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Other losses: Conditions such as burns can be associated with losses such as skin exudates. Lack of food can result from: poverty, difficulty in shopping or cooking, and poor quality meals. BMI is usually expressed in kilograms per square metre, resulting when weight is measured in kilograms and height in metres. Gut flora has been shown to differ between lean and obese humans. Changes to metabolic demands can be caused by illness, surgery and organ dysfunction. In the developing world urbanization is playing a role in increasing rate of obesity. 9 had lower mortality than those with a normal weight. In particular, they and other appetite-related hormones act on the hypothalamus, a region of the brain central to the regulation of food intake and energy expenditure. Obesity increases the risk of many physical and mental conditions. Complications are either directly caused by obesity or indirectly related through mechanisms sharing a common cause such as a poor diet or a sedentary lifestyle. Leptin is produced by adipose tissue to signal fat storage reserves in the body, and mediates long-term appetitive controls (i. Cancers to suspect in patients with unexplained weight loss include gastrointestinal, prostate, hepatobilary ( hepatocellular carcinoma, pancreatic cancer ), ovarian, hematologic or lung malignancies. Losses from the gastrointestinal can occur because of symptoms such as vomiting or diarrhea, as well as fistulae and stomas. An association between viruses and obesity has been found in humans and several different animal species. In people with heart failure, those with a BMI between 30. Fungal illnesses, endocarditis, many parasitic diseases, AIDS, and some other subacute or occult infections may cause weight loss. The strength of the link between obesity and specific conditions varies. One of the strongest is the link with type 2 diabetes. Both groups of arcuate nucleus neurons are regulated in part by leptin. Polymorphisms in various genes controlling appetite and metabolism predispose to obesity when sufficient food energy is present. Weight loss issues related to specific diseases include. Eating restrictions may also be imposed as part of treatment or investigations. e. 0 and 34. No significant differences were seen among men of different social classes. The study of the effect of infectious agents on metabolism is still in its early stages. e. Cardiovascular disease, especially congestive heart failure, may cause unexplained weight loss. This can result from conditions that affect the digestive system. Intentional weight loss is commonly referred to as slimming. A comparison of a mouse unable to produce leptin thus resulting in obesity (left) and a normal mouse (right).



to eat when the stomach is empty and to stop when the stomach is stretched). About one-third of unintentional weight loss cases are secondary to malignancy. Silhouettes and waist circumferences representing optimal, overweight, and obese. While leptin and ghrelin are produced peripherally, they control appetite through their actions on the central nervous system. In the United States the number of children a person has is related to their risk of obesity. Like many other medical conditions, obesity is the result of an interplay between genetic and environmental factors. Many explanations have been put forth for associations between BMI and social class. Their ability to take advantage of rare periods of abundance by storing energy as fat would be advantageous during times of varying food availability, and individuals with greater adipose reserves would be more likely to survive famine. Leptin and ghrelin are considered to be complementary in their influence on appetite, with ghrelin produced by the stomach modulating short-term appetitive control (i. This apparent alteration of the metabolic potential is believed to confer a greater capacity to harvest energy contributing to obesity. There are a number of theories as to the cause but most believe it is a combination of various factors. Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. The second group coexpresses pro-opiomelanocortin (POMC) and cocaine- and amphetamine-regulated transcript (CART) and has stimulatory inputs to the VMH and inhibitory inputs to the LH. People with class I obesity and heart disease do not have greater rates of further heart problems than people of normal weight who also have heart disease. Inability to eat can result from: diminished consciousness or confusion, or physical problems affecting the arm or hands, swallowing or chewing. Patients who have uremia often have poor or absent appetite, vomiting and nausea. It is thought that in developed countries, the wealthy are able to afford more nutritious food, they are under greater social pressure to remain slim, and have more opportunities along with greater expectations for physical fitness. The disease scroll (Yamai no soshi, late 12th century) depicts a woman moneylender with obesity, considered a disease of the rich. to eat more when fat storages are low and less when fat storages are high). The thrifty gene hypothesis postulates that, due to dietary scarcity during human evolution, people are prone to obesity. Agricultural policy and techniques in the United States and Europe have led to lower food prices. Obesity in children and adolescents is defined not as an absolute number but in relation to a historical normal group, such that obesity is a BMI greater than the 95th. Certain physical and mental illnesses and the pharmaceutical substances used to treat them can increase risk of obesity. The correlation between social class and BMI varies globally. A review in 1989 found that in developed countries women of a high social class were less likely to be obese. There is an indication that gut flora in obese and lean individuals can affect the metabolic potential. Poor appetite can be a direct symptom of an illness, or an illness could make eating painful or induce nausea. Cancer, a very common and sometimes fatal cause of unexplained ( idiopathic ) weight loss. There can also be losses from drains, including nasogastric tubes.

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