If you follow food trends, you might think you have to fall in love with cauliflower and kale to reap all the rewards that veggies offer, but that isn’t the case. Be it broccoli, sweet potatoes, carrots, red peppers, cabbage, spinach, or any other vegetable, the idea is to eat a variety of them and find plenty of ways to enjoy their goodness. So if you just can’t stomach steamed Brussels sprouts, try them roasted, or give sautéed Brussels sprouts a try. If raw zucchini isn’t your thing, see if you like it spiralized into noodles or grilled on a grill pan.


wow! 20-30 pounds weight loss in just 5 days?? just as I saw the title I was a bit curios about it as to how can you do that for just 5 days. It is really hard work for the boys who really wanted to be fit like that in those pictures posted. i believe if you are really into something like doing these why not? If you are just determined and persistent in everything I am sure that you can really loss weight for 20-30 pounds or even more. i believe you just have to believe in yourself. GO FOR GOLD
If you've seen the TV show, you get the idea: Six weeks of healthy food and regular exercise is celebrated as a great start to a weight-loss journey – as well as a way prevent or reverse various diseases. Fair enough. Experts determined that the Biggest Loser Diet is very likely to help you shed pounds, thanks to calorie restriction and exercise. To reap the other benefits of weight loss, however, you have to stick with it – something that's a lot harder for average Joes than for TV stars-in-the-making.
In 1973, a registered dietitian named Thelma Wayler took over an empty dorm room at Vermont’s Green Mountain College, and quietly started a revolution. Like most visionaries, Thelma was way ahead of her time in realizing that diets and fads were not the key to ending struggles with eating and weight loss. So she started a different kind of self-care retreat for adult women that was based on science and freedom of choice: Green Mountain at Fox Run.
A recent JAMA Internal Medicine study of nearly 4,000 couples found that people are more likely to stick to healthy habits when they team up with a partner. Invite your honey to a Saturday morning run and then hit the showers together—knowing you have something steamy to look forward to afterward should serve as some additional motivation. And speaking of getting frisky, be sure to check out these 30 Best Proteins for Your Penis.

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Hiley Fulgence is a professional Personal Trainer, Nutritionist, and Sports Massage Therapist who has worked around the world helping people to improve their fitness, achieve better overall health, and maximize their performance. At the BodyHoliday, he specializes in nutrition for weight loss, assessment and treatment for injury prevention and rehabilitation, and sports science testing & performance enhancement. As a former track and field athlete, he brings a unique enthusiasm and compassion, along with the determination to improve his clients’ physical wellbeing.
Instead of gobbling down breakfast at home, eat at your desk a few hours later than you typically do. Pushing back your first meal of the day naturally reduces your “eating window”—the number of hours you spend each day grazing. Why’s that beneficial? Sticking to a smaller eating window may help you lose weight, even if you eat more food throughout the day, a study published in the journal Cell Metabolism found. To come to this finding, researchers put groups of mice on a high-fat, high-calorie diet for 100 days. Half of them were allowed to nibble throughout the night and day on a healthy, controlled diet while the others only had access to food for eight hours, but could eat whatever they wanted. Oddly enough, the fasting mice stayed lean while the mice who noshed ’round the clock became obese—even though both groups consumed the same amount of calories! For more amazing weight loss insight, check out these 25 Best Foods for a Toned Body.
It’s insane what some will do to have a slight edge in a fight. The biggest example that comes to mind is Anthony Johnson. The dude would walk around at like ~230 lbs and fight in the 170 lb weight class. He would rag-doll guys because of the huge size advantage. Of course, he always had trouble making weight, but it’s still a huge advantage if you can do it properly.
Some popular beliefs attached to weight loss have been shown to either have less effect on weight loss as commonly believed or are actively unhealthy. According to Harvard Health, the idea of metabolism being the "key to weight" is "part truth and part myth" as while metabolism does affect weight loss, external forces such as diet and exercise have an equal effect.[43] They also commented that the idea of changing one's rate of metabolism is under debate.[43] Diet plans in fitness magazines are also often believed to be effective, but may actually be harmful by limiting the daily intake of important calories and nutrients which can be detrimental depending on the person and are even capable of driving individuals away from weight loss.[44]
A study in the journal Cell found that our gut microbes are just as affected by changes to our circadian clock as we are. When we shift our sleep-wake cycles, our gut flora changes, and beneficial bacteria are replaced by the growth of bacteria that have been linked to obesity and metabolic disease. When traveling across different time zones, it’s important you travel armed with healthy, fiber-rich snacks your gut will love. 

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By now you know that protein is a vital part of a healthy diet, but don’t let that fact fool you into thinking that all protein bars are created equal. Though a multitude of the trendy treats purport to be nutritious and low in calories, many of them are also packed with sugar but low in satiating fiber, meaning they aren’t actually very healthy at all. Before picking a protein bar to snack on, give the nutrition label a good once-over and look for something with natural ingredients and plenty of protein (obviously) and fiber. If you need help making sense of the overcrowded landscape, consult this list of 25 Best & Worst Low-Sugar Protein Bars!
Why a top-pick? This comprehensive program is personalized for each guest to meet his or her specific needs. Each guest consults with the Wellness Manager before arrival and then connects again with him after the retreat. Guests bring home individualized nutrition and fitness programs as well as tools to guide mindful eating practices and skills to address roadblocks that typically interfere with long-term weight loss and weight maintenance.
Meeting your protein requirements in your diet is especially important when you increase your activity level. Not only does this macro help your body build and maintain muscle mass, it may help to facilitate weight loss, and can increase your feelings of fullness.5 So while you may associate a protein shake primarily with getting bigger, it can be just as important an ally when weight loss is the goal!
When eating out or picking up a quick lunch on your break, ask for any sauce or dressing on the side. Though these emulsions often add flavor to a dish, they’re also frequently packed with empty calories, added sugar, and a whole host of other unhealthy stuff that makes shedding pounds that much harder. For example, just one three-tablespoon serving of Panera Bread’s Greek dressing has 230 calories. 3.5 grams of saturated fat, and 310 milligrams of sodium. By asking for the sauce or dressing on the side, you have more control over how much of it you eat, and you could easily save yourself a few hundred calories.

It's truly disturbing when doctors come up with seemingly fad diets that could prove dangerous, but that appears to be happening all the time and most of them are also pretty successful. The latest to join the trend is an American doctor who is providing a drastic and quick weight-loss method, the K-E Diet. It involves putting food into your body through the nose, using a dripping tube.


We do not take shortcuts, the comprehensive nature of our program means that all of our weight loss retreats provide emotional, education, physical and nutritional support from a team of highly qualified professionals with one goal-your success!! Upon leaving our weight loss retreats you'll be revitalized and will possess the tools to continue your weight loss journey when you get back home.
Perfluoroalkyl substances (PFASs), especially perfluorooctanoic acid (PFOA) and perfluorooctanesulfonic acid (PFOS), have been identified as plausible endocrine disruptors with the potential to perturb weight regulation [9,11–14]. Evidence from animal studies has suggested that PFASs may be involved in altering energy metabolism and thyroid hormone homeostasis [15–17], likely through the activation of various transcriptional factors, such as the peroxisome proliferator-activated receptors (PPARs) [18–20]. However, given the species-specific toxicokinetics and tissue distribution of PFASs [18], extrapolation from animals to humans has yet to be supported. Although some human studies have examined the potential intergenerational effects of PFASs on body weight, the findings were somewhat inconsistent [21–27]. To our knowledge, no prospective study has explored the association between PFAS exposure and weight change in adults under controlled circumstances. Furthermore, it is largely unknown whether resting metabolic rate (RMR) or thyroid hormones, factors that can influence energy expenditure [28], might be also involved in the potential effects of PFASs on weight regulation [29,30].
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It’s insane what some will do to have a slight edge in a fight. The biggest example that comes to mind is Anthony Johnson. The dude would walk around at like ~230 lbs and fight in the 170 lb weight class. He would rag-doll guys because of the huge size advantage. Of course, he always had trouble making weight, but it’s still a huge advantage if you can do it properly.
The scientists ferried 20 overweight, middle-aged men by train and cable car to a research station perched 1,000 feet below the peak of Germany's highest mountain, Zugspitze. During the week-long stay, the men could eat and drink as much as they liked and were forbidden from any exercise other than leisurely strolls. The team measured the men's weight, metabolic rate, levels of hunger and satiety hormones before, during, and after their mountain retreat After a week up high, the subjects lost an average of 3 pounds. A month later, they were still 2 pounds lighter. The scientists' data showed this was likely because they ate about 730 calories less at high altitudes than they did at normal elevations. They may have felt less hungry, in part, because levels of leptin, the satiety hormone, surged during the stay, while grehlin, the hunger hormone, remained unchanged. Their metabolic rate also spiked, meaning they burned more calories than they usually did. A high-altitude weight loss strategy could be viable, though studies have shown peoples' appetites bounce back after about six months at high elevation, Leissner said. “If you could do intermittent periods for one week, then go down, and then go back up, this might actually be helpful.”
The degree to which exercise aids weight loss is open to debate, but the benefits go way beyond burning calories. Exercise can increase your metabolism and improve your outlook—and it’s something you can benefit from right now. Go for a walk, stretch, move around and you’ll have more energy and motivation to tackle the other steps in your weight-loss program.
Belly Fat! Without doubt, one of the most common and dangerous types of fat. Losing it is not only important from an aesthetic point of view but it's also essential for health reasons. Excessive abdominal fat, also referred to as visceral fat, can form within your abdomen between your organs and secrete proteins that can potentially lead to type 2 diabetes, heart disease and some cancers. There's good news though - losing this fat is easier than most people think as long as they have the correct advice. Our latest FREE ebook offers 81 tips to lose this stubborn form of fat.
High-intensity circuit training is similar, only it incorporates resistance training, too. The principle: Do a strength exercise like a squat repeating the motion for a certain amount of time, rest, and then do another strength move. It’s different than traditional resistance training because the rest periods are shorter—usually less than 30 seconds—and the exercises chosen work large muscle groups in order to raise your heart rate. “Our approach combines aerobic and resistance training into a single exercise bout,” write the paper’s authors, Brett Klika, CSCS, and Chris Jordan, CSCS, CPT, in Health and Fitness Journal.

How would you like to take all the great weight-loss results you’ve just read about—and double them? That’s what happens when you supplement your diet with a combination of vitamin D and calcium, according to a recent Nutrition Journal study. Just four weeks into the 12-week experiment, subjects who had taken these two nutrients—found in abundance in some Greek yogurt—lost two times more fat than the other group!
Effective weight loss requires personal honesty. “Make sure any changes you will make are realistic for you and your lifestyle,” Maxine Yeung, M.S., R.D., C.D.N., NASM-CPT and founder of The Wellness Whisk, tells SELF. That means don’t plan on cooking a healthy meal every night if you hate spending time in front of the stove. Instead, you might commit to cooking two nights each week and ordering in from a restaurant with healthy options the rest of the time.
Evening eating is often the most problematic for women, as it can be related more to emotional issues than to real hunger. You're tired, lonely, bored, anxious; you want to relax or reward yourself after a tough day. But indulge too many nights in a row and that temporary water gain becomes permanent fat gain — and fatter abs, rather than the flat abs you want.

There’s no denying dinner rolls are delicious, but you don’t need to take the “breaking bread” aspect of a meal so literally. Instead, steer clear of the bread basket and munch on a leafy green salad instead. If the carb-heavy starter is still too tempting to avoid, try nibbling on a high-fiber snack before sitting down to eat, such as a handful of nuts. The fiber found in nuts will keep you satiated, meaning you won’t be as easily induced to reach for the bread and butter, and you’ll be swapping out unhealthy fats for healthy ones. It’s a win-win!


Not eating enough fiber may be a major reason women are getting fatter and flabbier. To ditch the fat and show off firm, beautiful abs, you need to eat at least 25 grams of fiber daily, says leading fiber researcher David J.A. Jenkins, M.D., Ph.D., D.Sc., professor of nutrition at the University of Toronto, and a member of the National Academy of Sciences (NAS) Food and Nutrition Board. Fiber, which is the indigestible part of fruits, vegetables and whole-grain foods, helps you achieve flat abs for three reasons:
In a diet-induced weight-loss setting among overweight and obese individuals, higher baseline plasma PFAS concentrations were significantly associated with greater weight regain, especially in women, accompanied by a slower regression of RMR. These findings suggest that environmental chemicals may play a role in the current obesity epidemic. More studies are warranted to elucidate the mechanisms underlying the link between PFAS exposure and weight regulation in humans.
Green Mountain at Fox Run offers health and weight loss retreats for women only, which range from specialty weekends to 1-2-3-4 week programs, as well as extensive online resources, including recipes, tips, forum support, and complimentary webinars on a variety of topics ranging from mindfulness to binge eating. The panel of experts take particular care with young women to guide them to wellness at critical stages in their lives.

Capri Palace is a beautifully equipped luxury hotel in Naples, Italy with a fully equipped luxury wellness spa with personalized programs and treatments.  The Mediterranean Diet program at Capri Palace was developed by an MD specialist in food science, immunology and aesthetic medicine. Participants in this program undergo clinical tests for ideal physical activity and personalized diet as well as integrated treatments that aid weight loss, detox, anti-aging and stress management.
Head to San Diego, CA for a comprehensive health assessment at Lifewellness Institute (seriously, it takes 5.5 hours and basically eliminates the need for your annual checkups), then hop in the complimentary transportation that jets you off to Rancho La Puerta in Tecate, Mexico. Once there, you'll choose a holistic program to follow throughout your stay based on those test results, so you can really zero in on what your body needs to reboot (stress management levels, energy, or an inflammation rebalance, for example). With tons of farm-to-table cuisine—you'll head out to the fields before taking part in cooking classes–plenty of workout options, and rejuvenating spa treatments, there's no way you won't leave feeling refreshed.

Why a top-pick? This comprehensive program is personalized for each guest to meet his or her specific needs. Each guest consults with the Wellness Manager before arrival and then connects again with him after the retreat. Guests bring home individualized nutrition and fitness programs as well as tools to guide mindful eating practices and skills to address roadblocks that typically interfere with long-term weight loss and weight maintenance.


A result of this is the tendency for people to tie happiness and emotional health to weight loss and, when they have successfully lost the weight but remain dissatisfied with other aspects of their life, fall into a cycle of dissatisfaction. Guilt at not feeling happy after weight loss can also factor in, as can the temptation to eat to cope with these feelings. Moreover, some people can experience an uncertainty about what’s next after losing significant amounts of weight if that’s been their primary goal.

Fighting constantly with your S.O.? It’s time to address your issues head-on. "Research has shown that cortisol, the hormone that's released during stressful activity, is linked to fat storage,” says Gina Guddet, couples counselor and co-author of Love Metabolism. “And poor communication between couples is the most common type of stress that you tend to experience."
Red Mountain Resort enjoys a spectacular setting in the red rocks surrounding St. George, Utah.   Programs  include a wide variety of fitness assessments and tools to meet your health and wellness goals.   The Living Well Weight Loss Retreats, specifically, are customized for each guest and provides mental, emotional, physical and nutritional guidance from an experienced team of wellness and fitness specialists
Green Mountain at Fox Run offers health and weight loss retreats for women only, which range from specialty weekends to 1-2-3-4 week programs, as well as extensive online resources, including recipes, tips, forum support, and complimentary webinars on a variety of topics ranging from mindfulness to binge eating. The panel of experts take particular care with young women to guide them to wellness at critical stages in their lives.
Learn how to balance stress, weight and nutrition during Cooper’s popular six-day “Wellness Week” program ($2,195, does not include accommodation). The program includes two personal training sessions, group fitness classes, three calorie-controlled meals a day and two dining-out experiences where guests learn how to choose healthy options. Before you get started, sign up for the six-to-eight hour comprehensive physical exam that includes a stress test, blood test, skin cancer screening, and CT scan, as it is one of the few that provides same-day results.

I have always had an athlete’s physique until my sophomore year of college when I gained about 50 lbs. Since then I’ve tried everything to lose the weight only to fail… Until I started the Fit Body Weight Loss Program and the weight came off easily! I dropped 9 lbs in just the first week! I went from 203 lbs to 182 lbs and dropped from a tight size 16 to a size 12 in just a little over a month! I’m now wearing clothes that I haven’t been able to fit into for over 2 years and now they are even loose on me! This program really worked for me when nothing else did!

The American Heart Association recommends that the amount of added sugar consumed in a day shouldn’t exceed 25 grams for women and 37.5 grams for men, but since the sweet stuff is in everything from bread to tomato sauce, most Americans aren’t adhering to those guidelines and they’re fatter for it. In a review of 68 clinical trials and studies, New Zealand researchers reported in the British Medical Journal that increasing sugar intake meant increasing body weight while reducing sugar meant reducing body weight. Additional research has shown that cutting back on the granular stuff is one of the fastest ways to lose weight.
New research from the University of Michigan Life Sciences Institute has determined that the popular holiday spice can help fight obesity thanks to cinnamaldehyde, an essential oil that gives cinnamon its flavor. According to researchers, cinnamaldehyde improves metabolic health by acting directly on fat cells, inducing them to start burning energy via thermogenesis. To work cinnamon into your diet, try sprinkling some on oatmeal or sipping on cinnamon tea.
Twenty-seven out of 124 patients in the Japanese cohort and 13 out of 86 patients in the UK cohort showed significant BW loss. Patients with BW loss showed significantly worse survival in both cohorts. Multivariate analyses revealed that BW loss was an independent factor for decreased survival (Japanese cohort: p = 0.047, UK cohort: p = 0.013). A 6.1% loss of BW was chosen as the optimal cutoff value to predict the 2-year mortality from the initial presentation. The stratified analysis revealed that a 6.1% or greater BW loss could predict worse survival specifically in cases without a greater than 10% decline in forced vital capacity (FVC).
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Yes, this is exactly what you think it is. A nice fatty blob of butter in your coffee alongside a glug of oil. Really! The latest diet fad involves taking a tablespoon of butter and stirring in two dollops along with a dash of oil (medium-chain triglyceride, to be precise) which makes a cup of Bulletproof Coffee. Despite the fact that this unappealing brew contains a massive 500 calories, its creator Dave Asprey, once 21 stone and now ‘slimline’ swears by the formula. But we’re not convinced, and neither is Dr Sally Norton, an NHS surgeon and leading UK weight-loss consultant who spoke to the Telegraph. ‘There is no science that would back this up as a weight-loss tool’.
This might sound a bit too much like an affirmation for some but viewing food as your enemy is not the right mindset for weight loss. Thinking of food as the enemy will just make your relationship with your body even more unhealthy. Instead try to think of the food you eat as the fuel for your fitness - which it is. People with a healthy attitude towards food tend to have a much healthier lifestyle as a result.
Upon arrival, I sat down with a counselor to come up with a nutrition, fitness, and healthy living plan. I started by undergoing a detailed metabolic assessment that showed how many calories I was burning and my current fitness level. A nutritionist gave me a customized calorie goal to help me lose weight at a reasonable rate and I was assigned a personal trainer to help design a fitness program geared toward my goals. (I wanted to get strong!) I also got a schedule of classes, including cooking, nutrition principles, self-care, and many different types of workouts. Then I got assigned to a bungalow and got to meet my roommate.

Even if you fill up on produce, lean proteins, and whole grains, according to British Journal of Nutrition findings, when you think about the quality of your diet, you’re likely forgetting about all the unhealthy food that also finds its way to your mouth. People tend to exaggerate the good foods they eat and underestimate the bad stuff, says study author, Kentaro Murakami, PhD of Japan’s University of Shiga Prefecture. While it’s not necessarily intentional, it’s likely one of the reasons why it’s so hard for people to lose weight. For example, you might grab a handful of candy at a co-worker’s desk or a sample at the mall and then forget about it altogether. Our advice: To get a more accurate overview of your diet, keep a detailed food journal on your phone—yes, that means you should include that food court sample, too. Whether you snap photos or keep a written log is totally up to you—both tactics will work. The more food records dieters kept over the course of 30 months, the more weight they lost, a study in the American Journal of Preventive Medicine found.
wow! 20-30 pounds weight loss in just 5 days?? just as I saw the title I was a bit curios about it as to how can you do that for just 5 days. It is really hard work for the boys who really wanted to be fit like that in those pictures posted. i believe if you are really into something like doing these why not? If you are just determined and persistent in everything I am sure that you can really loss weight for 20-30 pounds or even more. i believe you just have to believe in yourself. GO FOR GOLD
Even if you’re stocking up on fruits and veggies, buying inorganic may be doing your body a disservice, thanks to the pesticides. “They have been shown to poison the mitochondria so it cannot burn fuel,” says Walter Crinnion, N.D., chairman of the environmental medicine department at Southwest College of Naturopathic Medicine in Phoenix in Weight Loss Tricks You Haven’t Tried. “Fuel that is not burned turns to fat.” If you’re worried about breaking your budget at Whole Foods, start by stocking up on these 17 Cheap Organic Foods You Must Buy.

What smells like an exotic vacation and can shrink your waist faster than your favorite Zumba class? You got it: coconut oil. A study of 30 men published in Pharmacology found that just two tablespoons per day reduced waist circumference by an average of 1.1 inches over the course of a month. However, the health benefits of coconut oil are still debated—coconut oil is high in saturated fat. But that’s not necessarily a bad thing; it’s in the form of medium chain triglycerides (MCTs), which aren’t processed in the body the same way long chain triglycerides (LCTs). A study published in International Journal of Obesity and Related Metabolic Disorders found that when MCTs replaced LCTs in the diets of overweight women, they were less likely to gain weight.
Of course, many guests—whom one program director described as type A’s, double A’s and triple A’s, even if they aren’t all super-fit—come for the results, not just the high. And we were pleased. One guest dropped nearly nine pounds his first week and ten his second. After one week, I’d taken off just about all the fat I'd put on after I was sidelined by an injury several months ago. My skin glowed, the dark circles under my eyes looked lighter, and I genuinely felt rested.
If you have a big celebration or date coming up, you might think it makes sense to “save” your calories for when it’s time to let loose, but this technique is rarely effective and could actually be hindering your ability to lose weight. “Although this makes sense in theory—consuming fewer calories total per day—it rarely works out as cleanly as we like,” Lisa Hayim spelled out for us in The 30 Worst Diet Mistakes You’re Making. “By the time you get to the date, and have a drink or two, the feelings of extreme hunger rush in, and you’re grabbing for whatever you can get your hands on, which is usually foods high in calories and fat. You’re so hungry, you may even end up consuming more than a day’s worth of calories in one sitting! Plus, with alcohol in your system, your body is less able to efficiently metabolize the calories,” explains Hayim. “Instead, consume normal meals throughout the day, arrive at your date cool, calm, and collected, and enjoy your cocktail and eat responsibly.”
Anyone who loves hiking will dig the Essential Zion Adventure package available at Red Mountain Resort in St. Ivins, UT. Not only will you receive plush accommodations and three healthy (no seriously, it's really healthy) meals each day, but you also have the option to take daily guided morning hikes through Snow Canyon State Park, sign up for an unlimited amount of fitness and healthy life classes, or participate in personal discovery activities. Oh, and once you've dominated in the kitchen for the Eat Well, Feel Well cooking demos, you'll want to take advantage of the Zion part of the package—a trip through Zion National Park (where Angels Landing and The Narrows are must-do hikes), with a healthy to-go lunch to boot.
Interval training can also be a very effective weight-loss tool. It's pretty easy to incorporate into any fitness plan because it can be applied to a variety of settings, and different types of equipment can be used. Choose an activity that you can do at a high intensity (greater than 80 percent of your maximum heart rate) for 30-60 seconds, then follow it with 30-60 seconds of rest.
In addition to the adverse effects of PFASs on estrogen-related pathways, animal studies suggest that PFOA and PFOS may also interfere with energy homeostasis and the endocrine system through other mechanisms [14,15,18,53], including the activation of PPARα and PPARγ [18,19], key regulators in fatty acid oxidation, differentiation and normal function of adipocytes, and glucose metabolism [20,54]. An experiment on human liver cells suggested that PFOA could alter the expression of proteins regulated by hepatocyte nuclear factor 4α [55], which is a key regulator of lipid metabolism and gluconeogenesis [56]. In addition, some animal studies have suggested that PFAS exposure might disrupt thyroid hormone homeostasis, possibly via influencing uridine diphosphoglucuronosyl transferases and type 1 deiodinase [17,57]. Of note, due to the species-specific toxicokinetics (e.g., the elimination half-lives are 3–8 years in humans and 17–30 days in mice and monkeys) and tissue distribution of PFASs [18], caution is needed when extrapolating findings from animal studies to humans. In addition, mechanisms need to be elucidated to interpret the findings that higher baseline PFASs, especially PFOS and PFNA, were associated with changes in RMR, which is a major determinant of weight maintenance, in both men and women [58,59]. Finally, whether the 5 major PFASs might have different biological mechanisms and perhaps exert additive or synergistic effects also warrants further exploration.

Low body weight and rapid unintentional weight loss are highly predictive of mortality and morbidity in the elderly population. Weight loss is frequently reported in elderly patients. Acute and chronic diseases are leading causes of involuntary weight loss. Whereas physical disease probably accounts for a majority of cases of involuntary weight loss, psychiatric disorders such as dementia and depression also may result in severe nutritional deficiencies. Additional physiological, psychological, and social factors may affect food intake and body weight. Changes in body composition include loss of height and lean body mass and lower basal metabolic rate. Energy requirements decrease because of the lower basal metabolic rate and reduced physical activity. These low energy requirements make it more difficult for the elderly to obtain adequate amounts of required nutrients. Food intake regulation, taste, and olfactory sensitivity may be altered. As 50% of Americans have lost all of their teeth by age 65, chewing problems are often present. Other factors that contribute to poor nutritional status include alterations in the gastrointestinal tract, functional disabilities, lowered socioeconomic status, and social isolation. Finally, because of the increase in both physical and psychiatric disease, the elderly are major users of prescription drugs. Drug/nutrient interactions can result in anorexia and weight loss. The findings indicate that factors causing unintentional weight loss are highly interrelated and difficult to separate. Health care professionals must monitor body weight in elderly persons and carefully evaluate any cases of rapid, unintentional weight loss to prevent further deterioration of health status.

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