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The Growing Obesity Epidemic

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cartoon worm in apple
And he was so young!
A 1978 study reported in the New England Journal of Medicine revealed that the prevalence of atherosclerosis begins in early childhood. The findings show that the disease affects 30 percent of adolescents 16 – 20 years of age, 50% of young adults between 21 – 25 years, and 75% of adults 20 – 39 years.

couch potato

Poor dietary and lifestyle choices cutting lives short

Obesity is consistently linked to ongoing degenerative disease in adults, but more recent studies are showing that obesity in children has even more far-reaching and dire consequences. World-wide, both childhood and adult obesity are increasing at alarming rates, but childhood obesity has the potential to be even more devastating since it puts risk factors in place at the same time young bodies are growing and changing.

Obesity is now considered to be the leading cause of death in North America, overtaking both tobacco smoking and automobile accidents.

Obesity Today Means Fatal Heart Disease Tomorrow

People who are obese in middle age are far more likely to be hospitalized and to die of diabetes and heart disease in old age, even if they are currently free of cardiovascular-disease risk factors.

Researchers here who kept tabs on more than 17,000 men and women -- some for nearly 40 years -- found that those who were obese in middle age had twice to quadruple the risk of being hospitalized for coronary heart disease in old age than their normal-weight peers, according to a report in the Jan. 11 issue of Journal of the American Medical Association.

READ MORE FROM MEDPAGE TODAY

Kidney Failure Another Potential Health Risk of Obesity The kidney appears to be no exception to the organs that are affected directly by excess weight and obesity. Compared with normal weight individuals, those who were overweight were nearly twice as likely to develop kidney failure, and the extremely obese were seven times more likely, said Chi-yuan Hsu, M.D., of the University of California here.

Unsafe Neighborhoods Linked to Overweight ChildrenParents who keep their children indoors to avoid the hazards of a dangerous neighborhood may be setting the kids up for another kind of trouble -- obesity. At least, so says a study published in the January issue of Archives of Pediatrics.

School-based programs have positive impact on girls A British study found that girls left to deal with obesity on their own were far more likely to fail and to resort to purging and pill-popping. Those who were involved in a school-based intervention program were less than half as likely to turn to these unhealthy tactics.

Increases in Clinically Severe Obesity in the United StatesThe prevalence of clinically severe obesity is increasing much faster than obesity. Severe obesity is more serious for an individual's health and creates different challenges for the health care system.

Long Needles Needed to Penetrate Fat in ObeseThe growing epidemic of obesity means that many women and some men aren't getting the full benefit of vaccines and other intramuscular injections, researchers reported at the Radiological Society of North America.

Changes in dietary fat and declining coronary heart disease in Poland The experience of Poland is consistent with epidemiological and clinical evidence4 indicating that mortality due to coronary heart disease can be reduced by partly replacing dietary saturated fats with polyunsaturated fats while maintaining a low intake of trans fatty acids.

Insulin Resistance and Risk of Congestive Heart FailureInsulin resistance predicted CHF incidence independently of established risk factors including diabetes in our large community-based sample of elderly men. The previously described association between obesity and subsequent CHF may be mediated largely by insulin resistance.

Top health officials adopt global plan to cut obesity The World Health Organization's (WHO) Global Strategy on Diet, Physical Activity and Health recommends limits on levels of saturated fats, trans fatty acids, sugar, and salt in processed food and that companies adhere to "clear and consistent food labelling practices" to help consumers make informed and more healthy choices.

One-meter Waistline Predicts High Risk of Diabetes and Heart Disease People with a waistline of one meter or more are at serious risk of insulin resistance - an early stage in the development of diabetes and heart disease

It only takes a little....Researchers find most obesity problems can be reversed by a modest amount of exercise, such as walking 30 minutes every day.

If You Move To America, You May Get FatLong-term exposure to American culture may be hazardous to immigrants' health. A new study found that obesity is relatively rare in the foreign-born until they have lived in the United States -- the land of drive-thrus, remote controls and double cheeseburgers -- for more than 10 years.

Effect of DHEA on Abdominal Fat and Insulin Action in Elderly Women and MenDehydroepiandrosterone (DHEA) administration has been shown to reduce accumulation of abdominal visceral fat and protect against insulin resistance in laboratory animals. DHEA replacement could play a role in prevention and treatment of the metabolic syndrome associated with abdominal obesity.

Relation of Body Mass Index in Young Adulthood and Middle Age to Medicare Expenditures in Older Age Increasing prevalence of overweight/obesity and rapid aging of the US population have raised concerns of increasing health care costs, with important implications for Medicare. Overweight/obesity in young adulthood and middle age has long-term adverse consequences for health care costs in older age.

Moderate Physical Activity Promotes Weight Loss as well as Intense ExerciseWomen trying to lose weight can benefit as much from a moderate physical activity as from an intense workout, according to a new study supported by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health in Bethesda, MD.

Insulin Resistance Associated with Abnormalities of Coronary ArteriesEven before diabetes develops, people with insulin resistance and no other risk factors for heart disease have abnormalities of the heart's blood vessels

Parents key to reducing overweight in childrenParents have been identified as the key to reducing overweight and obesity in children by promoting healthier eating in the family and encouraging exercise.

Depression in Association With Severe Obesity Severely obese subjects, especially younger women with poor body image, are at high risk for depression. We found sustained improvement with weight loss. These findings also support the hypothesis that severe obesity causes or aggravates depression.

Overweight & Obese Americans Don't Believe They are at Risk for DiabetesEven though more than half of overweight or obese respondents knew that being overweight/obese was a leading risk factor for developing type 2 diabetes, an alarming 59 percent of these individuals maintained they were not at personal risk for the disease.

Government task force needed to tackle obesityThe growing epidemic of obesity requires long term, sustainable changes that focus on the environment and encourage people to change their lifestyles rather than blaming obese people, says a report published in the United Kingdom this week.

Obesity costs UK economy £2bn a yearThe direct cost of obesity to the NHS is £0.5bn ($0.9bn; €0.7bn), while the indirect cost to the UK economy is at least £2bn, Liam Donaldson, England’s chief medical officer, told a conference in London.

The Escalating Pandemics of Obesity and Sedentary Lifestyle This report provides a "call to action" with step-by-step guidelines specifically directed at the pivotal role of physicians and other health care professionals in curbing these dangerous epidemics. This blueprint for action, which requires only a few minutes of a clinician's time to implement, will facilitate more effective intervention related to obesity and inactivity and should favorably impact public health.

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