Bottom Line Health See book keywords and concepts | | The Obesity Epidemic
The obesity epidemic could shorten US life expectancies by up to five years, reversing a 150-year trend. The prevalence and severity of obesity will continue to increase, and people in ever-younger age groups will experience the consequences of being overweight—heart disease, stroke, cancer, kidney failure, diabetes, etc. An estimated 30% of American children are overweight.
S. Jay Olshansky, PhD, professor of epidemiology and biostatistics, University of Illinois at Chicago.
Researcher Astounded as Yoga Melts Off Pounds
Alan R. | | OBESITY DRIVES THE TREND
America's obesity epidemic is clearly driving the trend toward double diabetes, experts say. And while links between obesity and type 2 diabetes have long been clear, research is only just beginning to suggest that obesity can also trigger late-onset type 1 diabetes.
Dr. Stuart Weiss, a clinical assistant professor of medicine at the New York University School of Medicine, says he is diagnosing more and more people in their 20s and 30s with double diabetes. | Andreas Moritz See book keywords and concepts | The coconut oil's powerful weight controlling effects helped prevent an obesity epidemic among the general population. Since eliminating it from the American diet, obesity has become the leading cause of illness in this country and the rest of the world. | Mike Adams, the Health Ranger See article keywords and concepts | According to Linn, "We know that marketing is a factor in the childhood obesity epidemic. It is unconscionable that 8-12-year-olds see, on average, more than 7,600 food commercials a year -- the vast majority for candy, snacks, cereals, and fast food. This report is the latest indication that, when it comes to children, the food and advertising industries are incapable of policing themselves."
The Campaign for a Commercial-Free Childhood is a national coalition of health care professionals, advocacy groups, educators, and parents. | Craig Pepin-Donat See book keywords and concepts | These food troughs are one of the primary reasons we have an obesity epidemic. They promote overindulgence, and most of the food choices at buffets are high in saturated fats. At home, if you find yourself standing over the stove with a fork or in front of the refrigerator while stuffing your face, you are in an out-of-control eating mode.
• If you start to feel full, it is because you are full. Stop eating. Immediately remove uneaten food that is sitting in front of you to reduce the temptation to continue to eat. Have you ever eaten until you feel so uncomfortable it is difficult to breathe? | Connie Bennett, C.H.H.C. with Stephen T. Sinatra, M.D. See book keywords and concepts | In fact, obese adults are expected to have their life expectancy shortened by two to five years unless aggressive efforts are made to slow the obesity epidemic. As for severely obese people, they'll have their lives shortened by 5 to 20 years.
Overweight and obese children will suffer similarly. "The youth of today may, on average, live less healthy and possibly even shorter lives than their parents," warned the experts, led by University of Illinois demographer S. Jay Ol-shansky. | Craig Pepin-Donat See book keywords and concepts | Putting Your Finger on the Fat
There are three primary parties responsible for the obesity epidemic: consumers who should be making intelligent choices about the food they consume, the food industry that produces the food we eat and the government. The government's responsibility extends to the FDA that is supposed to be monitoring the food industry to protect the consumer and with legislation and programs that could promote healthier lifestyles.
There is no getting around the fact that the lack of personal responsibility is the number one cause of people getting fat. | | This is a cycle that many people are stuck in and is one of the causes of the obesity epidemic. The problem is that using the word obesity to describe the problem isn't strong enough. A better way to describe the real disease that has created the epidemic is "Self-Inflicted Early Death Syndrome." This speaks more directly to the consequences of our actions that place our lives at risk.
Leading an unhealthy lifestyle is a perpetuatal cycle. It starts with the lack of education related to nutrition and physical activity, which leads to poor food intake and physical inactivity. | | The increased consumption created by these unnatural cravings is a major culprit for packing on extra pounds, which has contributed to the obesity epidemic.
Have we convinced ourselves that the calories devoured while watching TV do not count? Or are we so numb from watching TV that we are not paying attention? Forget controlling portions, calories, fat and carbohydrates when you're snacking from a box or a bag of your favorite munchies. When I watch TV, the refrigerator is like a magnet and I am a hunk of metal being pulled toward it. | J. Douglas Bremner See book keywords and concepts | These studies suggest that massive overuse of antibiotics may be contributing directly to the obesity epidemic that we are wrestling with today.
The Coming Superbugs
Over the last fifty years an increasing number of bacteria have become resistant to older antibiotics. Bacteria multiply very rapidly, so when large numbers of bacteria are exposed to an antibiotic, the possibility of their changing ever so slightly and becoming resistant to that antibiotic is increased. Naturally the antibiotic-sensitive bacteria die out, while the antibiotic-resistant bacteria flourish. | Michael Pollan See book keywords and concepts | Recently a group of Harvard economists seeking to advance an economic theory for the obesity epidemic correlated the rise in the average weight of Americans with a decline in the "time cost" of eating—cooking, cleaning up, and so on. They concluded that the widespread availability of cheap convenience foods could explain most of the twelve-pound increase in the weight of the average American since the early 1960s. They point out that in 1980 less than 10 percent of Americans owned a microwave; by 1999 that figure had reached 83 percent of households. | Andreas Moritz See book keywords and concepts | The obesity epidemic is spreading like wildfire ever since diet foods and beverages gained popularity. The following explanation resolves this mystery.
The body has a self-regulating mechanism, a kind of thermostat that measures the amount of energy (or calories) it can obtain from a particular meal. When your body has received enough energy from the food you have eaten, then your mouth, stomach, intestines, and liver send messages to the brain that all energy requirements have been met. Subsequently, your nervous system secretes hormones that stop your desire for more food. | Gabriel Cousens See book keywords and concepts | Susan Linn of the Campaign for a Commercial-Free Childhood (CCFC): "We know that marketing is a factor in the childhood obesity epidemic. It is unconscionable that 8-12-year-olds see, on average, more than 7,600 food commercials a year—the vast majority for candy, snacks, cereals, and fast food."93
We understand that overweight is a risk factor for heart disease in adults, but the situation is more ominous still. Autopsy data from the conflicts in Korea94 and Vietnam,95 the Bogalusa study,96 and the PDAY Study97 all testify to the ubiquitous nature of the disease in young Americans. | Wendy Bazilian, DRPH, MA, RD, Steven Pratt, MD, Kathy Matthews See book keywords and concepts | But pause and think for a minute: Why is it that we are seeing an obesity epidemic today, an eplidemic that has more than doubled \n a mere 3 decades?1
Could it be that people in recent years have lost all sense of self-control? Could it be that two-thirds of us have suddenly acquired a contagious weight-gain disorder? Is there something in the air or about the way we live that makes us absolutely ravenous day and night? No. No. And certainly no. | John J. Ratey, MD See book keywords and concepts | These days everybody knows we have an obesity epidemic," he continues. "But pick up a paper seventeen years ago and that kind of article was unusual. We said, We have these kids every day; shouldn't we be able to affect their health? If this is our business, I thought, we're going bankrupt."
He already felt like his profession received no respect; schools had started cutting phys ed from the curriculum, and now this. A former college baseball pitcher who missed out on the majors, Lawler is a sincere salesman and a natural leader who became a gym teacher to stay close to sports. | Connie Bennett, C.H.H.C. with Stephen T. Sinatra, M.D. See book keywords and concepts | Scientists speculate that sugar substitutes could play tricks on our brains and bodies, interfere with our automatic process for regulating calorie intake, and play a role in our obesity epidemic.
Nutrition specialist David L. Katz, M.D., M.P.H., an associate professor at the Yale University School of Medicine, also cites studies revealing that artificial sweeteners do nothing to curb sugar cravings and might even cause overeating. "The real toxicity of artificial sweeteners is the notion that they are a weight-loss panacea. They are not," Dr. Katz says. | | They officially deny it, but food-industry researchers told me they now fear that they've created foods that undermine the body's natural abilities to control food intake, and this helped propel the global obesity epidemic," adds Matthews.
Neal Barnard, M.D., author of Breaking the Food Seduction, charges that "food companies selling sugary products are as manipulative as tobacco companies. They're trying to make the foods as seductive as possible. | | We Can't Let the obesity epidemic Claim Our Children." Essence, April 2005. http://www.findarticles.eom/p/articles/mi_ml264/is_12_35/ai_nl3596183.
Calhoun School website, http://www.calhoun.org.
CBS News. "Cookie Monster Changes His Tune," April 8, 2005. http://www.cbsnews.com/stories/ 2005/04/08/entertainment/main686684.shtml.
CNN. "Diabetes Epidemic Continues to Worsen; Body Shape Is Risk Factor; The Role of Diet and Exercise to Control Diabetes; Type 2 Diabetes on the Rise in Kids." House Call with Dr. Sanjay Gupta, November 12, 2005. http://transcripts.cnn.com/TRANSCRIPTS/0511/12/hcsg. | | But at this point, it's time to face the unavoidable discussion of our terrifying, runaway obesity epidemic, the onslaught of diabetes, and the role that sugary and refined foods play in their development.
It's unsettling to even contemplate the swelling statistics. More than 65 percent of U.S. adults are overweight or obese, with more than 32 percent (over 66 million) of Americans classified as obese. Furthermore, almost 5 percent of adults were classified as extremely obese, according to CDC's National Center for Health Statistics. | Craig Pepin-Donat See book keywords and concepts | If it were that easy, there wouldn't be a national obesity epidemic with two thirds of the population considered overweight. If it were that easy, we would not be spending over $250 billion on over 3.6 billion prescription drugs dispensed annually, many of which are prescribed as a direct result of self-inflicted diseases caused by our out-of-control lifestyles. If it were that easy, we would not be wasting our time and billions of dollars on quick-fix solutions that have no chance of helping us.
Dr. | Michael T. Murray and Michael R. Lyon See book keywords and concepts | As a result, this genetic predisposition is one of the critical factors fueling the obesity epidemic.
PHENOTYPE VERSUS GENOTYPE
Even with the presence of the thrifty genotype, diet and lifestyle are the critical factors in determining obesity and diabetes. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | The obesity epidemic in the United States—gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol. Rev. 29, 6-28.
3. Expert Panel on the Identification, Evaluation, and Treatment of Overweight in Adults (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—The evidence report. Obes. Res. 6(Suppl. 2), 51S-209S.
4. Pate, R. R., Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., Bouchard, C, Buchner, D., Ettinger, W., Heath, G. W., King, A. C, Kriska, A. | | It is from this broadened perspective that the current obesity epidemic is most likely to be curtailed.
II. ASSESSMENT OF OVERWEIGHT AND OBESITY
The primary care physician is often the first person to assess an individual's need for obesity treatment. Ideally, the physician would then refer the client to a comprehensive weight-management program or obesity specialist, or recommend a commercial weight-loss program and provide follow-up care to monitor progress. If the primary care physician decides to treat the client, referrals should be made for additional services (e.g. | Craig Pepin-Donat See book keywords and concepts | As a country, we consistently take ineffective steps to head off the obesity epidemic, and with each misstep we are packing on the pounds and exposing ourselves to more preventable diseases, which drive health care costs into the stratosphere. For some reason, the brain trust in our government has not figured out how to provide significant legislation to reward people for leading a healthier lifestyle or reward companies for providing programs that help improve the health of employees. After all, we live in a performance-based society driven by incentives. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | Health care providers and policymakers alike are faced with the dilemma of managing this obesity epidemic and preventing this situation from worsening.
In this chapter, we give a broad overview of weight-management interventions. We focus first on the clinical assessment and relevance of excess fat accumulation (i.e., total body fat assessed by body mass index as well as visceral adiposity assessed by waist circumference). Next we review specific interventions ranging from relatively low risk (e.g. | | The contribution of expanding portion sizes to the U.S. obesity epidemic. Am. J. Public Health 92, 246-249.
71. Young, L. R., and Nestle, M. (2003). Expanding portion sizes in the U.S. marketplace: implications for nutrition counseling. J. Am. Diet. Assoc. 103, 231-234.
72. Nielsen, S. J., and Popkin, B. M. (2003). Patterns and trends in food portion sizes, 1977-1998. JAMA 289, 450-453.
73. Smiciklas-Wright, H., Mitchell, D. C, Mickle, S. J., Goldman, J. D., and Cook, A. (2003). Foods commonly eaten in the United States, 1989-1991 and 1994-1996: are the portion sizes changing? J. Am. Diet. | Michael T. Murray and Michael R. Lyon See book keywords and concepts | While terrorism, environmental pollution, and dwindling natural resources certainly put the future of our nation in peril, a very strong case can be made for the obesity epidemic being ranked as the most
WITH A BODY FAT MEASURING SCALE
Male
Age
Risky
Excellent
Good
Fair
Poor
19-24
<6%
10.8%
14.9%
19.0%
23.3%
25-29
<6%
12.8%
16.5%
20.3%
24.4%
30-34
<6%
14.5%
18.0%
21.5%
25.2%
35-39
<6%
16.1%
19.4%
22.6%
26.1%
40-44
<6%
17.5%
20.5%
23.6%
26.9%
45-49
<6%
18.6%
21.5%
24.5%
27.6%
50-54
<6%
19.8%
22.7%
25.6%
28.7%
55-59
<6%
20.2%
23.2%
26.2%
29. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | A recent trend in response to growing concern about the obesity epidemic has been the inclusion of healthier items on children's menus at fast-food establishments, including offering fruit choices as an alternative to French fries and low-fat milk as an alternative to soda. However, observations that fast-food establishments continue to offer menu items with excessive portion sizes despite recommendations to reduce portion sizes and public assertions by these companies that they will make changes, voluntary efforts to reduce portion sizes are unlikely to be effective [201]. | Jack Challem See book keywords and concepts | The worldwide obesity epidemic drives the diabetes epidemic. In 2006, an estimated 246 million people worldwide had diabetes, a phenomenal increase from only 30 million just twenty years ago. That number is expected to climb to 420 million in less than twenty years. We believe that two to three times this many people already have prediabetes, creating the stepping-stone to a catastrophic health disaster. | Hyla Cass, M.D. See book keywords and concepts | According to the Center for Health Statistics, the American obesity epidemic started in the early 1980s—at the same time that the market was being flooded with low-fat products. Suddenly, the rate of overweight in adults went through the roof. At the start of the 1980s, 13 to 14 percent of adults were overweight; by the end of that decade, the rate of overweight rose to nearly 25 percent of adults.
Yes, there are "bad" fats—the trans-fatty acids found in most baked goods and many processed foods, for example. |
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