“obesity index europe _junk food and obesity statistics”

For starters, it’s even more important than ever to actually follow the advice to talk to your doc before beginning any new exercise regimen. “Medical problems, such as heart disease and metabolic disease, become more common after age 60, so it becomes much more important to have a medical checkup before attempting a fat loss plan,” says Huizenga. Then there’s the fact that over the age of 60, your oxygen intake may be reduced by as much as one-third of what it was when you were 25, causing you to have a tougher time taking deep breaths when you’re exercising at a moderate to high intensity, and making it crucial to ease in to a new plan. Finally, this is the decade when your hips, knees, and other key joints are more likely to develop arthritis, which means that your old go-to running or aerobics workouts may need to be swapped for swimming and/or gentle walking plans.
nursing considerations Nursing interventions are aimed at reinforcement of long-term life-style changes, including a balanced diet and regular exercise. Instruction is aimed at developing mutually agreed-on diet and exercise goals and successful management of blood pressure, lipid levels, and glucose levels.
The World Health Assembly welcomed the report of the Commission on Ending Childhood Obesity (2016) and its 6 recommendations to address the obesogenic environment and critical periods in the life course to tackle childhood obesity. The implementation plan to guide countries in taking action to implement the recommendations of the Commission was welcomed by the World Health Assembly in 2017.
For the 35 percent of American adults who do daily battle with obesity, the main causes of their condition are all too familiar: an unhealthy diet, a sedentary lifestyle and perhaps some unlucky genes. In recent years, however, researchers have become increasingly convinced that important hidden players literally lurk in human bowels: billions on billions of gut microbes.
The World Health Organization (2005) has noted that life-threatening illnesses related to obesity include cardiovascular disease; conditions associated with insulin resistance, such as type 2 diabetes; certain types of cancers, especially hormonally related and large-bowel cancer; and gallbladder disease. The next few sections will discuss these illnesses.
Poor eating habits and inactivity add up weight gain. If left unchecked, this often leads to excessive weight gain and obesity — both of which are linked with a number of health complications. Seniors, in particular, are at risk for clinical consequences, including type 2 diabetes, arthritis, urinary incontinence and even depression, according to an article published in the British Medical Bulletin.
Genetic factors are difficult to change. However, people and places can play a role in helping children achieve and maintain a healthy weight. Families, communities, schools, out-of-school programs, medical care providers, faith-based institutions, government agencies, the media, food and beverage companies, and entertainment industries all influence the dietary and physical activity behaviors of children and adolescents.7-9
Obesity traditionally has been defined as a weight at least 20% above the weight corresponding to the lowest death rate for individuals of a specific height, gender, and age (ideal weight). Twenty to forty percent over ideal weight is considered mildly obese; 40-100% over ideal weight is considered moderately obese; and 100% over ideal weight is considered severely, or morbidly, obese. More recent guidelines for obesity use a measurement called BMI (body mass index) which is the individual’s weight multiplied by 703 and then divided by twice the height in inches. BMI of 25.9-29 is considered overweight; BMI over 30 is considered obese. Measurements and comparisons of waist and hip circumference can also provide some information regarding risk factors associated with weight. The higher the ratio, the greater the chance for weight-associated complications. Calipers can be used to measure skin-fold thickness to determine whether tissue is muscle (lean) or adipose tissue (fat).
The BMI is a measure of your weight in relation to your height, and your waist circumference measures your abdominal fat. Combining these with information about your additional risk factors will give you an idea of your risk for developing obesity-associated diseases.
The biology of food intake is very complex, involving olfaction (smell), taste, texture, temperature, cognitive and emotional responses and metabolic/autonomic information, which signal the brain to initiate or cease eating. Recent scientific studies have identified several substances that act on the brain to signal a need for an increase in food intake. Likewise, several substances have been identified that signal the brain to decrease food intake.
Obesity can sometimes be traced to a medical cause, such as Prader-Willi syndrome, Cushing’s syndrome, and other diseases and conditions. However, these disorders are rare and, in general, the principal causes of obesity are:
The researchers wanted to see what combination of exercise, along with dieting for weight loss, might be best. They randomly assigned 160 obese and sedentary adults, age 65 or older, to one of four groups: weight loss and aerobic training; weight loss and resistance training; or weight loss and a combination of both types of exercise. The fourth group served as controls and didn’t exercise or try to lose weight.
An excess of subcutaneous fat in proportion to lean body mass. Excess fat accumulation is associated with increase in the size (hypertrophy) as well as the number (hyperplasia) of adipose tissue cells. Obesity is variously defined in terms of absolute weight, weight:height ratio, distribution of subcutaneous fat, and societal and esthetic norms. Measures of weight in proportion to height include relative weight (RW, body weight divided by median desirable weight for a person of the same height and medium frame according to actuarial tables), body mass index (BMI, kg/m2) and ponderal index (kg/m3). These do not differentiate between excess adiposity and increased lean body mass. In contrast, subscapular and triceps skinfold measurements and determination of the waist:hip ratio help define the regional deposition of fat and differentiate the more medically significant central obesity from peripheral obesity in adults. No single cause can explain all cases of obesity. Ultimately it results from an imbalance between energy intake and energy expenditure. Although faulty eating habits related to failure of normal satiety feedback mechanisms may be responsible for some cases, many obese people neither consume more calories nor eat different proportions of foodstuffs than nonobese persons. Contrary to popular belief, obesity is not caused by disorders pituitary, thyroid, or adrenal gland metabolism. However, it is often associated with hyperinsulinism and relative insulin resistance. Studies of obese twins strongly suggest the presence of genetic influences on resting metabolic rate, feeding behavior, changes in energy expenditures in response to overfeeding, lipoprotein lipase activity, and basal rate of lipolysis. Environmental factors associated with obesity include socioeconomic status, race, region of residence, season, urban living, and being part of a smaller family. The prevalence of obesity is greater when weight is measured during winter rather than summer. Obesity is much more common in the southeastern U.S., although the northeastern and midwestern states also have high rates, a phenomenon independent of race, population density, and season.
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.

“obesity in america gov |obesity knowledge”

Although strength training programs have been shown to reduce body weight significantly (and increase muscle mass), convincing overweight clients to eat properly is even more important in helping them lose fat. Consult a registered dietician and use the information in chapter 10 that discusses food selection and substitutions for heart-healthy eating to help your overweight clients attain a more desirable bodyweight. Also, encourage them to drink lots of water before, during, and after workouts, especially in hot and humid weather or in training areas without ideal air circulation. Suggest that they wear loose clothing to decrease chafing and dress in layers so that they can remove articles to avoid overheating (Flood and Constance 2002).
In the U.S., 97 million adults are overweight or obese. Being overweight significantly increases the risk of death from hypertension, dyslipidemia, type 2 diabetes, stroke, osteoarthritis, coronary heart disease, gallbladder disease, sleep apnea and respiratory problems, and endometrial, breast, prostate, and colon cancers. 
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.
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.
Many scientists who work on the microbiome think their research will inspire a new generation of tools to treat and prevent obesity. Still, researchers are quick to point out that this is a young field with far more questions than answers. “Data from human studies are a lot messier than the mouse data,” observes Claire Fraser of the University of Maryland, who is studying obesity and gut microbes in the Old Order Amish population. Even in a homogeneous population such as the Amish, she says, there is vast individual variation that makes it difficult to isolate the role of microbiota in a complex disease like obesity.
If you plan to lose more than 15 to 20 pounds, have any health problems, or take medication on a regular basis, you should be evaluated by your doctor before beginning your weight-loss program. A doctor can assess your general health and any medical conditions that might be affected by dieting and weight loss. Also, a physician should be able to advise you on the need for weight loss, the appropriateness of the weight-loss program, and a sensible goal of weight loss for you. If you plan to use a very low-calorie diet (a special liquid formula diet that replaces all food intake for one to four months), you should do so under the close supervision of a health-care professional.
Under-nutrition and obesity often exist side-by-side within the same country, the same community and even within the same household and this double burden is caused by inadequate pre-natal, infant and young child nutrition followed by exposure to high-fat, energy-dense, micronutrient-poor foods and lack of physical activity.
For most people, BMI provides a reasonable estimate of body fat. However, BMI doesn’t directly measure body fat, so some people, such as muscular athletes, may have a BMI in the obese category even though they don’t have excess body fat. Ask your doctor if your BMI is a problem.
Every adult should have his or her BMI calculated at least once a year. The American Heart Association offers an online BMI calculator for adults. Patients with a BMI of 30 or higher are considered obese and need treatment.
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]
This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings through its clearinghouses and education programs to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.
When we grow older, especially if ill and not really physically active, we tend to lose our muscle mass. It gets replaced with fat. Our BMI may not change, but in reality, our fat-stores increase and so does the chance of being affected by obesity and its related diseases. BMI can also be inaccurate in the elderly for another common reason. As we grow old, we often get shorter. This is due to osteoporosis and spinal vertebral issues that take away inches in older age. If you remember that the BMI is a measure calculated from height and weight, you will understand that a change in height will change BMI as well. In fact, if one weighs the same, and their height is less, then the BMI will be falsely higher and one might be classified as “overweight” while in reality, he/she is not. Scientists and physicians still debate about a better measure for weight classification, but for now, BMI is the accepted one and physicians need to use it while understanding its limitations.
Obesity results from the accumulation of excess fat on the body. Obesity is considered a chronic (long-term) disease, like high blood pressure or diabetes. It has many serious long-term consequences for your health, and it is a leading cause of preventable deaths in the United States (with tobacco use and high blood pressure). Obesity is defined as having a body mass index (BMI) of greater than 30. The BMI is a measure of your weight relative to your height.
In the old spiritual, “Dem Bones,” each body part is linked to the next one in line: the thigh bone to the knee bone, the knee bone to the leg bone, and so on. But one body “part”-weight-is connected to virtually all of the others. A healthy weight sets the stage for bones, muscles, brain, heart, and others to play their parts smoothly and efficiently for many years.
What makes Sacred Heart Senior Living so different, comfortable and easy isn’t just one thing, it’s every little thing. Our difference is the people, the atmosphere, the personal touch, the services and the peace of mind.
…high-calorie, processed food is less expensive and quicker to prepare than fresh fruits and vegetables. Poverty and lower levels of education have also been linked to obesity (NIH, 2006). It has been suggested that one reason why poverty and lower educational levels are risk factors for obesity is that high-calorie, processed food is less expensive and quicker to prepare than fresh fruits and vegetables (NIH, 2006). Through observation and the anecdotes patients have shared with me, I have come to believe the social environment indeed contributes to the increasing prevalence of obesity. To date, only a few research studies have focused on this factor.
47. Prospective Studies Collaboration. Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R: Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet 2009; 373: 1083– 1096 [PMC free article] [PubMed]
A healthy diet for preventing diabetes includes reducing or avoiding foods that have a high Glycemic Index (GI). The GI is how quickly a carbohydrate in a food is digested and converted into sugar in your blood. Foods with the highest GI include table sugar, flour, rice, and everything made from these nutrients, such as processed bread, pasta, and pastry.
Dr. Ryan Masters and Dr. Bruce Link at Columbia University’s Mailman School of Public Health, in collaboration with Dr. Daniel Powers at the University of Texas, published the results of the study online this week in the American Journal of Epidemiology.
[2] Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. The Journal of the American Medical Association. 2016;315(21):2284–2291. Available at http://jama.jamanetwork.com/article.aspx?articleid=2526639 or https://www.ncbi.nlm.nih.gov/pubmed/27272580.
Obesity is one of the most pervasive, chronic diseases in need of new strategies for medical treatment and prevention. As a leading cause of United States mortality, morbidity, disability, healthcare utilization and healthcare costs, the high prevalence of obesity continues to strain the United States healthcare system.
Ovarian cancer: Higher BMI is associated with a slight increase in the risk of ovarian cancer, particularly in women who have never used menopausal hormone therapy (24). For example, a 5-unit increase in BMI is associated with a 10% increase in risk among women who have never used menopausal hormone therapy (24).
Jump up ^ “Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children” (PDF). National Institute for Health and Clinical Excellence(NICE). National Health Services (NHS). 2006. Retrieved April 8, 2009.
While this research paradox carries on, obesity in our elders can’t be ignored.  Being overweight or obese can be exacerbated in some people after retirement because they have more free time to sit around and aren’t as active as when they were younger or worked. On the other hand, baby boomers are being forced to delay retirement because of the economy. So many of those people are at desk jobs all day instead of being able to retire and be active.
Monitors from a nonprofit, Educación Popular en Salud, giving information on healthy and cheap food to the residents of the low-income El Bosque neighborhood of Santiago. Credit Victor Ruiz Caballero for The New York Times
Baby boomers, especially those over the age of 60, are already the sickest and most expensive in terms of medical costs. But, what’s making this even more worrisome is that it’s the fastest growing health issue in the U.S. Therefore, the overall disease burden and economic effects of obesity may be magnified.
Cancer. has been linked to cancer of the colon in men and women, cancer of the rectum and prostate in men, and cancer of the gallbladder and uterus in women. Obesity may also be associated with breast cancer, particularly in postmenopausal women. Fat tissue is important in the production of estrogen, and prolonged exposure to high levels of estrogen increases the risk of breast cancer.
Losing weight is difficult, and interventions that work in younger adults cannot be assumed to translate to older populations with co-morbidities, low muscle mass and frailty (Villareal 2004). The appropriate treatment approach for obesity remains highly contentious due to the lack of evidenced-based data demonstrating that long-term weight loss is net beneficial or harmful in this age group. There is evidence that successful weight loss is possible in adults 65 years and older (Villareal 2006a; Villareal 2006b; Villareal 2008; Frimel 2008; Lambert 2008; Shah 2009; Villareal 2011a; Armamento-Villareal 2012; Shah 2011; Kelly 2011). However, weight-loss trials have reported losses of lean body mass and bone mineral density, in addition to fat mass (Villareal 2006a; Villareal 2006b; Villareal 2008; Frimel 2008; Lambert 2008; Shah 2009; Villareal 2011a; Armamento-Villareal 2012; Shah 2011; Kelly 2011; Bales 2008). These negative outcomes discourage many geriatricians from advising weight loss to their obese older patients (Heiat 2001; Rossner 2001; Sorensen 2003; Villareal 2005; Zamboni 2005; Rolland 2006; Morley 2010), despite improvements in body composition, physical function, metabolic and cardiovascular parameters that accompany weight loss (Forsythe 2008; Anandacoomarasamy 2009; Cheung 2012; Erteck 2012). Given these positive functional and metabolic outcomes, it is somewhat surprising that advising weight loss in obese older adults is still shunned in the medical community (Houston 2009; Sommers 2011). Compounding the confusion surrounding risks versus benefits from intentional weight loss is the lack of human studies to elucidate the mechanisms associated with the loss of muscle and bone. Also lacking are trials with adequate follow-up to assess the behaviors associated with long-term maintenance of weight loss and health outcomes related to sustained weight loss.
A third study examined the impact of physical training and nutrition.18 Fifty-eight older, community-dwelling individuals were randomized to one of the following four groups: a physical training program (involving aerobic, muscle strength and balance training), a nutritional intervention program (involving individually targeted advice and group sessions), a combination of the first two interventions, or a control group. At baseline and then again at 12 weeks, subjects were screened for physical performance. Intention-to-treat analysis showed a significant improvement in both training groups compared with the nutritional group. The nutritional interventions showed no significant improvement over the control group.
Washington University School of Medicine’s 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children’s hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked fourth in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children’s hospitals, the School of Medicine is linked to BJC HealthCare.
Disability levels among older Americans declined steadily during the 1980s and 1990s. This decline was hailed as one of the most significant advances in the health and well-being of Americans in the last quarter of the 20th century. Contributing to the decline were both a drop in the incidence of disability and a rise in the chance of recovery from a disabling condition.
The reason it’s vitally important for you to take alongside exercising is it’s role in wound repair. Vitamin C creates collagen, a component necessary for healing. If there’s any risk of your damaging yourself with exercise, you’ll want to make sure you’re healthy enough to repair it.
Begin increasing your activity level. Try to get up and move around your home more frequently. Start gradually if you aren’t in good shape or aren’t used to exercising. Even a 10-minute daily walk can help. If you have any health conditions, or if you’re a man over age 40 or a woman over age 50, wait until you’ve talked to your doctor or health care provider before you start a new exercise program.
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.

“obesity epidemic in healthcare obesity scale worldwide”

^ Jump up to: a b Kanazawa, M; Yoshiike, N; Osaka, T; Numba, Y; Zimmet, P; Inoue, S (2005). “Criteria and classification of obesity in Japan and Asia-Oceania”. World review of nutrition and dietetics. World Review of Nutrition and Dietetics. 94: 1–12. doi:10.1159/000088200. ISBN 3-8055-7944-6. PMID 16145245.
High blood pressure – Additional fat tissue in the body needs oxygen and nutrients in order to live, which requires the blood vessels to circulate more blood to the fat tissue. This increases the workload of the heart because it must pump more blood through additional blood vessels. More circulating blood also means more pressure on the artery walls. Higher pressure on the artery walls increases the blood pressure. In addition, extra weight can raise the heart rate and reduce the body’s ability to transport blood through the vessels.
Habits change as we get older, and so do the little things we need to do on a daily basis to stay healthy. Maintaining a healthy weight greatly reduces the risk of serious illnesses like diabetes, heart diseases and even cancer, which makes it more important than ever to stay fit as we get older. By incorporating healthy lifestyle habits into the daily routine, maintaining an optimal weight as a senior is a reachable goal.
With the onset of the Industrial Revolution it was realized that the military and economic might of nations were dependent on both the body size and strength of their soldiers and workers.[94] Increasing the average body mass index from what is now considered underweight to what is now the normal range played a significant role in the development of industrialized societies.[94] Height and weight thus both increased through the in the developed world. During the 20th century, as populations reached their genetic potential for height, weight began increasing much more than height, resulting in obesity.[94] In the 1950s increasing wealth in the developed world decreased child mortality, but as body weight increased heart and kidney disease became more common.[94][195] During this time period, insurance companies realized the connection between weight and life expectancy and increased premiums for the obese.[2]
Children in low- and middle-income countries are more vulnerable to inadequate pre-natal, infant, and young child nutrition. At the same time, these children are exposed to high-fat, high-sugar, high-salt, energy-dense, and micronutrient-poor foods, which tend to be lower in cost but also lower in nutrient quality. These dietary patterns, in conjunction with lower levels of physical activity, result in sharp increases in childhood obesity while undernutrition issues remain unsolved.
Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.
Jump up ^ McGreevy PD, Thomson PC, Pride C, Fawcett A, Grassi T, Jones B (May 2005). “Prevalence of obesity in dogs examined by Australian veterinary practices and the risk factors involved”. Vet. Rec. 156 (22): 695–702. doi:10.1136/vr.156.22.695. PMID 15923551.
A 2006 review identified ten other possible contributors to the recent increase of obesity: (1) insufficient sleep, (2) endocrine disruptors (environmental pollutants that interfere with lipid metabolism), (3) decreased variability in ambient temperature, (4) decreased rates of smoking, because smoking suppresses appetite, (5) increased use of medications that can cause weight gain (e.g., atypical antipsychotics), (6) proportional increases in ethnic and age groups that tend to be heavier, (7) pregnancy at a later age (which may cause susceptibility to obesity in children), (8) epigenetic risk factors passed on generationally, (9) natural selection for higher BMI, and (10) assortative mating leading to increased concentration of obesity risk factors (this would increase the number of obese people by increasing population variance in weight).[85] While there is evidence supporting the influence of these mechanisms on the increased prevalence of obesity, the evidence is still inconclusive, and the authors state that these are probably less influential than the ones discussed in the previous paragraph.
Over the next two months, her appetite improves and she gains four pounds. Her weight loss appears to have been the result of multiple factors, including social isolation, bereavement, chewing issues, decreased oral intake and possibly the use of NSAIDs. Risk factor modification appears to have been successful so you do not consider further nutritional or pharmacologic interventions at this time.
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 a one-year, randomized, controlled trial, researchers from Washington University School of Medicine in St. Louis evaluated independent and combined effects of weight loss through calorie reduction and exercise in nearly 100 obese older adults with an average age of 70. The study, published in the March issue of New England Journal of Medicine, randomized subjects into one of four groups:
Jump up ^ Nijland ML, Stam F, Seidell JC (June 2009). “Overweight in dogs, but not in cats, is related to overweight in their owners”. Public Health Nutr. 13 (1): 1–5. doi:10.1017/S136898000999022X. PMID 19545467.
Several randomized clinical trials in breast cancer survivors have reported weight loss interventions that resulted in both weight loss and beneficial changes in biomarkers that have been linked to the association between obesity and prognosis (43, 44). However, there is little evidence about whether weight loss improves cancer recurrence or prognosis (45). The NCI-sponsored Breast Cancer WEight Loss (BWEL) Study, a randomized phase III trial that is currently recruiting participants, will compare recurrence rate in overweight and obese women who take part in a weight loss program after breast cancer diagnosis with that in women who do not take part in the weight loss program.
Reducing the national debt and government fiscal responsibility is a major baby boomer focus. Yet Social Security and Medicare now represent two-thirds of the annual federal budget. Medicare alone equals about 25 percent of all government spending. The “tell like it is” numbers are squarely pointing the finger at the boomer generation as the cause of spiraling government expenditures. Their lifestyle, and its unintended weight-related health consequences, is the greatest threat to our country’s ability to balance its budget and the future prosperity of our children and grandchildren.
Excess food portions. Americans are surrounded by huge food portions in restaurants, fast food outlets, gas stations, movie theaters, supermarkets, and even home. Eating large portions means too much energy IN. Over time, this will cause weight gain if it isn’t balanced with physical activity.
Keep in mind, though, that weight-loss medication is meant to be used along with diet, exercise and behavior changes, not instead of them. If you don’t make these other changes in your life, medication is unlikely to work.
Shah K, Armamento-Villareal R, Parimi N, Chode S, Sinacore DR, Hilton TN, Napoli N, Qualls C, Villareal DT. Exercise training in obese older adults prevents increase in bone turnover and attenuates decrease in hip bone mineral density induced by weight loss despite decline in bone-active hormones. J Bone Miner Res. 2011;26:2851–2859. [PMC free article] [PubMed]
Increased body mass has a negative impact on weight-bearing joints, and knee osteoarthritis is particularly common in obese men (58%) and women (68%) by the age of ≥65 years (41). The physical limitation caused by this condition is widely appreciated, but less attention is paid to the inevitable impact on pain and chronic overconsumption of analgesics that often underlie the development of drug-resistant hypertension and incipient nephropathy.
SOURCES: Adams, K. New England Journal of Medicine, Aug. 24, 2006; vol 355: pp 763-778. Michael F. Leitzmann, MD, investigator, Nutritional Epidemiology Branch, National Cancer Institute, Bethesda, Md. JoAnn Manson, MD, DrPH, chief of preventive medicine, Brigham and Women’s Hospital; professor of medicine, Harvard Medical School, Boston.
Obesity rates among older adults have been increasing, standing at about 40 percent of 65-to-74-year-olds in 2009-2012, and putting more people at risk of chronic disease and disability (see image below).
The survey from the Robert Wood Johnson Foundation and Trust for America’s Health also found that despite first lady Michelle Obama’s best efforts, nearly one of three children and teens ages two to 19 is overweight or obese.
Jump up ^ Imaz I, Martínez-Cervell C, García-Alvarez EE, Sendra-Gutiérrez JM, González-Enríquez J (July 2008). “Safety and effectiveness of the intragastric balloon for obesity. A meta-analysis”. Obes Surg. 18 (7): 841–46. doi:10.1007/s11695-007-9331-8. PMID 18459025.
May 26, 2015 — Obesity may be tougher on male immune systems than females, a new study in mice suggests. With the risk for obesity-associated diseases significantly higher for men than women, researchers compared … read more
If you have been diagnosed with overweight and obesity, it is important that you continue your treatment. Read about tips to help you aim for a healthy weight, the benefit of finding and continuing a behavioral weight-loss program, and ways your doctor may monitor if your condition is stable, worsening, or improving and assess your risk for complications.

” +obesity operational definition”

Gaining a few pounds during the year may not seem like a big deal. But these pounds can add up over time. How can you tell if your weight could increase your chances of developing health problems? Knowing two numbers may help you understand your risk: your body mass index (BMI) score and your waist size in inches.
Likewise, increasing your activity level is largely a matter of changing your attitude. You don’t have to become a marathon runner. Thirty minutes of aerobic activity five days a week will make a significant difference in your health. Look for ways to increase your activity level doing things you enjoy.
The BMI equals a person’s weight in kilograms divided by height in meters squared (BMI = kg/m2). To calculate the BMI using pounds, divide the weight in pounds by the height in inches squared and multiply the result by 703.
The rise in obesity among 40-to-64-year-olds accounts for much of the rise in both disability and physical-function limitations, according to Martin’s analysis. But while they were able to show a statistical link between the two trends, she explained that “not all obese people had limitations and not all people with limitations were obese.”
While genetic influences are important to understanding obesity, they cannot explain the current dramatic increase seen within specific countries or globally.[132] Though it is accepted that energy consumption in excess of energy expenditure leads to obesity on an individual basis, the cause of the shifts in these two factors on the societal scale is much debated. There are a number of theories as to the cause but most believe it is a combination of various factors.
When we grow older, we tend to lose our muscle mass and it gets replaced with fat. Our BMI (Body Mass Index) may not change, but in reality, our fat-stores increase, as does the chance of being affected by obesity and its related diseases. BMI can also be inaccurate in seniors for another common reason. As we grow old, we often get shorter. This is due to osteoporosis and spinal vertebral issues that take away inches in older age. Since BMI is a measure calculated from height and weight, a change in height will change BMI as well. In fact, if a senior weighs the same, and his or her height is now less, then the BMI will be falsely higher. This could classify the senior as “overweight”, while in reality, that is not the case. Scientists and physicians still debate about a better measure for weight classification, but for now, BMI is the accepted one and physicians need to use it, while understanding its limitations. 
A chart review of 10 000 patients in seven family practice centres in the southeastern United States, where 45 patients (with an average age of 72 years and 30 of whom were women) were identified having substantial, unexplained weight loss, showed that a comprehensive history and physical examination have the greatest potential for eliciting the cause or causes of weight loss.5 Information about potential physiologic, psychological and social factors (e.g., dementia, immobility, bereavement, low income, social isolation) may prove vital to determining the cause as well as to the outcome (Box 1). All current prescribed and over-the-counter medications should be reviewed.2
The impact of obesity on male fertility is less clear. In a study by Hammoud and colleagues, the incidence of low sperm count (oligospermia) and poor sperm motility (asthenospermia) increased with BMI, from 5.3 and 4.5 percent, respectively, in normal-weight men to 15.6 and 13.3 percent in obese men. (24) In contrast, a study by Chavarro and colleagues found little effect of body weight on semen quality except at the highest BMIs (above 35), despite major differences in reproductive hormone levels with increasing weight. (25)
“Our research indicates that higher numbers of young and middle-age American adults are becoming obese at younger and younger ages,” researcher Joyce Lee, MD, MPH, a pediatric endocrinologist at the University of Michigan, says in a news release.
Roberson has tried to lose weight before, but it was hard. “You hit a couple of rough weeks and you kinda slough off.” This time, Roberson says firmly, she will have to come back and answer to Rucker. That accountability, Rucker says will help her lose weight.
A retrospective chart review of 96 residents in six intermediate care facilities in the United States found an association between anorexia and poor weight status and confusion in 42 residents.8 A prospective six-month study involving 309 residents of an intermediate nursing home in suburban midwestern United States found the primary reasons for weight changes to be acute illness, dementia and changes in the mucous membranes of the mouth and gums.9

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If medically appropriate, a weight-neutral drug should be substituted for one suspected of causing weight gain. The doctor or specialist who prescribed the original drug should be notified or consulted about any change.
Melania Lizano is a gynecologist with 20 years of experience practicing medicine, specializing in high-risk pregnancy and gynecologic diseases. She has a Masters degree in nutrition and is certified to teach Perfect Health: Ayurvedic Lifestyle and Primordial Sound Meditation . She uses her knowledge in holistic health and mind-body medicine in her medical practice, where she treats patients in a holistic, integrative way, and promotes healthy eating and lifestyle habits in women Learn more about Melania’s practice at melanializano…Read more
Though there are medications available to treat appetite issues, Fabius isn’t a fan of many of them. However, he says there is pharmaceutical research in progress that could change that. “There are promising drugs in the pipeline that can stimulate appetite,” he says.
We went into a KFC and found ourselves traversing a maze of signage that put us face-to-face with garish images of various fried foods that presumably had some chicken somewhere deep inside them. “The more they want you to buy something, the bigger they make the image on the menu board,” Lesser explained. Here, what loomed largest was the $19.98 fried-chicken-and-corn family meal, which included biscuits and cake. A few days later, I noticed that McDonald’s places large placards showcasing desserts on the trash bins, apparently calculating that the best time to entice diners with sweets is when they think they’ve finished their meals.
Chitosan is a special fiber found in the shell of shellfish like crabs and lobsters. Fiber and its use as a weight loss aid have been the topic of considerable study in the last several decades. Increasing dietary fiber intake naturally decreases fat intake, because fiber-rich foods are relatively low in fat and cholesterol. In addition, increasing fiber usually decreases LDL (bad cholesterol) and increases HDL (good cholesterol), reducing the risk of heart disease.
At a moment when many of his former voters believe that America is facing a genuine democratic crisis, former President Barack Obama has been largely silent about what is happening in American politics. Other than a handful of appearances—an interview with David Letterman in a new Netflix show, or an oral history project at MIT—he insists on following protocol and tradition for former presidents, resisting the temptation to jump back into the political fray.
Involuntary weight loss is a predictor of mortality. Studies report that 9% to 38% of people die within 1 to 2½ years following weight loss.1,2 Increased hospitalizations, in-hospital complications, increased risk for institutionalization, increased comorbidities, delayed recovery from injury, delayed wound healing, increased falls, decreased functional abilities, and an overall poorer quality of life are consequences of involuntary weight loss.2,3,8 Mortality is 4 times higher for those with a 5% weight loss within 1 month.6
When a panel of health and nutrition experts ranked 35 diets for Best Diets 2015, they considered not only weight loss, but also whether diets were heart healthy, good for controlling diabetes and easy to follow. Now, two panel members discuss which U.S. News-ranked diets make the most sense for seniors.
Obesity is a topic of significant importance at medical schools and other programs for healthcare professionals. For example, Creighton University’s online Master of Public Health degree addresses the obesity epidemic, its consequences and treatment. The Creighton program provides students with the techniques and tools to have an effect on public health. The program also offers service-oriented concentrations, such as Public Health Services Administration, which provides leadership and management skills to promote public health and service the public.
“Obese patients are nearly 12 times more likely to suffer a complication following elective plastic surgery than their normal-weight counterparts” according to hopkinsmedicine.org (Ref. http://bit.ly/za1Vmh).
In 2004, the United Kingdom Royal College of Physicians, the Faculty of Public Health and the Royal College of Paediatrics and Child Health released the report “Storing up Problems”, which highlighted the growing problem of obesity in the UK.[159] The same year, the House of Commons Health Select Committee published its “most comprehensive inquiry […] ever undertaken” into the impact of obesity on health and society in the UK and possible approaches to the problem.[160] In 2006, the National Institute for Health and Clinical Excellence (NICE) issued a guideline on the diagnosis and management of obesity, as well as policy implications for non-healthcare organizations such as local councils.[161] A 2007 report produced by Derek Wanless for the King’s Fund warned that unless further action was taken, obesity had the capacity to cripple the National Health Service financially.[162]
The UT MIST/UT COMMP team includes board-certified surgeons and obesity medicine specialists who are among the most highly trained in the country. They offer the most advanced minimally invasive technologies and techniques available for weight loss surgery, and will work with you to provide the best possible care.
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.
Blood tests. Blood tests that check your thyroid hormone levels can help rule out hypothyroidism as a cause of your overweight or obesity. Cortisol and adrenocorticotropic hormone (ACTH) tests can rule out Cushing’s syndrome. Total testosterone and dehydroepiandrosterone sulphate (DHEAS) tests can help rule out polycystic ovary syndrome (PCOS).
Environment plays a key role in shaping an individual’s habits and lifestyle. There are many environmental influences that can impact your health decisions. Today’s society has developed a more sedentary lifestyle. Walking has been replaced by driving cars, physical activity has been replaced by technology and nutrition has been overcome by convenience foods.
Hormones that are released during sleep control appetite and the body’s use of energy. For example, insulin controls the rise and fall of blood sugar levels during sleep. People who don’t get enough sleep have insulin and blood sugar levels that are similar to those in people who are likely to have diabetes.
While the obesity health problems in this section are usually not life-threatening, they can significantly impact your quality of life.  Regarding quality of life, the Journal of Public Health published a study demonstrating that the higher your obesity level, the lower your quality of life regardless of whether or not any diseases are present (3).
3. Park YW, Zhu S, Palaniappan L, Heshka S, Carnethon MR, Heymsfield SB: The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988–1994. Arch Intern Med 2003; 163: 427– 436 [PMC free article] [PubMed]
Brain. Several medicines change the way the brain regulates the urge to eat, which can help to decrease appetite. Some examples of these medicines are diethylpropion, phendimetrazine, lorcaserin, naltrexone/bupropion, and liraglutide.
Psychological factors. For some people, emotions influence eating habits. Many people eat excessively in response to emotions such as boredom, sadness, stress, or anger. While most overweight people have no more psychological disturbances than normal weight people, about 30% of the people who seek treatment for serious weight problems have difficulties with binge eating.
Credentials: Diets which are created or endorsed by medical professionals are more likely to provide good advice. This does not mean any diet endorsed by a professional is good but it does have a better chance of being healthy.
The good news is that losing a small amount of weight can reduce your chances of developing heart disease or a stroke. Losing 5%-10% of your weight is proven to lower your chance of developing heart disease.
An early hint that gut microbes might play a role in obesity came from studies comparing intestinal bacteria in obese and lean individuals. In studies of twins who were both lean or both obese, researchers found that the gut community in lean people was like a rain forest brimming with many species but that the community in obese people was less diverse—more like a nutrient-overloaded pond where relatively few species dominate. Lean individuals, for example, tended to have a wider variety of Bacteroidetes, a large tribe of microbes that specialize in breaking down bulky plant starches and fibers into shorter molecules that the body can use as a source of energy.
The physical performance test entailed such tasks as picking up a penny, walking 50 feet, standing up from a chair, lifting a book, climbing a flight of stairs and donning and removing a coat, the magazine report noted.
Taking a walk everyday is good for the body and the mind. Walking outside is a quiet time for the mind to relax and unwind, while giving your body low impact exercise. Walking just a mile every day keeps your muscles and joints engaged so that they maintain and improve their strength.
Researchers interviewed over one thousand men and women who were born between 1946 and 1964.  According to their findings over a fourth (28%) said the worst thing about getting older are changes that occur in their physical ability.  Being physically independent and being able to pay for medical costs is a major concern. 
It is important to understand what “healthy weight” means. Healthy weight is defined as a body mass index (BMI) equal to or greater than 19 and less than 25 among all people 20 years of age or over. Generally, obesity is defined as a body mass index (BMI) equal to or greater than 30, which approximates 30 pounds of excess weight.
Diabetes. Type 2 diabetes, the most common type of diabetes in older adults, results from interplay between genetic factors and environmental factors that contribute to obesity. Even a 15 pound weight gain can increase a person’s risk of diabetes by 50% (Daniels, 2006). There is an age-related increase in total body fat and visceral adiposity until age 65 that is often accompanied by diabetes or impaired glucose intolerance (Wilson & Kannel, 2007). In the Framingham Study 30-40% of people over 65 were found to have diabetes or glucose intolerance. Coronary disease is the most common and lethal sequel of type 2 diabetes. Lean-muscle mass begins to diminish after the age of 65. This decrease may be related to decreased physical activity, disability, anabolic hormone production, or increased cytokine activity. If calorie intake continues at the same rate while the muscle mass decreases, the older person will most likely experience fat weight gain (Tucker, 2006).
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]
“It’s typical for older adults to have less of an appetite as they age,” says Moreno. This often occurs, he says, because people become more sedentary and it becomes harder to stimulate hunger. Moreno suggests that a healthy diet for seniors should consist of smaller more frequent meals.
Another field of obesity research is the study of hormones, particularly leptin, which is produced by fat cells in the body, and ghrelin, which is secreted by cells in the lining of the stomach. Both hormones are known to affect appetite and the body’s energy balance. Leptin is also related to reproductive function, while ghrelin stimulates the pituitary gland to release growth hormone. Further studies these two hormones may lead to the development of new medications to control appetite and food intake.
Cushing’s syndrome. People with this condition have high levels of glucocorticoids , such as cortisol , in the blood. High cortisol levels make the body feel like it is under chronic stress. As a result, people have an increase in appetite and the body will store more fat. Cushing’s syndrome may develop after taking certain medicines or because the body naturally makes too much cortisol.

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For older adults who are struggling with obesity, a weight loss program that minimizes muscle and bone loss and also takes into account functional impairments or metabolic complications is often the most beneficial way to get weight issues under control. These programs usually include nutritional counseling from a registered dietician or nutritionist, and can help ensure that older adults meet daily nutritional requirements while also moderately decreasing daily calorie intake for weight loss. Additionally, through the implementation of regular physical exercise older adults can improve physical functioning and better preserve muscle and bone mass. The best types of exercises recommend for the older adults include stretching, aerobics, and strengthen exercises as they help improve flexibility, endurance, and strength and reduce the risk of musculoskeletal injuries.
A blood pressure of 120/80 mm Hg (often referred to as “120 over 80”) is considered normal. If the top number (systolic blood pressure) is consistently 140 or higher or the bottom number (diastolic blood pressure) is 90 or higher, you are considered to have high blood pressure.
Obesity in older adults is ubiquitous in many developed countries and is related to various negative health outcomes, making it an important public health target for intervention. However, treatment approaches for obesity in older adults remain controversial due to concerns surrounding the difficulty of behavior change with advancing age, exacerbating the age-related loss of skeletal muscle and bone, and the feasibility of long-term weight maintenance and related health consequences. This review serves to systematically examine the evidence regarding weight loss interventions with a focus on obese (body mass index 30 kg/m2 and above) older adults (aged 65 years and older) and some proposed mechanisms associated with exercise and caloric restriction (lifestyle intervention). Our findings indicate that healthy weight loss in this age group can be achieved through lifestyle interventions of up to a one-year period. Most interventions reviewed reported a loss of lean body mass and bone mineral density with weight loss. Paradoxically muscle quality and physical function improved. Inflammatory molecules and metabolic markers also improved, although the independent and additive effects of exercise and weight loss on these pathways are poorly understood. Using our review inclusion criteria, only one small pilot study investigating long-term weight maintenance and associated health implications was found in the literature. Future research on lifestyle interventions for obese older adults should address the loss of bone and lean body mass, inflammatory mechanisms, and include sufficient follow up to assess long-term weight maintenance and health outcomes.
Compete blood count, erythrocyte sedimentation rate, C-reactive protein level, serum glucose level, thyroid-stimulating hormone level, urinalysis, age-appropriate cancer screening, chest radiography, abdominal ultrasonography
“This comparison paints a very poor picture of Generation X. It gives rise to major concerns for the future health of Gen X and Australia’s ability to cope with that burden,” says Pilkington, who is conducting her research in the University’s Population Research & Outcome Studies group, School of Medicine.
Villareal DT, Binder EF, Yarasheski KE, Williams DB, Brown M, Sinacore DR, Kohrt WM. Effects of exercise training added to ongoing hormone replacement therapy on bone mineral density in frail elderly women. J Am Geriatr Soc. 2003;51:985–990. [PubMed]
In the old spiritual, “Dem Bones,” each body part is linked to the next one in line: the thigh bone to the knee bone, the knee bone to the leg bone, and so on. But one body “part”-weight-is connected to virtually all of the others. A healthy weight sets the stage for bones, muscles, brain, heart, and others to play their parts smoothly and efficiently for many years.
Getting the correct ratios of protein, carbohydrates, and good-quality fats can help in weight loss via enhancement of the metabolism. Support groups that are informed about healthy, nutritious, and balanced diets can offer an individual the support he or she needs to maintain this type of eating regimen.
Eating less is a key factor in weight loss, lowering cholesterol and reducing the risk of heart disease. Even if you eat a regular diet, which for many of us is loaded with fat, the addition of Chitosan makes it a low-fat, low-calorie diet. The taste buds are happy because it tastes good, and the body is happy because less fat is absorbed.
Monitor your weight regularly. People who weigh themselves at least once a week are more successful in keeping off excess pounds. Monitoring your weight can tell you whether your efforts are working and can help you detect small weight gains before they become big problems.
More recently, investigators conducted a systematic review of 89 studies on weight-related diseases and then did a statistical summary, or meta-analysis, of the data. Of the 18 weight-related diseases they studied, diabetes was at the top of the risk list: Compared with men and women in the normal weight range (BMI lower than 25), men with BMIs of 30 higher had a sevenfold higher risk of developing type 2 diabetes, and women with BMIs of 30 or higher had a 12-fold higher risk. (4)
The distribution of your body fat also plays a role in determining your risk of obesity-related health problems. There are at least two different kinds of body fat. Studies conducted in Scandinavia have shown that excess body fat distributed around the waist (apple-shaped figure, intra-abdominal fat) carries more risk than fat distributed on the hips and thighs (pear-shaped figure, fat under the skin).
Physical inactivity, in turn, has rapid profound effects on skeletal muscle metabolism. Unlike the common association of obesity with increased lean body mass and muscle volume in young adults, obese older individuals often develop sarcopenia, reflected by reduction in lean body mass. Impaired mobility in older obese individuals is therefore hardly surprising. A recent study of 2,982 subjects, aged 70–79 years, followed up for 6.5 years, revealed that high adiposity increased the risk of new-onset mobility limitation by 40–50% (33). A cross-sectional study of 92 monozygotic and 104 dizygotic community-living pairs of twin sisters (aged 63–76 years) reared together found an inverse association between adiposity and mobility that was mostly due to the effect of shared genes (34). Larger waist circumference was a powerful predictor of new-onset disability 2 years later, associated with a 2.17-fold increase in the adjusted risk of mobility disability and a 4.77-fold higher adjusted risk of agility disability for men in the highest quintile compared with those in the lowest quintile (35).
University of Adelaide. (2014, March 27). Gen X obesity a major problem for healthcare, workforce: Australian study. ScienceDaily. Retrieved March 8, 2018 from www.sciencedaily.com/releases/2014/03/140327095956.htm
Many people think of yoga as a practice intended only for young, thin, supple bodies — such as those depicted in the illustrations for most books and articles about yoga. However, people of all fitness levels can enjoy the benefits of yoga. The trick is to adapt the traditional poses so those with physical challenges, such as the obese and many seniors, can perform them effectively. Before attempting yoga, consult your doctor. A physical therapist may also be able to help adapt the poses for special needs.
May 3, 2016 — Simple heat-based exercise can be just as effective as low-oxygen training to improve physical performance and altitude tolerance, new study reveals. The new work suggests that heat-based exercise … read more
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
These changes often result in appetite reduction, increased satiety and a decline in the natural appreciation of food. Collectively, these conditions contribute to a condition referred to as the “anorexia of aging.” To further exacerbate the problem, older adults show a reduced ability to adapt to periods of under- or overeating. They gain or lose weight quickly, and do not easily return to their original weight following such periods. This makes the elderly population much more susceptible to unintended (and lasting) changes in weight.
We used to believe that high cholesterol was the number-one risk factor. But we must look at the whole picture. Having metabolic syndrome, appropriately called “diabesity” by Dr. Mark Hyman in his book The Blood Sugar Solution and also known as prediabetes, is a greater risk factor than having high cholesterol. In fact, it’s the number one risk factor of cardiovascular disease. (To read an interview with Dr. Hyman, see the May 2013 issue of Life Extension Magazine®.)
Since fats and bile acids have a negative charge, Chitosan actively attracts and binds them, making them unavailable for absorption. It actually binds up to 12 times its weight of lipids (fats). It’s as if you are not eating the fat at all!
Still, when all was said and done, Wilhelm knew there was nothing more she could have done, given the circumstances. “Never have regret,” she says. “Just remember that at the end of the day, if you feel like you have honestly done everything in your power to help, then you have.”
Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. New England Journal of Medicine 2003; 348(17):1625-1638.
Jump up ^ Diercks DB, Roe MT, Mulgund J, Pollack CV, Kirk JD, Gibler WB, Ohman EM, Smith SC, Boden WE, Peterson ED (July 2006). “The obesity paradox in non-ST-segment elevation acute coronary syndromes: Results from the Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the American College of Cardiology/American Heart Association Guidelines Quality Improvement Initiative”. Am Heart J (Research Support). 152 (1): 140–48. doi:10.1016/j.ahj.2005.09.024. PMID 16824844.
Kelly et al. (2011) recruited 28 sedentary, obese adults who were weight stable for the previous six months. The group was randomly allocated to exercise plus either a low-glycemic index (LGI) or high-glycemic index (HGI) diet. Participants engaged in five exercise sessions per week for 60 minutes at 85% maximum heart rate. All food was provided and balanced for macronutrients and both groups lost similar amounts of weight over the six month intervention. Weight, FM, FFM, truncal fat, fasting plasma glucose and insulin decreased in both groups, but did not differ between groups. Glycemic response reduced only in the LGI group. Plasma and mononuclear cells (MNC)-derived TNFα reduced in the LGI group, but increased in the HGI group. Secretion of IL-6 from MNC and plasma IL-6 and monocyte chemotactic protein-1 (MCP-1) was reduced in the LGI group. Change in MNC-derived TNFα and plasma MCP-1 correlated with decreased glycemic response. It was concluded that a LGI diet plus exercise decreased inflammatory markers, whereas a HGI diet attenuated improvements in glycemia and inflammation that usually occur with exercise. One proposed mechanism was the production of nicotinamide adenine dinucleotide phosphate (NADPH), which results in reactive oxygen species that activates the NFkB pathway, and increases TNF-α (Mohanty 2000; Evans 2002; Ghanim 2004). Hypertrophied adipocytes in obesity are partially responsible for the secretion of IL-6, and are thus regulated by not only weight loss, but also hyperglycemia and physical activity. The decrease of MCP-1 in the LGI group associated with changes in plasma glucose was attributed to reduced stimulus to recruit MNC into adipose tissue, seen as improved glucose tolerance. This implies an improvement in adipose tissue function, and the investigators concluded that eating a LGI diet in combination with aerobic exercise can reverse the effects of obesity on proinflammatory cytokines, which appears independent of weight loss.
It’s important to know where one stands with their weight, as it is extremely relevant not only for the treatment, but also for the prevention of many chronic diseases. As we discussed so far, just screening for overweight or obesity isn’t a simple task, and obesity can be missed or overestimated in the elderly population even more so than in younger adults.
Monitors from a nonprofit, Educación Popular en Salud, giving information on healthy and cheap food to the residents of the low-income El Bosque neighborhood of Santiago. Credit Victor Ruiz Caballero for The New York Times
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.
Other reasons for not being active include relying on cars instead of walking, fewer physical demands at work or at home because of modern technology and conveniences, and lack of physical education in schools for children.
High blood pressure is linked to overweight and obesity in several ways. Having a large body size may increase blood pressure because your heart needs to pump harder to supply blood to all your cells. Excess fat may also damage your kidneys, which help regulate blood pressure. 
Obesity is known to cause heart disease, stroke, diabetes and certain cancers. Developing any of these illnesses and diseases can have debilitating results, including loss of employment, inability to cover medical costs and care, and disability. Savings can be wiped out, causing tremendous financial hardships — at a time when unemployment is at an all time high. And, to compound the problem, many Americans are living without health insurance, which is a huge financial risk in and of itself.
Older people have to be careful when they implement a weight-loss plan. They key is to focus on what kind of weight you want to reduce. An article in The Online Journal of Issues in Nursing stated it’s important to hone in on minimizing muscle and bone loss.
Certain physical and mental illnesses and the pharmaceutical substances used to treat them can increase risk of obesity. Medical illnesses that increase obesity risk include several rare genetic syndromes (listed above) as well as some congenital or acquired conditions: hypothyroidism, Cushing’s syndrome, growth hormone deficiency,[129] and the eating disorders: binge eating disorder and night eating syndrome.[2] However, obesity is not regarded as a psychiatric disorder, and therefore is not listed in the DSM-IVR as a psychiatric illness.[130] The risk of overweight and obesity is higher in patients with psychiatric disorders than in persons without psychiatric disorders.[131]
“With this new study, we will be able to discern whether a shift in disability is due to a change in physical or cognitive capacity or to changes in the accommodations people make,” explained Freedman. The accommodations measured include behavior changes (such as bathing less often), asking someone for help, and using assistive devices and home modifications (a bath seat, for example). Among the goals, she said, is to identify the ways people adapt to disabilities that allow them to remain independent as long as possible.
Adding to the problem is the fact that baby boomers weren’t raised with deprivation. To the contrary, an abundance of food – frozen food, canned food, soft drinks and snack food – filled many boomers’ childhood kitchens. The generation embraced fast food culture in their teens and 20s. The question for many of them now, in their 50s and 60s, is why they’re still eating like kids.
Environment plays a key role in shaping an individual’s habits and lifestyle. There are many environmental influences that can impact your health decisions. Today’s society has developed a more sedentary lifestyle. Walking has been replaced by driving cars, physical activity has been replaced by technology and nutrition has been overcome by convenience foods.

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In cases like Wilhelm’s father’s experience, early action, says Fabius, is key. Though such weight loss isn’t always a signal of cancer, it is always a cause for concern. At the first sign of unhealthy weight loss, says Fabius, “get them to see a physician as soon as possible. Most cancers are treatable in their earliest stages.”
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.
According to a study published by the National Institute of Health (NIH) options for oral nutrition support should be considered for any patient taking inadequate food and fluid to meet their requirements. The study lists options, such as nutritionally complete pre-packaged drinks. The Ensure drink is one example.
Approximately one in every three baby boomers is actively doing something about the effects of aging, which may include efforts on physical health and mental abilities. Of those, only eight percent are making major moves to improve their looks.   The majority are sure they will live longer than their parents did.
If current trends continue, Australia’s Generation X will overtake Baby Boomers for poor health, including rates of obesity and diabetes, which could have huge implications for healthcare and the workforce. 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 and found that Generation X had significantly poorer levels of self-rated health, and higher levels of obesity and diabetes compared with Boomers, with no real difference in physical activity between the two groups.
Meat is a concentrated form of calories that can pack on the pounds if not eaten in the right portions. Choosing one or more days a week to go vegetarian can help lower the caloric load of the day, giving your body a chance to burn off excess fat. When going vegetarian, don’t just substitute with cheese, which is equally rich in fat. Instead, opt for low calorie veggies like mushrooms or soy based tofu.
Association of invasive breast tumors in obese postmenopausal women. Through the landmark Women’s Health Initiative, NHLBI is exploring tumor risk in obese women. While more research is needed, early findings show a possible association of invasive breast tumors in postmenopausal women who are obese. Visit the Women’s Health Initiative for more information about all research activities and advances from this study.
The diminished ability or the inability to conceive and have offspring. Infertility is also defined in specific terms as the failure to conceive after a year of regular intercourse without contraception.
This fact sheet tells you more about the links between excess weight and many health conditions. It also explains how reaching and maintaining a normal weight may help you and your loved ones stay healthier as you grow older.
Lean body mass declines at a rate of 0.3 kg/year (0.66 lb) beginning around the third decade of life. Because lean body mass tends to be replaced by fat, total body weight generally remains stable. Beginning around age 65 to 70, weight loss occurs at a rate of 0.1 to 0.2 kg/year as a result of changes in hormones regulating appetite and satiety, along with decreases in basal metabolic rates.6,8
” It is well known that being overweight or being clinically obese can have an adverse impact on a woman’s fertility. … Another study, which was published at the end of 2008, agreed that male obesity and infertility were linked.” FertilityExpert.co.uk (Ref. http://bit.ly/zKSySZ).
If you have too much body fat, you are obese, just like over 70 million other Americans. It happens because you eat more calories than you use, and your body converts the excess to fat. There are lots of reasons that this can happen. Our lifestyle may lack exercise, we are given portions that are too big and too caloric when we eat, and some of us are just more efficient genetically at converting food into fat.
“The benefits to employers and employees of such changes include increases in productivity, decreases in absenteeism and presenteeism (when people are at work but are not productive), boosting staff morale, team bonding, and a reduction in staff turnover,” Pilkington says.
Genetic: It has been determined that obesity runs in families, meaning that those who have family members with weight issues are more likely to become overweight or obese themselves. Multiple research studies have shown a genetic link, specifically in the way in which a person’s body stores and processes fat.
• Functional. Decreased daily living skills and poverty negatively impact shopping and cooking. Poorly fitting, or lack of, dentures makes eating difficult. Caregiver neglect is another factor; the quality of the relationship between the person being and the feeder is a predictor of food intake.4 Loneliness and social isolation also are linked to decreased food intake.
Also, people who don’t get enough sleep regularly seem to have high levels of a hormone called ghrelin (which causes hunger) and low levels of a hormone called leptin (which normally helps curb hunger).
Obesity is known to cause heart disease, stroke, diabetes and certain cancers. Developing any of these illnesses and diseases can have debilitating results, including loss of employment, inability to cover medical costs and care, and disability. Savings can be wiped out, causing tremendous financial hardships — at a time when unemployment is at an all time high. And, to compound the problem, many Americans are living without health insurance, which is a huge financial risk in and of itself.
Gastric bypass surgery—helps you lose weight by changing how your stomach and small intestine handle the food you eat. After the surgery, you will not be able to eat as much as before, and your body will not absorb all the calories and other nutrients from the food you eat.
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.

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Deloitte has centered on two key areas where it can leverage its strengths as a business service provider to have a positive impact for the long term on the communities in which it operates: education and workforce development.
Family lifestyle. Obesity tends to run in families. If one or both of your parents are obese, your risk of being obese is increased. That’s not just because of genetics. Family members tend to share similar eating and activity habits.
Jump up ^ Flegal, Katherine M.; Kit, Brian K.; Orpana, Heather; Graubard, Barry I. (2 January 2013). “Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories”. JAMA. 309 (1): 71–82. doi:10.1001/jama.2012.113905. PMID 23280227.
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.
Endometrial cancer: Obese and overweight women are two to about four times as likely as normal-weight women to develop endometrial cancer (cancer of the lining of the uterus), and extremely obese women are about seven times as likely to develop the more common of the two main types of this cancer (7). The risk of endometrial cancer increases with increasing weight gain in adulthood, particularly among women who have never used menopausal hormone therapy (8).
” It is well known that being overweight or being clinically obese can have an adverse impact on a woman’s fertility. … Another study, which was published at the end of 2008, agreed that male obesity and infertility were linked.” FertilityExpert.co.uk (Ref. http://bit.ly/zKSySZ).
[4] National Diabetes Statistics Report, 2017. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf (PDF, 1.35 MB) . Updated 2017. Accessed October 2017.
Jump up ^ Naude, CE; Schoonees, A; Senekal, M; Young, T; Garner, P; Volmink, J (2014). “Low carbohydrate versus isoenergetic balanced diets for reducing weight and cardiovascular risk: a systematic review and meta-analysis”. Plos One (Research Support). 9 (7): e100652. Bibcode:2014PLoSO…9j0652N. doi:10.1371/journal.pone.0100652. PMC 4090010 . PMID 25007189.
The results of all the scrutiny of processed food are hardly scary, although some groups and writers try to make them appear that way. The Pew Charitable Trusts’ Food Additives Project, for example, has bemoaned the fact that the FDA directly reviews only about 70 percent of the ingredients found in food, permitting the rest to pass as “generally recognized as safe” by panels of experts convened by manufacturers. But the only actual risk the project calls out on its Web site or in its publications is a quote from a Times article noting that bromine, which has been in U.S. foods for eight decades, is regarded as suspicious by many because flame retardants containing bromine have been linked to health risks. There is no conclusive evidence that bromine itself is a threat.
Federal dietary guidelines and the MyPlate website recommend many tips for healthy eating that may also help you control your weight (see the Additional Links section for hyperlinks). Here are a few examples:
Weight Crafters / CFS Fitness & Weight Loss Camp for Adults may also be classified as a fitness camp adults, fat camp, fat farm, residential weight loss programs weight loss resort, a weight loss spa, a fitness vacation, a weight loss retreat, a fat farm for seniors, an obesity and weight loss management center, a divorce recovery retreat or an exercise camp for adults. If you are a young adult, middle-aged, or a senior looking for the #1 affordable and practical option in any of those categories, reach out to us at CFS Fitness Camp today… We’d love to show you why we’re more than just a fat camp!

“obesity defined by medical community -obesity in jamaica statistics”

People who are inactive are more likely to gain weight because they don’t burn up the calories that they take in. An inactive lifestyle also raises your risk of coronary heart disease, high blood pressure, diabetes, colon cancer, and other health problems.

While this research paradox carries on, obesity in our elders can’t be ignored.  Being overweight or obese can be exacerbated in some people after retirement because they have more free time to sit around and aren’t as active as when they were younger or worked. On the other hand, baby boomers are being forced to delay retirement because of the economy. So many of those people are at desk jobs all day instead of being able to retire and be active.

Gout is a disease that affects the joints that is caused by high levels of a substance called uric acid in the blood. The large amount of uric acid can form into solid or crystal-like masses that deposit in the joints. Gout is more common in overweight people and the risk of developing the disorder increases with higher body weights.

The history should also identify prescription and over-the-counter medications and herbal supplements that may be affecting appetite or contributing to weight loss. A social history focusing on alcohol and tobacco use and the patient’s living situation may elicit further useful information. The Mini Nutritional Assessment is a validated tool to help measure nutritional risk.22 The tool, which is available at http://www.mna-elderly.com/mna_forms.html, involves anthropometric measurements and general, dietary, and subjective assessments. Scoring allows categorization of older adults as well nourished (normal), at risk, or malnourished.22  The Nutritional Health Checklist (Table 4) is a simpler tool for assessing nutritional status that was developed for the Nutrition Screening Initiative.23

The aging of the baby boom generation could fuel a 75 percent increase in the number of Americans ages 65 and older requiring nursing home care, to about 2.3 million in 2030 from 1.3 million in 2010, the Population Reference Bureau (PRB) projects in a new report.

Continuing to call out Big Food on its unhealthy offerings, and loudly, is one of the best levers we for pushing it toward healthier products—but let’s call it out intelligently, not reflexively. Executives of giant food companies may be many things, but they are not stupid. Absent action, they risk a growing public-relations disaster, the loss of their more affluent and increasingly health-conscious customers, and the threat of regulation, which will be costly to fight, even if the new rules don’t stick. Those fears are surely what’s driving much of the push toward moderately healthier fare within the industry today. But if the Pollanites convince policy makers and the health-conscious public that these foods are dangerous by virtue of not being farm-fresh, that will push Big Food in a different direction (in part by limiting the profit potential it sees in lower-fat, lower-problem-carb foods), and cause it to spend its resources in other ways.

Collaborative Group on Epidemiological Studies of Ovarian Cancer. Ovarian cancer and body size: individual participant meta-analysis including 25,157 women with ovarian cancer from 47 epidemiological studies. PLoS Medicine 2012; 9(4):e1001200.

There are many factors associated with unintentional weight loss. Assessment of unintentional weight loss should start with a comprehensive history, including questions about associated factors, and a physical examination. Investigations should be guided by the findings of the history and physical examination. Both nutritional and pharmacologic interventions have proven so far to be of only limited value. Although treatment remains a challenge, clinicians should attempt to identify and address factors that may be contributing to the weight loss.

A chart review of 290 medical records from many centres in the United States that included long-term care residents and home care clients found six factors to be associated with unexplained weight loss.3 These factors included reduced functional ability, taking in 50% or less of the food served in three consecutive days, refusal of 50% or more of food replacement offered over a seven-day period, chewing problems, a serum albumin level less than 35 g/L with normal hydration status and a cholesterol level less than 4.1 mmol/L.

Shah K, Armamento-Villareal R, Parimi N, Chode S, Sinacore DR, Hilton TN, Napoli N, Qualls C, Villareal DT. Exercise training in obese older adults prevents increase in bone turnover and attenuates decrease in hip bone mineral density induced by weight loss despite decline in bone-active hormones. J Bone Miner Res. 2011;26:2851–2859. [PMC free article] [PubMed]

A spokesman for PepsiCo said two-thirds of its beverage brands in Chile also qualified as low or sugar-free and that more than 90 percent of its snack offerings were now low in both sodium and saturated fat.

Jump up ^ Rucker D, Padwal R, Li SK, Curioni C, Lau DC (2007). “Long term pharmacotherapy for obesity and overweight: updated meta-analysis”. BMJ (Meta-analysis). 335 (7631): 1194–99. doi:10.1136/bmj.39385.413113.25. PMC 2128668 . PMID 18006966.

Larson-Meyer DE, Heilbronn LK, Redman LM, Newcomer BR, Frisard MI, Anton S, Smith SR, Alfonso A, Ravussin E. Effect of calorie restriction with or without exercise on insulin sensitivity, beta-cell function, fat cell size, and ectopic lipid in overweight subjects. Diabetes Care. 2006;29:1337–1344. [PMC free article] [PubMed]

In an attempt to address her risk factors, you advise her to have her dentures adjusted. Suspecting that the NSAIDS may be contributing to her nausea, you advise her to use acetaminophen for her knee pains instead. At your encouragement, she starts attending grief counselling and becomes involved in social activities, including a supper club, at her local seniors centre.

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]

An early hint that gut microbes might play a role in obesity came from studies comparing intestinal bacteria in obese and lean individuals. In studies of twins who were both lean or both obese, researchers found that the gut community in lean people was like a rain forest brimming with many species but that the community in obese people was less diverse—more like a nutrient-overloaded pond where relatively few species dominate. Lean individuals, for example, tended to have a wider variety of Bacteroidetes, a large tribe of microbes that specialize in breaking down bulky plant starches and fibers into shorter molecules that the body can use as a source of energy.

Based on body mass index calculations from surveyed participants’ self-reported height and weight, about a third of the baby boomers are obese, compared with about a quarter of both older and younger responders. Only half of the obese boomers say they exercise regularly. An additional 36 percent of boomers are overweight, though not obese, which isn’t much better.

Overweight and obesity and their associated health problems have a significant economic impact on health systems and the medical costs associated with overweight and obesity have both direct and indirect costs – direct medical costs may include preventive, diagnostic, and treatment services related to obesity, while indirect costs relate to loss of income from decreased productivity, restricted activity, absenteeism, and bed days and the income lost by premature death.

Deciding what to do about your obesity in terms of treatment varies from person to person. If you or someone you know has obesity, addressing this issue early is an essential part of success. It is important to talk to your physician about your weight and work with him/her when deciding which treatment is right for you. There are several methods available to address your obesity.

Recent research has shown that obesity rates have doubled among adults and tripled among children in the U.S., and researchers say more study is needed to understand how these trends will affect life expectancy and obesity-related diseases like diabetes and heart disease.

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Several types of cancer are associated with being overweight. In women, these include cancer of the uterus, gallbladder, cervix, ovary, breast, and colon. Overweight men are at higher risk for developing colorectal cancer and prostate cancer. For some types of cancer, such as colon or breast, it is not clear whether the increased risk is due to the extra weight or to a high-fat, high-calorie diet.
We help obese individuals determine whether surgery is a good option and help WLS patients find the right surgical team and set, achieve and maintain specific and realistic health and weight loss goals. 
Obesity is from the Latin obesitas, which means “stout, fat, or plump”. Ēsus is the past participle of edere (to eat), with ob (over) added to it.[188] The Oxford English Dictionary documents its first usage in 1611 by Randle Cotgrave.[189]
Do you have a weight problem? If you do you are not alone. An average American gains between one-half pound to one pound every year. According to some estimates, almost one out of every 3 adults in the United States (about 97 million people) are classified as overweight or obese.
Reexamination of the impact of obesity on health in older 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).
Obesity traditionally has been defined as a weight at least 20% above the weight corresponding to the lowest death rate for individuals of a specific height, gender, and age (ideal weight). Twenty to forty percent over ideal weight is considered mildly obese; 40-100% over ideal weight is considered moderately obese; and 100% over ideal weight is considered severely, or morbidly, obese. More recent guidelines for obesity use a measurement called BMI (body mass index) which is the individual’s weight multiplied by 703 and then divided by twice the height in inches. BMI of 25.9-29 is considered overweight; BMI over 30 is considered obese. Measurements and comparisons of waist and hip circumference can also provide some information regarding risk factors associated with weight. The higher the ratio, the greater the chance for weight-associated complications. Calipers can be used to measure skin-fold thickness to determine whether tissue is muscle (lean) or adipose tissue (fat).
Chavarro JE, Toth TL, Wright DL, Meeker JD, Hauser R. Body mass index in relation to semen quality, sperm DNA integrity, and serum reproductive hormone levels among men attending an infertility clinic.Fertil Steril. 2010; 93:222231.
The rate of obesity also increases with age at least up to 50 or 60 years old[185] and severe obesity in the United States, Australia, and Canada is increasing faster than the overall rate of obesity.[29][186][187]
A total of 2,309 prospective articles were initially identified. After removing duplicates and irrelevant studies, 90 articles were retained. Of these 90 articles, 83 were excluded for not meeting the inclusion criteria outlined previously. Three articles were manually added. The selection of articles was agreed upon by two authors (DLW and DTV). The final analysis yielded a total of ten articles meeting all established criteria (Figure 1). These articles are listed in Table 1. They are not ordered chronologically, but instead grouped by similarities between study design and intervention, for ease of discussion. Only one small pilot study was found under the category feasibility/maintenance of long-term weight loss in older adults that satisfied our study selection criteria. This study is not included in Table 1, but is discussed under the subheading 3.2 Feasibility and Long-term Maintenance of Weight Loss, in the Discussion of the Systematic Review section.
Rising prevalence of obesity is a worldwide health concern because excess weight gain within populations forecasts an increased burden from several diseases, most notably cardiovascular diseases, diabetes and cancers. The trends project 65 million more obese adults in the USA by 2030, consequently accruing an additional 6-8.5 million cases of diabetes, 5.7-7.3 million cases of heart disease and stroke, and 492,000-669,000 additional cases of cancer. The combined medical costs associated with treatment of these preventable diseases are estimated to increase by $48-66 billion per year in the USA by 2030. Hence, effective policies to promote healthier weight also have economic benefits.
Children and adults should be screened at least annually to see if they have a high or increasing body mass index  (BMI), which allows doctors to recommend healthy lifestyle changes to prevent overweight and obesity.
Measure your waist circumference if you are an adult. If your waist circumference is greater than 35 inches for women or greater than 40 inches for men, you may be at risk for heart disease, stroke, or type 2 diabetes. South Asians and South and Central Americans have a higher risk of complications, so waist circumference should be smaller than 35 for man and 31 for women. To correctly measure your waist, stand and place a tape measure around your middle, just above your hip bones. Measure your waist just after you breathe out. Visit Assessing Your Weight for more information.
In 2014, The European Court of Justice ruled that morbid obesity is a disability. The Court said that if an employee’s obesity prevents him from “full and effective participation of that person in professional life on an equal basis with other workers”, then it shall be considered a disability and that firing someone on such grounds is discriminatory.[218]
Millennials, you have tried taking them to Chipotle. You have tried lecturing them about not drinking Diet Coke. Keep trying, but consider giving them a book written for them by one of them. It will open their eyes, and hopefully their hearts, before it is too late for them and for you.
In addition, the researchers evaluated peak oxygen consumption during exertion with treadmill walking. On that test, obese elderly people who both dieted and exercised improved 17 percent from their baseline. The diet-only group showed a 10 percent gain, and the exercise-only group improved about 8 percent.
Sleep-wake cycles can contribute to obesity. NHLBI continues funding studies to understand how the body’s internal sleep-wake cycles influence sleep and eating behaviors in people who are obese. This may help discover new therapies.
[7] Institute of Medicine and National Research Council. Weight Gain during Pregnancy: Reexamining the Guidelines. Washington, D.C.: The National Academies Press; 2009. http://www.ncbi.nlm.nih.gov/books/NBK32813.
Frimel et al. (2008) reported on a cohort of 30 community-living frail older adults. The participants were sedentary (≤ 2 exercise sessions per week); had stable medications and stable weight (± 2 kg over the past year); and met two out of three criteria for mild–moderate physical frailty. The intervention used was similar to the previously included Villareal studies (Villareal 2006a; Villareal 2006b; Villareal 2008) with a slightly higher daily energy deficit (750 kcal per day versus 500–700 kcal/day). The goal was 10% loss of body weight over six months. Combined aerobic and resistance exercise sessions were 90 minutes three times per week and resistance exercises focused on upper extremity (UE) and lower extremity (LE) muscle groups. The loss of lean body mass was completely prevented in the UE, but not LE. Despite LE lean body mass loss, strength improved. It was proposed that muscle quality improved due to a decrease in muscle fat infiltration and inflammation due to weight loss, as previously reported (Goodpaster 2001; Nicklas 2004). It was also suggested that retention of lean body mass in the UE but not the LE was attributed to UE muscle being more responsive to high-intensity training because these muscle groups are not used regularly for daily activities such as walking and climbing stairs.
Overweight and obesity is highly prevalent in some racial and ethnic minority groups. Rates of obesity in American adults are highest in blacks, followed by Hispanics, then whites. This is true for men or women. While Asian men and women have the lowest rates of unhealthy BMIs, they may have high amounts of unhealthy fat in the abdomen. Samoans may be at risk for overweight and obesity because they may carry a DNA variant that is associated with increased BMI but not with common obesity-related complications.
And a study in a recent issue of the journal Demography–synthesizing the results of five national surveys—found increasing disability among those ages 55 to 64 between 2000 and 2008 (a group that included the oldest baby boomers).3 By contrast, disability levels continued to decline among the oldest Americans (ages 85 and older) and held steady among the elderly ages 65 to 84 during the same period, reported Vicki Freedman, a University of Michigan demographer and lead author.
Now that you’re getting older, you no longer have to worry about cutting back on saturated fat or making sure you consume five to nine servings of vegetables a day, right? After all these years of counting calories, surely you no longer have to fret over your weight, right? Wrong! A new study finds that obese seniors are at greater risk of death than their younger overweight counterparts.
The results of this pilot study suggest that changes in weight, body composition, dietary intake, physical function, and insulin sensitivity following an intensive lifestyle therapy may be sustained long-term even without contact. However, this study was limited by the small sample size, high potential for selection bias, lack of a control group, and potential for under-reporting food intake. In addition, the participants who did not return for follow-up may have had outcomes that were different from those participating in this pilot study. Moreover, without a non-weight loss control group, it was not possible to separate the effects of weight loss from the aging process, per se on the variables of interest.