Melvin Delgado is codirector of the Center for Addictions Research and Services, chair of macro-practice, and professor of social work at the Boston University School of Social Work. He brings almost forty years of practice, research, and scholarship focused on Puerto Rican and other Latino groups in the United States. Bilingual and bicultural, he has focused his professional and academic career on developing urban-based outreach and service delivery models that are culturally competent, stressing participatory democratic principles, and tapping cultural strengths and assets. He is the author of more than twenty books, including Latino Small Businesses and the American Dream: Community Social Work Practice and Economic and Social Development and Social Work Practice with Latinos: A Cultural Assets Paradigm and Social Work Practice with Immigrant and Refugee Youth in the United States.
Jump up ^ DiBaise JK, Zhang H, Crowell MD, Krajmalnik-Brown R, Decker GA, Rittmann BE (April 2008). “Gut microbiota and its possible relationship with obesity”. Mayo Clinic Proceedings (Review). 83 (4): 460–69. doi:10.4065/83.4.460. PMID 18380992.
Jump up ^ Berrington de Gonzalez A, Hartge P, Cerhan JR, Flint AJ, Hannan L, MacInnis RJ, Moore SC, Tobias GS, Anton-Culver H, Freeman LB, Beeson WL, Clipp SL, English DR, Folsom AR, Freedman DM, Giles G, Hakansson N, Henderson KD, Hoffman-Bolton J, Hoppin JA, Koenig KL, Lee IM, Linet MS, Park Y, Pocobelli G, Schatzkin A, Sesso HD, Weiderpass E, Willcox BJ, Wolk A, Zeleniuch-Jacquotte A, Willett WC, Thun MJ (2010). “Body-mass index and mortality among 1.46 million white adults”. The New England Journal of Medicine. 363 (23): 2211–19. doi:10.1056/NEJMoa1000367. PMC 3066051 . PMID 21121834.
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 Food 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.
Although a biological link between obesity and depression has not yet been definitively identified, possible mechanisms include activation of inflammation, changes in the hypothalamic-pituitary-adrenal axis, insulin resistance, and social or cultural factors.
But the industry rarely faces opponents like Senator Girardi. A trained surgeon with a flair for the theatrical, he is a key figure in the governing coalition of President Michelle Bachelet. During the long fight over the food law, Senator Girardi, 56, publicly assailed big food companies as “21st century pedophiles” and before Ms. Bachelet took office, spent weeks protesting outside the presidential palace with placards that accused her predecessor, Sebastián Piñera, of destroying the nation’s health by vetoing an earlier version of the legislation.
^ Jump up to: a b c Colquitt, JL; Pickett, K; Loveman, E; Frampton, GK (Aug 8, 2014). “Surgery for weight loss in adults”. The Cochrane Database of Systematic Reviews (Meta-analysis, Review). 8 (8): CD003641. doi:10.1002/14651858.CD003641.pub4. PMID 25105982.
Much of the food isn’t all that different from what I can get in any other supermarket, but sprinkled throughout are items that scream “wholesome.” One that catches my eye today, sitting prominently on an impulse-buy rack near the checkout counter, is Vegan Cheesy Salad Booster, from Living Intentions, whose package emphasizes the fact that the food is enhanced with spirulina, chlorella, and sea vegetables. The label also proudly lets me know that the contents are raw—no processing!—and that they don’t contain any genetically modified ingredients. What the stuff does contain, though, is more than three times the fat content per ounce as the beef patty in a Big Mac (more than two-thirds of the calories come from fat), and four times the sodium.
OK..grossly unfair to blame the Boomers for the rise in Obesity and the cost..as a nation we have been going down this road now for nearly 20 years. What has the government done? nothing….what has big food done?..not much unless people refuse to buy their crap. To blame the rising med costs just on Obesity is also a simplistic view. The American diet is crap..yes.Big Food is producing nasty foods with ingredients banned in most civilized countries…add GMO’s and we have yet another health care nightmare on the horizon…but Big Pharma is also getting more and more of us on their nasty drugs which is also causing health care problems. Obesity is the “new normal”…get over it…unless we have a proper national strategy to combat this..it is just going to get worse…and yes..I am a Boomer…but not part of the 72% of the fat / obese crowd.
For older people, losing weight is about disease prevention, staying healthy, and feeling good. One of the biggest misconceptions people have, says Roberts, is someone thinks they have to be an ideal weight to be healthy. She says even modest weight loss, such as 10 percent of excess body weight, has significant improvements in someone’s health. If you get down one weight classification and are still overweight, Roberts says, you’re already decreasing your risk for disease. Losing weight has a positive snowball effect: It gets easier as you continue to shed pounds, and it improves your overall mood and outlook.
Common side effects of megestrol acetate include hypertension, gastrointestinal upset, insomnia and impotence; reported serious adverse events include adrenal insufficiency and thromboembolic events.28
Yet these hurdles can be waved away, if one only has the proper mind-set. Bittman argued two years ago in The Times that there’s no excuse for anyone, food-desert-bound or not, to eat fast food rather than wholesome food, because even if it’s not perfectly fresh and locally grown, lower-end wholesome food—when purchased judiciously at the supermarket and cooked at home—can be cheaper than fast food. Sure, there’s the matter of all the time, effort, schedule coordination, and ability it takes to shop, cook, serve, and clean up. But anyone who whines about that extra work, Bittman chided, just doesn’t want to give up their excessive TV watching. (An “important benefit of paying more for better-quality food is that you’re apt to eat less of it,” Pollan helpfully noted in his 2008 book, In Defense of Food.) It’s remarkable how easy it is to remake the disadvantaged in one’s own image.
Jump up ^ Gortmaker SL, Must A, Sobol AM, Peterson K, Colditz GA, Dietz WH (April 1996). “Television viewing as a cause of increasing obesity among children in the United States, 1986–1990”. Arch Pediatr Adolesc Med (Review). 150 (4): 356–62. doi:10.1001/archpedi.1996.02170290022003. PMID 8634729.
At an individual level, a combination of excessive food energy intake and a lack of physical activity is thought to explain most cases of obesity. A limited number of cases are due primarily to genetics, medical reasons, or psychiatric illness. In contrast, increasing rates of obesity at a societal level are felt to be due to an easily accessible and palatable diet, increased reliance on cars, and mechanized manufacturing.
A Senior Workout should start slowly with exercises that match your aging parents recent activity levels. Those moderately active can begin with relatively moderate-intensity aerobic activity. They should avoid vigorous intensity activities, such as shoveling snow or running. Senior adults with a low level of fitness can begin with light senior exercises.
Many people insist that the steps the food industry has already taken to offer less-obesogenic fare are no more than cynical ploys to fool customers into eating the same old crap under healthy guise. In his 3,500-word New York Times Magazine article on the prospects for healthier fast food, Mark Bittman lauded a new niche of vegan chain restaurants while devoting just one line to the major “quick serve” restaurants’ contribution to better health: “I’m not talking about token gestures, like the McDonald’s fruit-and-yogurt parfait, whose calories are more than 50 percent sugar.” Never mind that 80 percent of a farm-fresh apple’s calories come from sugar; that almost any obesity expert would heartily approve of the yogurt parfait as a step in the right direction for most fast-food-dessert eaters; and that many of the desserts Bittman glorifies in his own writing make the parfait look like arugula, nutrition-wise. (His recipe for corn-and-blueberry crisp, for example, calls for adding two-thirds of a cup of brown sugar to a lot of other problem carbs, along with five tablespoons of butter.)
A cross-sectional study of 68 community-dwelling older adults in the midwestern United States (with an average age of 86 years and 51 of whom were women) showed that depression (using the Geriatric Depression Scale) was independently associated with weight loss (OR 1.65, 95% CI 1.12–2.43).12 Another prospective study (n = 309) found that psychiatric and psychological diseases are one of the primary reasons for unexplained weight loss.9
Follow a healthy eating plan. Focus on low-calorie, nutrient-dense foods, such as fruits, vegetables and whole grains. Avoid saturated fat and limit sweets and alcohol. Eat three regular meals a day with limited snacking. You can still enjoy small amounts of high-fat, high-calorie foods as an infrequent treat. Just be sure to choose foods that promote a healthy weight and good health most of the time.
Measure your waist circumference if you are an adult. If your waist circumference is greater than 35 inches for women or greater than 40 inches for men, you may be at risk for heart disease, stroke, or type 2 diabetes. South Asians and South and Central Americans have a higher risk of complications, so waist circumference should be smaller than 35 for man and 31 for women. To correctly measure your waist, stand and place a tape measure around your middle, just above your hip bones. Measure your waist just after you breathe out. Visit Assessing Your Weight for more information.
“Despite their longer life expectancy over previous generations, U.S. baby boomers have higher rates of chronic disease, more disability and lower self-rated health than members of the previous generation at the same age,” wrote the study’s authors, led by Dr. Dana E. King, professor and chair of family medicine at West Virginia University in Morgantown.
The first class (category) of medication used for weight control cause symptoms that mimic the sympathetic nervous system. They cause the body to feel “under stress” or “nervous.” As a result, the major side effect of this class of medication is high blood pressure. This class of medication includes sibutramine (Meridia, which was taken off the market in the U.S. in October 2010 due to safety concerns) and phentermine (Adipex P). These medications also decrease appetite and create a sensation of fullness. Hunger and fullness (satiety) are regulated by brain chemicals called neurotransmitters. Examples of neurotransmitters include serotonin, norepinephrine, and dopamine. Anti-obesity medications that suppress appetite do so by increasing the level of these neurotransmitters at the junction (called synapse) between nerve endings in the brain.
Fruits are a delicious source of natural sugars, antioxidants, vitamins, minerals and fiber. Keeping fruit on hand as a go to snack and dessert is a healthy and low calorie way to satisfy a sweet tooth. Be sure to ask your doctor about which fruits may interact with any medication.
36. Barzilay JI, Blaum Carolina , Moore T, Xue QL, Hirsch CH, Walstom JD, Frird LP: Insulin resistance and inflammation as precursor of frailty: the Cardiovascular Health Study. Arch Intern Med 2007; 167; 635– 641 [PubMed]
Medical experts report that obesity raises the risk of developing some cancers, sleep apnea and respiratory problems, osteoarthritis, diabetes and coronary heart disease. Obese Medicare beneficiaries are estimated to cost 34% more than their non-obese/overweight peers. According to the Poll, approximately 77 million US baby boomers may be eligible for Medicare coverage.
University of Adelaide. “Gen X obesity a major problem for healthcare, workforce: Australian study.” ScienceDaily. ScienceDaily, 27 March 2014.
The study by Martin and her colleagues, prepared for a 2012 conference organized by the U.S. Department of Health and Human Services, was based on data from the 1997 to 2010 National Health Interview Survey. This survey collected health information from a nationally representative sample of older Americans who do not live in nursing homes or other institutions, including measuring the weight and height of a subset of the respondents.
Waist circumference is a less-common method used to measure obesity in an individual. This simple measurement indicates obesity and morbid obesity in adults by measuring your waist. To find your waist circumference, wrap a tape measure around the area above your hip bone and below your rib cage.
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While policy guidelines suggest all adults get their heart rates up at least 150 minutes each week and strengthen their muscles twice a week, less than 8 percent of adults over age 70 do that, according to data from the Centers for Disease Control and Prevention. But exercise – and particularly resistance training – is especially important among older adults to keep muscles and bones healthy. Fortunately, many programs at community centers, in gyms and even online can help older adults learn to move in ways that benefit their quality of life, experts say. Joe Acosta, for one, finds doing body weight exercises like pushups every other day at home helps ward off back pain. Other people his age looking to lose weight, he says, “have to make up their minds that they’re going to be active.”
You should consult with your physician before initiating any exercise program. Set realistic goals and make sure they are measurable. Involving your family or friends can also help to maintain your physical activity level and reach your goals.