Obesity in adults means having too much body fat. Overweight means weighing too much. The balance between calories-in and calories-out differs for each person. Obesity occurs over time when a person eats more calories than they use. Factors that might tip the balance include genetic makeup, overeating, eating high-fat foods, and not being physically active. Being obese increases a person's risk of diabetes, heart disease, stroke, arthritis, and some cancers. If someone is obese, losing 5 to 10 percent of the weight can delay or prevent some of these diseases.
Obesogens are chemicals that are
believed to mimic and interrupt regular hormone function. Researchers say these
chemicals can cause weight gain and lead to other major health problems like
heart disease, diabetes or endocrine and metabolic disorders.
Obesogens can be
found in food packaging, plastics, pesticides and chemicals, as well as some
cosmetics. They include PCBs, BPA and pthalates. They can alter genes and pose
as hormones that help regulate the body’s metabolism. Take estrogen, for
example.
Estrogen, the
“female hormone,” typically causes women to gain weight during menopause. When
obesogens enter the body, they act like estrogen, reprogramming cells to become
fat cells. The body will work to convert calories into fat cells, which produce
more estrogen. If what researchers say about obesogens is true, diet and
exercise may not be enough to lose weight.
Professor Bruce
Blumberg, a biologist from the University of California-Irvine who coined the
term, says the causes of obesity are complex, but that the problem is more
prevalent in America. He has an idea why: “Elsewhere, the consumption of
prepackaged foods is much lower,” he explained in a UCI press release. “Food is
grown and eaten locally, and people are far less exposed to food additives and
chemicals. These are all contributing factors.”
Obesogen research
is a fairly new thing. It’s in its early stages now, but as more scientists
accept the idea, more is discovered about the effects these chemicals play in
interrupting endocrine function.
Until then,
Blumberg suggests ditching the Tupperware. “Use glass and stainless steel
instead of plastics to store fluids and foods,” he says, “and try to get
locally grown produce, organic if possible.”
More
women than men experience an increase in this type of fat, especially in the
time following menopause. It is often responsible for the change in a woman’s
body to an apple shape. In men, it may manifest itself as a “beer belly.”
Sometimes
referred to as abdominal obesity, this fat is more dangerous than the subcutaneous
fat that lies just under the skin. Fat cells produce hormones, including ones
that can cause insulin resistance and type-2 diabetes. Visceral fat is also
thought to increase the risk of heart disease, metabolic problems, and high blood pressure. It has also been linked to breast cancer.
It
is quite possible for a person with a healthy weight and relatively trim
waistline to have significant amounts of visceral fat. It can be hard to see
because of where it lies; in some cases it can only be detected with an MRI.
According
to the Mayo Clinic, lack of exercise and low metabolism isn’t necessarily the
culprit. The problem, they say, may be genetics. If your family has a history
of gaining weight around the middle, it may be a challenge for you, too. In
women, hormonal changes during menopause also may cause a change in how fat is
broken down and stored.
Rather
than calculating your BMI, Mayo Clinic suggests simply measuring your
waistline. A waist measurement of 35 inches or more, the clinic says, indicates
an unhealthy concentration of abdominal fat.
One
of the best things you can do for your body is exercise regularly, and,
luckily, visceral fat responds well to working out. Daily moderate exercise
along with strength training may be your best bet to battling the bulge.
Roughly 120 overweight or
obese patients from the Department of Veterans Affairs clinics in Durham, N.C.,
volunteered for a study comparing the effects of two different dieting
plans—the low-carb, ketogenic
diet (LCKD) and a low-fat diet in combination with orlistat
(LFD+O), a weight-loss medication.
Sixty-five of the volunteers completed the low-fat
diet, eating a diet with less than 30 percent of energy intake from fat and
taking 120 mg of orlistat three times daily. Orlistat (Alli, Xenical) is an
over-the-counter weight loss aid that can block a significant amount of fat
from being absorbed by the digestive system. At the end of the 48-week trial,
the group cut 8.5 percent of body fat. Low-carb
dieters, on an Atkins-style
diet, had similar results, trimming 9.5 percent of body fat.
“Both groups lost
considerable weight (on average 21-25 pounds) and experienced numerous health
benefits and were able to reduce medications for chronic diseases associated
with weight,” explains Dr. William Yancy, Jr., M.D., research associate
at Durham’s Department of Veterans Affairs and lead author of the study.
Although both plans tied for
weight loss and had similar HDL (good cholesterol) improvements, the group of
57 low-carb dieters also had decreased systolic and diastolic blood pressure by
5.9 and 4.5 mm, respectively.
Pre-trial, average body
mass index (BMI) was 39.3, and one in three participants had type 2 diabetes.
A healthy BMI score for an adult ranges between 18.5 and 24.9. As the scores
rises, the risk for complications such as stroke, type 2
diabetes, poor cholesterol and heart disease
increases.
Following the study, low-fat
dieters enjoyed better LDL (bad cholesterol) levels, while participants on the
low-carb diet had improved insulin metabolism, hemoglobin A1C, and
blood glucose levels.
“People with these
diseases—hypertension, high cholesterol, diabetes, arthritis—or at risk for
these diseases stand to benefit the most (from these diets),” Yancy explains.
There haven't been significant health risks for short-term dieters, but little is known of the effects after six months. Long-term dieters may be at risk for bone loss or kidney stones. In any case, Dr. Yancy urges anyone considering a low-carb, ketogenic diet to consult a physician.
The study's abstract can be found in the Archives of Internal Medicine.
Nearly 3,500 Londoners between the ages of 35 and 55 were
asked about their eating habits. Analysts were able to detect diet patterns and
divide participants into two groups: processed food consumers and “whole food”
consumers. Several years later each group was screened for depression. People
who regularly ate processed foods had a slightly higher incidence of
depression.
“Our results suggest a protective effect of an overall
diet rich in fruits, vegetables and fish (Mediterranean-style diet) affords
protection against the onset of depressive symptoms 5 years later,” study
authors explain, “whereas a diet rich in processed meat, chocolates, sweet
desserts, fried food, refined cereals and high-fat dairy products increases
vulnerability.”
Most processed foods lack the nutrients needed to maintain a
happy, healthy body. Not only does it contribute to weight gain, but it can
also decrease mental alertness and inhibit normal brain function. This
translates into a slew of mood and behavioral changes.
A steady diet of junk food has other risks to consider, too.
Authors note that this sort of diet has also been associated with coronary
heart disease and inflammation. As many as one in five Americans is affected by
depression, and one in three have some form of heart disease. Limiting junk
food consumption may be one way to reduce these risks.
This is the first to focus on the effects of how a person’s overall diet may be related to depression. Although further research is needed to fully understand this relationship, cutting back on unhealthy food can benefit the mind, body and spirit.
Read more in The British Journal of Psychiatry.
The average amount of calories eaten during the weekend was
about 37 calories higher than during the week, and most of those calories were
from eating more at breakfast. Some people, however, ate more at all three
meals, significantly increasing calorie intake.
One reason researchers think this may be happening is because most meals aren’t as rushed during the weekend. Apparently, extra time equals extra calories. The study also showed that people ate more during the holidays. The average increase for a holiday was 174 calories, but some at as much as 900 extra calories.
Don’t let seasonal snacking put you in a pinch. Try these tips from Diabetic Living to cut out unwanted fats and carbohydrates:
Whole Grain Cinnamon Roll. Nothing says happy holidays like a warm cinnamon roll. Use half whole wheat and half all-purpose flour can cut carbs without sacrificing taste. Do the same for the sugar and butter in the icing, and one of these 4-inch rolls from home (171 calories) has about 27 carbohydrates and 6 grams of fat, compared with 36 carbs and 8 grams of fat in rolls from the store (233 calories)
Dark Chocolate. One piece of Hershey’s Bliss dark chocolate squares
has 4 carbs and 2 grams of fat, compared to the 18 carbs and 10 grams of fat in
a 1-inch chocolate truffle.
Kettle Corn. One cup of SmartPop! Fat Free Microwave Kettle Corn
has just 4 carbohydrates and zero grams of fat. One cup of caramel corn can
have as much as 36 carbs and 11 grams of fat.
Chocolate-Covered Cherries. Try making dark chocolate-covered cherries at home.
Cordial cherries from the store can have as much as 10 carbohydrates and 3
grams of fat each. Dipping 12 maraschino cherries in 1 ounce of melted dark
chocolate at home is a fun activity, and homemade cherries only have about 3
carbs and 1 gram of fat.
Cocoa Roasted Almonds. One ounce of almond M&M’s has 16 carbohydrates and eight grams of fat, while an ounce of Emerald Dark Chocolate Cocoa Roasted Almonds only has six carbs and 13 grams of fat.
Check out more treat substitutes and find ways to boost your
metabolism at Diabetic Living.
People who
work out in the morning reap a ton of benefits. Many report better moods, more
energy throughout the day and greater alertness. Thy also appear to have
better, longer workouts.
A study
from the U.K. found that morning exercisers work out harder. Translation? They
burn more calories, which means they’re more likely to lose more weight.
Another
study in the American Journal of Clinical Nutrition found that exercisers who ate
breakfast were more satisfied by this meal. Some reported lower appetite
throughout the day. Researchers asked 58 obese men and women to expend 500
calories daily and eat a regular breakfast of toast, tea and cereal to shed
pounds.
“The effect of exercise on appetite regulation involves at
least two processes,” authors write, “an increase in the overall drive to eat,
and a concomitant increase in the satiating efficiency of a fixed meal.”
Authors say it is the strength of this effect that determines weight loss.
All 58 participants reported being hungrier after exercise,
but those who lost less weight reported feeling less satisfied by other meals. Although they were satisfied by
breakfast, they actually remained hungrier throughout the day. Their
counterparts had less of an appetite.
“These
data confirm that exercise has the capacity to alter the sensitivity of the
appetite regulatory system via the compensatory response to consumed foods or
preloads,” authors explain.
Despite the differences, all participants lost some weight.
Researchers attribute differences in the amount of weight lost may be due to
the lack of regulation for other meals. In any case, eating a regular breakfast
appears to increase morning meal satisfaction.
“The exercise regimen apparently raised the sensitivity of
the physiologic signaling system,” authors write, “which allowed the same
amount of food to realize a greater suppression of hunger.”
More than 2,500 adults from Adelaide, Australia, participated in a study correlating leisure-time computer use with body weight. Participants filled out a questionnaire, reporting web usage (excluding work-time computer use) and other low-energy leisure activities.
Participants were divided into sub-groups based on how much
time they spent on the Internet—no use, low use (less than 3 hours per week),
or high use (greater than 3 hours per week).
“Adults with high leisure-time Internet and computer use were more likely to be overweight or obese even if they were highly active in their leisure time, as compared to participants who did not use the Internet or computer,” study authors write.
The average time spent on the Internet was 125.3 minutes per week. Participants with high use were 1.46 times more likely to be overweight and 2.52 times as likely to be obese. They were also 2.5 times more likely to do other low-energy activities, such as watching television, for five or more hours per day.
“These findings suggest that, apart from nutritional and physical activity interventions, it may also be necessary to decrease time spent in sedentary behaviors, such as leisure-time Internet and computer use, in order to reduce the prevalence of overweight and obesity,” the authors write.
Although the results of the study are suggestive, study authors explain that there were limitations that may have affected the outcomes.
“The strong associations of leisure-time Internet and computer use with overweight and obesity may in part be explained by the association of leisure-time Internet and computer use with other leisure-time sedentary behaviors."
Further investigation on leisure-time computer use will provide more information on the effects of internet usage on health and weight.
“In the past
decade, the decline in carbohydrate quality has been identified as a
likely culprit leading to increased adiposity and metabolic
disorders among children and adults,” authors write.
Eighty-five overweight Latino children from the Los Angeles
area were asked to participate in the study. Selection criteria included having
a family history of type 2 diabetes, likelihood of insulin resistance and
pre-diabetes. The children were between the ages of 11 and 17, a stage when
most begin developing eating habits. Researchers measured weight and body
composition. The children then underwent two trial periods to monitor the
effects of sugar and fiber intake.
The first trial lasted 16 weeks. Roughly one in three
children who reduced their added sugar intake had improved insulin secretion.
In this group, participants who consumed more fiber had a 10 percent reduction
in visceral adipose tissue (body fat).
The second trial was based on 24-hour self-reported dietary
recalls—two each year for two years. Although sugar intake didn’t have a
significant effect, fiber continued to produce positive results.
“Although the healthy reputation of dietary fiber
continues to grow, national data consistently show that children
consume less than one-half of the recommended amount of dietary
fiber,” authors write.
In addition to increasing insulin sensitivity, consuming
more fiber appeared to lower body mass. An decrease in dietary and insoluble
fiber intake increased fat tissue by 21 percent, compared with a 4 percent fat decrease
in children who consumed more.
Those consuming more fiber ate
more non-fried vegetables, fruit and legumes—all excellent sources of both
dietary and insoluble fibers. Other sources include nuts and seeds, whole
grains, and wheat bran.
The study provides great encouragement for individuals wishing to lose weight and improve metabolism. According to authors, even a small change could make a big difference:
"These findings suggest that fairly modest increases in fruit and vegetable intake of 1 or 2 servings and bean intake of 0.5 servings (equivalent to 1/4 cup) daily could have profound effects on lowering visceral adiposity and subsequent related metabolic disorders."
Dr. Chrostoph Correll, MD, and associates observed 272
children aged 4 to 19 taking atypical antipsychotic medication for the first
time. Drugs/Medications included olanzapine (Zyprexa), quetiapine (Seroquel),
risperidone (Risperadol) and aripiprazole (Abilify)—drugs sometimes used to
treat children with autism, schizophrenia or bipolar disorder.
Children’s weights were monitored over a 12-week period.
During the last two weeks of the study, nearly all experienced significant
weight gain. Average gain was as follows: 18.7 pounds with onanzapine, 13.7
pounds with quetiapine, 11.7 pounds with risperidone, and 9.7 pounds with
aripiprazole. Children in the control group gained less than half a pound (.44
pounds) on average.
“(E)ffects such as age-inappropriate weight gain, obesity,
hypertension, and lipid and glucose abnormalities are particularly problematic
during development because they predict adult obesity, metabolic syndrome,
cardiovascular morbidity, and malignancy,” authors of the study write.
Doctors were so concerned over weight gain in children
taking onanzapine that they stopped treatment before the study was completed.
“Each antipsychotic was associated with significantly increased fat mass and
waist circumference,” authors write. “Altogether, 10 percent to 36 percent of
patients transitioned to overweight or obese status within 11 weeks.”
As more children—some younger than 5-years-old—are diagnosed
with bipolar and “disruptive behavior” disorders (such as ADHD), there is
also a rise in atypical antipsychotic prescriptions. These medications are
generally effective for children with autism and schizophrenia, but they may
not be the best treatment for other conditions.
The authors suggest seeking alternative treatments. They
write that, in view of the negative health outcomes, the benefits of using
these medications “must be balanced against their cardiometabolic risks”, and
say the results suggest including in prescription guidelines closer monitoring
during the early months of treatment.
They also plan on researching whether or not diet
restrictions and additional medications for weight and glucose control will
help balance the potential negative effects of the drugs.
The review examined the
2007-2008 dental records of U.K. children, 211 of whom were Plymouth
five-year-olds. This number was just under the national average of 30.9
percent, but other regions were significantly worse.
The United States had similar
rates. Almost half of children ages 12 to 15 and about one in four American
children aged 2 to 5 is affected by tooth decay. Overall, it affects 4 million
children in the U.S. alone. Americans consumed an average of 23.8 pounds of
candy each in 2008, and with the
holiday season approaching, parents should be on the watch for cavities.
As Halloween approaches,
candy consumption is likely to skyrocket, but there are plenty of ways to
protect trick-or-treaters from tooth decay. Try these five tips to help reduce
the amount of sugar:
1. Choose reduced-sugar or sugar-free candies. Most stores carry equally tasty sugar-free or
reduced-sugar versions of Halloween favorites, including chocolate, peanut
butter cups and various filled or hard candies. These options won’t completely
eliminate the risk of tooth decay, but they can significantly cut sugar intake.
2. Give out unconventional goodies. When it comes to candy, sugar-free gum is your safest
bet. Candies that can melt and/or stick to teeth are the worst. Other ideas
might include stickers, press-on tattoos, plastic rings, or other small toys.
3.
Go to a Halloween program or event.
Choosing alternatives to trick-or-treating significantly cuts the candy haul.
These events are a great place for adults and children to socialize while
enjoying snacks and fun activities.
4. Set a limit. Put a limit on the amount of candy a child is allowed daily. This
helps prevent candy binges while reducing sugar consumption. Candy can also be
used as a reward for good behavior.
5. Donate excess candy. Many communities have programs that will send it to
troops or donate $1 for every pound of candy donated. Candy can also be donated
to fire stations, schools (for rewards), or other offices in the community.
Regularly brushing teeth and
reducing sugar intake can help prevent cavities. Consuming fewer sweets can
also help decrease children’s risk for obesity and diabetes. Dentists and parents
alike recommend that candy be consumed in moderation.
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