Should Obese Older Adults in Health Care Communities Be Encouraged to Lose Weight?

The obesity epidemic challenges health care professionals who care for older adults.Our next great challenge in working with the nutritional needs of older adults in health care communities will be one that we have not worried about in many years: obesity. In the U.S., the prevalence of obesity in the general adult population is now at 67% (1); among adults over the age of 75 this rate was 26% for men and 27% for women in 2007-8. This may not sound alarming until you realize that this is an increase of 100% and 42% respectively since 1988-1994 (2). It is clear that in the coming years we’ll see more obese residents enter health care facilities for both short-term rehabilitation and long-term stays.Obesity and Disease Risk in Older AdultsAlong with higher rates of obesity, older Americans are experiencing higher rates of obesity-related diseases. This includes coronary heart disease, type II diabetes, stroke, and several types of cancer. In addition, obese older adults report more limits to activity levels which can lead to further increases in obesity and contribute to metabolic syndrome and/or sarcopenic obesity – age related loss of skeletal muscle mass coupled with obesity which can lead to weakness, frailty and falls.Benefits of Weight Loss for Obese AdultsAt first glance, it is easy to think that weight loss should be the prescribed course of action for all obese older adults. After all, it has been shown that weight loss can help reduce the risk of chronic disease or – for those who already have chronic disease – help control those diseases that tend to be worsened by obesity. Plus, there is some evidence that weight reduction in obese people over the age of 65 has similar health benefits to those at younger ages, primarily related to the reduction of cardiovascular disease risk factors.The National Health, Lung and Blood Institute summarizes the advantages of weight loss well in their review of the evidence-based research and recommendations (3). In general, weight loss is recommended to:• Lower elevated blood pressure• Lower elevated levels of total cholesterol, LDL-cholesterol and triglycerides• Raise low levels of HDL-cholesterol• Lower elevated blood glucose in obese persons with type 2 diabetesIs Weight Loss Always the Best Course of Action?While the benefits of weight loss for healthier older adults may include reduced risk of cardiovascular episodes, reduction in blood cholesterol, blood lipids and blood glucose levels, for more fragile older adults the health risks can outweigh the benefits. For obese older adults, a number of questions must be answered to determine if weight loss is appropriate:• Will weight loss reduce risk factors for other complications?• Will weight loss prolong life for the individual?• What are the risks associated with obesity treatment? (3)• Will a restricted diet reduce the individual’s ability to consume adequate nutrients to maintain health?For individuals who are appropriate for a planned weight loss program, the program must be carefully planned and supervised by trained health care professionals. Proper nutritional counseling and close monitoring of body weight and other nutritional parameters are essential.For more fragile obese older adults health risks of weight loss include the potential for protein-energy malnutrition, vitamin/mineral deficiencies, and other complications that may follow (such as pressure ulcers, bone loss, weakness, and falls). For these patients a weight loss program may not be appropriate at all.”A clinical decision to forgo obesity treatment in older adults should be guided by an evaluation of the potential benefits of weight reduction for day-to-day functioning and reduction of the risk of future cardiovascular events, as well as the patient’s motivation for weight reduction. Care must be taken to ensure that any weight reduction program minimizes the likelihood of adverse effects on bone health or other aspects of nutritional status” (3).This information was excerpted from the book The Obesity Challenge: Weight Management in Health Care Communities, authored by Becky Dorner, RD, LD.References:1. F as in Fat 2010: How Obesity Threatens America’s Future 2010. Trust for America’s Health and Robert Wood Johnson Foundation.2. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. National Heart Lung and Blood Institute, National Institutes of Health.3. Federal Interagency Forum on Aging-Related Statistics. Older Americans 2010: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. July 2010.

Adult Stem Cells – The Cure For Crohn’s Disease

Billy Tytaneck, a Canadian, was diagnosed with Crohn’s Disease at the age of 12 years old. From that point, Billy had suffered the usual symptoms associated with Crohn’s- diarrhea, abdominal pain, and cramps. As Billy got older, his condition got worse and worse. At age 25, Billy was facing bowel removal surgery. Not wanting the surgery, Billy thought there must be a better way. There was.Billy, age 25, read about clinical trials that used Adult Stem Cells to treat Crohn’s Disease in the United States that were helping patients. However, there was no way to get treatment in Canada. Billy took it upon himself to approach a doctor in Canada involved in Adult Stem Cell research who had successfully treated Multiple Sclerosis and Lupus patients with stem cell therapy and asked the doctor to treat him for Crohn’s Disease.Luckily for Billy, the doctor agreed. In February, 2008, Billy Tytaneck became the first person ever in Canada to be treated with his own Adult Stem Cells for his Crohn’s Disease.Since receiving his own stem cells in the therapy, Billy’s life has made a 180 degree turn. He is feeling better than ever since he was diagnosed with Crohn’s at age 12. Billy says he can go out now and not have to worry about his Crohn’s acting up. Billy is now working as a mechanical engineer at a company. It wasn’t possible for him to work outside before receiving his own Adult Stem Cells.Billy also says although he isn’t perfect yet, he has reduced his long list of medications to only one and says he is still improving.Billy wants it to be known that Adult Stem Cell therapy is an option for other Crohn’s Disease sufferers and hopes to create more awareness for it so it may be an option for patients in similar circumstances.

Ideas to Enjoy the Party With Adult Halloween Costumes

Most of the people are enthusiastic to create their own Halloween costumes to look different from the crowd in the Halloween party. But it may be much complicated to find the free time to create your own design than you ever thought to do it. Moreover, if you are parents having children than for you it’s not at all possible to have even some time to make your own Halloween costumes.Just leave off your worries and don’t depress yourself because there are many shops available who sales varieties of Halloween costumes. You can purchase or even rent an adult costumes for yourself. Selection of costumes depends on your choice and budget but definitely the scarier and better costume will cost you more. But Halloween night comes once in a year so even if you need to pay little extra amount to buy a better Halloween costumes just go ahead.Halloween costumes that suits you properly will be able to create horror among your friend in Halloween party. But you should also remember to keep it simple for small or sensitive kids because they may get frighten up to serious level which may create a problem for you. Your aim is to just enjoy the party and look different in your unique costumes so get prepared to enjoy and have a great time with friends.If you got creepy adult costumes then you have to confess that it is yet the greatest means for you to use up Halloween night celebrations. There are various easy options available if you are not willing to make the costumes by yourself provided that you don’t mind to use up little more bucks. Particularly, a number of shops are there to sell Halloween costumes. These shops offer various collections of costumes along with additional accessories like mask, wig, make up and many more.They will be having various alternatives for you to choose from the range of couple costumes. The list of available couple costumes include adult theme like Amazon queen & male barbarian, the mad hatter, red riding hood, naughty nurse & Doctor and big bad wolf and many others. If you are not having interest to get excited things than you can select the typical theme like roman toga couple. On the list of available options you can choose the one which is from the humorous section of couple costumes.Some costumes are very funny that will not be able to describe in words, therefore you have to make out for yourself. One thing is for sure that if you have started searching through website or shops for availability of adult costumes then you will not be able to go away from the shop or site without buying Halloween costume for yourself and for partner. You can enjoy the Halloween party with your friends and relatives with the unique costumes. You can also use these costumes as a surprise on personal party with your partner.