2004
DOI: 10.1126/sageke.2004.24.re4
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Obesity Over the Life Course

Abstract: Obesity in middle-aged humans is a risk factor for many age-related diseases and decreases life expectancy by about 7 years, which is roughly comparable to the combined effect of all cardiovascular disease and cancer on life span. The prevalence of obesity increases up until late middle age and decreases thereafter. Mechanisms that lead to increased obesity with age are not yet well understood, but current evidence implicates impairments in hypothalamic function, especially impairments in the ability of hypoth… Show more

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Cited by 35 publications
(34 citation statements)
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References 70 publications
(82 reference statements)
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“…Mounting evidence has removed all doubts that obesity has a direct link to an increase in conditions such as hypertension [1,7,19], atherosclerosis [1,7,19], diabetes [1,7,19], malignancy [1,7] and many other medical conditions [1] reducing the life span [12,24] of an individual. Obesity has also been shown to be a mechanical factor influencing the initiation and progression of osteoarthritis of the hip and the knee [2,16,21].…”
Section: Introductionmentioning
confidence: 99%
“…Mounting evidence has removed all doubts that obesity has a direct link to an increase in conditions such as hypertension [1,7,19], atherosclerosis [1,7,19], diabetes [1,7,19], malignancy [1,7] and many other medical conditions [1] reducing the life span [12,24] of an individual. Obesity has also been shown to be a mechanical factor influencing the initiation and progression of osteoarthritis of the hip and the knee [2,16,21].…”
Section: Introductionmentioning
confidence: 99%
“…However, leptin resistance also develops with age independent of diet, and multiple studies have used aging as a model to identify mechanisms of leptin resistance (7)(8)(9)(10)(11)(12). Such studies frequently focus on animals at advanced ages, such as rats older than 1 or even 2 yr of age (11)(12)(13), despite the fact that increases in the predisposition to obesity occur much earlier in life, particularly during the transition from youth to middle age (14,15). Therefore, focusing on the cellular mechanisms underlying the development of leptin resistance within this earlier time frame may provide unique insight into the initial events contributing to the development of leptin resistance.…”
mentioning
confidence: 99%
“…This approach has inevitably come in for criticism because it ignores factors relating to lifestyle and the environment that might influence future mortality trends. On the other hand, another group of demographers (e.g., Olshansky et al [5][6][7], Mizuno et al [8], and Loladze [9]) have suggested that future life expectancy might level off or even decline due to factors such as obesity and decreased food-derived health benefits associated with higher levels of atmospheric CO 2 . But even demographers (e.g., de Grey [10]) critical of the extrapolative forecasting approach adopted by Vaupel still accept the possibility that scientific advances and the socio-political responses to them might lead to substantial increases in life expectancy over the next century.…”
Section: Introductionmentioning
confidence: 99%