Adopted by the World Health Assembly in 2004, the “WHO Global Strategy on Diet, Physical Activity and Health” describes the actions needed to support healthy diets and regular physical activity. The Strategy calls upon all stakeholders to take action at global, regional and local levels to improve diets and physical activity patterns at the population level.
For most individuals who are mildly obese, these behavior modifications entail life-style changes they can make independently while being supervised by a family physician. Other mildly obese persons may seek the help of a commercial weight-loss program (e.g., Weight Watchers). The effectiveness of these programs is difficult to assess, since programs vary widely, drop-out rates are high, and few employ members of the medical community. However, programs that emphasize realistic goals, gradual progress, sensible eating, exercise can be very helpful and are recommended by many doctors. Programs that promise instant weight loss or feature severely restricted diets are not effective and, in some cases, can be dangerous.
5. Kabakov E, Norymberg C, Osher E, Koffler M, Tordjman K, Greenman Y, Stern N: Prevalence of hypertension in type 2 diabetes mellitus: impact of the tightening definition of high blood pressure and association with confounding risk factors. J Cardiometab Syndr 2006; 1: 95– 101 [PubMed]
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.
By placing wholesome eating directly at odds with healthier processed foods, the Pollanites threaten to derail the reformation of fast food just as it’s starting to gain traction. At McDonald’s, “Chef Dan”—that is, Dan Coudreaut, the executive chef and director of culinary innovation—told me of the dilemma the movement has caused him as he has tried to make the menu healthier. “Some want us to have healthier food, but others want us to have minimally processed ingredients, which can mean more fat,” he explained. “It’s becoming a balancing act for us.” That the chef with arguably the most influence in the world over the diet of the obese would even consider adding fat to his menu to placate wholesome foodies is a pretty good sign that something has gone terribly wrong with our approach to the obesity crisis.
In the United States, the number of obese older adults has reached disturbing heights—now affecting approximately 20 percent of those ages 65 and older—and is only expected to rise as more “baby boomers” become senior citizens.
^ Jump up to: a b c d e Dibaise JK, Foxx-Orenstein AE (July 2013). “Role of the gastroenterologist in managing obesity”. Expert Review of Gastroenterology & Hepatology (Review). 7 (5): 439–51. doi:10.1586/17474124.2013.811061. PMID 23899283.
Taking your medications as directed. If you take weight-loss medications or medications to treat obesity-related conditions, such as high blood pressure or diabetes, take them exactly as prescribed. If you have a problem sticking with your medication regimen or have unpleasant side effects, talk to your doctor.
This is the perfect total body exercise for seniors, obese, plus size, and those with limited mobility. You may perform this exercise routine standing or sitting down. Choose the appropriate resistance for you ranging from a pair of light dumbbells to just a couple of water bottles.
Reexamination of the impact of obesity on health in older individuals disclosed two potential benefits of weight excess: decreased osteoporosis and better survival of obese subjects with certain health hazards, known as the “obesity paradox.” Obesity, linked to increased bone mineral density, is thus far uncontested, as is the fact that this also translates into a lower rate of hip fractures in elderly obese subjects (10). The latter may reflect not only greater bone resilience, but also improved cushioning by adipose tissue during falls. An important emerging exception to this general protective effect of obesity on bone is the recent finding that although men and women with the metabolic syndrome do indeed enjoy better total hip and femoral neck bone mineral density in a cross-sectional analysis, these associations do not translate to improved clinical outcome. In fact, incident clinical fractures were 2.6 times more likely to occur in subjects with the metabolic syndrome compared with participants without the metabolic syndrome after an average follow-up of 2 years (11).
Scientific research has shown that increasing low intensity exercise produces a very low risk of injury to the heart of muscle skeletal system. A light- to moderate–intensity activity, such as 5 to 15 minutes of walking per session, 2 to 3 times a week.
Sacramento trainer Lorri Ann Code – founder of Mama Boot Camp, which has helped hundreds of local women lose weight – thinks that people get trapped in a cycle of eating too many empty calories, then feeling too sluggish to exercise.
Obesity is a condition of having excess body weight. Adults with a body mass index (BMI, calculated as weight in kilograms divided by height in meters squared) greater than 25 kg/m2 but less than 30 kg/m2 are considered overweight. Adults with a BMI greater than 30 kg/m2 are considered obese. An adult who is more than 100 pounds overweight or has a BMI greater than 40 kg/m2 is considered morbidly obese.
A 2016 review supported excess food as the primary factor. Dietary energy supply per capita varies markedly between different regions and countries. It has also changed significantly over time. From the early 1970s to the late 1990s the average food energy available per person per day (the amount of food bought) increased in all parts of the world except Eastern Europe. The United States had the highest availability with 3,654 calories (15,290 kJ) per person in 1996. This increased further in 2003 to 3,754 calories (15,710 kJ). During the late 1990s Europeans had 3,394 calories (14,200 kJ) per person, in the developing areas of Asia there were 2,648 calories (11,080 kJ) per person, and in sub-Saharan Africa people had 2,176 calories (9,100 kJ) per person. Total food energy consumption has been found to be related to obesity.
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.
“Apple” shape. People whose weight is concentrated around their stomachs may be at greater risk of developing heart disease, diabetes, or cancer than people of the same weight who are “pear-shaped” (they carry their weight in their hips and buttocks).
↑ 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 fat obesity.
I’m running in the NYC Marathon in November to celebrate my 55th birthday and raise money for the Pancreatic Cancer Action Network, in memory of a friend who succumbed to the disease last year. Here’s an update on my training schedule for this week:
12. Uretsky S, Messerli FH, Bangalore S, Champion A, Cooper-Dehoff RM, Zhou Q, Pepine CJ: Obesity paradox in patients with hypertension and coronary artery disease. Am J Med 2007; 120: 863– 870 [PubMed]
Once considered a problem only of high-income countries, obesity rates are rising worldwide and affecting both the developed and developing world. These increases have been felt most dramatically in urban settings. The only remaining region of the world where obesity is not common is sub-Saharan Africa.
Obesity experts suggest that a key to preventing excess weight gain is monitoring fat consumption rather than counting calories, and the National Cholesterol Education Program maintains that only 30% of calories should be derived from fat. Only one-third of those calories should be contained in saturated fats (the kind of fat found in high concentrations in meat, poultry, and dairy products). Because most people eat more than they think they do, keeping a detailed food diary is a useful way to assess eating habits. Eating three balanced, moderate-portion meals a day—with the main meal at mid-day—is a more effective way to prevent obesity than fasting or crash diets. Exercise increases the metabolic rate by creating muscle, which burns more calories than fat. When regular exercise is combined with regular, healthful meals, calories continue to burn at an accelerated rate for several hours. Finally, encouraging healthful habits in children is a key to preventing childhood obesity and the health problems that follow in adulthood.
 Diabetes overview. National Diabetes Information Clearinghouse website. https://www.niddk.nih.gov/health-information/diabetes/diabetes-a-z. Updated April 4, 2012. Accessed May 15, 2012. Discontinued 2014.
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.
potentially abused by patients. While most of the immediate side-effects of these drugs are harmless, the long-term effects of these drugs, in many cases, are unknown. Two drugs, dexfenfluramine hydrochloride (Redux) and fenfluramine (Pondimin) as well as a combination fenfluramine-phentermine (Fen/Phen) drug, were taken off the market when they were shown to cause potentially fatal heart defects. In November 1997, the United States Food and Drug Administration (FDA) approved a new weight-loss drug, sibutramine (Meridia). Available only with a doctor’s prescription, Meridia can significantly elevate blood pressure and cause dry mouth, headache, constipation, and insomnia. This medication should not be used by patients with a history of congestive heart failure, heart disease, stroke, or uncontrolled high blood pressure.
Your doctor may diagnose overweight and obesity based on your medical history, physical exams that confirm you have a high body mass index (BMI) and possibly a high waist circumference, and tests to rule out other medical conditions.
Because the endocrine system produces hormones that help maintain energy balances in the body, the following endocrine disorders or tumors affecting the endocrine system can cause overweight and obesity.
The “obesity paradox” refers to the unexpected findings that obese subjects seem to fare better than, or at least as well as, their normal- or low-weight counterparts in terms of mortality rates in the context of conditions, such as coronary artery disease in hypertensive subjects, congestive heart failure, chronic kidney disease, hemodialysis, postcoronary revascularization, and some instances of non-ST segment elevation in myocardial infarction (12,13). Currently, it is unclear whether or not all these different situations that share some common, yet unidentified, underlying mechanism are related to obesity itself, or rather reflect nutritional status or reserve, and/or possibly coexisting medical therapy. It remains uncertain how older age interacts with these protective effects of excess adiposity. Additionally, obesity is not a general “savior” in acute medical conditions. Hence, this interesting and potentially critical phenomenon remains presently enigmatic, requiring case- and age-specific in-depth examination. As an example of this effect, some 20 years ago, obesity in the elderly was actually linked to the twofold increase of postmyocardial infarction and in-hospital mortality in subjects >65 years (14). Has the obese phenotype been changed by the environment, or chronic medical therapy, or rather, have advances in the quality of critical care preferentially affected the obese?
Many people who are overweight do not want to be overweight, obese, or ‘morbidly obese’. Everyone has his or her own story or circumstances concerning about how or why their body proportions are as they are.
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.
Villareal DT, Chode S, Parimi N, Sinacore DR, Hilton T, Armamento-Villareal R, Napoli N, Qualls C, Shah K. Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med. 2011a;364:1218–1229. [PMC free article] [PubMed]
Waist measurement is also an important factor. People with apple or pot belly shapes, who tend to put on weight around their waist, have a higher risk of obesity-related health problems. This includes women with a waist measurement of greater than 35 inches and men with a waist measurement of greater than 40 inches.
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.