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.
Push yourself, surprise yourself, believe in yourself: “Go lower.” he said. I looked at him questioning what he just said to me as if I didn't hear it at first and then moved my gaze from him to over at the chair behind me. I paused. Squats. My initial instinct was to try to do them on the chair because I had done them there just a month before, and I knew I could do it. It was comforting to know I could. The only difference this time was I was hoping to do more of them to put me into the improvement category and to be honest -just to get them done. A lot had happened in that time since the last time and I know I had gotten better at so much BUT I was still uncertain I could go as low as I was being asked to go. “You mean low like ON the step?” I asked, even though I already knew the answer. “Yes, on the step. Go low. You can do it, do just one. I know you can.” He reminded me and smiled in a playful way that pushed me. And I felt it. That he genuinely believed in me. It’s amazing to me that he believed in me so deeply that day when I wasn’t sure if I believed in myself on the same level. Sometimes others see us before we see ourselves and it’s sometimes necessary when we hear from them what we should be telling ourselves all along. Even though I had been telling myself one thing that day - it was there. The desire to want to go for it even though I immediately went for the easier option and didn’t push myself. I’ve never really needed to push myself physically or known how to. But in that moment I just needed a reminder and reason to go for it and he saw me and gave it to me. It’s better to try it and not accomplish it than to not have tried at all so I decided to go as low as I could no matter how low I couldn't go. I moved my legs shoulder width apart, put my weight on my heels and I hesitantly lowered myself, lower, lower and then I felt the step under me. I stopped mid squat, looked up, and smiled, surprised, “I did it!?!?” He smiled right back and quickly said, “yeah, but now KEEP GOING!” And I raised myself up before lowering myself back down and up and down again and up and down again and did just that- kept going.
Boredom isn’t just bad for your brain, it’s also bad for your waistline, especially if you’re trying to shed some pounds. According to a study in the Journal of Health Psychology, boredom actually strips you of your ability to make smart food choices; you become an “emotional eater,” What’s more, boredom turns you into the worst kind of emotional eater because you not only make the wrong food choices but also eat much more fattening foods than you normally would. To stave off boredom, try taking a walk or relaxing with a good book.
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:
Cutting carbs altogether can often cause a guilt-ridden binge that will leave you unmotivated and packing on the pounds. Instead of prohibiting yourself from eating the foods you love, set a carb curfew. “For dinner, contestants always have a high-protein, high-fat meal with plenty of fibrous veggies,” Chris Powell of ABC’s reality series Extreme Weight Loss tells us in Chris Powell’s Behind-The-Scenes Extreme Weight Loss Tips. “If they have a post-dinner snack, they stick to protein-rich, high-fat foods like almonds or 2 percent milkfat string cheese.” Nixing carbs at night flips the fat-burning switch by increasing the amount of fat-burning hormones released while we’re asleep, Powell adds.
It makes sense that decreasing your risk of life-threatening conditions would lead to a longer life. “A 5 percent loss can lower your risk of diabetes, heart disease, and cancer, so yes, it may indeed extend your life,” Sass says. Dr. Webster agrees that losing even a small amount of weight can improve overall health, though official reports haven’t confirm this. “Although 5 percent weight loss improves health and decreases the risk factors for serious diseases, we do not know if this will translate into an increase in lifespan, because that study has never been done,” Dr. Klein says. The reverse, though, has been shown: Those with a high BMI have a greater overall mortality risk. In any case, if you’re looking to feel better both inside and out, it doesn’t take a major weight transformation—just a few pounds will do. Find out how much your life expectancy goes down for every two pounds you gain.
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Grocery shopping on an empty stomach is never a good idea because research has shown it inhibits your ability to make smart choices about what you wish to eat. In a study published in JAMA Internal Medicine, researchers found that even short-term fasts can lead people to make more unhealthy food choices, picking a higher quantity of high-calorie foods. Fill up before you shop in an effort to avoid buying foods that won’t help you lose weight.
Many patients will be in pain and have a loss of appetite after surgery. Part of the body's response to surgery is to direct energy to wound healing, which increases the body's overall energy requirements. Surgery affects nutritional status indirectly, particularly during the recovery period, as it can interfere with wound healing and other aspects of recovery. Surgery directly affects nutritional status if a procedure permanently alters the digestive system. Enteral nutrition (tube feeding) is often needed. However a policy of 'nil by mouth' for all gastrointestinal surgery has not been shown to benefit, with some suggestion it might hinder recovery.
In a new study, Stanford University researchers put more than 600 overweight adults on either a healthy low-fat or low-carb diet. It turns out, participants had similar levels of weight loss success on each plan. Researchers looked for clues (such as insulin levels and gene patterns) to see if there are any factors that might make someone more successful on either diet, but after combing through the data, they were not able to make any connections. Since it may take years before scientists discover individual traits that could lead to more success on one plan compared to another, for now, we can learn a lot — and lose a lot! — by recognizing the dieting advice that all experts agree on.
Some simple strategies, such as making protein a staple of meals and snacks or starting a weight loss routine with cardio before switching to weight training and resistance later on, can help support your weight loss goals. Many people find it beneficial to focus on small, achievable lifestyle goals to work on their emotional health alongside weight loss. For example, rather than looking for a low number on the scale, you may focus on reaching a point where you feel comfortable playing sports or attending a group fitness class. Similarly, aiming for moderate goals that can gradually build to bigger change can help you avoid the pitfalls of rapid, short-term solutions.
Stavrou, S., Nicolaides, N. C., Papageorgiou, I., Papadopoulou, P., Terzioglou, E., Chrousos, G. P., … Charmandari, E. (2016, July 31). The effectiveness of a stress-management intervention program in the management of overweight and obesity in childhood and adolescence. Journal of Molecular Biochemistry, 5(2), 63–70. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996635/
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Stress may contribute to abdominal fat, according to several studies, including a recent one at the University of California, San Francisco. "When you're stressed, hormones like cortisol stimulate your appetite, slow your metabolism down and encourage fat storage inside your abdomen," explains Shawn Talbott, Ph.D., director of the Nutrition Clinic at the University of Utah. So what's a frazzled girl to do? "Find an activity that reduces stress for you, whether it's listening to soothing music or taking yoga, and do it daily," advises Talbott.
In addition to your metabolism and hormones, the neural circuitry in your brain is fighting weight loss too. Food has a greater reward value after you’ve lost weight and the part of the brain that regulates food restraint becomes less active – meaning that while you’re eating more to feel full (courtesy of leptin), you’re also less aware of how much you’re eating.
A great way of getting around this problem is to try and make at least one social activity between you and your friends revolve around fitness. So whether that's building up a tennis league within your group, going for a long country walk instead of being sat down the pub or joining a weekly fitness class together, you will be able to see your mates as well as keep your weight loss on track.
You can blame biology for your sweet tooth. We’re hardwired to have a preference for sweets, and this drive is universal and begins early on, according to research on the subject. Sugar makes food taste good, so food companies add it to everything from breads to soups to salad dressings to cereals, yogurts and more. This adds up to way too much sugar!
As you endeavor to lose weight, remember to be your own cheerleader. Practice self-care and reward yourself for building healthy habits. Above all, says Melton, “Don’t compare yourself to anyone else—even if that someone else is you (20 years ago, before you had kids and a career, etc.). Focus on looking forward and give yourself pep talks to stay motivated.”
Avoiding salt doesn’t mean your food has to be bland. Experiment with using different herbs and spices. Try adding fresh cilantro and cumin to grilled fish, lemon and rosemary to chicken, or ginger and Chinese five spice to tempeh or beef. Pick up some spice blends from your local market to help add more spice to your life… just read the ingredients and make sure there’s no salt added.
Grazing is a surprisingly good idea because it helps you avoid metabolic slowdown. "Your body will be tricked into thinking it's constantly eating, so it will never slow your metabolism down," explains Bauer. Aim for five small meals (200 to 500 calories) a day rather than three large ones. Also try not to go more than four hours without eating — if you eat breakfast at 7am, for example, have a snack at 10am, lunch at noon, another snack at 3pm and dinner at 7pm.
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