Showing posts with label BMI. Show all posts
Showing posts with label BMI. Show all posts

Tuesday, July 30, 2019

Being overweight or obese in 60s may accelerate aging in the brain by a decade



Having a bigger waistline and a high body mass index (BMI) in your 60s may be linked with greater signs of brain aging years later, according to a study published in the July 24, 2019, online issue of Neurology, which suggests that these factors may accelerate brain aging by at least a decade.

Participants’ BMI and waist circumference were measured at the beginning of the study. An average of six years later, participants had MRI brain scans to measure the thickness of the cortex area of the brain, overall brain volume and other factors.

For waist circumference, which can be different for men and women, the normal weight group (BMI < 25), which was 54% women, had an average of 33 inches. The overweight group (BMI 25-30), which was 56% women, had an average of 36 inches, and the obese group (BMI ≥30), which was 73% women, had an average of 41 inches.

  • Having a higher BMI was associated with having a thinner cortex, even    after researchers adjusted for other factors that could affect the cortex, such as high BP, alcohol use and smoking.
  • In overweight people, every unit increase in BMI was associated with a 0.098 mm thinner cortex and in obese people with a 0.207 mm thinner cortex.
  • Having a thinner cortex has been tied to an increased risk of Alzheimer’s disease.
  • Having a bigger waist was also associated with a thinner cortex after adjusting for other factors.

Even the elderly should exercise. However a word of caution, if an elderly is walking or entering into an exercise program, he or she should have a cardiac evaluation to rule out underlying heart blockages. Older adults who exercise daily or stay physically active have better memory and thinking skills.

Walking is the best form of exercise; it requires no special training, no special equipment. Walking in natural environments such as parks also reduces mental stress and fatigue and improve mood via the release of the ‘feel good’ endorphins. This proximity to nature also helps in the inward spiritual journey and shifts one from the sympathetic to parasympathetic mode manifested by lowering of blood pressure and pulse rate.


Dr KK Aggarwal
Padma Shri Awardee
President Elect Confederation of Medical Associations in Asia and Oceania   (CMAAO)
Group Editor-in-Chief IJCP Publications
President Heart Care Foundation of India
Past National President IMA

Friday, August 19, 2011

Emedinews: Dr Good Dr Bad : An obese patient came with BMI of more than 40.


Situation: An obese patient came with BMI of more than 40.
Dr Bad: Go for surgery.
Dr Good: First try diet, exercise and drug therapy.
Lesson: Obesity surgery is indicated in patient with
BMI more than 40 who have failed diet and exercise with or without drugs.

Monday, August 1, 2011

Emedinews: Dr Good Dr Bad: A patient came with BMI 36 kg/m2.


Situation: A patient came with BMI 36 kg/m2.
Dr Bad: Measure waist circumference first.
Dr Good: You need to reduce weight.
Lesson: In patients with a BMI ≥35 kg/m2, measurement of waist circumference is less helpful since it adds little to the predictive power of the disease risk classification of BMI; almost all individuals with this BMI also have an abnormal waist circumference.