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Explaining Divergent Levels of Longevity in High-Income Countries

Explaining Divergent Levels of Longevity in High-Income Countries
Author: National Research Council
Publisher: National Academies Press
Total Pages: 200
Release: 2011-06-27
Genre: Social Science
ISBN: 0309217105

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During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.


Obesity and Lipotoxicity

Obesity and Lipotoxicity
Author: Ayse Basak Engin
Publisher: Springer
Total Pages: 624
Release: 2017-06-05
Genre: Science
ISBN: 331948382X

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Due to the resultant health consequences and considerable increase in prevalence, obesity has become a major worldwide health problem. “Obesity and Lipotoxicity” is a comprehensive review of the recent researches to provide a better understanding of the lipotoxicity-related mechanisms of obesity and the potential for the development of new treatment strategies. This book overviews the biochemical pathways leading to obesity-related metabolic disorders that occur subsequent to lipotoxicity. Chapters examine the deleterious effects of nutrient excess at molecular level including the cellular and molecular aspects of breast cancer, resistance to leptin, insulin, adiponectin, and interconnection between the circadian clock and metabolic pathways during high-fat feeding. “Lipotoxicity and Obesity” will be a useful resource for clinicians and basic science researchers, such as biochemists, toxicologists, immunologists, nutritionists, adult and pediatric endocrinologists, cardiologists, as well as students who are thought in this field.


International Differences in Mortality at Older Ages

International Differences in Mortality at Older Ages
Author: National Research Council
Publisher: National Academies Press
Total Pages: 428
Release: 2011-02-27
Genre: Social Science
ISBN: 0309157331

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In 1950 men and women in the United States had a combined life expectancy of 68.9 years, the 12th highest life expectancy at birth in the world. Today, life expectancy is up to 79.2 years, yet the country is now 28th on the list, behind the United Kingdom, Korea, Canada, and France, among others. The United States does have higher rates of infant mortality and violent deaths than in other developed countries, but these factors do not fully account for the country's relatively poor ranking in life expectancy. International Differences in Mortality at Older Ages: Dimensions and Sources examines patterns in international differences in life expectancy above age 50 and assesses the evidence and arguments that have been advanced to explain the poor position of the United States relative to other countries. The papers in this deeply researched volume identify gaps in measurement, data, theory, and research design and pinpoint areas for future high-priority research in this area. In addition to examining the differences in mortality around the world, the papers in International Differences in Mortality at Older Ages look at health factors and life-style choices commonly believed to contribute to the observed international differences in life expectancy. They also identify strategic opportunities for health-related interventions. This book offers a wide variety of disciplinary and scholarly perspectives to the study of mortality, and it offers in-depth analyses that can serve health professionals, policy makers, statisticians, and researchers.


Obesity and Cancer

Obesity and Cancer
Author: Tobias Pischon
Publisher: Springer
Total Pages: 258
Release: 2016-12-01
Genre: Medical
ISBN: 3319425420

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This book provides a comprehensive and up-to-date review of the relationship between obesity and cancer. It opens with a global perspective on obesity and cancer incidence, followed by in-depth discussions of those cancers for which we have sufficient evidence of a causal relationship with obesity. It addresses topics such as the effects of obesity on cancer incidence and cancer survival, the effects of weight gain and weight loss in adulthood on cancer risk, the effects of childhood and adolescent obesity, and the role of body fat distribution in cancer risk. Individual chapters discuss potential pathways for the observed associations and explore possible mechanisms from both an epidemiological and an experimental perspective. It concludes with a population perspective on the cancer risk that is attributable to obesity and is thus potentially avoidable. This book is of particular value to researchers and epidemiologists and is also of interest to public health workers and clinicians.


Weighing the Options

Weighing the Options
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 296
Release: 1995-03-01
Genre: Medical
ISBN: 0309132576

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Nearly one out of every three adults in America is obese and tens of millions of people in the United States are dieting at any one time. This has resulted in a weight-loss industry worth billions of dollars a year and growing. What are the long-term results of weight-loss programs? How can people sort through the many programs available and select one that is right for them? Weighing the Options strives to answer these questions. Despite widespread public concern about weight, few studies have examined the long-term results of weight-loss programs. One reason that evaluating obesity management is difficult is that no other treatment depends so much on an individual's own initiative and state of mind. Now, a distinguished group of experts assembled by the Institute of Medicine addresses this compelling issue. Weighing the Options presents criteria for evaluating treatment programs for obesity and explores what these criteria meanâ€"to health care providers, program designers, researchers, and even overweight people seeking help. In presenting its criteria the authors offer a wealth of information about weight loss: how obesity is on the rise, what types of weight-loss programs are available, how to define obesity, how well we maintain weight loss, and what approaches and practices appear to be most successful. Information about weight-loss programsâ€"their clients, staff qualifications, services, and success ratesâ€"necessary to make wise program choices is discussed in detail. The book examines how client demographics and characteristicsâ€"including health status, knowledge of weight-loss issues, and attitude toward weight and body imageâ€"affect which programs clients choose, how successful they are likely to be with their choices, and what this means for outcome measurement. Short- and long-term safety consequences of weight loss are discussed as well as clinical assessment of individual patients. The authors document the health risks of being overweight, summarizing data indicating that even a small weight loss reduces the risk of disease and depression and increases self-esteem. At the same time, weight loss has been associated with some poor outcomes, and the book discusses the implications for program evaluation. Prevention can be even more important than treatment. In Weighing the Options, programs for population groups, efforts targeted to specific groups at high risk for obesity, and prevention of further weight gain in obese individuals get special attention. This book provides detailed guidance on how the weight-loss industry can improve its programs to help people be more successful at long-term weight loss. And it provides consumers with tips on selecting a program that will improve their chances of permanently losing excess weight.


The Surgeon General's Vision for a Healthy and Fit Nation, 2010

The Surgeon General's Vision for a Healthy and Fit Nation, 2010
Author:
Publisher:
Total Pages:
Release: 2010
Genre: Health behavior
ISBN:

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In the 2001 Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity, former Surgeon General David Satcher, MD, PhD, warned of the negative effects of the increasing weight of American citizens and outlined a public health response to reverse the trend. The Surgeon General plans to strengthen and expand this blueprint for action created by her predecessor. Although the country has made some strides since 2001, the prevalence of obesity, obesity-related diseases, and premature death remains too high.


The Economics of Obesity

The Economics of Obesity
Author: Tahereh Alavi Hojjat
Publisher: Springer Nature
Total Pages: 178
Release: 2021-08-20
Genre: Medical
ISBN: 3030784878

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Much has been written about the economic causes of obesity, but this book offers a comprehensive and deep investigation of the causes and treatment of these issues in a single volume. In the second edition, the author expands upon the serious threat that obesity poses not only to our health, but also to our society. Obesity costs billions of dollars a year in lost productivity and medical expenses. The social distribution of obesity has changed over time. Obesity rates in the United States continue to worsen in parallel with income inequality. Socioeconomic groups with low personal capital, levels of education, and income have higher obesity rates. In fact, the rate of obesity has increased the fastest among low-income Americans. The disproportionate burden of obesity on the poor poses an economic challenge and an ethical imperative. The link between obesity, inactivity, and poverty may be too costly to ignore because obesity-associated chronic disease already accounts for 70% of US healthcare costs. Although economic and technological changes in the environment drove the obesity epidemic, the evidence for effective economic policies to prevent obesity remains limited. The new edition brings together a multitude of topics on obesity previously not discussed with a particular emphasis on the influence of poverty and income inequality on obesity including: Economic Analysis: Behavioral Patterns, Diet Choice, and the Role of Government Income and Wealth Inequality and Obesity Social Mobility and Health Food Policies, Government Interventions, and Reducing Poverty The Economics of Obesity is an essential text for readers interested in learning about the causes and consequences of obesity within a social context including students, academicians, and practitioners in public health, medicine, social sciences, and health economics, both in and outside of the United States. US and international policy-makers also will find the book a salient read in addressing the issues that contribute to the cycle of poverty, income inequality, and obesity.


Women and Obesity

Women and Obesity
Author: Raul Artal
Publisher: Clinics: Internal Medicine
Total Pages: 0
Release: 2009
Genre: Medical
ISBN: 9781437712483

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This issue of Obstetrics and Gynecology Clinics examines Women and Obesity. Guest Editor Dr. Raul Artal has assembled a panel of world-class experts who offer reviews on topics including: The Epidemiology of Obesity and Health Economics, Early Life Origins of Obesity, Regulation of Fat Metabolism in Obesity: Gender Differences, Physiological Aspects of Obesity, Pregnancy and Obesity, Exercise Prescription for Overweight and Obese Women: Pregnancy and Post-partum, Post-partum Weight Retention and Rise for Obesity, Obesity and its Relationship to Infertility in Men and Women, Obesity and Sexual Aspects in Women, Maternal and Child Obesity: the Peuetic Link, Minorities and Obesity, and Experimental Research Direction in Obesity.


Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults

Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults
Author: Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (U.S.)
Publisher:
Total Pages: 306
Release: 1998
Genre: Medical protocols
ISBN:

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Of evidence-based recommendations -- Introduction -- Overweight and obesity: background -- Examination of randomized controlled trial evidence -- Treatment guidelines -- Summary of recommendations -- Future research.