“rapid weight loss senior obesity index by country”

There were other factors that made the legislation possible, including a legislature determined to address the rising economic costs of obesity and support from Ms. Bachelet, a socialist who also happens to be trained as a pediatrician.
How a person responds to food. This may involve understanding what psychological issues underlie a person’s eating habits. For example, one person may binge eat when under stress, while another may always use food as a reward. In recognizing these psychological triggers, an individual can develop alternate coping mechanisms that do not focus on food.
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.
One effective way to lose weight is to eat fewer calories. One pound is equal to 3,500 calories. In other words, you have to burn 3,500 more calories than you consume to lose 1 pound. Most adults need between 1,200-2,800 calories per day, depending on body size and activity level to meet the body’s energy needs.
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]
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.
Unintentional weight loss in persons older than 65 years is associated with increased morbidity and mortality. The most common etiologies are malignancy, nonmalignant gastrointestinal disease, and psychiatric conditions. Overall, nonmalignant diseases are more common causes of unintentional weight loss in this population than malignancy. Medication use and polypharmacy can interfere with taste or cause nausea and should not be overlooked. Social factors may contribute to unintentional weight loss. A readily identifiable cause is not found in 16% to 28% of cases. Recommended tests include a complete blood count, basic metabolic panel, liver function tests, thyroid function tests, C-reactive protein levels, erythrocyte sedimentation rate, glucose measurement, lactate dehydrogenase measurement, and urinalysis. Chest radiography and fecal occult blood testing should be performed. Abdominal ultrasonography may also be considered. When baseline evaluation is unremarkable, a three- to six-month observation period is justified. Treatment focuses on the underlying cause. Nutritional supplements and flavor enhancers, and dietary modification that takes into account patient preferences and chewing or swallowing disabilities may be considered. Appetite stimulants may increase weight but have serious adverse effects and no evidence of decreased mortality.
Each of us begins to assemble a unique congregation of microbes the moment we pass through the birth canal, acquiring our mother’s bacteria first and continuing to gather new members from the environment throughout life. By studying the genes of these various microbes—collectively referred to as the microbiome—investigators have identified many of the most common residents, although these can vary greatly from person to person and among different human populations. In recent years researchers have begun the transition from mere census taking to determining the kind of jobs these minute inhabitants fill in the human body and the effect they have on our overall health.
You can also find better alternatives for any natural treats. For example, instead of using fatty pork or beef meat, choose a meat that is leaner, lower in fat and calories, such as turkey. You can also use low-fat organ meats like heart or liver. Your dog is sure to lick its chops for those healthy niblets. Finally, if you see the treats are getting in the way of your dog’s weight-loss, use some of your dog’s daily food as a treat.
Every time your heart beats, it pumps blood through your arteries to the rest of your body. Blood pressure is how hard your blood pushes against the walls of your arteries. High blood pressure (hypertension) usually has no symptoms, but it may cause serious problems, such as heart disease, stroke, and kidney failure.
Know and avoid the food traps that cause you to eat. Identify situations that trigger out-of-control eating. Try keeping a journal and write down what you eat, how much you eat, when you eat, how you’re feeling and how hungry you are. After a while, you should see patterns emerge. You can plan ahead and develop strategies for handling these types of situations and stay in control of your eating behaviors.
Roberts recommends an adequate amount of daily protein: 1 gram of protein for each kg of body weight per day, minimum. Also try to up your protein intake a little more than the average person. Choose a diet that is low in fat and limited in starchy carbs to ensure you’re getting enough calories from the right kinds of foods.
A diet or healthy living plan is not complete unless you include exercise into your daily routine. Exercise is key to improving your health, increasing your muscle mass and therefore increasing your daily calorie requirements. Exercising can increase mobility and self-sufficiency in Seniors It is essential to choose an exercise regime that you enjoy and is close to your home; this will ensure you stick to it for the long term.
Your doctor will ask about your eating and physical activity habits, family history, and will see if you have other risk factors Your doctor may ask if you have any other signs or symptoms. This information can help determine if you have other conditions that may be causing you to be overweight or obese or if you have complications from being overweight or obese.
Despite these seemingly high percentages, it appears that many Americans underestimate their weight problems. According to the National Center for Health Statistics (NCHS), 64% of U.S. adults are overweight or obese.
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:
Bhargava A, Guthrie JF (2002). “Unhealthy eating habits, physical exercise and macronutrient intakes are predictors of anthropometric indicators in the Women’s Health Trial: Feasibility Study in Minority Populations”. British Journal of Nutrition (Randomized Controlled Trial). 88 (6): 719–28. doi:10.1079/BJN2002739. PMID 12493094.
Keum N, Greenwood DC, Lee DH, et al. Adult weight gain and adiposity-related cancers: a dose-response meta-analysis of prospective observational studies. Journal of the National Cancer Institute 2015; 107(2). pii: djv088.
White fat tissue can be found around the kidneys and under the skin in the buttocks, thighs, and abdomen. This fat type stores energy, makes hormone  that control the way the body regulates urges to eat or stop eating, and makes inflammatory  substances that can lead to complications.
The Chinese herb ephedra (Ephedra sinica), combined with caffeine, exercise, and a low-fat diet in physician-supervised weight-loss programs, can cause at least a temporary increase in weight loss. However, the large doses of ephedra required to achieve the desired result can also cause:
Prescription diet pills. To help you lose weight, your doctor may prescribe medications along with a calorie-restricted diet. Almost all people regain weight when they stop using these medications. The effects of long-term use of these drugs have not been determined.
Lack of sleep. Not getting enough sleep or getting too much sleep can cause changes in hormones that increase your appetite. You may also crave foods high in calories and carbohydrates, which can contribute to weight gain.
Schematic of the systematic selection process to identify relevant studies (Abbreviations: BC= body composition; DXA = dual energy x-ray absorptiometry; CT= computed tomography; MRI=magnetic resonance imaging; RCT = randomised control trial)
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.
Jump up ^ Sjöström L, Narbro K, Sjöström CD, Karason K, Larsson B, Wedel H, Lystig T, Sullivan M, Bouchard C, Carlsson B, Bengtsson C, Dahlgren S, Gummesson A, Jacobson P, Karlsson J, Lindroos AK, Lönroth H, Näslund I, Olbers T, Stenlöf K, Torgerson J, Agren G, Carlsson LM (August 2007). “Effects of bariatric surgery on mortality in Swedish obese subjects”. N. Engl. J. Med. (Research Support). 357 (8): 741–52. doi:10.1056/NEJMoa066254. PMID 17715408.
^ Jump up to: a b U.S. Preventive Services Task Force (June 2003). “Behavioral counseling in primary care to promote a healthy diet: recommendations and rationale”. Am Fam Physician (Review). 67 (12): 2573–76. PMID 12825847.
Low levels of spontaneous physical activity is a major predictor of adipose tissue accumulation in humans, and total body movement, most of which is related to ambulation, is negatively correlated with fat mass (32).
Drink plenty of water. Sometimes, thirst masks itself as hunger. As you get older, you may not be as quick to notice when you’re thirsty, Li says. She says you should get 64 ounces of water a day. You can drink it or get part of it from foods that are naturally rich in water, such as cucumbers and tomatoes. If you’re not sure if you’re getting enough water, check your urine: It should be pale yellow.
While Americans are consuming more calories, they are not expending them with enough physical activity. Physical activity is an important element in modifying and shaping behaviors. The influence of television, computers and other technologies discourage physical activity and add to the problem of obesity in our society.
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.
Drinking water should be obvious, but many people of all ages drink less than they should and are dehydrated on a regular basis. Older people are at an especially high risk of being hospitalized due to dehydration. Carrying a water bottle wherever you go and knowing how many full bottles you should drink per day is a good way to start paying attention to your water intake.
A common form of short stature, achondroplasia (dwarfism) is a genetic causing a disorder of bone growth. Complications of achondroplasia that need monitoring include (this is not all inclusive) stenosis and compression of the spinal cord, a large opening under the skull, lordosis, kyphosis, spinal stenosis, hydrocephalus, middle ear infections, obesity, and dental crowning. Achondroplasia is caused by mutations of the FGFR3 gene.
Heart-healthy eating. Learn about which foods and nutrients are part of a healthy eating pattern. It’s important to eat the right amount of calories to maintain a healthy weight. If you need to lose weight, try to reduce your total daily calories gradually. Use the Body Weight Planner to find out your daily calorie needs and to set goals. Visit healthy recipes and plan for success. Talk with your doctor before beginning any diet or eating plan. Visit Chose My Plate or 2015-2020 Dietary Guidelines for Americans for more information.
Losing 5 to 10 percent of your weight may lower your chances of developing heart disease. If you weigh 200 pounds, this means losing as little as 10 pounds. Weight loss may improve blood pressure, cholesterol levels, and blood flow.

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In summary, determination of potential contributing factors to weight loss should not focus solely on disease-related processes. Functional issues, medications, issues with intake, and psychological and social factors also need to be considered.
Thus McDonald’s silence on the nutritional profiles of its new menu items. “We’re not making any health claims,” Watson said. “We’re just saying it’s new, it tastes great, come on in and enjoy it. Maybe once the product is well seated with customers, we’ll change that message.” If customers learn that they can eat healthier foods at McDonald’s without even realizing it, he added, they’ll be more likely to try healthier foods there than at other restaurants. The same reasoning presumably explains why the promotions and ads for the Carl’s Jr. grilled-cod sandwich offer not a word related to healthfulness, and why there wasn’t a whiff of health cheerleading surrounding the turkey burger brought out earlier this year by Burger King (which is not yet calling the sandwich a permanent addition).
Body weight is directly associated with various cardiovascular risk factors. As BMI increases, so do blood pressure, low-density lipoprotein (LDL, or “bad”) cholesterol, triglycerides, blood sugar, and inflammation. These changes translate into increased risk for coronary heart disease, stroke, and cardiovascular death:
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.
Age. Obesity can occur at any age, even in young children. But as you age, hormonal changes and a less active lifestyle increase your risk of obesity. In addition, the amount of muscle in your body tends to decrease with age. This lower muscle mass leads to a decrease in metabolism. These changes also reduce calorie needs, and can make it harder to keep off excess weight. If you don’t consciously control what you eat and become more physically active as you age, you’ll likely gain weight.
With every decade, people generally need about 100 fewer calories a day to maintain their weight. But most of the time, “people continue to eat the same way when they’re in their 30s, 40s, 50s and 60s, not even noticing they’re not as active and they’ve lost muscle mass,” says Angela Ginn-Meadow, a registered dietitian in Baltimore. Portion-control tricks can help. Try trimming your ice cream habit from two scoops to one, eating off smaller plates or ordering steamed vegetables instead of fries, Ginn-Meadow says. “These small changes can cut back 100 calories or more, and then they see, ‘I’m losing weight and I didn’t even know it.'”
Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M. Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 2008; 371(9612):569-578.
“The numbers are disturbing,” said UC Davis School of Nursing assistant professor Debra Bakerjian. “We know that older adults over 75 are the highest consumers of health care dollars. Really focusing on the baby boom generation now to help them become more healthy is very important.”
Psychosocial effects – In a culture where often the ideal of physical attractiveness is to be overly thin, people who are overweight or obese frequently suffer disadvantages. Overweight and obese persons are often blamed for their condition and may be considered to be lazy or weak-willed. It is not uncommon for overweight or obese conditions to result in persons having lower incomes or having fewer or no romantic relationships. Disapproval of overweight persons expressed by some individuals may progress to bias, discrimination, and even torment.
 The key to successful long-term weight loss is to focus less on “dieting,” which tends to be a short-term fix, and more on lifestyle changes, primarily healthy eating, and regular exercise. Your goal should be to make health, not appearance, your priority, meaning your weight loss lifestyle changes must include both diet and exercise.
Order blood tests to screen for complications. A lipid panel test can check if you have high cholesterol or triglyceride levels in your blood. A liver function test can determine if your liver is working properly. A fasting glucose test can find out if you have prediabetes or diabetes.
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.
If you haven’t been active for most of your life, trying to start an exercise program in your senior years may seem overwhelming. But Moreno suggests that you focus on what you can do, not on what you can’t do. “Start simple,” he says. “Walking, for example, gives you every exercise benefit that you need.”
Jump up ^ Shick SM, Wing RR, Klem ML, McGuire MT, Hill JO, Seagle H (April 1998). “Persons successful at long-term weight loss and maintenance continue to consume a low-energy, low-fat diet”. J Am Diet Assoc. 98 (4): 408–13. doi:10.1016/S0002-8223(98)00093-5. PMID 9550162.
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and other components of the National Institutes of Health (NIH) conduct and support research into many diseases and conditions.
You may be able to make progress in weight loss for seniors and achieving your ideal weight by consuming the ideal number of calories. According to health.gov, the total number of calories a person needs per day varies depending on age, sex, height, weight and physical activity. Due to a decrease in basal metabolic rates that happen as someone ages, caloric needs also generally decrease for adults as they age.
Lack of sleep. Not getting enough sleep or getting too much sleep can cause changes in hormones that increase your appetite. You may also crave foods high in calories and carbohydrates, which can contribute to weight gain.
The prevalence of overweight and obesity among children and adolescents aged 5-19 has risen dramatically from just 4% in 1975 to just over 18% in 2016. The rise has occurred similarly among both boys and girls: in 2016 18% of girls and 19% of boys were overweight.
Checking for other health problems. If you have known health problems, your doctor will evaluate them. Your doctor will also check for other possible health problems, such as high blood pressure diabetes.
Yan, L.L, Daviglus, M.L., Liu, K., Pirzada, A., Garside, D.B., Schiffer, L., et al. (2004). Body mass index and health-related quality of life in adults 65 years and older. Obesity Research, 12, 69-76.
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.

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The balance between calorie intake and energy expenditure determines a person’s weight. If a person eats more calories than he or she burns (metabolizes), the person gains weight (the body will store the excess energy as fat). If a person eats fewer calories than he or she metabolizes, he or she will lose weight. Therefore the most common causes of obesity are overeating and physical inactivity. Ultimately, body weight is the result of genetics, metabolism, environment, behavior, and culture.
A common form of short stature, achondroplasia (dwarfism) is a genetic condition causing a disorder bone growth. Complications of achondroplasia that need monitoring include (this is not all inclusive) stenosis and compression of the spinal cord, a large opening under the skull, lordosis, kyphosis, spinal stenosis, hydrocephalus, middle ear infections, obesity, and dental crowning. Achondroplasia is caused by mutations of the FGFR3 gene.
The convenience of home-delivered meals makes them a great option to help people stay in their own home, for a longer period of time. When you are spending less time preparing meals, this allows seniors to stay socially engaged and more active on a daily basis. Senior nutrition is vital to increase quality of life and maintain health in older adults.
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]
Excessive energy storage in the form of fat. This occurs when food intake exceeds the requirements for energy expenditure. Obesity is a hazard to health and longevity and increases the risk of high blood pressure (HYPERTENSION), DIABETES, various cancers, osteoarthritis, foot trouble and depression.
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.
Baby boomers form the solid core of Dr. John Hernried’s practice as medical director of Sutter Weight Management Institute: His typical patient needs to lose more than 60 pounds, he said. But many of his boomer patients have been resigned to being heavy – and many more, even as they deal with diabetes and the prospect of knee-replacement surgery, are in denial as to what carrying extra pounds will do to their health.
Bursitis of the knee results when any of the three fluid-filled sacs (bursae) become inflamed due to injury or strain. Symptoms include pain, swelling, warmth, tenderness, and redness. Treatment of knee bursitis depends on whether infection is involved. If the knee bursa is not infected, knee bursitis may be treated with ice compresses, rest, and antiinflammatory and pain medications.
Individuals with obesity may suffer devastating health problems, face reduced life expectancy, and experience stigma and discrimination. Obesity is a strong risk factor for type 2 diabetes, fatty liver disease, and many other disorders within the NIDDK’s mission.
Jump up ^ Finkelstein EA, Fiebelkorn IA, Wang G (1 January 2003). “National medical spending attributable to overweight and obesity: How much, and who’s paying”. Health Affairs. Online (May). doi:10.1377/hlthaff.w3.219.
19. Harris TB, Ballard-Barbasch R, Madans J, Makuc DM, Feldman JJ: Overweight, weight loss, and risk of coronary heart disease in older women: the NHANES I Epidemiologic Follow-Up Study. Am J Epidemiol 1993; 137: 1318– 1327 [PubMed]
As you age, you tend to lose muscle, especially if you’re less active. Muscle loss can slow down the rate at which your body burns calories. If you don’t reduce your calorie intake as you get older, you may gain weight. Midlife weight gain in women is mainly due to aging and lifestyle, but menopause also plays a role. Many women gain around five pounds during menopause and have more fat around the waist than they did before.
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Breast cancer: Many studies have shown that, in postmenopausal women, a higher BMI is associated with a modest increase in risk of breast cancer. For example, a 5-unit increase in BMI is associated with a 12% increase in risk (21). Among postmenopausal women, those who are obese have a 20% to 40% increase in risk of developing breast cancer compared with normal-weight women (22). The higher risks are seen mainly in women who have never used menopausal hormone therapy and for tumors that express hormone receptors. Obesity is also a risk factor for breast cancer in men (23).
By the spring of 2016, Missi Brandt had emerged from a rough few years with a new sense of solidity. At 45, she was three years sober and on the leeward side of a stormy divorce. She was living with her preteen daughters in the suburbs of St. Paul, Minnesota, and working as a flight attendant. Missi felt ready for a serious relationship again, so she made a profile on OurTime.com, a dating site for people in middle age.
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.
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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
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.
In 2015 the New York Times published an article on the Global Energy Balance Network, a nonprofit founded in 2014 that advocated for people to focus on increasing exercise rather than reducing calorie intake to avoid obesity and to be healthy. The organization was founded with at least $1.5M in funding from the Coca-Cola Company, and the company has provided $4M in research funding to the two founding scientists Gregory A. Hand and Steven N. Blair since 2008.[225][226]
Is the staff made up of a variety of qualified counselors and health professionals such as nutritionists, registered dietitians, doctors, nurses, psychologists, and exercise physiologists? You need an evaluation by a physician if you have any health problems, are currently taking or plan on taking any medicine or plan to lose more than 15 to 20 pounds. If your weight-control plan uses a very low-calorie diet, you need an exam and follow-up visits by a doctor.
First of all, hats off to your mom. She’s got her hands full. So when she gets upset, everyone should be understanding to her plite. And, your father should be appreciative of the sacrifices she’s making in time and energy to care for him. I think he should be made fully aware of the issues he’s creating in the rest of the family’s lives as well. Especially your mom’s as primary caregiver. Let him know that you love him and care about his well being, but that he is not alone in this equation. He has to consider others. Also let him know what alternatives are be explored, if no changes can be made. For health purposes, I suggest cleaning out the cabinets and refrigerator of unhealthy foods and replacing with healthy alternatives (lots of vegetables and fruits). Maybe explore different recipes to make eating healthy more appealing. If he’s in a wheelchair and not very mobile, he probably won’t be going shopping for food. Thus, his caregiver is in charge. He may grumble for a short while, but it will be well worth it in the long run. His attitude may even change for the better, because he will start to feel better about himself.
n a type of obesity characterized by the enlarged size of fat cells within the body. An increased distribution of weight in the waist region is a typical indicator of this type of obesity. It is associated with an increased risk of hypertension, diabetes, and other metabolic disorders.
Being active is also key. Any kind of movement helps, and you don’t have to go to a gym. Ask your doctor what’s OK for you to do. A certified personal trainer can help you plan a workout that fits your needs.
Rhiannon Pilkington, Anne W. Taylor, Graeme Hugo, Gary Wittert. Are Baby Boomers Healthier than Generation X? A Profile of Australia’s Working Generations Using National Health Survey Data. PLoS ONE, 2014; 9 (3): e93087 DOI: 10.1371/journal.pone.0093087
Assessment for depression and dementia is also vital because both have been shown to contribute to unintentional weight in older adults.1 The two-question Patient Health Questionnaire (available at https://www.aafp.org/afp/2008/0715/p244.html) and the Geriatric Depression Scale (available at https://www.aafp.org/afp/2011/1115/p1149.html) are validated screening tools for depression in older adults.24,25 The Mini-Cognitive Assessment Instrument (Mini-Cog; available at https://www.aafp.org/afp/2009/0315/p497.html) is the preferred screening tool for dementia because of its ease of use.26
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.).
Agricultural policy and techniques in the United States and Europe have led to lower food prices. In the United States, subsidization of corn, soy, wheat, and rice through the U.S. farm bill has made the main sources of processed food cheap compared to fruits and vegetables.[102] Calorie count laws and nutrition facts labels attempt to steer people toward making healthier food choices, including awareness of how much food energy is being consumed.
An initial step in detecting liver damage is a simple blood test to determine the presence of certain liver enzymes in the blood. Under normal circumstances, these enzymes reside within the cells of the liver. But when the liver is injured, these enzymes are spilled into the blood stream, and can lead to diseases like fatty liver, type 2 diabetes, obesity, and hepatitis. Several medications also can increase liver enzyme test results.
Jump up ^ Manson JE, Willett WC, Stampfer MJ, Colditz GA, Hunter DJ, Hankinson SE, Hennekens CH, Speizer FE (1995). “Body weight and mortality among women”. N. Engl. J. Med. 333 (11): 677–85. doi:10.1056/NEJM199509143331101. PMID 7637744.
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.
The purpose of this communication is the solicitation of insurance. Contact will be made by a licensed insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
WHO has also developed the “Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020” which aims to achieve the commitments of the UN Political Declaration on Noncommunicable diseases (NCDs) which was endorsed by Heads of State and Government in September 2011. The “Global Action Plan” will contribute to progress on 9 global NCD targets to be attained by 2025, including a 25% relative reduction in premature mortality from NCDs by 2025 and a halt in the rise of global obesity to match the rates of 2010.

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There were other factors that made the legislation possible, including a legislature determined to address the rising economic costs of obesity and support from Ms. Bachelet, a socialist who also happens to be trained as a pediatrician.

Arthritis and osteoarthritis. Arthritis is the leading cause of disability in older adults. A high body mass index (BMI) is an associated risk factor for knee osteoarthritis (OA) in older persons (Villareal et al., 2005). By 65 years of age the prevalence of osteoarthritis is 68% in women and 58% in men. This age-related increase in the prevalence of OA may reflect bodily changes as a result of a lifetime of being overweight which results in strain on weight-bearing joints (Villareal et al.).

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

Jump up ^ LeFevre, Michael L. (26 August 2014). “Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: U.S. Preventive Services Task Force Recommendation Statement”. Annals of Internal Medicine. 161 (8): 587–93. doi:10.7326/M14-1796. PMID 25155419.

In summary, initial treatment for unexplained weight loss should be targeted at addressing identified risk factors, although evidence of benefit is limited. Medications that are not clearly required and that may be contributing to the weight loss should be discontinued or appropriate alternatives considered. The role for specific nutritional interventions targeted at increasing caloric intake and improving weight is unclear. There also minimal evidence to support use of pharmacologic agents. Megestrol acetate may be effective for older adults living in care facilities when used in conjunction with feeding assistance, but further study is required.

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.

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.

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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.

Kopelman P., Caterson I. An overview of obesity management In:Peter G. Kopelman; Ian D. Caterson; Michael J. Stock; William H. Dietz (2005). Clinical obesity in adults and children: In Adults and Children. Blackwell Publishing. pp. 319–26. ISBN 1-4051-1672-2.

As many as 85% of dieters who do not exercise on a regular basis regain their lost weight within two years. In five years, the figure rises to 90%. Repeatedly losing and regaining weight (yo yo dieting) encourages the body to store fat and may increase a patient’s risk of developing heart disease. The primary factor in achieving and maintaining weight loss is a life-long commitment to regular exercise and sensible eating habits.

Today 72 percent of boomer men and 67 percent of boomer women are overweight or obese. By 2030, this generation will experience almost double the incident of having all three chronic conditions of hypertension, heart disease and diabetes. These three chronic health conditions are tied to this generation’s weight gain. The boomer generation is in a weight crisis that is about to go over the health care cliff.

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.

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:

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.

Dana Larsen is a writer, artist, editor, dancer and food-enthusiast living in the Pacific Northwest. Originally from Alaska, Dana has a passion for the outdoors and finding life’s next adventure. She graduated with honors from the University of Washington with a degree in English and Communications, and her writing has appeared in a variety of digital and print publications. She loves connecting audiences with ideas and is also an advocate for enhancing care and support for those affected by Alzheimer’s and other dementias. View Dana’s Google Profile.

Calcium is also important for bone health, and above 50s are recommend to consume at least 1200mg a day. This can be a challenge, as with age often comes smaller appetites, so many people choose to take a supplement instead.

Hi. I love doing your bike workouts and plan on doing some of your other workouts to trim my waist. I’m 55 and needing to drop 16 more pounds due to heart disease and pre-diabetes. I’ve lost 8 so far but have that slow 16 to go. I also have to be on a Fodmap diet so can I still get away from counting calories? I was told by Boston Heart I have to eat 1220 calories a day to drop that 26 pounds. I had a cheat day today for the first time in 2 months and I felt guilty. I’ve been off possessed sugars for 2 months and I feel great! Have any suggestions for me on how to lose that last 16 pounds.? Do I just keep doing your bike workout? That’s all I have and I love riding. I do have a problem keeping my heart rate below 150 though. Thanks ahead of time!

Lots Of Seniors Are Overweight, But Few Use Free Counseling For It : Shots – Health News A little-known part of the Affordable Care Act pays primary care doctors to help overweight seniors lose weight. So why aren’t more seniors taking advantage of the free weight loss counseling?

Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Health System medical staff are independent practitioners who are not employees or agents of Methodist Dallas Medical Center, Methodist Health System, or any of its affiliated hospitals.

I finally hit the sweet spot just a few weeks later, in Chicago, with a delicious blueberry-pomegranate smoothie that rang in at a relatively modest 220 calories. It cost $3 and took only seconds to make. Best of all, I’ll be able to get this concoction just about anywhere. Thanks, McDonald’s!

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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.
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.
The percentage of children and adolescents who are overweight or obese has also increased (3). In 2011–2014, an estimated 9% of 2- to 5-year-olds, 17% of 6- to 11-year-olds, and 20% of 12- to 19-year-olds were overweight or obese. In 1988–1994, those figures were only 7%, 11%, and 10%, respectively. In 2011–2014, about 17% of U.S. youth ages 2 to 19 years old were obese. In 1988–1994, by contrast, only about 10% of 2 to 19-year old were obese (4).
As an older adult, there are special considerations to take into account if you want to lose weight. Your lifestyle may have changed over the past several years, you may be living alone and you may have medical issues to consider.
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]
Petersen KF, Dufour S, Befroy D, Lehrke M, Hendler RE, Shulman GI. Reversal of nonalcoholic hepatic steatosis, hepatic insulin resistance, and hyperglycemia by moderate weight reduction in patients with type 2 diabetes. Diabetes. 2005;54:603–608. [PMC free article] [PubMed]
It is important to make a solid commitment to changing a behavior or lifestyle. Involve your family and/or friends and ask them to help you make the necessary changes to positively impact your health.
The area I found that’s most chockablock with commercial food options brackets the busy intersection of two main streets. However, like most areas I passed through nearby, this food scene was dominated not by fast-food restaurants but by bodegas (which, like most other types of convenience stores, are usually considered part of the low-income, food-desert landscape). I went into several of these mom-and-pop shops and saw pretty much the same thing in every one: A prominent display of extremely fatty-looking beef and pork, most of it fresh, though gigantic strips of fried pork skin often got pride of place. A lot of canned and boxed foods. Up front, shelves of candy and heavily processed snacks. A large set of display cases filled mostly with highly sugared beverages. And a small refrigerator case somewhere in the back sparsely populated with not-especially-fresh-looking fruits and vegetables. The bodega industry, too, seems to have plotted to addict communities to fat, sugar, and salt—unless, that is, they’re simply providing the foods that people like.
Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA 2013; 309: 71–82.
Constipation: A common complaint, constipation can be a result of a diet that is lacking adequate nutrients and fluids. Though there are several over-the-counter remedies for constipation, Fabius also recommends combating poor nutrition with a daily multivitamin and possibly a dietary beverage supplement such as Ensure.
Surgery to correct obesity (known as bariatric surgery) is a solution for some obese people who cannot lose weight on their own or have severe obesity-related medical problems. Generally, surgery is recommended only for morbidly obese people (body mass index 40 or greater). This means men who are at least 100 pounds overweight and women who are at least 80 pounds overweight.
Jump up ^ Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB (November 2010). “Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis”. Diabetes Care (Meta-analysis, Review). 33 (11): 2477–83. doi:10.2337/dc10-1079. PMC 2963518 . PMID 20693348.
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Frequency of eating. The relationship between frequency of eating (how often you eat) and weight is somewhat controversial. There are many reports of overweight people eating less often than people with normal weight. Scientists have observed that people who eat small meals four or five times daily, have lower cholesterol levels and lower and/or more stable blood sugar levels than people who eat less frequently (two or three large meals daily). One possible explanation is that small frequent meals produce stable insulin levels, whereas large meals cause large spikes of insulin after meals.
Ikramuddin, S., R.P. Blackstone, A. Brancatisano, et al. “Effect of reversible intermittent intra-abdominal vagal nerve blockade on morbid obesity: the ReCharge randomized clinical trial.” JAMA 312 (2014): 915.
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.
Most text on the National Cancer Institute website may be reproduced or reused freely. The National Cancer Institute should be credited as the source and a link to this page included, e.g., “Obesity and Cancer was originally published by the National Cancer Institute.”
There are a number of mental health concerns that can arise when an individual is struggling with weight concerns. While these mental health disorders are not directly caused by obesity, excessive weight can exacerbate the symptoms of these disorders. The following are some of the more common disorders that obese older adults may experience:
Several tools have been developed to aid physicians in remembering the multiple etiologies of unintentional weight loss. These include the mnemonic Meals on Wheels (medication effects; emotional problems, especially depression; anorexia nervosa; alcoholism; late-life paranoia; swallowing disorders; oral factors, such as poorly fitting dentures and caries; no money; wandering and other dementia-related behaviors; hyperthyroidism, hypothyroidism, hyperparathyroidism, and hypoadrenalism; enteric problems; eating problems, such as inability to feed oneself; low-salt and low-cholesterol diet; stones; social problems, such as isolation and inability to obtain preferred foods).20 Another tool is the 9 D’s of weight loss in the elderly (dementia, dentition, depression, diarrhea, disease [acute and chronic], drugs, dysfunction [functional disability], dysgeusia, dysphagia).21
The authors point out that lower-income households headed by older adults rely on Social Security for the majority of their income, while higher-income elderly households rely on a mix of Social Security, earnings, and asset income.
Overweight and obesity are linked to more deaths worldwide than underweight. Globally there are more people who are obese than underweight – this occurs in every region except parts of sub-Saharan Africa and Asia.
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.
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.
Because they are energy-intense foods, fat and sugar and other problem carbs trip the pleasure and reward meters placed in our brains by evolution over the millions of years during which starvation was an ever-present threat. We’re born enjoying the stimulating sensations these ingredients provide, and exposure strengthens the associations, ensuring that we come to crave them and, all too often, eat more of them than we should. Processed food is not an essential part of this story: recent examinations of ancient human remains in Egypt, Peru, and elsewhere have repeatedly revealed hardened arteries, suggesting that pre-industrial diets, at least of the affluent, may not have been the epitome of healthy eating that the Pollanites make them out to be. People who want to lose weight and keep it off are almost always advised by those who run successful long-term weight-loss programs to transition to a diet high in lean protein, complex carbs such as whole grains and legumes, and the sort of fiber vegetables are loaded with. Because these ingredients provide us with the calories we need without the big, fast bursts of energy, they can be satiating without pushing the primitive reward buttons that nudge us to eat too much.
The 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.
I have two people I am taking care of, My sister who has progressive brain damage from radiation for brain cancer and my Mother who has Scleroderma with Pulmonary Hypertension and gastroparesis as side effects of the Scleroderma. My Sister can be very manipulative, but I think a lot of it is based on fear and we are working on one thing at a time. One thing is that the suggestions you have been given are really good. I would focus on one change at a time. Maybe first focus on providing your dad with a healthier diet by getting a referral to a nutritionist from his doctor. Secondly see about getting transportation via cabulance or public disabled access. Secondly see about getting him a power chair to help with mobility and getting him more freedom. Also there is an exercise program called “Sit and Be Fit” which you can find online and it is exercise program for people who use wheelchairs or have limited mobility. The urinal is a good idea or even asking for his doctor to order a commode which can be by his bedside will help as well. One thing is that everyone has to be on the same page. If you all are thinking you have a better idea then it won’t work. Also since a lot of your dad’s behavior or refusal to try things may be fear based it is important to encourage him. Take one step at a time. I wish you the best.
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.
A new generation of business, social, and policy entrepreneurs is rising to further cater to these tastes, and to challenge Big Food. Silicon Valley, where tomorrow’s entrepreneurial and social trends are forged, has spawned a small ecosystem of wholesome-friendly venture-capital firms (Physic Ventures, for example), business accelerators (Local Food Lab), and Web sites (Edible Startups) to fund, nurture, and keep tabs on young companies such as blissmo (a wholesome-food-of-the-month club), Mile High Organics (online wholesome-food shopping), and Wholeshare (group wholesome-food purchasing), all designed to reacquaint Americans with the simpler eating habits of yesteryear.
The researchers who conducted the earlier CDC study suggested that public health efforts and aggressive treatments aimed at preventing chronic diseases had greatly reduced the obesityobesity-related death risk.
Jump up ^ Satcher D (2001). The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity. U.S. Dept. of Health and Human Services, Public Health Service, Office of Surgeon General. ISBN 978-0-16-051005-2.

“obesity by state senior weight loss camps”

Fiber keeps things moving in our digestive tracts, which helps eliminate unused and harmful substances. Keeping a healthy flow of digestion promotes weight loss while reducing inflammation. Getting fiber from plenty of fruits and vegetables in your diet is best, but adding a gentle fiber supplement can also increase weight loss.

Jump up ^ Cawley J, Meyerhoefer C (January 2012). “The medical care costs of obesity: An instrumental variables approach”. Journal of Health Economics. 31 (1): 219–30. doi:10.1016/j.jhealeco.2011.10.003. PMID 22094013.

Obese children may experience immediate health consequences which can lead to weight-related health problems in adulthood. Obese children and teens have been found to have risk factors for cardiovascular disease (CVD), including high cholesterol levels, high blood pressure, and abnormal glucose tolerance. In a sample of 5-to 17-year-olds, almost 60% of overweight children had at least one CVD risk factor and 25% of overweight children had two or more CVD risk factors. In addition, studies have shown that obese children and teens are more likely to become obese as adults.

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

20. Wei Hing, Young K. Responses to nutrition interventions aimed at increasing food intake in seniors with Alzheimer’s disease and their associations with body mass index, cognitive impairment and behavioral difficulties. Toronto (ON): University of Toronto; 2004

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.

You know that muscle mass decreases with age. (At age 50, you’ve got about 20% less muscle mass than you did when you were 20, and unfortunately it only goes downhill from there.) You also know that muscle loss equals a slower metabolism, which explains why you’re more likely to put on (and hold on to) those extra pounds that seem to creep up with every birthday. But there is something you can do about it: lift weights.

Villareal DT, Miller BV, III, Banks M, Fontana L, Sinacore DR, Klein S. Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults. Am J Clin Nutr. 2006b;84:1317–1323. [PubMed]

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]

The Pollanites didn’t invent resistance to healthier popular foods, as the fates of the McLean Deluxe and Olestra demonstrate, but they’ve greatly intensified it. Fast food and junk food have their core customer base, and the wholesome-food gurus have theirs. In between sit many millions of Americans—the more the idea that processed food should be shunned no matter what takes hold in this group, the less incentive fast-food joints will have to continue edging away from the fat- and problem-carb-laden fare beloved by their most loyal customers to try to broaden their appeal.

In her professional life, Sacramento public relations executive Kassy Perry has long represented health organizations trying to combat California’s obesity problem. In her personal life, she has struggled with weight loss, trying with little success to drop the 30 pounds she gained after age 50. Today, at 52, she’s active and athletic. But the weight won’t melt away.

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Obesity has also been clearly linked to a lesser overall quality of life, which is of particular concern to the aging adult. Seniors can already be plagued by multiple conditions that decrease their quality of life, and obesity only adds another burden.

The evaluation of unintentional weight loss starts with a patient history. If there is a concern about cognitive impairment, a caregiver or family member can provide corroborating information. The history should focus on the amount of weight lost and the time frame in which the weight loss occurred. If no baseline weight is available, evidence of change in clothing size, confirmation of weight loss by a relative or friend, and a numerical estimate of weight loss can be used.11–16  Assessing appetite determines if the weight loss is related to poor food intake. A review of systems to detect acute illness or worsening chronic conditions is important and should pay particular attention to cardiovascular, respiratory, and gastrointestinal symptoms (Table 3).

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.

Other conditions and illnesses that are associated with both weight gain and obesity include: hyperthyroidism, Cushing’s syndrome, polycystic ovary syndrome, and depression (NIH, 2006).  The older adults who are obese are more likely than those who are not obese to report symptoms of depression, such as feelings of sadness, worthlessness, and hopelessness (Center on an Aging Society, 2003). Lack of sleep may contribute to obesity, as well as certain drugs, such as steroids and some antidepressants that may stimulate the appetite, cause water retention, or slow the metabolism rate (NIH, 2008). Finally, the complex relationship between functional ability and lifestyle patterns merits attention as a contributor to obesity (Center on an Aging Society). Joint pain, decreased mobility, and activity intolerance may lead to weight gain because of decreased activity. Older adults are more likely than younger adults to experience functional limitations associated with chronic illnesses that may begin a stress-pain-depression cycle that can result in lifestyle patterns leading obesity (Lorig et al., 2006).

Fatty liver disease, also known as nonalcoholic steatohepatitis (NASH), occurs when fat builds up in the liver and causes injury. Fatty liver disease may lead to severe liver damage, cirrhosis (scar tissue), or even liver failure.

The impact of obesity on the chances of our living long, productive, and enjoyable lives has been so well documented at this point that I hate to drag anyone through the grim statistics again. But let me just toss out one recent dispatch from the world of obesity-havoc science: a study published in February in the journal Obesity found that obese young adults and middle-agers in the U.S. are likely to lose almost a decade of life on average, as compared with their non-obese counterparts. Given our obesity rates, that means Americans who are alive today can collectively expect to sacrifice 1 billion years to obesity. The study adds to a river of evidence suggesting that for the first time in modern history—and in spite of many health-related improvements in our environment, our health care, and our nondietary habits—our health prospects are worsening, mostly because of excess weight.

A combination of healthy diet and exercise (when you stick to it) appears to work better than either one alone. Sticking to a weight reduction program is difficult and requires a lot of support from family and friends.

“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.”

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

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.

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.

Sticking to your treatment plan. Changing a lifestyle you may have lived with for many years can be difficult. Be honest with your doctor, therapist or other health care providers if you find your activity or eating goals slipping. You can work together to come up with new ideas or new approaches.

If a person’s bodyweight is at least 20% higher than it should be, he or she is considered obese. If your Body Mass Index (BMI) is between 25 and 29.9 you are considered overweight. If your BMI is 30 or over you are considered obese. If you’re wondering what your ideal weight might be, take a look at our article, how much should I weigh?

Instead, dropping pounds can often feel harder than ever. After all, that stiff back that keeps you from bounding out of bed in the morning can make it less inspiring to go to the gym, a busy schedule can prompt you to eat on the run, and those 10 pounds you gained in your 40s can become an extra 20 pounds in your 50s and, well, you get the idea. (Want to lose weight but are short on time? Then check out Fit in 10, the new fitness program that only takes 10 minutes.)

“obesity help center |obesity death calculator”

“We’re in an epidemic,” said Rich Hamburg, deputy director of the Trust for America’s Health, a national nonprofit health advocacy group. “We’ve seen this 30-year rise in overweight and obesity rates, and we’ve seen a more significant increase in the baby boom population.”
In a paper published in the online journal PLOS ONE, University of Adelaide researchers compared the health status of Baby Boomers (born from 1946-1965) and Generation X (1966-1980) at the same age range of 25-44 years.
Unintentional weight loss (i.e., more than a 5% reduction in body weight within six to 12 months) occurs in 15% to 20% of older adults and is associated with increased morbidity and mortality.1 In this population, unintentional weight loss can lead to functional decline in activities of daily living,2 increased in-hospital morbidity,3 increased risk of hip fracture in women,4 and increased overall mortality.5–7 Further, cachexia (loss of muscle mass with or without loss of fat) has been associated with negative effects such as increased infections, pressure ulcers, and failure to respond to medical treatments.1
In part, it’s because big has become the new normal: big portions, big containers of sugary sodas, big clothing sizes, big people who have established the habit of eating way too much. Just as the culture gradually shifted away from tobacco consumption starting in the 1960s, experts say, it now needs to shift beyond the consumption of too much food.
Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.
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.”
There are no magic pills, no miracles in a bottle. The only way you have fighting chance of beating obesity is to change your lifestyle. No crash diet or miracle drug is going to cure what has now become an epidemic in the United States. The two best things you can do for yourself are 1) exercise on a regular basis and 2) control your caloric intake. Keep in mind that these factors are important for everyone, overweight or not, and regardless of whether or not you decide to have gastric bypass surgery.
To prevent losing too much muscle and bone mass when losing weight, older adults should focus on getting plenty of protein, calcium and vitamin D in their diets, Beavers says. One study found that adults between ages 52 and 75 built muscle best if they ate 1.5 grams of protein per kilogram of body weight daily – or double the Institute of Health’s recommended intake. For a 180-pound person, that’s about 120 grams, or about the amount of two chicken breasts, three eggs and one Greek yogurt.
^ Jump up to: a b Johnson F, Cooke L, Croker H, Wardle J (2008). “Changing perceptions of weight in Great Britain: comparison of two population surveys”. BMJ. 337: a494. doi:10.1136/bmj.a494. PMC 2500200 . PMID 18617488.
Long-term compliance was an important factor in ranking diets, Davidson says: “What can be a lifelong change instead of just a short-term fix for the patient?” Therefore, he says, “it’s really more about variety and food choices, as opposed to portion sizes, that are applicable to an elderly individual. So it’s the kind of diet I prefer for those patients.”
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.
We stimulate high-impact research. Our NHLBI Obesity Research continues discovering new insights about obesity that can lead to improved health care, practices, and policies to prevent or treat obesity and its heart, lung, and sleep consequences and translating research into practical strategies and tools for clinicians, patients, and the general public. Our Trans-Omics for Precision Medicine (TOPMed) Program includes participants with overweight and obesity, which may help us understand how genes contribute to overweight and obesity. The NHLBI Strategic Vision highlights ways we may support research over the next decade, including new efforts for overweight and obesity.
The study included 6636 individuals (3750 women) aged 55 years and older from the population-based Rotterdam Study. We developed multistate life tables by using prevalence, incidence rate and hazard ratios (HR) for three transitions (free-of-CVD-to-CVD, free-of-CVD-to-death and CVD-to-death), stratifying by the categories of body mass index (BMI) at baseline and adjusting for confounders.
Obesity is a recognized contributing factor to urinary incontinence in older women and men (45). Although the precise underlying mechanism(s) is unclear, the apparent excessive weight and pressure applied on the bladder by the increased intra-abdominal fat mass appears to be a reasonable contributor to this complication.
^ Jump up to: a b Caballero B (March 2001). “Introduction. Symposium: Obesity in developing countries: biological and ecological factors”. J. Nutr. (Review). 131 (3): 866S–70S. doi:10.1093/jn/131.3.866s. PMID 11238776.
Type 2 diabetes is a disease in which blood sugar levels are normal. High blood sugar is a major cause of heart disease, kidney disease, stroke, amputation, and blindness. In 2009, diabetes was the seventh leading cause of death in the United States.3

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Non-prescription orlistat (Alli). Orlistat inhibits fat absorption in the intestine. Until recently, this medication was only available by prescription (Xenical). The over-the-counter medicine is sold at a lower dose than Xenical. But the active ingredient is the same.
Aerobic exercise can lead to improved cardiovascular function, better quality of sleep, improved mental health, weight loss, and enhanced immune function. Suggested aerobic activities for older adults include low-impact exercises such as walking, biking, low-impact aerobics, and water activities such as swimming or water aerobics.
The McLean Deluxe was a sharp lesson to the industry, even if in some ways it merely confirmed what generations of parents have well known: if you want to turn off otherwise eager eaters to a dish, tell them it’s good for them. Recent studies suggest that calorie counts placed on menus have a negligible effect on food choices, and that the less-health-conscious might even use the information to steer clear of low-calorie fare—perhaps assuming that it tastes worse and is less satisfying, and that it’s worse value for their money. The result is a sense in the food industry that if it is going to sell healthier versions of its foods to the general public—and not just to that minority already sold on healthier eating—it is going to have to do it in a relatively sneaky way, emphasizing the taste appeal and not the health benefits. “People expect something to taste worse if they believe it’s healthy,” says Charles Spence, an Oxford University neuroscientist who specializes in how the brain perceives food. “And that expectation affects how it tastes to them, so it actually does taste worse.”
A combination of healthy diet and exercise (when you stick to it) appears to work better than either one alone. Sticking to a weight reduction program is difficult and requires a lot of support from family and friends.
Updated August 31, 2017: According to the most recent data, adult obesity rates now exceed 35 percent in five states, 30 percent in 25 states, and 25 percent in 46 states. West Virginia has the highest adult obesity rate at 37.7 percent and Colorado has the lowest at 22.3 percent. The adult obesity rate decreased in Kansas between 2015 and 2016, increased in Colorado, Minnesota, Washington, and West Virginia, and remained stable in the rest of states. This supports trends that have shown overall leveling off of obesity rates in recent years.
24. Yeh SS, Hafner A, Chang CK, et al. Risk factors relating blood markers of inflammation and nutritional status to survival in cachectic geriatric patients in a randomized clinical trial. J Am Geriatr Soc 2004;52:1708–12 [PubMed]
Jump up ^ Fried M, Hainer V, Basdevant A, Buchwald H, Deitel M, Finer N, Greve JW, Horber F, Mathus-Vliegen E, Scopinaro N, Steffen R, Tsigos C, Weiner R, Widhalm K (April 2007). “Inter-disciplinary European guidelines on surgery of severe obesity”. Int J Obes (Lond). 31 (4): 569–77. doi:10.1038/sj.ijo.0803560. PMID 17325689.
Childhood obesity remains a serious problem in the United States, and some populations are more at risk for childhood obesity than others. The risk of unhealthy weight gain increases as you age. Adults who have a healthy BMI often start to gain weight in young adulthood and continue to gain weight until 60 to 65 years old, when they tend to start losing weight.
In the second paper, all CVD risk factors significantly improved in the diet and exercise group (Villareal 2006b). Specific mechanisms were not proposed, but the discussion focused on medical care costs related to metabolic coronary heart disease (CHD) risk factors that were ameliorated by the intervention (Table 1). In the third paper (Villareal 2008), bone turnover was measured by type 1 collagen C-terminal telopeptide (CTX), osteocalcin, and bone-specific alkaline phosphatase. There was a marked increase in serum CTX (~100-fold) and osteocalcin (~60-fold) concentrations in response to weight loss indicating that bone resorption and formation, respectively, were stimulated. Moreover, the increases in both CTX and osteocalcin concentrations correlated with decreases in hip bone mineral density (BMD), suggesting that weight-loss induced bone loss was due to increased bone turnover, with greater stimulation of bone resorption than bone formation. However, the clinical significance of the decrease in BMD was not clear as all participants had high baseline BMD Z-scores, and none had evidence of osteoporosis following weight loss. The investigators argued that BMD was not lost in the spine, which implies that the exercises were more effective in preserving BMD at this site. Exact mechanisms for loss of BMD with weight loss are not currently elucidated, but it was suggested that weight loss decreases the mechanical stress on the hip, without negatively impacting the spine or wrist. Weight loss was also associated with a 25% reduction in serum leptin that was highly correlated with decreased hip BMD. No such relationship was found between decreasing estradiol and changes in BMD. Leptin was discussed in the context of its inhibiting action on the expression of receptor activator of nuclear factor κB (NF-κB) ligand levels (Burguera 2001) and osteoblast differentiation (Cornish 2002). Levels of insulin-like growth factor 1 (IGF-1), cortisol, and parathyroid hormone (PTH) did not change in response to weight loss, which suggests that these bone-active hormones were not involved with the loss of BMD in the hip. Vitamin D supplementation during the trial did not reach optimal serum concentrations and whether higher dose Vitamin D supplementation could have slowed bone loss, was raised by the investigators. It was also noted that bone quality was not measured and could have been positively impacted by the exercise training intervention.
[3] Ogden C, Carroll MD, Lawman, HG, Fryar CD, Kruszon-Moran D, et al. Trends in obesity among children and adolescents in the United States, 1988- 1994 through 2013- 2014. The Journal of the American Medical Association. 2016;315(21):2292–2299. Available at http://jamanetwork.com/journals/jama/fullarticle/2526638 or https://www.ncbi.nlm.nih.gov/pubmed/27272581.
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
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).
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health.[1] People are generally considered obese when their body mass index (BMI), a measurement obtained by dividing a person’s weight by the square of the person’s height, is over 30 kg/m2, with the range 25–30 kg/m2 defined as overweight.[1] Some East Asian countries use lower values.[8] Obesity increases the likelihood of various diseases and conditions, particularly cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, certain types of cancer, osteoarthritis and depression.[2][3]
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 .
This is because the boomer generation continues to be large in numbers with behaviors that are still too unsustainable. The reality is that sustainability for our economy, human health and environment cannot be without boomer generation engagement. What every millennial must do is engage the boomer generation to help them adopt sustainable life choices.

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Tamura Y, Tanaka Y, Sato F, Choi JB, Watada H, Niwa M, Kinoshita J, Ooka A, Kumashiro N, Igarashi Y, Kyogoku S, Maehara T, Kawasumi M, Hirose T, Kawamori R. Effects of diet and exercise on muscle and liver intracellular lipid contents and insulin sensitivity in type 2 diabetic patients. J Clin Endocrinol Metab. 2005;90:3191–3196. [PubMed]

Sources: Current diabetes (2016) and hypertension (2015) rates are from The State of Obesity 2017 [PDF]; 2010 diabetes, hypertension, heart disease, arthritis and obesity-related cancer numbers and projected cases of obesity-related health problems related are from F as in Fat 2012 [PDF].

Li L, Gan Y, Li W, Wu C, Lu Z. Overweight, obesity and the risk of gallbladder and extrahepatic bile duct cancers: A meta-analysis of observational studies. Obesity (Silver Spring) 2016; 24(8):1786-1802.

After my excursion to Whole Foods, I drive a few minutes to a Trader Joe’s, also known for an emphasis on wholesome foods. Here at the register I’m confronted with a large display of a snack food called “Inner Peas,” consisting of peas that are breaded in cornmeal and rice flour, fried in sunflower oil, and then sprinkled with salt. By weight, the snack has six times as much fat as it does protein, along with loads of carbohydrates. I can’t recall ever seeing anything at any fast-food restaurant that represents as big an obesogenic crime against the vegetable kingdom. (A spokesperson for Trader Joe’s said the company does not consider itself a “ ‘wholesome food’ grocery retailer.” Living Intentions did not respond to a request for comment.)

“You have to change the entire food system and you can’t do that overnight,” said Dr. Cecilia Castillo Lancellotti, former head of nutrition at the country’s Health Ministry and an early proponent of the legislation.

Shekelle, P. G., M. L. Hardy, S. C. Morton, et al. “Efficacy and Safety of Ephedra and Ephedrine for Weight Loss and Athletic Performance: A Meta-Analysis.” Journal of the American Medical Association 289 (March 26, 2003): 1537-1545.

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.

In Sacramento and across the nation, the number of baby boomers who are overweight or obese continues to climb, and as a group, they have hit middle age much heavier than the previous generation. Almost three of four people ages 49 to 67 – the baby boom generation – are overweight or obese in the four-county Sacramento region, according to a new survey from the UCLA Center of Health Policy Research.

Instead of a diet, focus on lifestyle changes that will improve your health and achieve the right balance of energy and calories. To lose weight, you need to burn more calories than you take in. You can do it by eating healthy foods in reasonable amounts and becoming more active. And you need to do it every day.

Nov. 4, 2013 — Thanks to a wave of aging baby boomers, epidemics of diabetes and obesity, and the Affordable Care Act, which aims to bring health care coverage to millions more Americans, the United States faces a … read more

PRB observes that baby boomers are living longer than previous generations. They also have, on average, higher levels of education and more work experience, which bode well for their economic security in old age.

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

The good news is that you can take steps to lose weight. losing even some weight can make a big difference to your health and how you feel. You may not have to lose as much as you might think in order to start seeing health benefits.

^ Jump up to: a b c Arendas K, Qiu Q, Gruslin A (2008). “Obesity in pregnancy: pre-conceptional to postpartum consequences”. Journal of Obstetrics and Gynaecology Canada. 30 (6): 477–88. doi:10.1016/s1701-2163(16)32863-8. PMID 18611299.

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

The next consideration is how do you actually lost the weight? Here we rely on the same tried and true method – eating less and exercising more to burn more calories. Unfortunately, this requires lifestyle changes. It takes a lot of patience, support and perseverance to make permanent changes.

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 .

BMI is usually expressed in kilograms per square metre, resulting when weight is measured in kilograms and height in metres. To convert from pounds per square inch multiply by 703 (kg/m2)/(lb/sq in).[25]

Davidson says people with high cholesterol do better with low-saturated fat diets that call for low-fat dairy sources, lean red meats and fish. It’s important for seniors with high cholesterol to avoid sweet baked goods with trans fats, he says: “We now recognize that trans fats as especially bad among all the fats we can consume.”

This systematic review focused on randomized controlled trails in obese adults aged 65 years and older. The authors acknowledge that of the ten studies, three reported on the same cohort of 27 participants (Villareal 2006a; Villareal 2006b; Villareal 2008), and three reported on the same cohort of 107 participants (Villareal 2011a; Shah 2011; Armamento-Villareal 2012). The remaining studies had small sample sizes, which although limiting statistical power and inference, do provide initial mechanistic findings in humans, of which few studies exist. Just one article was included that met our inclusion criteria and reported on long-term weight maintenance.

A Dutch study recently released in the Annals of Internal Medicine reported that people who are overweight at age 40 will shave three years off life expectancy on average. Being obese at age 40 shortens life expectancy by six to seven years.

Jump up ^ Sweeting HN (2007). “Measurement and Definitions of Obesity In Childhood and Adolescence: A field guide for the uninitiated”. Nutr J. 6 (1): 32. doi:10.1186/1475-2891-6-32. PMC 2164947 . PMID 17963490.

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.