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PBRC
2009
Publication # 63

                                            Obesity and the
                                                Heart

                                           How to Determine Whether or Not You Are
                                            Overweight or Obese
                             The Center for Disease                  Step 3 with 703, and you
Inside this issue:           Control determines the                  will have your body mass
                             healthiness of your weight by           index.
                             calculating your body mass          Example:
Being Overweight         2
                             index, or BMI. This is a simple
                             equation that you can even do       Step 1. Weight: 184 pounds
Why is Obesity Such a    2   at home to find out if you are      Step 2. Height: 72 inches
Big Problem Worldwide?       at a healthy weight.
                                                                 Height squared is 72 x 72 =
Obesity                  3   Here is a Step-By-Step way to                                         Obese, which is a BMI
                                                                 5184.
                             calculate one’s BMI:                                                  between 30 and 39.9
                                                                 Step 3. 184/5184 = 0.035
                             1.    Determine your weight in                                        Morbidly Obese, which is a
About Our Company        4
                                                                 Step 4. 0.035 x 703 = 24.9        BMI of 40 or greater.
                                   pounds.
                                                                 There are 5 weight classifica-    In the example, this person is
                             2.    Determine your height
                                                                 tions. They include:              at the top of the normal
                                   and square it (multiply the
                                   height in inches with it-     Underweight, which is a BMI       weight.
                                   self).                        of 18.5 or less.
                             3.    Divide the number you         Normal, which is a BMI
                                   obtained from Step 1 with     between 18.5 and 24.9.
                                   the number you                Overweight, which is a BMI
                                   determined in Step 2.         between 25 and 29.9.
                             4.    Multiply the number from
 Special points of in-
 terest:
   Calculating BMI

   Being overweight or
   obese can harm your
                             The Cost of Convenience
   health
                                 Convenience has                 schools due to increased need     of the conveniences available
   Health Problems           contributed to ready made           for classes on subject matter     to us and choose wisely when
   commonly associated       meals, instant access to            deemed more important than        it comes to food choices. Look
   with Obesity.             shopping via the internet, and      physical activity.                for smaller portion sizes and
                             24-hour entertainment in our           The convenience factor         more fresh fruits and      veg-
                             living rooms. At the same           together with other factors       etables daily. Include 30
                             time, many of our jobs involve      contributes to the rising         minutes of physical activity at
                             sitting at a computer most of       obesity rates in adults and       least five days a week and make
                             the day with minimal activity,      children.                         sure the children have 60
                             while children no longer have                                         minutes of physical activity
                             recess and physical activity in     People can still take advantage   daily.
Page 2                       Obesity and the Heart                                                            Publication # 63




                             Being Overweight
                                 A BMI between 25 and               This leads to increased              of coronary heart disease
                                 29.9 is in the overweight          risk of heart attack,                is greatest for women who
                                 category.                          congestive heart failure,            tend to live a sedentary
                                                                    sudden cardiac death,                lifestyle, and who have
                                 According to the World             angina, and abnormal                 large waist-to-hip ratios.
                                 Health Organization, in            heart rhythm.
                                 2005, there were approxi-                                               Being overweight may be
                                 mately 1.6 Billion adults          Being overweight and                 due to poor diet, genetics,
                                 that were overweight.              obese has been connected             overeating, alcoholism,
                                                                    to certain cancers.                  metabolic disorders, poor
                                 Those who are overweight                                                sleep habits, stress, lack of
                                 have a 34% greater risk of         Women who gain nearly
                                                                                                         physical activity, or med-
                                 developing heart failure,          45 pounds or more after
                                                                                                         ication.
                                 when compared to a                 age 18, are twice as likely
                                 normal weight person.              to be diagnosed with                 Children (who are over-
                                                                    breast cancer after men-             weight or obese) have 80
                                 Higher BMI is a risk               opause, when      com-               percent likelihood of
                                 factor for hypertension,           pared to those who main-             being obese if their
                                 diabetes mellitus, and             tain a stable weight.                parents are obese.
                                 dyslipidemia, all of which
                                 increase the risk of a heart       Approximately 11 percent
                                 attack.                            of heart failure cases
                                                                    among women are
                                 The overweight and obese           attributed to obesity alone.
         “Those who are          have an increased
  overweight have a 34%          incidence of heart disease.        Studies show that the risk
           greater risk of
 developing heart failure,
     when compared to a
   normal weight person”     Common Causes of Obesity
                                 The prevalence of energy-       transportation, and increasing      sedentary people.
                             dense foods, which are high in      urbanization.                       Regular physical activity is a
                             sugar and fat, but low in               The decrease in physical        key factor in achieving and
                             vitamins, minerals, and other       activity can lead to harmful        maintaining a healthy body
                             micronutrients, contributes to      physiological changes such as       weight for adults and children.
                             the overall high rates of obesity   reduced fitness and inability to
                             worldwide.                                                              Sedentary lifestyle is defined as
                                                                 perform in a stressful physical     one with no physical activity
                                 In addition, reduced phys-      activity sessions such as           or irregular physical activity.
                             ical activity and increased         climbing a flight of stairs.
                             hours of television viewing in          Individuals who are active
                             both adults and children con-       and expend from 500 to 3500
                             tribute to a sedentary lifestyle.   calories per week in physical
                                According to the World           activity can expect to live long-
                             Health Organization, there is a     er than people who live a more
                             trend toward sedentary lifestyle    sedentary lifestyle.
                             worldwide. This is due to a         Overall, mortality rates from all
                             many variables, including:          causes of death are lower in
                             sedentary forms of work,            physically active people than in
                             changing modes of
Obesity and the Heart                                                     Publication # 63                                       Page 3




                              Facts About Obesity
   Obesity is defined as          heart failure risk.                higher risk of developing
   having excessive body fat.                                        breast cancer.
                                  Increased fat deposits in
   Obesity effects all body       the waist area can lead to         Women who are obese
   systems, especially the        high blood pressure, high          have a three to four times
   heart, lungs, and the          blood cholesterol, heart           greater chance of being
   musculoskeletal system.        disease, diabetes, and             diagnosed with endometri-
                                  stroke.                            al cancer, in     compari-
   According to the World                                            son to women with a low-
   Health Organization, there     Obesity can lead to
                                                                     er BMI.
   were at least 400 million      reduced HDL (High
   adults that were obese in      Density Lipoprotein)               A study, published in the
   2005.                          levels, the “good”                 Journal of Occupational
                                  cholesterol. This increases        and Environmental Medi-
   Obesity causes at least        the risk of heart disease          cine, found that obesity
   300,000 deaths per year in     and stroke.                        increases absenteeism at a
   the United States alone!                                          cost of $4.3 billion per
                                  The obese have a 104%              year in the United States.
   Obesity costs healthcare       greater risk of developing
   almost $100 Billion per        heart failure, when com-           Obese women are 61
   year in the US.                pared to someone who is                                               “Those who are obese,
                                                                     percent more likely to
   Obesity increases the risk     of normal body weight.             miss time from work,               have a 104% greater
   of cardiovascular disease.                                        compared to women of               risk of developing heart
                                  Obesity is commonly                                                   failure, when compared
                                  associated with left               healthy weight.
   The effects of obesity on                                                                            to someone who is of
   the cardiovascular system      ventricular hypertrophy            Treatment of obesity               normal body weight.”
   can begin in childhood.        and dilation; both are             includes getting at least 30
   The more obese a child is,     known precursors of heart          minutes of moderate
   the more likely she/he will    failure.                           intensity exercise daily,
   develop some form of           Obese people who live a            consuming less calories
   cardiovascular disease as an   sedentary lifestyle and            than is expended, eating a
   adult.                         smoke, have a higher risk          diet high in fiber and low
                                  for a coronary heart               in fat, consuming more
   Obesity is not always diet
                                  disease event than a lean,         fruits and vegetables, as
   related. It may be a result
                                  non-smoking person.                well as whole grains, and
   of genetics, a pre-existing
                                                                     using vegetable oils
   health condition, or due to    Obesity has been known             (unsaturated fat) rather
   medication.                    to be associated with              than animal fats.
   Obesity is associated with     patients who have
                                                                     Individuals who have
   hypertension, diabetes,        gallbladder disease.                                                           Remember:
                                                                     maintained at least a 30
   pulmonary hypertension,        Obesity and rapid weight           pound weight loss for one         A BMI of 25 to 29.9 is considered
   as well as musculoskeletal     loss in obese people may           year or longer adhere to                    overweight.
   difficulties.                  also cause gallstones.             the following*:                A BMI of 30 to 39.9 is considered obese
   Obese people are more apt      The risk for being                 78% eat breakfast every day.                    And
   to have high blood pres-       diagnosed with esophageal          75% weigh themselves at
                                                                     least once a week.              A BMI of 40 or greater is considered
   sure, which causes the         cancer rises as BMI rises.                                                  morbidly obese
   heart to work harder.                                             62% watch less than 10 hours
                                                                     of TV per week.
                                  Postmenopausal women
   Obesity causes prolonged                                          90% exercise, on average,
                                  who are obese (BMI=                about 1 hour per day.
   inflammation of the heart      30=39.9) tend to have a
   tissue, which increases                                      *National Weight Control Registry
PBRC


Pennington Biomedical Research Center
6400 Perkins Road
Baton Rouge, LA 70808

Phone : 225-763-2500
                                                                                         Please Visit Our Site:
                                                                                             www.pbrc.edu




                                                   About Pennington
  The Pennington Biomedical Research Center is a world-renowned nutrition
  research center.
   Mission:
  To promote healthier lives through research and education in nutrition and pre-                Promoting Healthier Lives
  ventive medicine.                                                                               Through Research and
   The Pennington Center has several research areas, including:                                  Education in Nutrition and
       Clinical Obesity Research                                                                    Preventive Medicine
       Experimental Obesity
       Functional Foods
       Health and Performance Enhancement
       Nutrition and Chronic Diseases
       Nutrition and the Brain
       Dementia, Alzheimer’s and healthy aging                                           Pennington Nutrition Series No 63, 2009
       Diet, exercise, weight loss and weight loss maintenance
                                                                                         Authors
  The research fostered in these areas can have a profound impact on healthy
  living and on the prevention of common chronic diseases, such as heart .disease,
  cancer, diabetes, hypertension and osteoporosis.                                       Beth Kalicki
   The Division of Education provides education and information to the scientific        Heli J. Roy, PhD, RD
  community and the public about research findings, training programs and re-
  search areas, and coordinates educational events for the public on various health
  issues.                                                                                Division of Education
   e invite people of all ages and backgrounds to participate in the exciting research
                                                                                         Pennington Biomedical Research Center
  studies being conducted at the Pennington Center in Baton Rouge, Louisiana. If
  you would like to take part, visit the clinical trials web page at www.pbrc.edu or     12/09
  call (225) 763-3000

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Obesity and the heart newsletter

  • 1. PBRC 2009 Publication # 63 Obesity and the Heart How to Determine Whether or Not You Are Overweight or Obese The Center for Disease Step 3 with 703, and you Inside this issue: Control determines the will have your body mass healthiness of your weight by index. calculating your body mass Example: Being Overweight 2 index, or BMI. This is a simple equation that you can even do Step 1. Weight: 184 pounds Why is Obesity Such a 2 at home to find out if you are Step 2. Height: 72 inches Big Problem Worldwide? at a healthy weight. Height squared is 72 x 72 = Obesity 3 Here is a Step-By-Step way to Obese, which is a BMI 5184. calculate one’s BMI: between 30 and 39.9 Step 3. 184/5184 = 0.035 1. Determine your weight in Morbidly Obese, which is a About Our Company 4 Step 4. 0.035 x 703 = 24.9 BMI of 40 or greater. pounds. There are 5 weight classifica- In the example, this person is 2. Determine your height tions. They include: at the top of the normal and square it (multiply the height in inches with it- Underweight, which is a BMI weight. self). of 18.5 or less. 3. Divide the number you Normal, which is a BMI obtained from Step 1 with between 18.5 and 24.9. the number you Overweight, which is a BMI determined in Step 2. between 25 and 29.9. 4. Multiply the number from Special points of in- terest: Calculating BMI Being overweight or obese can harm your The Cost of Convenience health Convenience has schools due to increased need of the conveniences available Health Problems contributed to ready made for classes on subject matter to us and choose wisely when commonly associated meals, instant access to deemed more important than it comes to food choices. Look with Obesity. shopping via the internet, and physical activity. for smaller portion sizes and 24-hour entertainment in our The convenience factor more fresh fruits and veg- living rooms. At the same together with other factors etables daily. Include 30 time, many of our jobs involve contributes to the rising minutes of physical activity at sitting at a computer most of obesity rates in adults and least five days a week and make the day with minimal activity, children. sure the children have 60 while children no longer have minutes of physical activity recess and physical activity in People can still take advantage daily.
  • 2. Page 2 Obesity and the Heart Publication # 63 Being Overweight A BMI between 25 and This leads to increased of coronary heart disease 29.9 is in the overweight risk of heart attack, is greatest for women who category. congestive heart failure, tend to live a sedentary sudden cardiac death, lifestyle, and who have According to the World angina, and abnormal large waist-to-hip ratios. Health Organization, in heart rhythm. 2005, there were approxi- Being overweight may be mately 1.6 Billion adults Being overweight and due to poor diet, genetics, that were overweight. obese has been connected overeating, alcoholism, to certain cancers. metabolic disorders, poor Those who are overweight sleep habits, stress, lack of have a 34% greater risk of Women who gain nearly physical activity, or med- developing heart failure, 45 pounds or more after ication. when compared to a age 18, are twice as likely normal weight person. to be diagnosed with Children (who are over- breast cancer after men- weight or obese) have 80 Higher BMI is a risk opause, when com- percent likelihood of factor for hypertension, pared to those who main- being obese if their diabetes mellitus, and tain a stable weight. parents are obese. dyslipidemia, all of which increase the risk of a heart Approximately 11 percent attack. of heart failure cases among women are The overweight and obese attributed to obesity alone. “Those who are have an increased overweight have a 34% incidence of heart disease. Studies show that the risk greater risk of developing heart failure, when compared to a normal weight person” Common Causes of Obesity The prevalence of energy- transportation, and increasing sedentary people. dense foods, which are high in urbanization. Regular physical activity is a sugar and fat, but low in The decrease in physical key factor in achieving and vitamins, minerals, and other activity can lead to harmful maintaining a healthy body micronutrients, contributes to physiological changes such as weight for adults and children. the overall high rates of obesity reduced fitness and inability to worldwide. Sedentary lifestyle is defined as perform in a stressful physical one with no physical activity In addition, reduced phys- activity sessions such as or irregular physical activity. ical activity and increased climbing a flight of stairs. hours of television viewing in Individuals who are active both adults and children con- and expend from 500 to 3500 tribute to a sedentary lifestyle. calories per week in physical According to the World activity can expect to live long- Health Organization, there is a er than people who live a more trend toward sedentary lifestyle sedentary lifestyle. worldwide. This is due to a Overall, mortality rates from all many variables, including: causes of death are lower in sedentary forms of work, physically active people than in changing modes of
  • 3. Obesity and the Heart Publication # 63 Page 3 Facts About Obesity Obesity is defined as heart failure risk. higher risk of developing having excessive body fat. breast cancer. Increased fat deposits in Obesity effects all body the waist area can lead to Women who are obese systems, especially the high blood pressure, high have a three to four times heart, lungs, and the blood cholesterol, heart greater chance of being musculoskeletal system. disease, diabetes, and diagnosed with endometri- stroke. al cancer, in compari- According to the World son to women with a low- Health Organization, there Obesity can lead to er BMI. were at least 400 million reduced HDL (High adults that were obese in Density Lipoprotein) A study, published in the 2005. levels, the “good” Journal of Occupational cholesterol. This increases and Environmental Medi- Obesity causes at least the risk of heart disease cine, found that obesity 300,000 deaths per year in and stroke. increases absenteeism at a the United States alone! cost of $4.3 billion per The obese have a 104% year in the United States. Obesity costs healthcare greater risk of developing almost $100 Billion per heart failure, when com- Obese women are 61 year in the US. pared to someone who is “Those who are obese, percent more likely to Obesity increases the risk of normal body weight. miss time from work, have a 104% greater of cardiovascular disease. compared to women of risk of developing heart Obesity is commonly failure, when compared associated with left healthy weight. The effects of obesity on to someone who is of the cardiovascular system ventricular hypertrophy Treatment of obesity normal body weight.” can begin in childhood. and dilation; both are includes getting at least 30 The more obese a child is, known precursors of heart minutes of moderate the more likely she/he will failure. intensity exercise daily, develop some form of Obese people who live a consuming less calories cardiovascular disease as an sedentary lifestyle and than is expended, eating a adult. smoke, have a higher risk diet high in fiber and low for a coronary heart in fat, consuming more Obesity is not always diet disease event than a lean, fruits and vegetables, as related. It may be a result non-smoking person. well as whole grains, and of genetics, a pre-existing using vegetable oils health condition, or due to Obesity has been known (unsaturated fat) rather medication. to be associated with than animal fats. Obesity is associated with patients who have Individuals who have hypertension, diabetes, gallbladder disease. Remember: maintained at least a 30 pulmonary hypertension, Obesity and rapid weight pound weight loss for one A BMI of 25 to 29.9 is considered as well as musculoskeletal loss in obese people may year or longer adhere to overweight. difficulties. also cause gallstones. the following*: A BMI of 30 to 39.9 is considered obese Obese people are more apt The risk for being 78% eat breakfast every day. And to have high blood pres- diagnosed with esophageal 75% weigh themselves at least once a week. A BMI of 40 or greater is considered sure, which causes the cancer rises as BMI rises. morbidly obese heart to work harder. 62% watch less than 10 hours of TV per week. Postmenopausal women Obesity causes prolonged 90% exercise, on average, who are obese (BMI= about 1 hour per day. inflammation of the heart 30=39.9) tend to have a tissue, which increases *National Weight Control Registry
  • 4. PBRC Pennington Biomedical Research Center 6400 Perkins Road Baton Rouge, LA 70808 Phone : 225-763-2500 Please Visit Our Site: www.pbrc.edu About Pennington The Pennington Biomedical Research Center is a world-renowned nutrition research center. Mission: To promote healthier lives through research and education in nutrition and pre- Promoting Healthier Lives ventive medicine. Through Research and The Pennington Center has several research areas, including: Education in Nutrition and Clinical Obesity Research Preventive Medicine Experimental Obesity Functional Foods Health and Performance Enhancement Nutrition and Chronic Diseases Nutrition and the Brain Dementia, Alzheimer’s and healthy aging Pennington Nutrition Series No 63, 2009 Diet, exercise, weight loss and weight loss maintenance Authors The research fostered in these areas can have a profound impact on healthy living and on the prevention of common chronic diseases, such as heart .disease, cancer, diabetes, hypertension and osteoporosis. Beth Kalicki The Division of Education provides education and information to the scientific Heli J. Roy, PhD, RD community and the public about research findings, training programs and re- search areas, and coordinates educational events for the public on various health issues. Division of Education e invite people of all ages and backgrounds to participate in the exciting research Pennington Biomedical Research Center studies being conducted at the Pennington Center in Baton Rouge, Louisiana. If you would like to take part, visit the clinical trials web page at www.pbrc.edu or 12/09 call (225) 763-3000