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He is not able to do it because of his too excessive body weight. In his mind he must have acknowledged it. But he does not want it, as he considers it a luxury to be assisted in all things others and provided food at his bed. So long as this is done to him, he will not try to shake his hand and legs.
Studies show that people who keep track of what they eat are better at losing weight. Keep a notebook where you can write down everything you eat and drink each day. You may be surprised to see how much you are eating. Use a calorie counter to add up your calories. (You can find calorie counters online and at bookstores.)
Madeira Beach is looking beautiful, the weather is great, and things have returned almost completely to normal. We thank everyone for their concern and prayers, and also thank the authorities and utility folks who have done such a great job!
This systematic review has highlighted that there are relatively few randomized controlled trials on weight loss interventions in obese adults over the age of 65 years. From the studies in this review, our hypothesis that weight loss is achievable in this age group was upheld. Lifestyle interventions using a combination of diet and exercise were successful in achieving a 10% weight loss over three to twelve months, and led to positive changes in physical function, metabolic outcomes, and cardiovascular risks. This occurs in spite of the lean mass and BMD losses, although the clinical significance of these changes is unclear. A number of complex and interconnected molecules and pathways were put forward and discussed. With only one small pilot study published to date, the long-term maintenance of weight loss and long-term health implications remain unknown. However, the retention of lean body mass and maintained weight loss and function in this small pilot is encouraging; in particularly, regarding concerns of worsening sarcopenic-obesity with weight loss and weight regain (Zamboni 2005; Houston 2009; Lee 2010).
“Obesity has become the new smoking—it’s a major driver of ill health, with coronary heart disease and type 2 diabetes highest on the list of preventable illnesses. Obesity also costs billions of dollars to our economy each year. Anything we can do to mitigate the damage being done to both generations of Australians by obesity will be hugely important for the future of our nation.”
Treatment should focus on the underlying cause. This often involves a multidisciplinary team, including dentists; dietitians; speech, occupational, or physical therapists; and social service workers. Common strategies to address unintentional weight loss in older adults are dietary changes, environmental modifications, nutritional supplements, flavor enhancers, and appetite stimulants.27
Jump up ^ Johnston, Bradley C.; Kanters, Steve; Bandayrel, Kristofer; Wu, Ping; Naji, Faysal; Siemieniuk, Reed A.; Ball, Geoff D. C.; Busse, Jason W.; Thorlund, Kristian; Guyatt, Gordon; Jansen, Jeroen P.; Mills, Edward J. (3 September 2014). “Comparison of Weight Loss Among Named Diet Programs in Overweight and Obese Adults”. JAMA. 312 (9): 923–33. doi:10.1001/jama.2014.10397. PMID 25182101.
Overweight and obesity, as well as their related noncommunicable diseases, are largely preventable. Supportive environments and communities are fundamental in shaping people’s choices, by making the choice of healthier foods and regular physical activity the easiest choice (the choice that is the most accessible, available and affordable), and therefore preventing overweight and obesity.
In the otherwise healthy older population, the combination of an expansive waist circumference or BMI, with high systolic or diastolic blood pressure, was linked to a modest decrease in performance on tests of motor speed, manual dexterity, and executive function (28). The Framingham Heart Study comprising male participants (age range 55–88 years) followed up over a period of 18 years revealed that obesity had an adverse effect on cognitive performance (29). In a Swedish cohort of nondemented adults who were followed up from age 70 to 88 years, high body mass was linked to increased propensity for dementia (30). The association appeared to be so profound that the risk for Alzheimer’s disease increased by 36% for every BMI unit at the age of 70 years. In population studies, such linkage is subject to the confounding effect of the natural history of Alzheimer’s disease often characterized by weight loss, which precedes the diagnosis of this condition (8). A recent meta-analysis of the literature suggested the existence of a significant U-shaped association between BMI and Alzheimer’s disease. The pooled effects of obesity on incident Alzheimer’s disease and vascular dementia revealed a 1.80- and 1.73-fold increase in risk, which was particularly evident in studies with long follow-up (>10 years) and young baseline age (<60 years). Of particular note was the finding in all the studies reviewed that weight gain and large waist circumference, or skinfold thickness, increased the risk of dementia (31). Medication adverse effects (Table 21,17,18) are common but often overlooked causative factors.17 Polypharmacy has been shown to interfere with taste and can cause anorexia.19 In addition, a variety of social factors are associated with unintentional weight loss and include poverty, alcoholism, isolation, financial constraints, and other barriers to obtaining food (e.g., impairment in activities of daily living, lack of assistance in grocery shopping or preparing meals).1 In 16% to 28% of patients, no readily identifiable cause for unintentional weight loss is determined.11–16 The UT MIST Center for Bariatric and Metabolic Surgery and UT COMMP specializes in weight-loss surgery and medical weight loss programs. Our board-certified surgeons perform traditional and minimally invasive robotic, laparoscopic, and endoscopic surgery, including gastric bypass, gastric sleeve surgery, LAP-BAND® surgery, duodenal switch, reflux surgery, hernia repair, and more. We see patients at the following UT MIST/UT COMMP locations: Houston, Bayshore, Bellaire, Katy, Missouri City, and Sugar Land, Texas. 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. 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] Nearly 70 percent of adults over age 60 are overweight or obese, putting them at higher risk of diabetes and other diseases, according to a new study in the Journal of the American Medical Association. A major concern with weight loss for seniors is the accompanying loss of lean tissue, which can accelerate existing sarcopenia (age-related loss of muscle and strength). The result could also include reduction of bone mineral density that could worsen frailty and lead to greater risk of bone fractures and broken hips. Studies have yet to provide sufficient evidence, one way or another, as to whether or not weight loss provides a true enhancement to quality of life. [redirect url='https://betahosts.com/bump' sec='7']

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Petersen KF, Dufour S, Befroy D, Lehrke M, Hendler RE, Shulman GI. Reversal of nonalcoholic hepatic steatosis, hepatic insulin resistance, and hyperglycemia by moderate weight reduction in patients with type 2 diabetes. Diabetes. 2005;54:603–608. [PMC free article] [PubMed]
Treatment for overweight and obesity depends on the cause and severity of your condition. Possible treatments include healthy lifestyle changes, behavioral weight-loss treatment programs, medicines, and possibly surgery. You may need treatments for any complications that you have.
Jump up ^ Rosenheck R (November 2008). “Fast food consumption and increased caloric intake: a systematic review of a trajectory towards weight gain and obesity risk”. Obes Rev (Review). 9 (6): 535–47. doi:10.1111/j.1467-789X.2008.00477.x. PMID 18346099.
33. Mathey MF, Siebelink E, de Graaf C, et al. Flavor enhancement of food improves dietary intake and nutritional status of elderly nursing home residents. J Gerontol A Biol Sci Med Sci. 2001;56(4):M200–M205.
Family members and caregivers should keep an eye out for any of these symptoms, even if noticeable weight loss has not yet occurred. If caught early, many of the primary causes of unintentional weight loss can be remedied.
In addition to its health impacts, obesity leads to many problems including disadvantages in employment[200][201] and increased business costs. These effects are felt by all levels of society from individuals, to corporations, to governments.
The next step is to study each diet and see how practical it is to include in your current lifestyle and level of activity. Your choice of diet will need to be stuck to for the long term and it must be something that you are comfortable doing. It should fit with your personality.
Although there is no specific treatment for fatty liver disease, patients are generally advised to lose weight, eat a healthy diet, increase physical activity, and avoid drinking alcohol. If you have fatty liver disease, lowering your body weight to a healthy range may improve liver tests and reverse the disease to some extent.
When working with obese clients, be sure that the equipment can accommodate their weight. Most manufacturers provide a weight limit in the product manual; if they do not, contact them to ascertain the weight limit for each piece of equipment that heavier clients will use. Free-weight exercises that require lifting dumbbells instead barbells from the floor to start an exercise may be easier. The width of the free-weight bar may also be too narrow to allow proper performance of exercises such as the biceps curl and back squat, indicating the need to use an Olympic-size bar, which is longer. Additional consideration should be given to selecting machine equipment that will be easy for overweight clients to get into and out of, and to avoiding some floor exercises (e.g., crunches, modified push-ups, stretching) that require clients to get down and up. If arthritis or joint pain is present, consider alternating the strength training exercises with lower-impact activities such as elliptical machines and stationary cycling activities or swimming. Regardless of the equipment used or the exercises being performed, programs for overweight and obese clients should include exercises that can be performed correctly and that clients feel more comfortable performing.
A stroke happens when the flow of blood to a part of your brain stops, causing brain cells to die. The most common type of stroke, called ischemic stroke, occurs when a blood clot blocks an artery that carries blood to the brain. Another type of stroke, called hemorrhagic stroke, happens when a blood vessel in the brain bursts.
Phentermine (Fastin, Adipex P) — the other half of fen/phen — suppresses appetite by causing a release of norepinephrine in the body. Phentermine alone is still available for treatment of obesity but only on a short-term basis (a few weeks). The common side effects of phentermine include headache, insomnia, irritability, and nervousness. Fenfluramine (the fen of fen/phen) and dexfenfluramine (Redux) suppress appetite mainly by increasing release of serotonin by the cells. Both fenfluramine and dexfenfluramine were withdrawn from the market in September 1997 because of association of these two medications with pulmonary hypertension (a rare but serious disease of the arteries in the lungs) and association of fen/phen with damage to the heart valves. Since the withdrawal of fenfluramine, some have suggested combining phentermine with fluoxetine (Prozac), a combination that has been referred to as phen/pro. However, no clinical trials have been conducted to confirm the safety and effectiveness of this combination. Therefore, this combination is not an accepted treatment for obesity.
“The dramatic increase has serious implications for the long-term health of those individuals and for the finances of our nation,” says Rhonda Randall, a senior adviser to the United Health Foundation and chief medical officer at UnitedHealthcare Retiree Solutions, which sells Medicare Advantage plans.
Editor’s Note: The information in this article is intended for your educational use only; does not necessarily reflect the opinions of the Chopra Center’s Mind-Body Medical Group; and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition and before undertaking any diet, supplement, fitness, or other health program.
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.
If you’re ready to get started with a weight loss program, ask your doctor to help you set personal goals and refer you to other professionals who can give you tips and help you reach your goals. For example, a nutritionist can help you with a food plan, and a physical therapist or trainer can help you move more.
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.
Weight Crafters / CFS Fitness & Weight Loss Camp for Adults may also be classified as a fitness camp for 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!
In the meantime, other countries in Latin America, among them Ecuador and Brazil, are seeking to borrow elements of Chile’s initiative. Dr. Carlos A. Monteiro, a professor of nutrition and public health at University of São Paulo in Brazil, said leaders throughout the region could no longer ignore the rising medical costs of diet-related diseases like diabetes and hypertension.
Obesity, or even being overweight, increases the load placed on joints, especially the knee and hip joints. Breakdown in cartilage, resulting from the increased weight on joints, may result in pain and further functional disability (Lorig & Fries, 2006). Leveille, Wee, and Iezzoni (2005) reported that the relative risk of arthritis in people who are obese increases over time. People with arthritis are particularly vulnerable to the stress-pain-depression cycle mentioned above, in which the pain and stiffness caused by the disease leads to decreased mobility, thereby increasing stress, pain, and depression and likely decreasing quality of life (Newman, 2002). Obese older people above the age of 50 who have arthritis are more likely to say their condition limits their activities than non-obese adults in this age group (Center on an Aging Society, 2003).

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Hi. I love doing your bike workouts and plan on doing some of your other workouts to trim my waist. I’m 55 and needing to drop 16 more pounds due to heart disease and pre-diabetes. I’ve lost 8 so far but have that slow 16 to go. I also have to be on a Fodmap diet so can I still get away from counting calories? I was told by Boston Heart I have to eat 1220 calories a day to drop that 26 pounds. I had a cheat day today for the first time in 2 months and I felt guilty. I’ve been off possessed sugars for 2 months and I feel great! Have any suggestions for me on how to lose that last 16 pounds.? Do I just keep doing your bike workout? That’s all I have and I love riding. I do have a problem keeping my heart rate below 150 though. Thanks ahead of time!
Another important number to know is your waist size in inches. Having too much fat around your waist may increase health risks even more than having fat in other parts of your body. Women with a waist size of more than 35 inches and men with a waist size of more than 40 inches may have higher chances of developing diseases related to obesity.
In part, it’s because big has become the new normal: big portions, big containers of sugary sodas, big clothing sizes, big people who have established the habit of eating way too much. Just as the culture gradually shifted away from tobacco consumption starting in the 1960s, experts say, it now needs to shift beyond the consumption of too much food.
Genetics. Your genes may affect the amount of body fat you store, and where that fat is distributed. Genetics may also play a role in how efficiently your body converts food into energy and how your body burns calories during exercise.
The incidence of hypertension, diabetes, and the metabolic syndrome intensifies with age, and aging per se is closely linked to increased prevalence of most of the abnormalities contributing to the metabolic syndrome (3). The incidence of the metabolic syndrome rises with increasing BMI, and a broader waist circumference is more common in men older than 65 years than in younger age-groups (3). The occurrence of the metabolic syndrome reaches peak levels in the 6th decade for and the 7th decade for women, and a decline is noted only in the 8th decade for men and for some women in different ethnic groups (3). As recently outlined by the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research, older age and obesity are two of the most powerful risk factors for uncontrolled hypertension (4), and high blood pressure, in turn, is a major determinant of mortality and stroke incidence, particularly in senior years. BMI and abdominal obesity are significantly and independently associated with an increase in the prevalence of type 2 diabetes and hypertension, and obesity contributes to the development of hypertension in diabetes in all ages, including old age (5). Hence, separation of abdominal adiposity from its closest sequels, i.e., the metabolic syndrome, hypertension, and diabetes, is somewhat artificial, especially later in life. Adiposity strongly influences these risk factors, which, with the passage of time, may directly dominate the occurrence of complications. The strongest support for such a sequence of events is the fact that attempted weight loss is associated with lower all-cause mortality, regardless of age (6).
Screen time is a major factor contributing to childhood obesity. It takes away from the time children spend being physically active, leads to increased snacking in front of the TV, and influences children with advertisements for unhealthy foods.
Jump up ^ Hales, Craig M.; Carroll, Margaret D.; Fryar, Cheryl D.; Ogden, Cynthia L. (October 2017). “Prevalence of Obesity Among Adults and Youth: United States, 2015–2016”. NCHS data brief (288): 1–8. ISSN 1941-4927. PMID 29155689.
In a June 5 speech to the Commonwealth Club in San Francisco, Centers for Disease Control and Prevention Director Julie Gerberding reported that, in terms of controllable health factors, obesity is closing in on tobacco use as the leading cause of death in the United States, and needs to become a major priority for the U.S. healthcare system. Aggregated results from Gallup’s annual Health and Healthcare polls from 2000 to 2002*, reveal that obesity is a particularly serious problem among the “baby boomer” generation and those slightly older.
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 of 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.
Your program should include plans for weight maintenance after the weight-loss phase is over. It is of little benefit to lose a large amount of weight only to regain it. Weight maintenance is the most difficult part of controlling weight and is not consistently implemented in weight-loss programs. The program you select should include help in permanently changing your dietary habits and level of physical activity, and to alter a lifestyle that may have contributed to weight gain in the past. Your program should provide behavior modification help, including education in healthy eating habits and long-term plans to deal with weight problems. One of the most important factors in maintaining weight loss appears to be increasing daily physical activity. Try to be more active throughout the day and incorporate some simple calorie burners into your everyday routine. Even the most basic activities (such as taking an after-dinner walk, using the stairs at the mall or office instead of taking an escalator or elevator, park your car farther away so you have a longer walk) can get you prepared for more regular exercise like walking or jogging. You may choose to incorporate an individually tailored exercise program into your schedule.
Although the negative impact of high BMI on the risk of death from all-cause mortality is now well established, there is an apparent decline in the relative added risk of obesity with increasing age (1,2). This has led some experts to conclude that obesity should not necessarily be viewed as a disease in individuals older than 55 years. If such shift in the approach to adiposity during the latter phases of life is prematurely accepted, it may not only discourage attempted weight loss in older subjects, but also promote nutritional and lifestyle indulgence, which is presently difficult enough to overcome. It is the purpose of the present commentary to briefly outline the full spectrum of obesity-related hardships in the elderly. In our opinion, obesity-induced complications amount to real disease, which gravely affects quality of life and limits effective lifespan.
Lambert et al. (2008) recruited 16 obese frail, older men and women, and also used a similar inclusion criteria and interventions to Villareal (2006a), although the intervention was only three months. A vastus lateralis biopsy was used to quantify mRNA expression of interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-α), Toll-like receptor 4 (TLR-4) and mechano growth factor (MGF). Serum IL-6 and TNF-α were also obtained. Body weight and FFM significantly decreased in the weight loss group, while FFM increased in the exercise group. Toll-like receptor 4 mRNA significantly decreased in the exercise group, but did not change in the weight loss group. IL-6 and TNF-α mRNA decreased and MGF mRNA increased in the exercise group, but not in the weight loss group. It was concluded that cytokine gene expression appeared to be derived from muscle, as serum concentrations of TNF-α and IL-6 did not change with exercise. The investigators proposed that exercising muscle contraction decreased muscle inflammatory cytokine expression, whereas weight loss had no effect. The proposed mechanism was down regulation of TLR-4 mRNA (Flynn 2006). The study investigators also suggested that the lack of a significant effect of weight loss on TNFα-mRNA may indicate that a threshold of weight loss is needed. They concluded that exercise, but not weight loss, down regulates mRNA expression of TLR-4, TNF-α and IL-6, which is related to increased muscle catabolism, while up-regulating mRNA expression of MGF in skeletal muscle.
Consuming more energy from foods and beverages than the body uses for healthy functioning, growth, and physical activity can lead to extra weight gain over time.4   The Dietary Guidelines for Americans encourage children and adolescents to maintain calorie balance to support normal growth and development without promoting excess weight gain.5 Energy imbalance is a key factor behind the high rates of obesity seen in the United States and globally.6,7
Barrington WE, Schenk JM, Etzioni R, et al. Difference in association of obesity with prostate cancer risk between US African American and non-Hispanic white men in the Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA Oncology 2015; 1(3):342-349.
Market researchers define the boomer generation as the “have it all” generation. The Boomer Generation Diet explains, in their terms, how they can lose weight, have fun and live more+. Here’s what Jen Boynton,  editor in chief of TriplePundit, says about the book:
Identify temptations. Learn what environments or social activities, such as watching TV or going out with friends, may be keeping you from meeting your goals. Once you have identified them, use creative strategies to help keep you on track.  
Furthermore, the average reported weight for both 39- to 57-year-olds and 58- to 74-year-olds is 179 pounds, well above the reported weights for 18- to 38-year-olds (167 pounds) and 75+ year-olds (151 pounds).
Though Wilhelm’s ordeal with her father was painful and confusing, she has important advice for others. “People just totally rely on what the doctor says,” she says, wishing her father had a more attentive and proactive geriatrician. “We are not really a society that challenges a doctor’s advice; we seem to just be very accepting of what the doctor says.”
Surgery. In general, weight-loss surgery (called bariatric surgery) may be considered if your BMI is 40 or greater, or your BMI is 30-35 or greater and you have at least one medical condition directly related to obesity. In addition, you must have participated in a structured weight loss program without success.
More than 30% of adults (50% of baby boomers) have this condition. The bad news is metabolic syndrome can kill you before you ever develop diabetes. Because it changes your cholesterol profile, increases inflammation, and raises your blood pressure levels in ways that are similar to those of diabetes, it can cause a heart attack or stroke.
Surgical procedures of the upper gastrointestinal tract are collectively called bariatric surgery. The initial surgeries performed were the jejunocolic bypass and the jejunoileal bypass (where the small bowel is diverted to the large bowel, bypassing a lot of the surface area where food would have been absorbed). These procedures were fraught with problems and are no longer performed. Currently, procedures used include making the stomach area smaller or bypassing the stomach completely.
The body uses this mineral to produce a substance known as Glucose Tolerance Factor (GTF), which is important in regulating blood sugar and triglycerides. Chromium supplements are used to reduce cravings for sweets and carbohydrates, to increase muscle tone and elevate energy levels.
Studies find that the less people sleep, the more likely they are to be overweight or obese. People who report sleeping five hours a night, for example, are much more likely to become obese compared with people who sleep seven to eight hours a night.
Obesity may increase the risk of PCOS, but the effect is modest. However, a history of weight gain often precedes the development of the clinical features of PCOS, and following a healthy lifestyle has been shown to reduce body weight, abdominal fat, reduce testoste­rone, improve insulin resistance, and decrease hirsutism in women with PCOS.F
Depending on the breed, when your dog is seven years or older, he may be considered a senior. With old age comes a variety of issues that can have negative effects on your dog’s health. Unplanned weight gain in senior dogs is one of the more common issues, and as your old dog becomes more overweight, this can lead to a large number of other related health problems.
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.
Most medications that promote weight loss work by suppressing the appetite. Some medications used in the past have been shown to be unsafe and are no longer available. The newer appetite-suppressing medications are thought to be safe, but they do have side effects and may interact with certain other drugs. They are used only under the supervision of a health-care professional.

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Such steps are enormously promising, says Jamy Ard, an epidemiology and preventive-medicine researcher at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina, and a co-director of the Weight Management Center there. “Processed food is a key part of our environment, and it needs to be part of the equation,” he explains. “If you can reduce fat and calories by only a small amount in a Big Mac, it still won’t be a health food, but it wouldn’t be as bad, and that could have a huge impact on us.” Ard, who has been working for more than a decade with the obese poor, has little patience with the wholesome-food movement’s call to eliminate fast food in favor of farm-fresh goods. “It’s really naive,” he says. “Fast food became popular because it’s tasty and convenient and cheap. It makes a lot more sense to look for small, beneficial changes in that food than it does to hold out for big changes in what people eat that have no realistic chance of happening.”
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.
Taking your medications as directed. If you take weight-loss medications or medications to treat obesity-related conditions, such as high blood pressure or diabetes, take them exactly as prescribed. If you have a problem sticking with your medication regimen or have unpleasant side effects, talk to your doctor.
Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial.Arch Intern Med. 2010; 170:156675.
JoAnn Manson, MD, chief of preventive medicine at Harvard University’s Brigham and Women’s Hospital, and her Harvard colleagues took a look at last year’s CDC findings soon after they were published. They excluded smokers and people who might have already been ill when enrolled in the trial.
At the study’s outset, participants had evidence of frailty and impaired physical function based on their Physical Performance Test and on measures of their peak aerobic capacity using an exercise stress test and a questionnaire about their physical function.
Sleep apnea is a serious health risk associated with obesity. A person who has sleep apnea often snores heavily and stops breathing or takes very shallow breaths for short periods during sleep. Obesity increases the risk for sleep apnea, and excess fat stored around the neck can narrow the airway and make breathing difficult. Sleep apnea may cause daytime sleepiness and eventually lead to heart failure. Weight loss usually improves sleep apnea.
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.
Pollan has popularized contempt for “nutritionism,” the idea behind packing healthier ingredients into processed foods. In his view, the quest to add healthier ingredients to food isn’t a potential solution, it’s part of the problem. Food is healthy not when it contains healthy ingredients, he argues, but when it can be traced simply and directly to (preferably local) farms. As he resonantly put it in The Times in 2007: “If you’re concerned about your health, you should probably avoid food products that make health claims. Why? Because a health claim on a food product is a good indication that it’s not really food, and food is what you want to eat.”
Washington University School of Medicine. (2011, March 30). Diet-exercise combo best for obese seniors. ScienceDaily. Retrieved March 9, 2018 from www.sciencedaily.com/releases/2011/03/110330192212.htm
4. Calhoun DA, Jones D, Textor S, Goff DC, Murphy TP, Toto RD, White A, Cushman WC, White W, Sica D, Ferdinand K, Giles TD, Falkner B, Carey RM: American Heart Association Professional Education Committee Resistant hypertension: diagnosis, evaluation, and treatment: a scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Circulation 2008; 117: e510– e526 [PubMed]
Stage 2: You have an obesity-related chronic disease, such as high blood pressure, type 2 diabetes, sleep apnea, or osteoarthritis, and you have moderate problems doing daily activities or feeling well.
While these countries to deal with the problems of infectious diseases and undernutrition, they are also experiencing a rapid upsurge in noncommunicable disease risk factors such as obesity and overweight, particularly in urban settings.
Physical illnesses may also have secondary characteristics that lead to weight loss. For example, gall stones often result in decreased appetite and nausea, which causes them to avoid high-energy foods.
“In older, obese people, it may be more important to improve physical function and quality of life, rather than to reverse or treat risk factors for cardiovascular disease,” says Villareal, now chief of geriatrics at the New Mexico Veterans Affairs Health Care System and professor of medicine at the University of New Mexico School of Medicine, both in Albuquerque. “Combining exercise and weight loss isn’t designed so much to extend their life expectancy as it is to improve their quality of life during their remaining years and to help seniors avoid being admitted to a nursing home.”

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NIH Obesity Research Task Force and Strategic Plan. We continue to support this larger NIH task force, that is committed to capitalizing on scientific research discoveries to develop new prevention methods and treatments for overweight and obesity. Visit NIH Obesity Research, NHLBI Obesity Research and the Strategic Plan for NIH Obesity Research for more information.
One of the real difficulties of starting exercise once you’re older is getting into it. If you have joint pain, or arthritis, just moving can be a real challenge. Water-based exercise is great for this, as the water will support your body weight – meaning there far less stress on your joints.
“It used to be thought that older patients don’t respond to treatment for obesity as well as younger patients,” Kahan says. “People assume that they couldn’t exercise as much or for whatever reason they couldn’t stick to diets as well. But we’ve disproven that.”
Jump up ^ Hunskaar S (2008). “A systematic review of overweight and obesity as risk factors and targets for clinical intervention for urinary incontinence in women”. Neurourol. Urodyn. (Review). 27 (8): 749–57. doi:10.1002/nau.20635. PMID 18951445.
The bottom line is that you burn fewer calories in your 50s, 60s, or 70s doing the same activities, and the same number of them, that you did in your 20s, 30s, or 40s. The key to preventing weight gain is to compensate by adjusting your food intake, exercising, and generally becoming more physically active.
The people of India and Asia have used Garcinia for culinary and medicinal purposed for hundreds of years. The active ingredient in Garcinia is hydoxycitric acid (HCA), which is chemically very similar to the citric acid in citrus fruits, and it is considered just as harmless.
It’s time for some straight talk: You weigh more than you did ten years ago, or even five years ago. The extra pounds didn’t arrive all at once but accumulated gradually before you even realized they were climbing on board. Now you’re looking at some serious extra poundage. But that’s to be expected as you get older, right? Wrong.
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.
(January 2016) The current growth of the population ages 65 and older is one of the most significant demographic trends in the history of the United States. Baby boomers—those born between 1946 and 1964—have brought both challenges and opportunities to the economy, infrastructure, and institutions as they have passed through each major of life. Although U.S. policymakers and others have had many decades to plan for the inevitable aging of the baby boom cohort, it is not clear that sufficient preparations have been made to meet baby boomers’ anticipated needs in old age.
WEDNESDAY, May 17, 2017 (HealthDay News) — Older, obese adults need to shed weight, but dieting can worsen their frailty. A new study addresses this conundrum, suggesting seniors take up both aerobic and resistance exercise while slimming down.
For example, someone who is 5’5 and weighs 150 pounds would have a BMI of 25 and be slightly overweight. Keep in mind that these BMI calculations are only a comparison of your weight to your height. They do not factor in anything else, such as your muscle mass or your gender. You can use the CDC’s BMI calculator here.
Three papers (Villareal 2011a; Armamento-Villareal 2012; Shah 2011) reported on a cohort of 107 frail obese adults using similar inclusion criteria and interventions to their earlier trials. In Villareal 2011a, weight loss plus exercise improved physical function and ameliorated frailty more than either weight loss or exercise alone, and sarcopenic-obesity was reduced in all intervention groups. However, there was a loss of both lean body mass and hip BMD. These loses were attenuated by the addition of exercise but not stopped. It is currently unknown what additional intervention(s) are needed to totally mitigate these loses. The investigators suggested higher doses of calcium and vitamin D, or performing only aerobic or resistance exercise individually, or including anti-resorptive therapy during active weight loss might be effective in mitigating the losses of BMD and LBM during active weight loss.
A significant limitation of all weight-for-height tables is that they do not distinguish between excess fat and muscle. A very muscular person may be classified as obese, according to the tables, when he or she in fact is not.
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.
Jump up ^ Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Al Mamun A, Bonneux L (January 2003). “Obesity in adulthood and its consequences for life expectancy: A life-table analysis”. Annals of Internal Medicine. 138 (1): 24–32. doi:10.7326/0003-4819-138-1-200301070-00008. PMID 12513041.
1. Contact your local Area Agency on Aging. Federal, state and local resources can help families with caregiving, housing and other elder issues. Even if you can’t find a home who will accept your loved one, you may be able to get assistance in other ways — such as an expert in-home caregiver.
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.

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…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.
(CBS/AP) Baby boomers fear dying from cancer, or losing their memory from Alzheimer’s as they age. What they should be worrying about is their growing waist lines, as the generation’s obesity problem can cause serious health risks and take a toll on the U.S. healthcare system in the not-so-distant future.
Abstract The barriers to the evaluation and treatment of obesity by health-care providers include a lack of awareness of obesity as an independent risk factor for morbidity and mortality and inadequate training in the medical management of obesity. However, the
One study even found that adults between ages 60 and 74 were four times more likely be depressed if they were obese [source: Pappas]. And obesity and aging joints is not a good mix, meaning that creaking knees will suffer more wear and tear when holding up someone who enjoys an extra trip back to the buffet table.
A disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints. When crystals form in the joints it causes recurring attacks of joint inflammation (arthritis). Chronic gout can also lead to deposits of hard lumps of uric acid in and around the joints and may cause joint destruction, decreased kidney function, and kidney stones.
There is controversy in regard to carbohydrates and weight loss. When carbohydrates are restricted, people often experience rapid initial weight loss within the first two weeks. This weight loss is due mainly to fluid loss. When carbohydrates are added back to the diet, weight gain often occurs, simply due to a regain of the fluid.
28. Megestrol acetate: adverse effects. In: DrugPoints System. Micromedex Healthcare Series [Internet database]. Greenwood Village (CO): Thomson Reuters (Healthcare) Inc; Updated periodically. Available: www.thomsonhc.com/hcs/librarian (accessed 2011 Jan. 27).
In 2000, smoking cessation, diet and exercise could have prevented around 35 percent of the deaths in the United States [source: CDC]. Baby boomers get a gold star for their nonsmoking efforts but fail when it comes to the latter two health initiatives. Being overweight and obese drastically increases a person’s chance of developing chronic diseases, such as heart disease and diabetes. It puts extra wear and tear on the body’s muscles and joints and reduces mobility.
At an individual level, a combination of excessive food energy intake and a lack of physical activity is thought to explain most cases of obesity.[81] A limited number of cases are due primarily to genetics, medical reasons, or psychiatric illness.[9] In contrast, increasing rates of obesity at a societal level are felt to be due to an easily accessible and palatable diet,[82] increased reliance on cars, and mechanized manufacturing.[83][84]
Data were collected using a monthly chronic disease and risk factor surveillance system in which a representative random sample of South Australians are selected from the Electronic White Pages each month and interviewed using computer assisted telephone interviewing (CATI).
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.
There are no specific symptoms of overweight and obesity. The signs of overweight and obesity include a high body mass index (BMI) and an unhealthy body fat distribution that can be estimated by measuring your waist circumference. Obesity can cause complications in many parts of your body.  
Shah et al. (2009) recruited 18 obese older adults. The participants were sedentary (≤ 2 exercise sessions per week), and were weight and medication stable. The intervention energy deficit was 500–1000 kcal per day, with three exercise sessions per week progressing to moderate intensity (~85% of peak heart rate). Intra hepatic fat (IHF) content was measured by Occipital Proton Magnetic Resonance Spectroscopy (1H-MRS). There was a 50% reduction in IHF with 9% weight loss that was consistent with findings in younger subjects (Petersen 2005; Sato 2007). The investigators reported that the liver appeared to readily mobilize intrahepatic triglycerides in response to negative energy balance. However, exercise training plus diet did not have an additive effect, consistent with previous reports (Tamura 2005; Larson-Meyer 2006).

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A 2016 study summarizing worldwide estimates of the fractions of different cancers attributable to overweight/obesity reported that, compared with other countries, the United States had the highest fractions attributable to overweight/obesity for colorectal cancer, pancreatic cancer, and postmenopausal breast cancer (33).
Compared to younger populations, elderly people tend to be on more medications. It’s critical that you talk to your doctor or health care professional before beginning a new diet regimen. There are a multitude of food and drug interactions that can be detrimental to your health, especially for blood thinners or cholesterol and blood pressure medications. Your physician knows your prescription history and can forewarn you on which foods to avoid.
The medication is approved for patients who are obese (BMI >30) or overweight (BMQ >27) with one weight-related health issue. The predominant side effects were headache and dizziness, as well as fatigue. In patients with diabetes, low blood sugar was also a concern when taking Belviq.
Senior author, Malcolm J. Low, M.D., Ph.D., said “Our model demonstrates that obesity is in part a self-perpetuating disorder and the results further emphasize the importance of early intervention in childhood to try to prevent the condition whose effects can last a lifetime. Our new animal model will be used in pinpointing the reasons why most adults find it exceedingly difficult to maintain meaningful weight loss from dieting and exercise alone.”
The scans are anonymously labeled, so the researcher has a technician break the code to identify the individual in his family, and place his or her scan in its proper place. When he sees the results, however, Fallon immediately orders the technician to double check the code. But no mistake has been made: The brain scan that mirrors those of the psychopaths is his own.
The “obesity paradox” refers to the unexpected findings that obese subjects seem to fare better than, or at least as well as, their normal- or low-weight counterparts in terms of mortality rates in the context of conditions, such as coronary artery disease in hypertensive subjects, congestive heart failure, chronic kidney disease, hemodialysis, postcoronary revascularization, and some instances of non-ST segment elevation in myocardial infarction (12,13). Currently, it is unclear whether or not all these different situations that share some common, yet unidentified, underlying mechanism are related to obesity itself, or rather reflect nutritional status or reserve, and/or possibly coexisting medical therapy. It remains uncertain how older age interacts with these protective effects of excess adiposity. Additionally, obesity is not a general “savior” in acute medical conditions. Hence, this interesting and potentially critical phenomenon remains presently enigmatic, requiring case- and age-specific in-depth examination. As an example of this effect, some 20 years ago, obesity in the elderly was actually linked to the twofold increase of postmyocardial infarction and in-hospital mortality in subjects >65 years (14). Has the obese phenotype been changed by the environment, or chronic medical therapy, or rather, have advances in the quality of critical care preferentially affected the obese?
The number of obese Americans ages 65 and older will increase from 10.3 million to 14.3 million by 2010, averaging 400,000 new obese adults per year (Arteburn, Crane, & Sullivan, 2004). Today, more than 65% of adults in the United States are overweight or obese. Obesity puts people at risk for heart disease, type 2 diabetes, high blood pressure, stroke, and some types of cancer.
^ Jump up to: a b c Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R (March 2009). “Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies”. Lancet. 373 (9669): 1083–96. doi:10.1016/S0140-6736(09)60318-4. PMC 2662372 . PMID 19299006.
This phenomenon is by no means limited to packaged food at upscale supermarkets. Back in February, when I was at Real Food Daily in Los Angeles, I ordered the “Sea Cake” along with my green-vegetable smoothie. It was intensely delicious in a way that set off alarm bells. RFD wouldn’t provide precise information about the ingredients, but I found a recipe online for “Tofu ‘Fish’ Cakes,” which seem very close to what I ate. Essentially, they consist of some tofu mixed with a lot of refined carbs (the RFD version contains at least some unrefined carbs) along with oil and soy milk, all fried in oil and served with a soy-and-oil-based tartar sauce. (Tofu and other forms of soy are high in protein, but per 100 calories, tofu is as fatty as many cuts of beef.) L.A. being to the wholesome-food movement what Hawaii is to Spam, I ate at two other mega-popular wholesome-food restaurants while I was in the area. At Café Gratitude I enjoyed the kale chips and herb-cornmeal-crusted eggplant parmesan, and at Akasha I indulged in a spiced-lamb-sausage flatbread pizza. Both are pricey orgies of fat and carbs.
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health.[1] People are generally considered obese when their body mass index (BMI), a measurement obtained by dividing a person’s weight by the square of the person’s height, is over 30 kg/m2, with the range 25–30 kg/m2 defined as overweight.[1] Some East Asian countries use lower values.[8] Obesity increases the likelihood of various diseases and conditions, particularly cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, certain types of cancer, osteoarthritis and depression.[2][3]
“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.
In general, women collect fat in their hips and buttocks, giving their figures a “pear” shape. Men, on the other hand, usually collect fat around the belly, giving them more of an “apple” shape. (This is not a hard and fast rule; some men are pear-shaped and some women become apple-shaped, particularly after menopause.)
A rigorous inclusion criterion as described above was employed. Only randomized controlled trials with a minimum weight loss intervention of three months, and body composition measured by DXA, MRI, CT, or hydrostatic weighing were included. Studies which specific chronic diseases or conditions (e.g. diabetes mellitus, osteoarthritis), were excluded.
Despite claims that obesity is not harmful in older individuals, several large-scale studies, such as the 10-year follow-up of the National Institutes of Health–AARP cohort (1), indicated that both overweight and obesity, at all ages and in both sexes, particularly in those individuals who had never smoked and who had no history of disease, are linked to increased mortality (1,2,7). Although the relative escalation in risk associated with a high BMI may decline with advancing age, the absolute rise in mortality rates associated with a high BMI is still much greater in elderly subjects, simply due to increased death rates in this age range (2). This relationship may no longer exist for the very old, in whom mortality rates may be driven by malignancy or aging of the cardiovascular tree that evolved throughout life. In this extreme age range, body weight most likely reflects both overall health status and the process of aging-induced weight loss. However, this cannot be extrapolated to the older population at large or viewed as evidence that high BMI is generally beneficial in the 6th to the 8th decades of life.
In Sacramento, 56 percent of obese baby boomers have high blood pressure, the UCLA figures show, compared with 23 percent of boomers with a normal body weight. More than one-fifth of obese baby boomers in the region have diabetes. Forty percent suffer from arthritis: Not surprisingly, the number of boomers using assistive devices, such as canes and walkers, is on the rise, as well. Almost 20 percent of obese boomers can’t work due to disability.

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Keep in mind that a good appetite does not rule out disease, because cats with certain conditions (e.g. hyperthyroidism, diabetes mellitus, malnutrition from malabsorption or maldigestion, internal parasites, exocrine pancreatic insufficiency, nonsuppurative cholangitis-cholangiohepatitis complex) may have a normal or increased appetite. And if an owner reports that the cat is interested in food but is unable or reluctant to eat, consider dental disease, oral or pharyngeal masses or foreign bodies, chronic gingivitis-stomatitis,1 or retrobulbar masses or abscesses.
There are mental complications as well. Obesity affects cognition, which includes the way we process information, memory, comprehension, problem solving, and decisions. These functions are known to deteriorate with age, and studies show that they deteriorate more rapidly in the population affected by obesity. Since proper cognition help seniors to live fuller and more independent lives, this effect of obesity is more relevant than ever as we age.
Any individual plan listed on our site carries the same costs and offers the exact same benefits regardless of whether you purchase it from our site, a government website, or your local insurance broker.
[1] How are overweight and obesity diagnosed? National Heart, Lung, and Blood Institute website. http://www.nhlbi.nih.gov/health/health-topics/topics/obe/diagnosis.html. Updated July 13, 2012. Accessed October 4, 2012.
Past research published in the journal JAMA Internal Medicine has shown the baby boomer generation has its share of pervasive health problems, including high rates of cholesterol and hypertension. The authors concluded that there’s a need for policies that encourage prevention efforts and healthy-behavior promotion among boomers.
Jump up ^ Berrington de Gonzalez A, Hartge P, Cerhan JR, Flint AJ, Hannan L, MacInnis RJ, Moore SC, Tobias GS, Anton-Culver H, Freeman LB, Beeson WL, Clipp SL, English DR, Folsom AR, Freedman DM, Giles G, Hakansson N, Henderson KD, Hoffman-Bolton J, Hoppin JA, Koenig KL, Lee IM, Linet MS, Park Y, Pocobelli G, Schatzkin A, Sesso HD, Weiderpass E, Willcox BJ, Wolk A, Zeleniuch-Jacquotte A, Willett WC, Thun MJ (2010). “Body-mass index and mortality among 1.46 million white adults”. The New England Journal of Medicine. 363 (23): 2211–19. doi:10.1056/NEJMoa1000367. PMC 3066051 . PMID 21121834.
Some modifications to the WHO definitions have been made by particular organizations.[28] The surgical literature breaks down class II and III obesity into further categories whose exact values are still disputed.[29]
A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. For information about the SORT evidence rating system, go to https://www.aafp.org/afpsort.
In Sacramento and across the nation, the number of baby boomers who are overweight or obese continues to climb, and as a group, they have hit middle age much heavier than the previous generation. Almost three of four people ages 49 to 67 – the baby boom generation – are overweight or obese in the four-county Sacramento region, according to a new survey from the UCLA Center of Health Policy Research.
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.
Women with a waist size greater than 35 inches (89 centimeters) and men with a waist size greater than 40 inches (102 centimeters) have an increased risk for heart disease and type 2 diabetes. People with “apple-shaped” bodies (waist is bigger than the hips) also have an increased risk for these conditions.
Jump up Metcalf B, Henley W, Wilkin T (2012). “Effectiveness of intervention on physical activity of children: systematic review and meta-analysis of controlled trials with objectively measured outcomes (EarlyBird 54)”. BMJ (Clinical Research Ed.) (Review, Meta-analysis). 345: e5888. doi:10.1136/bmj.e5888. PMID 23044984.
Please note that blog posts that are written by individuals from outside the government may be owned by the writer, and graphics may be owned by their creator. In such cases, it is necessary to contact the writer, artists, or publisher to obtain permission for reuse.
For those who don’t have the time to make it to support groups, there are now many free or low-cost apps available for the iPhone, iPad, or Android, which help determine and track calories, nutrition, and calorie expenditure. Try LoseIt!, Weight Watchers Mobile, Restaurant Nutrition, 40:30:30, Diet Point, Noom Weight Loss Coach, FitBit, Fooducate, Diet Assistance, Calorie Counter PRO MyNet Diary, Amwell, MyFitnessPal, or 7-Minute Workout.
Consuming more energy from foods and beverages than the body uses for healthy functioning, growth, and physical activity can lead to extra weight gain over time.4   The Dietary Guidelines for Americans encourage children and adolescents to maintain calorie balance to support normal growth and development without promoting excess weight gain.5 Energy imbalance is a key factor behind the high rates of obesity seen in the United States and globally.6,7
“In older, obese people, it may be more important to improve physical function and quality of life, rather than to reverse or treat risk factors for cardiovascular disease,” says Villareal, now chief of geriatrics at the New Mexico Veterans Affairs Health Care System and professor of medicine at the University of New Mexico School of Medicine, both in Albuquerque. “Combining exercise and weight loss isn’t designed so much to extend their life expectancy as it is to improve their quality of life during their remaining years and to help seniors avoid being admitted to a nursing home.”
[3] Ogden C, Carroll MD, Lawman, HG, Fryar CD, Kruszon-Moran D, et al. Trends in obesity among children and adolescents in the United States, 1988- 1994 through 2013- 2014. The Journal of the American Medical Association. 2016;315(21):2292–2299. Available at http://jamanetwork.com/journals/jama/fullarticle/2526638 or https://www.ncbi.nlm.nih.gov/pubmed/27272581.
According to the U.S. National Library of Medicine, about 13% of adults experience unintentional or involuntary weight loss. Problematic weight loss can be defined as a loss of 5% of body weight in one month or 10% over a period of six months or longer. For example, if you weighed 126 pounds at the beginning of the month and 118 pounds at the end of the month, you would have experienced over a 6% weight loss within a month, which could be problematic weight loss. Involuntary weight loss may be associated with chronic conditions and could result in functional decline, ulcers and worsening cognitive disorders. According to the Mayo Clinic, malnutrition in older adults can result in
Jump up ^ Tukker A, Visscher TL, Picavet HS (April 2008). “Overweight and health problems of the lower extremities: osteoarthritis, pain and disability”. Public Health Nutr (Research Support). 12 (3): 1–10. doi:10.1017/S1368980008002103. PMID 18426630.
In this editorial series we’ll explore the role of business in supporting access to education and opportunities, and consider the best way to prepare a generation of leaders who understand the importance of sustainable development.

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Plan regular physical activity with a friend. Find a fun activity that you both enjoy, such as Zumba, jogging, biking or swimming. You are more likely to stick with that activity if you and a friend have committed to it.  
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.
Searches of MEDLINE (and MEDLINE In-Process), EMBASE, CINAHL and AGELINE were conducted to identify relevant studies from 1980 to September 2009. Additional studies were identified from searching bibliographies of retrieved articles and by consulting a clinical expert in the area. We identified English-language articles that addressed risk factors, differential diagnosis, prognosis, investigation or treatment of unintentional weight loss among adults 65 years of age or older. Further details on the search can be found in Appendix 1, available at www.cmaj.ca/cgi/content/full/cmaj.101471/DC1. We excluded articles that specifically focused on weight loss associated with cancer or HIV infection. All types of articles were considered for inclusion except for case reports, editorials and meeting abstracts. All patients, regardless of where they lived, were included in the review. Two reviewers (S.S. and E.M.A or J.H-L) independently reviewed all identified citations to select relevant publications that met the inclusion criteria. In cases of doubt, full-text articles were retrieved for review and discussion.
Numerous studies have shown that overweight people are at increased risk for several diseases. A 12-year follow-up of 336,000 men and 419,000 women by the American Cancer Society, for example, 106 shows that persons who are greater than 40 per cent overweight
Obesity is mostly preventable through a combination of social changes and personal choices.[1] Changes to diet and exercising are the main treatments.[2] Diet quality can be improved by reducing the consumption of energy-dense foods, such as those high in fat and sugars, and by increasing the intake of dietary fiber.[1] Medications may be used, along with a suitable diet, to reduce appetite or decrease fat absorption.[5] If diet, exercise, and medication are not effective, a gastric balloon or surgery may be performed to reduce stomach volume or length of the intestines, leading to feeling full earlier or a reduced ability to absorb nutrients from food.[6][12]
The benefits of taking control of your health and your life are undeniable, but most people are not sure where to start. The surgeons and staff at MIST are here to guide you through this life altering process and ultimately help you to achieve your weight loss goals.
Obesity has been reported to be the single greatest cause of disability for seniors, and it’s expected to put a great strain on the U.S. healthcare system in the coming years. It can lead to heart disease, diabetes, cancer, and osteoarthritis, among other conditions and diseases. Experts consider obesity one of the greatest health challenges of the 21st century.
Obesity, however, has many causes. The reasons for the imbalance between calorie intake and consumption vary by individual. Your age, gender, genes, psychological makeup, socioeconomic, and environmental factors all may contribute.
Many organizations have published reports pertaining to obesity. In 1998, the first US Federal guidelines were published, titled “Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report”.[158] In 2006 the Canadian Obesity Network published the “Canadian Clinical Practice Guidelines (CPG) on the Management and Prevention of Obesity in Adults and Children”. This is a comprehensive evidence-based guideline to address the management and prevention of overweight and obesity in adults and children.[81]
If you are more than 20% overweight then most likely your health would benefit greatly from losing weight. Experts in the area of morbid obesity believe that those who are less than 20% above a healthy weight range should still try to lose weight if they have any of the following risk factors:
Ephedra: This natural substance is essentially an herbal phen-fen. It is the active ingredient in MaHuang and is used as a stimulant and appetite suppressant. Ephedra resembles the amphetamines — the popular “diet drugs” that were banned in the 1970s — in that it is highly addictive. Ephedra is often combined with caffeine and aspirin (“the Stack”), which increases the thermogenic (fat-burning) effect of ephedra. Ephedra increases the risk of high blood pressure, irregular heartbeat, insomnia, seizures, heart attack, stroke, and death. The FDA has recently banned ephedra because it has been linked to more than 100 deaths.
Completing education beyond high school is associated with longer life expectancy and better health at older ages. Among people ages 65 and older in 1965, only 5 percent had completed a bachelor’s degree or more. By 2014, this share had risen to 25 percent.
When my father’s final hour came, Wilhelm says, “I kissed my father on the cheek and told him I loved him. He grunted so I knew he heard me.” Saying goodbye, she says, was heartbreaking, especially knowing that there may have been more doctors could have done to help her father (at least before the cancer had spread).
Phenylpropanolamine (PPA) is often found in appetite suppressants as well as over-the-counter cough and cold remedies. The FDA has recommended that products containing PPA be removed from the market. Studies have suggested that this product is associated with an increased risk of hemorrhagic (bleeding) stroke in women.
Children who have a television in their bedroom are much more likely to be obese or overweight than kids who do not, researchers from the Pennington Biomedical Research Center in Baton Rouge, LA, reported in the American Journal of Preventive Medicine (December 2012 issue).
Professor Cappuccio explains that sleep deprivation may lead to obesity through increased appetite as a result of hormonal changes. If you do not sleep enough you produce Ghrelin, a hormone that stimulates appetite. Lack of sleep also results in your body producing less Leptin, a hormone that suppresses appetite.
Given that many older adults suffer from obesity, you will likely have some of these clients coming to you for help in losing fat and increasing muscle mass and strength. Of course, strength training along with sensible eating can be instrumental in bringing about desired changes in overall body composition. Using the workouts in chapter 4, you can easily adjust training loads or resistances to match current strength levels while selecting exercises that can be performed safely on sturdy and properly sized machine and free-weight equipment.
A 5-10% weight reduction every six months is more achievable, sustainable and sufficient enough to reduce the risk of associated diseases. Gradual and steady weight loss will lead to better blood sugar control, lower blood pressure, decreased cholesterol and less on weight-bearing joints.
“Transport options and workplaces encourage sedentary behavior, and food high in fat and sugar is often more readily available than a healthier alternative. This may account for why the younger generation is developing unhealthy weight levels at an earlier age,” she says.
The World Health Organization estimates that having too high a BMI is responsible for 21 percent of the cases of ischemic heart disease, 23 percent of ischemic stroke, 58 percent of type 2 diabetes, and 39 percent of hypertension. Obesity also increases the risk of some cancers, as well as the risk of nonfatal diseases, such as joint problems and infertility. (7)

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Poorly balanced diets and the lack of physical exercise are key factors in the increase of obesity and other metabolic diseases in modern societies. In epidemiological studies in humans, the effect of the intake of fructose-sweetened beverages also seems to be more intense in women. (From – “New Data On Fructose-Sweetened Beverages And Hepatic Metabolism”).
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.
Luckily, many weight-loss options are available, even for people who have tried earnestly but unsuccessfully to lose weight through diet, exercise, or prior weight-loss surgery. At the Houston UT MIST Center for Bariatric and Metabolic Surgery, our team of specialists can help you understand the causes and health risks of obesity, as well as the wide range of treatment options available to help you reach your target weight-loss goal and prevent obesity-related health risks.
The local numbers parallel a dangerous national health trend: Obesity is growing particularly fast among the nation’s baby boomers, according to the federal Centers for Disease Control and Prevention, with roughly 30 percent of boomers falling into the obese category in 2012 compared with 24 percent a decade ago. CDC figures show that another 41 percent of boomers are overweight.
Gacci M, Sebastianelli A, Salvi M, et al. Role of abdominal obesity for functional outcomes and complications in men treated with radical prostatectomy for prostate cancer: results of the Multicenter Italian Report on Radical Prostatectomy (MIRROR) study. Scandinavian Journal of Urology 2014; 48(2):138-145.
Obesity is a chronic condition. Too often it is viewed as a temporary problem that can be treated for a few months with a strenuous diet. However, as most overweight people know, weight control must be considered a lifelong effort. To be safe and effective, any weight-loss program must address the long-term approach or else the program is largely a waste of time, money, and energy.
In people with heart failure, those with a BMI between 30.0 and 34.9 had lower mortality than those with a normal weight. This has been attributed to the fact that people often lose weight as they become progressively more ill.[76] Similar findings have been made in other types of heart disease. People with class I obesity and heart disease do not have greater rates of further heart problems than people of normal weight who also have heart disease. In people with greater degrees of obesity, however, the risk of further cardiovascular events is increased.[77][78] Even after cardiac bypass surgery, no increase in mortality is seen in the overweight and obese.[79] One study found that the improved survival could be explained by the more aggressive treatment obese people receive after a cardiac event.[80] Another found that if one takes into account chronic obstructive pulmonary disease (COPD) in those with PAD, the benefit of obesity no longer exists.[75]
There are many different types of strength training exercises and a variety of equipment that can be used, including weight-training machines, dumbbells, resistance bands, medicine balls, or weighted bars.
According to a report by Claire Wang — researcher at the Department of Health Policy and Management at Columbia University’s Mailman School of Public Health — and her colleagues, the rising burden of obesity among people 60 and older is intensifying. Of the 65 million additional obese people projected in the U.S. in 2030, 24 million would be in this age range.
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.
Mirtazapine (Remeron), a serotonin antagonist used to treat depression, has gained interest as a possible treatment for unintentional weight loss in older patients because 12% of patients who take this drug for depression report weight gain.36 Although no literature exists to support its use for unintentional weight loss, mirtazapine may be an option for older patients with depression who also have unintentional weight loss. Because dizziness and orthostatic hypotension are possible adverse effects of mirtazapine, caution is warranted in patients at risk of falls.36,37
Weight loss can be intentional, such as from dieting and exercise, or unintentional and be a manifestation of illness. Weight loss can result from a decrease in body fluid, muscle mass, or fat. A decrease in body fluid can come from medications, fluid loss, lack of fluid intake, or illnesses such as diabetes. A decrease in body fat can be intentionally caused by exercise and dieting, such as for overweight or obesity. Weight loss is normal after pregnancy. Other causes of weight loss include, but are not limited to, cancer, viral infection (such as CMV or HIV), gastroenteritis, parasite infection, depression, bowel diseases, and overactive thyroid (hyperthyroidism).
Esophageal adenocarcinoma: People who are overweight or obese are about twice as likely as normal-weight people to develop a type of esophageal cancer called esophageal adenocarcinoma, and people who are extremely obese are more than four times as likely (9).
Excessive weight can result in many serious, potentially life-threatening health problems, including hypertension, Type II diabetes mellitus (non-insulin dependent diabetes), increased risk for coronary disease, increased unexplained heart attack, hyperlipidemia, infertility, and a higher prevalence of colon, prostate, endometrial, and, possibly, breast cancer. Approximately 300,000 deaths a year are attributed to obesity, prompting leaders in public health, such as former Surgeon General C. Everett Koop, M.D., to label obesity “the second leading cause of preventable deaths in the United States.”
You should consult your physician or other health care professional before starting a HASfit program or any other fitness program to determine if it is right for your needs. This is particularly true if you (or your family) have a history of high blood pressure or heart disease, or if you have ever experienced chest pain when exercising or have experienced chest pain in the past month when not engaged in physical activity, smoke, have high cholesterol, are obese, or have a bone or joint problem that could be made worse by a change in physical activity. Do not start this fitness program if your physician or health care provider advises against it. If you experience faintness, dizziness, pain or shortness of breath at any time while exercising you should stop immediately.
Obesity is the most important risk factor for sleep apnea. A person who is overweight may have more fat stored around his or her neck. This may make the airway smaller. A smaller airway can make breathing difficult or loud (because of snoring), or breathing may stop altogether for short periods of time. In addition, fat stored in the neck and throughout the body may produce substances that cause inflammation. Inflammation in the neck is a risk factor for sleep apnea.
Exercise and strength training can optimize overall health and quality of life. Lower impact activities such as walking, swimming, and bicycling are generally safe for many older adults, even those who have chronic conditions such as heart disease or high blood pressure. But the key is start slowly. Warming up and cooling down by walking and stretching before and after each session is important to minimize any soreness or potential injury.
There are mental complications as well. Obesity affects cognition, which includes the way we process information, memory, comprehension, problem solving, and decisions. These functions are known to deteriorate with age, and studies show that they deteriorate more rapidly in the population affected by obesity. Since proper cognition help seniors to live fuller and more independent lives, this effect of obesity is more relevant than ever as we age.
A food stall in Santiago. Officials have been particularly alarmed by Chile’s childhood obesity rates, with over half of 6-year-old children overweight or obese. Credit Victor Ruiz Caballero for The New York Times
Perhaps more worrisome was the level of mobility problems they found. In 2010, a greater proportion than in 1997 told interviewers that they had difficulty with at least one of nine physical functions examined. Specifically, about 40 percent of the respondents said that a health problem made it difficult for them to kneel or stoop; stand for two hours; walk one-quarter mile; climb 10 steps without resting; sit for two hours; lift and carry 10 pounds; reach over the head; push or pull a large object; or grasp small objects.
Adults: A healthy weight for adults is usually when your BMI is 18.5 to less than 25. To figure out your BMI, use the National Heart, Lung, and Blood Institute’s online BMI calculator and compare it with the table below. You can also download the BMI calculator app for iPhone and Android. Even if your BMI is in the healthy range, it is possible to be diagnosed as obese if you have a large waist circumference that suggests increased amounts of fat in your abdomen that can lead to complications.
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]
The report notes that the number of Americans ages 65 and older is on course to more than double from 46 million today to over 98 million by 2060, while the 65-and-older age group’s share of the total population will rise to nearly 24 percent from 15 percent.
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.
At the study’s outset, participants had evidence of frailty and impaired physical function based on their Physical Performance Test and on measures of their peak aerobic capacity using an exercise stress test and a questionnaire about their physical function.
Some nutrition advocates wonder how long the law will survive in its current form. Mr. Piñera, the former president who was recently elected to the office again and will succeed Ms. Bachelet in March, is a conservative businessman who vetoed the food bill in 2011 during his first term in office. Instead, his administration backed a nutrition initiative, financed by multinational food companies, that emphasized healthy recipes, exercise and moderation when it comes to junk food. The campaign was the project of the first lady, Cecilia Morel Montes.
The liver is a large organ in the upper right abdomen that aids in digestion and removes waste products from the blood. Liver disease includes the following conditions: Cirrhosis, or scarring of the liver Inflammation (hepatitis) from infectious (hepatitis B, hepatitis C) or non-infectious causes (chemical or autoimmune hepatitis) Tumors, benign and malignant (liver cancer) Metabolic disorders.