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Most people find that they only want to use this type of a diet for the short-term or for one or two meals per day. Prepackaged foods can be an effective tool for weight loss. Could it be that I have very painful arthritis and cannot do much activity? A number of explanations have been proposed to explain this. Originally, the relationship between osteoarthritis and obesity was considered to be exclusively biomechanically based, according to which the excess weight caused the joint to become worn down more quickly. How Much is Enough? It has been suggested that the main role of leptin is to act as a starvation signal when levels are low, to help maintain fat stores for survival during times of starvation, rather than a satiety signal to prevent overeating.
Bone metabolism can be regulated by central sympathetic outflow, since sympathetic pathways innervate bone tissue. Factors that acutely affect leptin levels are also factors that influence other markers of inflammation, e. While it is well-established that leptin is involved in the regulation of the inflammatory response,    it has been further theorized that leptin's role as an inflammatory marker is to respond specifically to adipose-derived inflammatory cytokines. In terms of both structure and function, leptin resembles IL-6 and is a member of the cytokine superfamily.
Similar to what is observed in chronic inflammation, chronically elevated leptin levels are associated with obesity, overeating, and inflammation-related diseases, including hypertension , metabolic syndrome , and cardiovascular disease. While leptin is associated with body fat mass, however, the size of individual fat cells, and the act of overeating, it is interesting that it is not affected by exercise for comparison, IL-6 is released in response to muscular contractions.
Thus, it is speculated that leptin responds specifically to adipose-derived inflammation. Taken as such, increases in leptin levels in response to caloric intake function as an acute pro-inflammatory response mechanism to prevent excessive cellular stress induced by overeating. When high caloric intake overtaxes the ability of fat cells to grow larger or increase in number in step with caloric intake, the ensuing stress response leads to inflammation at the cellular level and ectopic fat storage, i.
The insulin increase in response to the caloric load provokes a dose-dependent rise in leptin, an effect potentiated by high cortisol levels. This response may then protect against the harmful process of ectopic fat storage, which perhaps explains the connection between chronically elevated leptin levels and ectopic fat storage in obese individuals.
Although leptin reduces appetite as a circulating signal, obese individuals generally exhibit a higher circulating concentration of leptin than normal weight individuals due to their higher percentage body fat.
A number of explanations have been proposed to explain this. An important contributor to leptin resistance is changes to leptin receptor signalling, particularly in the arcuate nucleus , however, deficiency of, or major changes to, the leptin receptor itself are not thought to be a major cause. Other explanations suggested include changes to the way leptin crosses the blood brain barrier BBB or alterations occurring during development.
Studies on leptin cerebrospinal fluid CSF levels provide evidence for the reduction in leptin crossing the BBB and reaching obesity-relevant targets, such as the hypothalamus, in obese people. Since the amount and quality of leptin receptors in the hypothalamus appears to be normal in the majority of obese humans as judged from leptin-mRNA studies ,  it is likely that the leptin resistance in these individuals is due to a post leptin-receptor deficit, similar to the post-insulin receptor defect seen in type 2 diabetes.
When leptin binds with the leptin receptor, it activates a number of pathways. Mice with a mutation in the leptin receptor gene that prevents the activation of STAT3 are obese and exhibit hyperphagia. The PI3K pathway may also be involved in leptin resistance, as has been demonstrated in mice by artificial blocking of PI3K signalling. The PI3K pathway also is activated by the insulin receptor and is therefore an important area where leptin and insulin act together as part of energy homeostasis.
The consumption of a high fructose diet from birth has been associated with a reduction in leptin levels and reduced expression of leptin receptor mRNA in rats. Long-term consumption of fructose in rats has been shown to increase levels of triglycerides and trigger leptin and insulin resistance,   however, another study found that leptin resistance only developed in the presence of both high fructose and high fat levels in the diet.
A third study found that high fructose levels reversed leptin resistance in rats given a high fat diet. The contradictory results mean that it is uncertain whether leptin resistance is caused by high levels of carbohydrates or fats, or if an increase of both, is needed. Leptin is known to interact with amylin , a hormone involved in gastric emptying and creating a feeling of fullness.
When both leptin and amylin were given to obese, leptin-resistant rats, sustained weight loss was seen. Due to its apparent ability to reverse leptin resistance, amylin has been suggested as possible therapy for obesity.
It has been suggested that the main role of leptin is to act as a starvation signal when levels are low, to help maintain fat stores for survival during times of starvation, rather than a satiety signal to prevent overeating. Leptin levels signal when an animal has enough stored energy to spend it in pursuits besides acquiring food. Dieters who lose weight, particularly those with an overabundance of fat cells, experience a drop in levels of circulating leptin.
This drop causes reversible decreases in thyroid activity, sympathetic tone, and energy expenditure in skeletal muscle, and increases in muscle efficiency and parasympathetic tone. A decline in levels of circulating leptin also changes brain activity in areas involved in the regulatory, emotional, and cognitive control of appetite that are reversed by administration of leptin. Osteoarthritis and obesity are closely linked.
Obesity is one of the most important preventable factors for the development of osteoarthritis. Originally, the relationship between osteoarthritis and obesity was considered to be exclusively biomechanically based, according to which the excess weight caused the joint to become worn down more quickly.
However, today we recognise that there is also a metabolic component which explains why obesity is a risk factor for osteoarthritis, not only for weight-bearing joints for example, the knees , but also for joints that do not bear weight for example, the hands.
Thus, the deregulated production of adipokines and inflammatory mediators, hyperlipidaemia, and the increase of systemic oxidative stress are conditions frequently associated with obesity which can favour joint degeneration. Furthermore, many regulation factors have been implicated in the development, maintenance and function, both of adipose tissues, as well as of the cartilage and other joint tissues.
Alterations in these factors can be the additional link between obesity and osteoarthritis. Adipocytes interact with other cells through producing and secreting a variety of signalling molecules, including the cell signalling proteins known as adipokines.
Certain adipokines can be considered as hormones, as they regulate the functions of organs at a distance, and several of them have been specifically involved in the physiopathology of joint diseases.
In particular, there is one, leptin, which has been the focus of attention for research in recent years. The circulating leptin levels are positively correlated with the Body Mass Index BMI , more specifically with fatty mass, and obese individuals have higher leptin levels in their blood circulation, compared with non-obese individuals. In addition to the function of regulating energy homeostasis, leptin carries out a role in other physiological functions such as neuroendocrine communication, reproduction, angiogenesis and bone formation.
More recently, leptin has been recognised as a cytokine factor as well as with pleiotropic actions also in the immune response and inflammation. Leptin has thus emerged as a candidate to link obesity and osteoarthritis and serves as an apparent objective as a nutritional treatment for osteoarthritis. As in the plasma, the leptin levels in the synovial fluid are positively correlated with BMI. Leptin has been shown to be produced by chondrocytes, as well as by other tissues in the joints, including the synovial tissue, osteophytes, the meniscus and bone.
The risk of suffering osteoarthritis can be decreased with weight loss. This reduction of risk is related in part with the decrease of the load on the joint, but also in the decrease of fatty mass, the central adipose tissue and the low-level inflammation associated with obesity and systemic factors.
This growing evidence points to leptin as a cartilage degradation factor in the pathogenesis of osteoarthritis, and as a potential biomarker in the progression of the disease, which suggests that leptin, as well as regulation and signalling mechanisms, can be a new and promising target in the treatment of osteoarthritis, especially in obese patients.
Obese individuals are predisposed to developing osteoarthritis, not only due to the excess mechanical load, but also due to the excess expression of soluble factors, that is, leptin and pro-inflammatory cytokines, which contribute to joint inflammation and cartilage destruction. As such, obese individuals are in an altered state, due to a metabolic insufficiency, which requires specific nutritional treatment capable of normalising the leptin production and reducing the systematic low-level inflammation, in order to reduce the harmful impact of these systematic mediators on the joint health.
There are nutritional supplements and pharmacological agents capable of directing these factors and improving both conditions. Leptin was approved in the United States in for use in congenital leptin deficiency and generalized lipodystrophy. An analog of human leptin metreleptin trade name Myalept was first approved in Japan in , and in the United States in February In the US it is indicated as a treatment for complications of leptin deficiency, and for the diabetes and hypertriglyceridemia associated with congenital or acquired generalized lipodystrophy.
From Wikipedia, the free encyclopedia. Not to be confused with Lectin or Lecithin. Structure of the obese protein leptin-E Leptin plays a critical role in the adaptive response to starvation. Leptin receptor and Energy expenditure. Bearing in mind that other hormones such as ghrelin operate in a faster-time scale, it would be misleading to define it as "the satiety hormone". Nat Clin Pract Endocrinol Metab. World Rev Nutr Diet.
Crit Rev Food Sci Nutr. Journal of Clinical Investigation. A complex hub among inflammation, metabolism, and immunity". The Inside Story of the Obesity Industry. RNA expression pattern and mapping on the physical, cytogenetic, and genetic maps of chromosome 7". Wei Sheng Yan Jiu in Chinese. Studies in lean and obese subjects and during short-term fasting". Int J Sports Med. Studies in vivo and in vitro".
Journal of Cellular Biochemistry. Lay summary — medicinenet. The Journal of Neuroscience. International journal of obesity Lond. Lay summary — WebMD.
Arterioscler Thromb Vasc Biol. Current Opinion in Obstetrics and Gynecology. Cell and Tissue Research. Focus on "Fructose-induced leptin resistance exacerbates weight gain in response to subsequent high-fat feeding," by Shapiro et al". Annals of the Rheumatic Diseases. Current Opinion in Rheumatology. Insights from mouse models of obesity". Clinical and Experimental Rheumatology.
Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society. Contribution of joint tissues to their articular production". Survey of the effects of W on inflammatory mediators produced by OA cartilage as detected by protein antibody array". Retrieved 30 April Thyroid hormones T 3 T 4 Calcitonin Thyroid axis. Glucagon Insulin Amylin Somatostatin Pancreatic polypeptide. Eptinezumab Erenumab Fremanezumab Galcanezumab. Corticorelin Corticotropin releasing hormone Sauvagine Urocortin Antagonists: Galanin Galanin Galmic Galnon Antagonists: Dasiglucagon Glucagon Oxyntomodulin Antagonists: This diet provides you with your foods and snacks to ensure you consume the exact amount of calories your body needs to lose weight.
You add fresh produce and dairy. You meet with a consultant on a weekly basis to discuss your progress, and who will assist you with transitioning to your own food when you are ready to do so. Physical activity is emphasized throughout the diet. The primary advantage to this diet is that you will lose weight if you eat what you are given.
Portion-and-calorie-controlled meals are great tools for long-term weight loss and maintenance. They take away the guesswork of how many calories you consume, they can be nutritionally balanced, they are quick and easy to prepare, and they teach you about healthy portion sizes.
As with all diets, nothing works for everyone, and nothing works forever. The celebrity endorsements are great when they work, but the celebrities who regain their weight once they discontinue this plan are proving that this is not the answer for everyone. Many people prefer to be able to eat food they prepare and do not like the idea of prepackaged foods.
The consultants are not professionals in this field. They undergo a training course but are not trained therapists, registered dietitians, or exercise physiologists, so the advice and support that you receive will be limited to what they have been taught to say. If you are taking any medications or have any health conditions, it is best to work with trained professionals.
The NutriSystem Advanced diet is a low glycemic index , high-fiber, and high-protein diet. The prepackaged food is provided for you by ordering online or by calling the toll free number. This diet does address the three necessary components for successful weight loss and maintenance; diet, physical activity, and behavior. Prepackaged foods can be an effective tool for weight loss.
You will be provided with the appropriate number of calories for weight loss without having to worry about counting anything. This will give you the opportunity to learn what appropriate portion sizes are and which foods are necessary for a well-balanced diet based on your specific needs.
The variety of programs based on gender, age, health, and dietary preference is another positive component of this diet. The Mindset Makeover was developed by one of the leading psychologists in the weight loss field, Gary Foster, Ph. It is designed to "help people learn new behaviors when it comes to weight loss and related lifestyle issues.
You are given access to this and an online account with community support as part of each of the programs. Prepackaged foods are not for everyone and typically not something to use forever. They can be very limiting and create the sense of being "on a diet.
Most people find that they only want to use this type of a diet for the short-term or for one or two meals per day. The other negative aspect of this diet is that the prepackaged foods contain the artificial sweeteners Sucaralose and Acesulfame K. The dietary focus on this diet also has some limitations.
The idea of "good carbs" and "bad carbs" is controversial. While there is some truth to the role of glycemic index in hunger, it is not a guaranteed tool for weight management. Labeling foods as "good" and "bad" creates problems for people trying to develop healthy eating habits.
A well-balanced diet requires whole wheat sources of starch, while allowing for some sugar. Weight Watchers has been around for many years. There have been changes to the program, but weekly meetings have remained a part of the plan. The two diet options that are currently available are the Flex Plan and the Core Plan.
The Core Plan is based on the science of energy density. Energy density refers to the amount of calories in a given weight of food. Foods that are considered low energy dense foods have a small amount of calories for a large volume of food for example, vegetable soups, vegetables, and fruit. High energy dense foods provide a lot of calories for a small amount of food for example, oils, butter, cream sauce. The Core Plan provides a "balanced diet by centering on a list of healthy foods that keep you full longer.
The support and information provided online and in-person sets Weight Watchers apart from most diets out there. There are numerous meetings across the country to choose from. For many people, having a place to weigh-in each week is a key to success. The focus on a balanced diet, exercise, and behavior changes is another advantage to this diet. The goal is to educate people on all three components and assist with both weight loss and maintenance.
The two plans give people an option to find what works best for their own success. Many people have a "been there, done that" attitude when it comes to Weight Watchers. They have tried it, may have had some success, may have even gone back a couple of times, but end up feeling that it can't help them any longer. The group leaders at the meetings are not trained experts; they are former members who have had success with Weight Watchers.
When someone is not having success the options for what to do can be greatly limited by the lack of experience and knowledge of the leader.
There is a strong emphasis on weighing in each week. Many people have a difficult time attending a meeting when they are not having success. However, most people will not lose weight every single week, so expecting to do so is a recipe for failure. The time when people need the support the most is when they are not losing, but most meetings are not set to address this. While there are two diet options, this still may not be enough for everyone. If counting points and following a low-energy dense diet do not work for you, there is no other option left.
The best weight loss diet is one that fits your lifestyle and needs, and you can't always get that with this plan. I also agree to receive emails from MedicineNet and I understand that I may opt out of MedicineNet subscriptions at any time. Lose Weight, and Keep It Off.
It is indisputable that as a country we are more overweight and obese than we have ever been. As a result, the diet industry has grown along with us.
Some diets genuinely try to help people lose weight and keep it off, while others look to make money by saying whatever it takes to get people to believe their claims. You need to be an educated consumer when it comes to weight loss. It's not enough to see that a doctor is the author of a book. You need to digest what is being said, and look for the facts supporting the claims. It takes modifications in behavior, diet, and activity to succeed at weight loss.
It also takes time, patience, commitment, and lots of hard work. There will never be one diet that is the "cure" for everyone. If you are having difficulties with weight loss, seek helf from your physician. Dieting is a complex issue and ongoing professional support may be needed for success.
It is possible to lose weight and keep it off, so never give up hope. Instead, find what works best for you right now, and be open to change as you go along. There are many reasons for sudden weight gain when there are no changes in diet or exercise.
Learn to identify the cause of your sudden weight gain. A type 2 diabetes diet or a type 2 diabetic diet is important for blood sugar glucose control in people with diabetes to prevent complications of diabetes. There are a variety of type 2 diabetes diet eating plans such as the Mediterranean diet, Paleo diet, ADA Diabetes Diet, and vegetarian diets.
Learn about low and high glycemic index foods, what foods to eat, and what foods to avoid if you have type 2 diabetes. Triggers for migraine headaches include certain foods, stress, hormonal changes, strong stimuli loud noises , and oversleeping. Treatment guidelines for migraines include medicine, pain management, diet changes, avoiding foods that trigger migraines, staying hydrated, getting adequate sleep, and exercising regularly. Prevention of migraine triggers include getting regular exercise, drinking water daily, reducing stress, and avoiding trigger foods.
Staph Infection Staphylococcus or staph is a group of bacteria that can cause a multitude of diseases. Staph infections can cause illness directly by infection or indirectly by the toxins they produce. Symptoms and signs of a staph infection include redness, swelling, pain, and drainage of pus.
Minor skin infections are treated with an antibiotic ointment, while more serious infections are treated with intravenous antibiotics. Constipation is a common problem, and almost everyone has been constipated at one time or another.
There are foods that can help prevent constipation and also provide relief, for example, kiwi, prunes, beans your choice of type! Check out these top 15 foods to avoid because they cause constipation. Some foods to avoid include, white rice and breads, caffeine, bananas, alcohol, processed foods, and frozen dinners. Weight Gain Shockers Slideshow Pictures. Take the Quiz on Belly Fat. Medically reviewed by Joseph Palermo, D. Related Article Surprising Reasons for Weight Gain There are many reasons for sudden weight gain when there are no changes in diet or exercise.
Surprising Reasons for Weight Gain. Low iron or underlying disease, like cancer, may be to blame. Treatment can resolve anemia. Physical therapy can help a patient with arthritis to work out stiffness without damaging their joints. Occupational therapy teaches the patient how to reduce joint strain during daily activities. Those receiving occupational or physical therapy will learn about their arthritis, be given a dietary plan if they are overweight, get foot care advice, and learn methods of relieving discomfort.
Congestive heart failure CHF refers to a condition in which the heart loses the ability to function properly. Heart disease, high blood pressure, diabetes, myocarditis, and cardiomyopathies are just a few potential causes of congestive heart failure. Signs and symptoms of congestive heart failure may include fatigue, breathlessness, palpitations, angina, and edema. Physical examination, patient history, blood tests, and imaging tests are used to diagnose congestive heart failure.
Treatment of heart failure consists of lifestyle modification and taking medications to decrease fluid in the body and ease the strain on the heart. The prognosis of a patient with congestive heart failure depends on the stage of the heart failure and the overall condition of the individual. Take the Diabetes Quiz and learn the causes, signs, symptoms, and types of this growing epidemic. What does diabetes have to do with obesity and diet? Learn about life as a diabetic.
Learn about fat-fighting foods such as grapefruit, hot peppers, vinegar, and more. Discover the benefits along with surprising facts about how they may fight fat. Processed meats like pepperoni, beef jerky, and chicken nuggets are associated with an increased risk of health problems like colon cancer, heart disease, and diabetes.
That's why many doctors recommend avoiding them to reduce cancer risks and other health risks. Lap band gastric banding surgery, also referred to as laparoscopic adjustable gastric banding LAGB is a surgical procedure in which an adjustable belt is placed around the upper portion of the stomach.
Side effects, risks, and complications from lap band surgery should be discussed with a surgeon or physician prior to the operation. Weight loss without dieting? No diet, no problem. Learn the best way to lose weight with these weight loss tips designed to help men and women lose weight and feel great. Migraine headache is a type of headache associated with a sensitivity to light, smells, or sounds, eye pain, severe pounding on one side of the head, and sometimes nausea and vomiting.
The exact cause of migraine headaches is not known. Staphylococcus or staph is a group of bacteria that can cause a multitude of diseases. Sugar lurks in surprising places. Take the Sugar Quiz to learn of the many ways sugar sneaks into your diet and see what you know about sugar and artificial sweeteners! Take our Superfoods Quiz! Get to know how unprocessed, raw, organic foods and healthy drinks are rich in nutrients and dietary benefits. Triglycerides are a common form of fat that we digest.
Triglycerides are the main ingredient in animal fats and vegetable oils. Elevated levels of triglycerides are a risk factor for heart disease, heart attack, stroke, fatty liver disease, and pancreatitis. Elevated levels of triglycerides are also associated with diseases like diabetes, kidney disease, and medications for example, diuretics, birth control pills, and beta blockers. Dietary changes, and medication if necessary can help lower triglyceride blood levels.
Vitamin D deficiency has been linked with rickets, cancer, cardiovascular disease, severe asthma in children and cognitive impairment in older adults. Causes include not ingesting enough of the vitamin over time, having limited exposure to sunlight, having dark skin, and obesity.
Symptoms include bone pain and muscle weakness. Treatment for vitamin D deficiency involves obtaining more vitamin D through supplements, diet, or exposure to sunlight. What is Crohn's Disease? Warning Signs of Type 2 Diabetes. Easing Rheumatoid Arthritis Pain. Know Your Migraine Triggers.
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