The Sunday Telegraph - Sunday

HOW THAT EXTRA STONE COULD AFFECT YOUR HEALTH

- By Dr Clare Morrison, GP and MedExpress online doctor; medexpress.co.uk

Over-50s are more likely to put on weight. This is because lower levels of oestrogen lead to loss of muscle, which leads to a lower metabolic rate. As a result, in midlife, we need to pay attention to both diet and physical activity. Here are some of the health implicatio­ns:

Blood pressure

There is a strong link between weight and blood pressure. More blood is required to circulate through the body, putting more pressure on the arterial walls. In addition, adipose tissue (body fat) releases hormones and inflammato­ry compounds, which lead to salt retention and stimulatio­n of the “sympatheti­c nervous system” (the system involved with our stress response).

Cholestero­l

Obesity is linked with high cholestero­l and unhealthy blood fats called “low density lipoprotei­ns”, particular­ly if the fat is deposited around the waist. A high-calorie intake, with too much saturated fat and refined carbohydra­te (sugar and starch), increases the level of circulatin­g insulin, and thereby contribute­s to both obesity and raised cholestero­l.

Visceral fat

Some people, due to a combinatio­n of genetics, unhealthy diet, and/or lack of exercise, are prone to carry fat around their organs, known as visceral fat. This is particular­ly unhealthy as it is readily metabolise­d by the liver, causing unhealthy fats to circulate in the blood. Unhealthy fats have a lower density than healthy ones, meaning that they are more likely to adhere to the lining of arteries, causing narrowing and potentiall­y leading to blockage. This increases the risk of heart disease, strokes, and peripheral arterial disease. Ideally one should have a waist/height ratio of less than 50 per cent. This is easier for those with a “pear” rather than “apple” shaped body.

Other health considerat­ions

Carrying excess weight increases the risk of insulin resistance, potentiall­y leading to type 2 diabetes. Being overweight also increases the risk of many types of cancer (notably breast, bowel, womb, and pancreas), heart disease, strokes, gall stones, gout and sleep apnoea. The increased risk of cancer is due to the fact that fat cells produce growth hormones and inflammato­ry chemicals, which cause cells to divide more often. Fat cells also produce oestrogen, potentiall­y increasing the risk of cancer in hormone-sensitive organs, such as breast and uterus.

 ?? ??
 ?? ?? Loss of muscle
leads to a lower metabolic
rate
Loss of muscle leads to a lower metabolic rate
 ?? ?? Visceral fat is
readily metabolise­d by
the liver
Visceral fat is readily metabolise­d by the liver

Newspapers in English

Newspapers from United Kingdom