As an older adult, there are special considerations to take into account if you want to lose weight. Your lifestyle may have changed over the past several years, you may be living alone and you may have medical issues to consider.
Almost any of the commercial weight-loss programs can work but only if they motivate you sufficiently to decrease the amount of calories you eat or increase the amount of calories you burn each day (or both). What elements of a weight-loss program should a consumer look for in judging its potential for safe and successful weight loss? A responsible and safe weight-loss program should be able to document for you the five following features:
“We’re in an epidemic,” said Rich Hamburg, deputy director of the Trust for America’s Health, a national nonprofit health advocacy group. “We’ve seen this 30-year rise in overweight and obesity rates, and we’ve seen a more significant increase in the baby boom population.”
Orlistat is recommended only for people 18 years of age and over in combination with a diet and exercise regimen. People who have difficulties with the absorption of food or who are not overweight should not take orlistat. Overweight is defined by the U.S. National Institutes of Health as having a body mass index (BMI) of 27 or greater.
Note: The health risks associated with obesity mentioned above are just examples of some of the most common concerns, as might be included in first-level courses in health sciences e.g. A-Level Human Biology (16-18 year-olds in UK).
Kopelman P., Caterson I. An overview of obesity management In:Peter G. Kopelman; Ian D. Caterson; Michael J. Stock; William H. Dietz (2005). Clinical obesity in adults and children: In Adults and Children. Blackwell Publishing. pp. 319–26. ISBN 1-4051-1672-2.
If you have or are at risk for one of the obesity health problems reviewed above and have a body mass index of 27 or more, your doctor may prescribe one of several weight loss medications. The most effective diet pill for you would most likely fall into one of two FDA-approved categories:
Jump up ^ Goodman E, Adler NE, Daniels SR, Morrison JA, Slap GB, Dolan LM (2003). “Impact of objective and subjective social status on obesity in a biracial cohort of adolescents”. Obesity Reviews (Research Support). 11 (8): 1018–26. doi:10.1038/oby.2003.140. PMID 12917508.
Obesity had no effect on total life expectancy in older individuals, but increased the risk of having CVD earlier in life and consequently extended the number of years lived with CVD. Owing to increasing prevalence of obesity and improved treatment of CVD, we might expect more individuals living with CVD and for a longer period of time.
Thus McDonald’s silence on the nutritional profiles of its new menu items. “We’re not making any health claims,” Watson said. “We’re just saying it’s new, it tastes great, come on in and enjoy it. Maybe once the product is well seated with customers, we’ll change that message.” If customers learn that they can eat healthier foods at McDonald’s without even realizing it, he added, they’ll be more likely to try healthier foods there than at other restaurants. The same reasoning presumably explains why the promotions and ads for the Carl’s Jr. grilled-cod sandwich offer not a word related to healthfulness, and why there wasn’t a whiff of health cheerleading surrounding the turkey burger brought out earlier this year by Burger King (which is not yet calling the sandwich a permanent addition).
Also, our busy lives make it harder to plan and cook healthy meals. For many of us, it’s easier to reach for prepared foods, go out to eat, or go to the drive-through. But these foods are often high in saturated fat and calories. Portions are often too large. Work schedules, long commutes, and other commitments also cut into the time we have for physical activity.
Specific industries, such as the airline, healthcare and food industries, have special concerns. Due to rising rates of obesity, airlines face higher fuel costs and pressures to increase seating width. In 2000, the extra weight of obese passengers cost airlines US$275 million. The healthcare industry has had to invest in special facilities for handling severely obese patients, including special lifting equipment and bariatric ambulances. Costs for restaurants are increased by litigation accusing them of causing obesity. In 2005 the US Congress discussed legislation to prevent civil lawsuits against the food industry in relation to obesity; however, it did not become law.
Other measurements that reflect the distribution of body fat—that is, whether more fat is carried around the hips or the abdomen—are increasingly being used along with BMI as indicators of obesity and disease risks. These measurements include waist circumference and the waist-to-hip ratio (the waist circumference divided by the hip circumference).
Asthma is a condition in which hyperreactive airways constrict and result in symptoms like wheezing, coughing, and shortness of breath. Causes of asthma include genetics, environmental factors, personal history of allergies, and other factors. Asthma is diagnosed by a physician based on a patient’s family history and results from lung function tests and other exams. Inhaled corticosteroids (ICS) and long-acting bronchodilators (LABAs) are used in the treatment of asthma. Generally, the prognosis for a patient with asthma is good. Exposure to allergens found on farms may protect against asthma symptoms.
Losing excess weight after delivery may help women reduce their health risks. For example, if a woman developed gestational diabetes, losing weight may lower her risk of developing diabetes later in life.
The imbalance between calories in and calories out doesn’t need to be large to gain weight, says Dr. Lawrence Cheskin, director of the Johns Hopkins Weight Management Center and associate professor of Health Behavior and Society at Johns Hopkins Bloomberg School of Public Health. As little as 50 extra calories a day can lead to weight gain. So it all adds up quickly, particularly when you’re older. Even if you eat the same amount of food at age 50 as you did at 25, your body will gain weight.
Agricultural policy and techniques in the United States and Europe have led to lower food prices. In the United States, subsidization of corn, soy, wheat, and rice through the U.S. farm bill has made the main sources of processed food cheap compared to fruits and vegetables. Calorie count laws and nutrition facts labels attempt to steer people toward making healthier food choices, including awareness of how much food energy is being consumed.
^ Jump up to: a b Global BMI Mortality Collaboration; Di Angelantonio, E; Bhupathiraju, ShN; Wormser, D; Gao, P; Kaptoge, S; Berrington De Gonzalez, A; Cairns, B. J; Huxley, R; Jackson, ChL; Joshy, G; Lewington, S; Manson, J. E; Murphy, N; Patel, A. V; Samet, J. M; Woodward, M; Zheng, W; Zhou, M; Bansal, N; Barricarte, A; Carter, B; Cerhan, J. R; Smith, G. D; Fang, X; Franco, O. H; Green, J; Halsey, J; Hildebrand, J. S; et al. (13 July 2016). “Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents”. Lancet. 388 (10046): 776–86. doi:10.1016/S0140-6736(16)30175-1. PMC 4995441 . PMID 27423262.
For obese or overweight people who have two or more factors, federal guidelines recommend weight loss. Even a small amount of weight loss (such as ten percent of your current weight) lowers your chance of developing diseases associated with obesity. Patients who are overweight but have less than two risk factors and do not have a high waist measurement may just need to prevent further weight gain rather than lose weight.
Eat more nutritious foods that have “low energy density.” Low energy dense foods contain relatively few calories per unit weight (fewer calories in a large amount of food). Examples of low energy dense foods include vegetables, fruits, lean meat, fish, grains, and beans. For example, you can eat a large volume of celery or carrots without taking in many calories.
Baby boomers form the solid core of Dr. John Hernried’s practice as medical director of Sutter Weight Management Institute: His typical patient needs to lose more than 60 pounds, he said. But many of his boomer patients have been resigned to being heavy – and many more, even as they deal with diabetes and the prospect of knee-replacement surgery, are in denial as to what carrying extra pounds will do to their health.
Endurance exercise when combined with a dietary weight loss program increases maximal oxygen consumption (Dick, 2004). Diet in conjunction with resistance and endurance exercises improves peak oxygen consumption as well. Nurses can teach patients with respiratory problems to do diaphragmatic or abdominal breathing to help strengthen respiratory muscles. Breathing exercises, as well as good posture, can help patients to exhale and inhale fully (Lorig et al., 2006). Pursed lip breathing may also be helpful for patients who are short of breath or breathless. Pursed breathing includes pursing the lips as if blowing a whistle; using diaphragmatic breathing out through pursed lips without any force; and remembering to relax the upper chest, arms shoulders, and arms while breathing out. Patients with sleep apnea need to be referred for sleep studies.
According to the World Health Organization (WHO) being overweight or obese is largely preventable. To reach your ideal weight you must reach a balance of calories consumed and calories burned. According to WHO, in your diet you can:
Manson JE, Colditz GA, Stampfer MJ, Willett WC, Rosner B, Monson RR, Speizer FE, Hennekens CH.; “A prospective study of obesity and risk of coronary heart disease in women.” N Engl J Med. 1990 Mar 29;322(13):882-9.
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.
Researchers found that 20% of people born between 1966 and 1985 were obese in their 20s, an obesity prevalence milestone not reached by their parents until their 30s or by their grandparents until their 40s or 50s.