J S Stern, J Hirsch, S N Blair, J P Foreyt, A Frank, S K Kumanyika, J H Madans, G A Marlatt, S T St Jeor, A J Stunkard
{"title":"Weighing the options: criteria for evaluating weight-management programs. The Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity.","authors":"J S Stern, J Hirsch, S N Blair, J P Foreyt, A Frank, S K Kumanyika, J H Madans, G A Marlatt, S T St Jeor, A J Stunkard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The United States is experiencing an epidemic of obesity among both adults and children. Approximately 35 percent of women and 31 percent of men age 20 and older are considered obese, as are about one-quarter of children and adolescents. While government health goals for the year 2000 call for no more than 20 percent of adults and 15 percent of adolescents to be obese, the prevalence of this often disabling disease is increasing rather than decreasing. Obesity, of course, is not increasing because people are consciously trying to gain weight. In fact, tens of millions of people in this country are dieting at any one time; they and many others are struggling to manage their weight to improve their appearance, feel better, and be healthier. Many programs and services exist to help individuals achieve weight control. But the limited studies paint a grim picture: those who complete weight-loss programs lose approximately 10 percent of their body weight, only to regain two-thirds of it back within 1 year and almost all of it back within 5 years. These figures point to the fact that obesity is one of the most pervasive public health problems in this country, a complex, multifactorial disease of appetite regulation and energy metabolism involving genetics, physiology, biochemistry, and the neurosciences, as well as environmental, psychosocial, and cultural factors. Unfortunately, the lay public and health-care providers, as well as insurance companies, often view it simply as a problem of willful misconduct--eating too much and exercising too little. Obesity is a remarkable disease in terms of the effort required by an individual for its management and the extent of discrimination its victims suffer. While people often wish to lose weight for the sake of their appearance, public health concerns about obesity relate to this disease's link to numerous chronic diseases that can lead to premature illness and death. The scientific evidence summarized in Chapter 2 suggests strongly that obese individuals who lose even relatively small amounts of weight are likely to decrease their blood pressure (and thereby the risk of hypertension), reduce abnormally high levels of blood glucose (associated with diabetes), bring blood concentrations of cholesterol and triglycerides (associated with cardiovascular disease) down to more desirable levels, reduce sleep apnea, decrease their risk of osteoarthritis of the weight-bearing joints and depression, and increase self-esteem. In many cases, the obese person who loses weight finds that an accompanying comorbidity is improved, its progression is slowed, or the symptoms disappear. Healthy weights are generally associated with a body mass index (BMI; a measure of whether weight is appropriate for height, measured in kg/m2) of 19-25 in those 19-34 years of age and 21-27 in those 35 years of age and older. Beyond these ranges, health risks increase as BMI increases. Health risks also increase with excess abdominal/viscer","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"3 6","pages":"591-604"},"PeriodicalIF":0.0,"publicationDate":"1995-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19630115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Proceedings of a satellite symposium on Pharmacologic Treatment of Obesity. 7th International Congress on Obesity. Sainte-Adele, Québec, August 18-20, 1994.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"3 Suppl 4 ","pages":"415S-632S"},"PeriodicalIF":0.0,"publicationDate":"1995-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19671513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevention of obesity: populations at risk, etiologic factors and intervention strategies. Proceedings of a meeting. Baltimore, Maryland, September 22-24, 1993.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"3 Suppl 2 ","pages":"75s-306s"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19562121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of 2H and 18O pool size determinations on the calculation of total energy expenditure.","authors":"D E Matthews, C D Gilker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Measurement of total energy expenditure using [2H,18O] water requires both accurate and precise determination of the rates of disappearance of 2H and 18O from body water over time and determination of the 2H and 18O pool sizes. However, the impact of the isotopic determination of body water upon the determination of energy expenditure is often overlooked. For measurement of total body water per se, the delay after administration before sampling body fluids becomes important, and saliva sampling can be used to resolve the timing of early samples for body water determination. For energy expenditure measurement per se, linear regression can be used to define the initial dilution. Because the hydrogen tracer dilutes into a pool significantly larger than body water pool per se due to the presence of labile hydrogens, a correction to the isotope pool size must be applied. The theoretical calculations of the exchangeable hydrogen pool presented here suggest that the hydrogen pool size is < 3% greater than the body water pool and data are provided to support this idea. Finally, the two approaches used to define the body water pool space contribution to the calculation of energy expenditure using 2H2(18)O are reviewed. Using a pool size based upon the average of the two pool spaces limits the effect of pool size error in the calculation of energy expenditure.</p>","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"3 Suppl 1 ","pages":"21-9"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18739930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R J Troisi, A M Wolf, J E Mason, K M Klingler, G A Colditz
{"title":"Relation of body fat distribution to reproductive factors in pre- and postmenopausal women.","authors":"R J Troisi, A M Wolf, J E Mason, K M Klingler, G A Colditz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The cross-sectional relations of several reproductive characteristics with self-reported waist-to-hip circumference ratio were evaluated in 44,487 pre- and postmenopausal women 40 to 65 years of age who were free of cancer, cardiovascular disease, and diabetes. All results were adjusted for age, body mass index, cigarette smoking, physical activity, and alcohol intake. Current use of postmenopausal hormones was associated with a significantly lower waist-to-hip ratio than either past or never use independent of type of menopause (0.778 versus 0.784, p = 0.0001 and 0.787, p = 0.0001, respectively), although associations with type (unopposed estrogens versus combined estrogen and progesterone) and duration of hormone therapy were not noted. Waist-to-hip ratio did not differ between pre- and postmenopausal women, but demonstrated weak positive associations with age at menarche, parity, and age at first birth, and a weak inverse association with past duration of breast-feeding. These data confirm relations of several reproductive factors and use of hormone replacement therapy with body fat distribution. Epidemiologic studies relating body fat distribution to disease outcomes in women should consider these factors as potential confounders.</p>","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"3 2","pages":"143-51"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recent advances in the doubly labeled water technique. Proceedings of a workshop meeting held at the 78th annual FASEB meeting in Anaheim, CA (April 1994).","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"3 Suppl 1 ","pages":"1-74"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18739929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medico-actuarial mortality investigation. The Association of Life Insurance Medical Directors and the Actuarial Society of America. 1913.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"3 1","pages":"100-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18714508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The striking differences in the prevalence of obesity by race.","authors":"A Must, J Goldberg","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"2 3","pages":"293; author reply 294-5"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25750344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obesity researchPub Date : 1968-01-01DOI: 10.1017/CBO9781139864909.009
L. A. Quetelet, R. Knox, T. Smibert
{"title":"A Treatise on Man and the Development of his Faculties: OF THE INFLUENCE OF DISTURBING CAUSES ON MORTALITY","authors":"L. A. Quetelet, R. Knox, T. Smibert","doi":"10.1017/CBO9781139864909.009","DOIUrl":"https://doi.org/10.1017/CBO9781139864909.009","url":null,"abstract":"The Belgian polymath Lambert Adolphe Jacques Quetelet (1796–1874) pioneered social statistics. Applying his training in mathematics to the physical and psychological dimensions of individuals, he identified the 'average man' as characterised by the mean values of measured variables that follow a normal distribution. He believed that comparing the features of individuals against this average would allow scientists to better explore the processes that determine normal and abnormal qualities. Quetelet's methods influenced many, among them Florence Nightingale, and his simple measure for classifying a person's weight, dividing it by the square of their height, is widely known as the body mass index. First published in French in 1835 and reissued here in the 1842 English translation, this is his most influential work and includes a new preface that succinctly states his aim to be 'the analysis of normal man through his actions and of intellectual man through his productions'.","PeriodicalId":79415,"journal":{"name":"Obesity research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1968-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/CBO9781139864909.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57119680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}