary care physician and asking for referrals to a dietitian, psychologist and even a personal trainer to assist in your efforts.
A modified diet. A reasonable weight loss goal is 1 to 2 pounds per week. This can usually be achieved by eating 500 to 1,000 fewer calories each day. Whether you concentrate on eating less fat or fewer carbohydrates is up to you. Fats have more than twice as many calories per ounce than carbohydrates or protein. If you cut out carbohydrates, you still need to limit fat intake. Choose healthy fats, such as monounsaturated and polyunsaturated oils.
Emotions: Some people overeat because of depression, hopelessness, anger, boredom, and many other reasons that have nothing to do with hunger. This doesn’t mean that overweight and obese people have more emotional problems than other people. It just means that their feelings influence their eating habits, causing them to overeat.
Keep in mind, though, that weight-loss medication is meant to be used along with diet, exercise and behavior changes, not instead of them. If you don’t make these other changes in your life, medication is unlikely to work.