Facts About Healthy Weight
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Chapter 8 Overweight and Obesity (High Body MASS Index)
Chapter 8 Overweight and obesity (high body mass index) W. Philip T. James, Rachel Jackson-Leach, Cliona Ni Mhurchu, Eleni Kalamara, Maryam Shayeghi, Neville J. Rigby, Chizuru Nishida and Anthony Rodgers Summary It is widely acknowledged that being overweight is associated with an amplified risk of disease, particularly if body fat is deposited within the abdomen, as suggested by a high waist-circumference measurement. This chapter aims to estimate the burden of disease attributable to overweight and obesity as indicated by a high body mass index (BMI), by age, sex and subregion.1 BMI, which is calculated as weight (kg) divided by height squared (m2), was chosen as a simple measurement of body weight in relation to height. While increases in both body fat and lean tissue cause increments in BMI, relationships between body weight and health are convention- ally expressed in terms of BMI rather than body fat. Data on popula- tion weight and height, often collected as part of general medical or economic surveys, were obtained, typically from specially-commissioned analyses from ministries of health. Where these data sets or published representative information were lacking, earlier data published for each country were used. All information based on studies of select groups within a population were excluded. In addition, only data obtained by actual measurement of heights and weights by trained observers were included. As data were not available for some countries, it was neces- sary to extrapolate from data for other countries or subregions when deriving estimates of BMIs for the different age groups in each subregion. Analyses of the relationship between BMI and both mortality and morbidity suggested that the theoretical optimum mean population BMI was approximately 21kg/m2. -
Weight Management Guideline: Children and Adolescents
Weight Management in Children and Adolescents Screening and Intervention Guideline Prevention ........................................................................................................................................ 2 Nutrition ........................................................................................................................................ 2 Healthy eating behaviors .............................................................................................................. 2 Physical activity ............................................................................................................................ 3 Screening ......................................................................................................................................... 3 Diagnosis.......................................................................................................................................... 3 Interventions ..................................................................................................................................... 4 Goals ............................................................................................................................................ 4 Strategies to help with weight loss ............................................................................................... 5 Behavior change counseling using the 5A approach ................................................................... 5 Lifestyle modifications ................................................................................................................. -
Behavioral Approach to Weight Loss
Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine Body Mass Index (BMI) is a way to define over- The distribution of body fat is important from a weight and obesity. The index is a mathematical formula in chronic disease perspective. Those who have more which a person’s body weight in kilograms is divided by body fat in the abdominal area have an increased risk the square of his or her height in meters [kg/m2]. The BMI for elevated triglycerides, high blood pressure and is more highly correlated with body fat than any other glucose intolerance. Waist circumference correlates mathematical ratio of height and weight; however, athletes well with chronic disease risk. A waist circumference and individuals with a high percentage of muscle may of 40 inches (102 cm) or more in men or a waist have a BMI in the overweight range because of the higher circumference of 35 inches (88cm) or more in women density of muscle compared to fat. puts one at greater risk of insulin resistance and the chronic diseases associated with it. A BMI of 18 to 25 is considered normal weight. Individuals with a BMI of 25 to 29.9 are When someone is a few pounds overweight and considered overweight, and those with a BMI of is motivated to lose weight, there are safe and effec- 30 or more are considered obese. tive methods to lose a few pounds and to maintain a Overweight is defined as increased weight in weight loss. relation to height. Obesity is defined as an excessively high amount of body fat or adipose tissue in relation to lean body mass. -
Using Surgery to Remove Fat Has Long Been a Quest Of
I have these deposits offat where I really hate them, especially on my thighs. Dieting hasn't helped. -Ginny, 34, secretary sing surgery to remove fat has long been a quest of Ucosmetic surgeons, but the journey toward that dream has been slow until recently. About twenty years ago, physicians in Italy scraped out fat through a relatively small incision using a sharp, circular-ended knife called a curette. Because severe complications often resulted, this technique did not gain widespread acceptance. Seizing on that idea, doctors in France began using a blunt-ended canula, a metal tube with openings along the sides that looks a bit like an oversized straw, to remove fat more gently while preserving the important connections between the skin and muscle. This fat-removal method minimized the chances of damage to surrounding tissue. In a variation on the technique, doctors began infusing into the fat small amounts of saline (salt water), which was identical in composition to the water in our body. This helped break up the fat globules, making them easier to remove. © Copyright 2000, David J. Leffell. MD. All rights reserved. 172 Look Your Best After the technique was introduced to the United States in 1982, lipo suction rapidly gained popularity, though the potential for complications, many related mostly to the use of general anesthesia, remained. Three years later, American dermatologist Jeffrey Klein introduced tumescent anesthesia. The tumescent technique involves injecting low-concentration anesthetic solution (lidocaine) into the fat combined with epinephrine (to reduce bleeding and prolong the anesthetic effect) and saline. Large vol umes of this solution are injected into the fat before surgery, thus swelling the area to approximately two to three times its normal size. -
Underweight and Difficulty Gaining Weight
Nutrition Fact sheet Underweight and Difficulty Gaining Weight Maintaining a healthy body weight is important for good health, but every person’s energy needs are different, depending on their activity levels. Ultimately, the “energy in” from food each day must be balanced with the “energy out” expended through exercise and activity. For people with physical Challenges Gaining and disabilities, energy needs are Maintaining Weight often related to ability. For Some children with disabilities example, people who use a have difficulty gaining weight wheelchair tend to have less and may be underweight for energy needs than those who Reasons for not getting their height and age. This walk. People with spasticity the right amount of food can continue into adulthood, type cerebral palsy tend to include: with some people struggling have less energy needs than to gain weight and maintain • Difficulties with eating and those with athetosis. a healthy body weight their drinking Dietitian reviews are entire lives. • Inability to express hunger recommended for any person Low body weight can lead to: or thirst at risk of being either over – • Requiring assistance with or underweight. Reviews will • Growth failure in children eating and drinking assist you to determine the • Decreased muscle strength most suitable foods to meet • Reflux, vomiting or • Reduced ability to cough your needs. aspiration (food and drink • Increased risk of infection going into the lungs) • Constipation • Requiring food textures to • Osteoporosis be changed before eating • Pressure injury or drinking • Irritability • Lack of appetite • Depression • Taking a long time to eat and drink There are two general causes • Constipation of low body weight: a lack of correct nutrition to gain and maintain weight; and more energy being expended than is being taken in. -
Weight Loss Surgery
YOUR GUIDE TO WEIGHT LOSS SURGERY MU HEALTH CARE | YOUR GUIDE TO WEIGHT-LOSS SURGERY 1 It’s about gaining life. At MU Health Care, bariatric surgery isn’t about dropping pounds or pant sizes. It’s about finding a long-term solution to help you regain your health and live a life unhindered by weight. With multiple weight loss options, we work with you to find what best meets your goals and give you an entire team of support before, during and long after your procedure. Our comprehensive, collaborative approach to care means no matter where you’re at in your weight loss journey, our team is committed to making sure you have everything you need to be successful. It means we don’t just get you in and out for surgery or short-term results; rather, we work together to foster a lasting, healthy lifestyle through nutrition counseling, health evaluations, educational classes, support groups, treatment of weight-related issues and regularly scheduled check-ins. To us, bariatric surgery isn’t about losing weight; it’s about gaining life, and we’re here to help make it happen. In this guide, you’ll find all of the bariatric procedures we offer, as well as some information about our non-surgical medical weight loss program. MU HEALTH CARE | YOUR GUIDE TO WEIGHT-LOSS SURGERY 2 Body Mass Index (BMI) Charts https://www.vertex42.com/ExcelTemplates/bmi-chart.html © 2009 Vertex42 LLC Body Mass Index (BMI) Body Mass Index (BMI) Table for Adults [42] Obese (>30) Overweight (25-30) Normal (18.5-25) Underweight (<18.5) Eligibility HEIGHT in feet/inches and -
Promoting Healthy Weight
Promoting Healthy Weight Maintaining a healthy weight during childhood Definitions and Terminology and adolescence is critically important for chil- dren’s and adolescents’ overall health and well- Body mass index (BMI) is defined as weight (kilo- being, as well as for good health in adulthood. A grams) divided by the square of height (meters): 2 child’s or adolescent’s weight status is the result weight (kg)/[height (m)] . Although BMI does not of multiple factors working together—heredity, directly measure body fat, it is a useful screening metabolism, height, behavior, and environment.1 tool because it correlates with body fat and health 2 HEAL PROMOTING Two of the most important behavioral determi- risks. Additionally, measuring BMI is clinically nants are nutrition and physical activity. How feasible. In children and adolescents, BMI distribu- much and what a child or adolescent eats and tion, like weight and height distributions, changes the types and intensity of physical activity she with age. As a result, while BMI is appropriate to categorize body weight in adults, BMI percentiles participates in can affect weight and therefore T overall health. A balanced, nutritious diet and specific for age and sex from reference populations WE HY define underweight, healthy weight, overweight, regular physical activity are keys to preventing IG overweight and obesity. and obesity in children and adolescents. H T Underweight is an issue for some children and Body mass index is recommended as one of sev- adolescents, including some children and youth eral screening tools for assessing weight status. For with special health care needs and some adolescents individual children and adolescents, health care with eating disorders, but the overriding concern professionals need to review growth patterns, fam- with weight status in the United States today is over- ily histories, and medical conditions to assess risk weight and obesity. -
Overview of 53 Weight Loss Actions
Overview of 53 Weight Loss Actions Weight Loss Actions Category Red: Eating in a structured way No Action What to do Why does it matter? 1 Plan all meals for Take the time to plan what you will eat over the next 24 A lot of calories are added to our diet from the day in hours. Make it quite detailed – when will you eat, what will impulsive snacks or poor food choices. advance (what you cook, will you take something prepared if you’re going Committing to a food plan in the morning, when and when) out? If you know you are eating out, look up their menu in you are mindful of your goals and not exposed advance and plan your order. Then make sure that you stick to temptations, can help you eat healthily to your plan and don’t eat more. throughout the day. 2 Eat no more than Make sure that you have no more than three eating Impulsive snacks can add lots of calories. Cutting three times occasions throughout the day. You can have a breakfast, out snacks will reduce your daily energy intake. lunch and dinner, but no snacks in between or after. 3 Skip a meal Skip either breakfast, lunch or dinner. Make sure you don’t By skipping a meal, you are saving a lot of compensate for the loss by snacking instead. calories, which means your body will use its fat reserves instead. 4 No calories after Don’t eat any food after 8pm and ensure any drinks you Food and drink consumed in the late evening 8pm consume after 8pm have zero or very few calories (e.g. -
Adult-Obesity-News-Bulletin.Pdf
U.S. Preventive Services Task Force Recommends Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults Intensive behavioral interventions are beneficial for patients with obesity WASHINGTON, D.C. – September 18, 2018 – The U.S. Preventive Services Task Force (Task Force) today posted a final recommendation statement and evidence summary on behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults. Based on its Grade in this recommendation: review of the evidence, the Task Force recommends that B: Recommended. clinicians offer or refer adults with a body mass index (BMI) of 30 kg/m2 or higher to intensive, multicomponent behavioral Learn more here interventions. This is a B recommendation. “The Task Force found that intensive, multicomponent behavioral programs are safe and effective, can help patients lose and maintain weight loss, and reduce risk of diabetes in people with elevated glucose levels,” says Task Force member Chyke A. Doubeni, M.D., M.P.H. “There are many programs available, and one method or type of program isn’t necessarily right for everyone. We encourage people to talk to their clinician about what might work best for them.” Effective intensive behavioral interventions may include use of group sessions (at least 12 sessions or more in the first year), help people make healthy eating choices, encourage increased physical activity and goal setting, and help people monitor their weight. “Intensive, multicomponent behavioral interventions combine interventions such as counseling on nutrition and increased physical activity,” says Task Force vice chair Alex Krist, M.D., M.P.H. “They can be conducted in group or classroom-style sessions that are led by a moderator, use face-to-face counseling, or use technology-based interventions like smartphone applications and social networks.” More than 30 percent of adults in the United States are considered obese. -
The Evidence Report
Obesity Education Initiative C LINICAL GUIDELINES ON THE IDENTIFICATION, EVALUATION, AND TREATMENT OF OVERWEIGHT AND OBESITY IN ADULTS The Evidence Report NATIONAL INSTITUTES OF HEALTH NATIONAL HEART, LUNG, AND BLOOD INSTITUTE C LINICAL GUIDELINES ON THE IDENTIFICATION, EVALUATION, AND TREATMENT OF OVERWEIGHT AND OBESITY IN ADULTS The Evidence Report NIH PUBLICATION NO. 98-4083 SEPTEMBER 1998 NATIONAL INSTITUTES OF HEALTH National Heart, Lung, and Blood Institute in cooperation with The National Institute of Diabetes and Digestive and Kidney Diseases NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults F. Xavier Pi-Sunyer, M.D., M.P.H. William H. Dietz, M.D., Ph.D. Chair of the Panel Director Chief, Endocrinology, Diabetes, and Nutrition Division of Nutrition and Physical Activity Director, Obesity Research Center National Center for Chronic Disease Prevention St. Luke's/Roosevelt Hospital Center and Health Promotion Professor of Medicine Centers for Disease Control and Prevention Columbia University College of Physicians and Atlanta, GA Surgeons New York, NY John P. Foreyt, Ph.D. Professor of Medicine and Director Diane M. Becker, Sc.D., M.P.H. Nutrition Research Clinic Director Baylor College of Medicine Center for Health Promotion Houston, TX Associate Professor Department of Medicine Robert J. Garrison, Ph.D. The Johns Hopkins University Associate Professor Baltimore, MD Department of Preventive Medicine University of Tennessee, Memphis Claude Bouchard, Ph.D. Memphis, TN Professor of Exercise Physiology Physical Activity Sciences Scott M. Grundy, M.D., Ph.D. Laboratory Director Laval University Center for Human Nutrition Sainte Foy, Quebec University of Texas CANADA Southwestern Medical Center at Dallas Dallas, TX Richard A. -
Policy Position Statement on Body Mass Index (BMI) Surveillance and Assessment in Schools
Policy Position Statement on Body Mass Index (BMI) Surveillance and Assessment in Schools Position The obesity epidemic in children is an enormous societal problem with far reaching consequences. Currently, 32% of children are obese and overweight, at or above the 85 th percentile of the CDC growth charts. 1 Even more troubling, is that elevated body mass index (BMI) – a commonly used measure of adiposity – is associated with metabolic syndrome, reaching a 50% association in the most severely obese children. 2 Overweight and obese children also have higher rates of high blood pressure, abnormal insulin levels and dyslipidemias. 3 Childhood obesity persists into adulthood 4 threatening to reverse gains made in morbidity and mortality related to cardiovascular diseases and stroke. The American Heart Association (AHA) places a high priority on addressing the nation’s childhood obesity epidemic and supports a more comprehensive surveillance system in the United States to support the goals of eliminating the epidemic burden of heart disease and stroke. 5 Within this context, BMI surveillance in schools -- where heights and weights are measured annually and data are collected longitudinally and there is public reporting of the aggregate data – may serve to expand the understanding of childhood obesity trends and help to determine the efficacy of obesity prevention programs and support program planning. The results will provide important population-based assessment and prevalence data. The programs should be adequately funded as there is a cost incurred by states and schools to conduct them. Additionally, in 2009, the National Committee for Quality Assurance has added weight assessment and counseling for nutrition and physical activity for children and adolescents in its Healthcare Effectiveness Data Information Set (HEDIS). -
5.2 Recommendations for Preventing Excess Weight Gain and Obesity
5.2 Recommendations for preventing excess weight gain and obesity 5.2.1 Background Almost all countries (high-income and low-income alike) are experien- cing an obesity epidemic, although with great variation between and within countries. In low-income countries, obesity is more common in middle-aged women, people of higher socioeconomic status and those living in urban communities. In more affluent countries, obesity is not only common in the middle-aged, but is becoming increasingly prevalent among younger adults and children. Furthermore, it tends to be associated with lower socioeconomic status, especially in women, and the urban--rural differences are diminished or even reversed. It has been estimated that the direct costs of obesity accounted for 6.8% (or US$ 70 billion) of total health care costs, and physical inactivity for a further US$ 24 billion, in the United States in 1995. Although direct costs in other industrialized countries are slightly lower, they still consume a sizeable proportion of national health budgets (1). Indirect costs, which are far greater than direct costs, include workdays lost, physician visits, disability pensions and premature mortality. Intangible costs such as impaired quality of life are also enormous. Because the risks of diabetes, cardiovascular disease and hypertension rise continuously with increas- ing weight, there is much overlap between the prevention of obesity and the prevention of a variety of chronic diseases, especially type 2 diabetes. Population education strategies will need a solid base of policy and environment-based changes to be effective in eventually reversing these trends. 5.2.2 Trends The increasing industrialization, urbanization and mechanization occurring in most countries around the world is associated with changes in diet and behaviour, in particular, diets are becoming richer in high-fat, high energy foods and lifestyles more sedentary.