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  • With Mayo Clinic nutritionists

    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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  • Nutrition-wise blog

  • Oct. 3, 2012

    What will it take to reverse the obesity epidemic?

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

13 comments posted

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The prestigious medical journal "JAMA" recently devoted an entire issue to the topic of obesity — from research on risk factors for childhood obesity to outcomes of gastric bypass surgery. It also provided a wide range of viewpoints on the role of genetics, medications, environment, online apps, self-control and the government in the "battle of the bulge."

Also just released was the Trust for America's Health and the Robert Wood Johnson Foundation report "F as in Fat: How Obesity Threatens America's Future 2012." The report reveals staggering statistics about obesity. It also forecasts the 2030 adult obesity rates for each state and the associated rise in obesity-related disease and health care costs:

  • Currently 35.7 percent of American adults and 16.9 percent of children ages 2 to 19 are obese (defined as a body mass index over 30).
  • If trends do not change, by 2030 the obesity rate for adults could top 44 percent nationally. In addition, rates could exceed 50 percent in 39 states and 60 percent in 13 states.
  • Currently more than 25 million Americans have type 2 diabetes, 27 million have chronic heart disease, 68 million have hypertension and 795,000 suffer a stroke each year. Approximately one in three deaths from cancer each year (approximately 190,650) are related to obesity, poor nutrition or physical inactivity.
  • In the next 20 years, obesity could contribute to more than 6 million cases of type 2 diabetes, 5 million cases of coronary heart disease and stroke, and more than 400,000 cases of cancer.
  • By 2030 costs associated with treating preventable obesity-related diseases are estimated to increase by $48 billion to $66 billion a year. The loss in economic productivity could be between $390 and $580 billion annually.
  • It's also projected that if the average body mass index was reduced by just 5 percent by 2030, thousands or millions of people could avoid obesity-related diseases, thereby saving billions of dollars in health care costs.

I'm encouraged that these reports show that we're getting serious about obesity and acknowledging that it's a massive public and personal health problem. Health care professionals are no longer pessimistic in their approach to obesity. Government is funding research into causes, effects, prevention and novel treatments.

There is no "silver bullet" and it will take the combined efforts of every segment of society to address this disease. This is nothing new. After all this is what it took to address other public health threats, such as HIV/AIDS, infant mortality, polio, car safety and tobacco.

I want to add that the most important aspect of reversing the obesity epidemic is personal responsibility and taking care of ourselves, our family and friends.

What are you contributing to the solution? You might start by watching the short video "The Obesity Epidemic" on the Obesity Society website: www.obesity.org/news-center/the-obesity-epidemic.htm.

13 comments posted

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  • April 16, 2013 9:13 p.m.

    Has anybody noticed with the founding of the "All you can eat restaurants", we became a nation of overweight people! We basically are "Hungry People" ( in more ways than one!). We want all we can get at a low price, so it shows on our hips! a

    - Jody

  • April 14, 2013 11:01 a.m.

    Just because there is a link between high body mass relative to height and diabetes doesn't mean one causes the other. That's like saying being black is a disease because they have more sickle cell anemia or being Jewish is a disease because they have more tay sachs. By this logic, being asian is a disease because they have more diabetes. Even if high bmi was the cause the failure rate on diets is 99% over 5 years so how can that be a "simple" solution.

    - J Davis

  • January 3, 2013 1:12 p.m.

    does sugar amd alcohol bother you and are you advised not to touch any of it?

    - Meki

  • December 21, 2012 4:45 p.m.

    I agree with the Dec 8th comment that it will take a combination of personal responsibility and government action to correct the obesity problem. However the thing that drives government action is personal responsibility and action. We as people have to educate ourselves to understand that we have allowed industry and government to create a food distribution channel that encourages people to eat dead nutrition deficient food that are overly acidic and then pretend we can make up the difference by taking vitamin supplements which end up making it worse because people don't understand that you can't make up for lack of good food by taking vitamin supplements. We have to be educated enough to demand of our government stop wasting money studying the problem. We already know what causes obesity as there are some excellent doctors who are both researchers, authors and practitioners who are ethical enough to tell the truth including Dr. Joel Furhman, Dr. John McDougall, Dr. Gabriel Cousens, Dr. Brian Clement, Dr. Majid Ali, Caldwell Esselstyn and many more. Google any of these or see their Youtube videos to see their lectures. We absolutely know what causes obesity so we as people have to demand our governments pass policies to demand that our businesses provide higher quality food in the distribution channel. You have more power than you think. Vote with your wallet and only buy good food then they will start providing more of it. The trend is starting please get on board.

    - GV

  • December 8, 2012 5:08 p.m.

    I completely disagree with your statement that "the most important aspect of reversing the obesity epidemic is personal responsibility and taking care of ourselves, our family and friends." The most important aspect is government legislation and action. We need government action that forces the food industry to clean up their act. We need government action that rewards the medical community for preventing disease (i.e: through nutrition and exercise counselling) not just rewards them for treating disease. We need local governments to build better neighbourhoods where people can walk/bike/use public transit to get places. For instance, car safety increased because government mandated all new cars to have car seat belts and mandated passengers to wear them. Likewise, smoking rates declined because governments discouraged cigarette advertising and made it difficult to smoke in many places. People are obese because of the toxic society we live in. Yes, there is room for personal responsibility, but the MOST IMPORTANT aspect of reversing the obesity epidemic is government action.

    - C.P

  • October 16, 2012 10:25 a.m.

    All these ideas have value, but if you read Dr. Wiilam Davis' book "Lose the Wheat, Lose the Weight," there may be a relatively simple approach to adressing metabolic syndrome: whole wheat bread raises the glycemic index more than a Mars candy bar! I tried stopping wheat and have lost 15 pounds without any other intervention - no diets, calorie counting, change in exercise - just avoid anything with wheat in it! Davis tears down the current gospel of "healthy whole grains" as without any scientific foundation. The modern highly hybridized, genetically engineered wheat may be killing us!

    - BarbaraW

  • October 13, 2012 5:05 a.m.

    It's easy - change lifestyle. Lots of exercise. Water instead of fizzy drinks. Keep a food diary and feel embarrassed when you eat processed foods. Prepare your own vegetables, eat less meat and more fish etc

    - Patricia

  • October 12, 2012 2:03 p.m.

    Obesity is one of the most complicated issues and no easy answers. I suggest just making one small change, really work on it and even right down progress or use an app to track it. Then add something else new. here is a great exercise at work article and poster to get you started. It is excellent, science based and easy to do.http://www.washingtonpost.com/wp-srv/special/health/workout-at-work/

    - Kathy

  • October 12, 2012 2:16 a.m.

    Eat REAL FRESH food - not the prepackaged processed stuff. I'm appalled at what I see in the freezer cases at supermarkets. My nephew's wife buys all that $%&#! and they have exploded like tanks in the three years they've been married. Exercise...just simple walking will be fine. I agree with the post about the absence of exercise in our schools which has been replaced by endless standardized testing?. What ever happened to President Kennedy's fitness program?

    - Vicki

  • October 11, 2012 7:38 a.m.

    Obesity is caused by portion size, sugar and carbohydrates, not fat. There has been an effort over the years to reduce fat in everything, meanwhile people are getting bigger. If the emphasis were more on reducing portion size, sugar and carbs, people would be healthier. Dr. Atkins was right!

    - Judy

  • October 10, 2012 1:13 a.m.

    Let's stop putting sugar in all the packaged foods. Let's teach doctors more about nutrition as a preventative tool to thawart obesity. Let's teach REAL HEATH with nutrient dense ways to eat, stop fast food, learn how to prepard SLOW food. Teach real nutrition every year to school children from age 5-18. Stop our manufacturer's from producing poor quality food. This so called epedemic could stopped if consumers were really informed about the food they are eating. It's "Frankenfood" out there unless you really know what you are doing. I had a doctor tell me to eat everything organic, but don't eat corn or wheat even if raised organically because there are NO truly organic seeds anymore for these commodities.

    - Jana

  • October 9, 2012 8:11 a.m.

    There isn't enough physical activity for children in school. We expect young children to sit for hours each day while we cram their brains with information. The day would be better spent if some time was given to light exercise. The children would be able to learn better, too. I am not just referring to recess, either. A programmed break with some light aerobic exercise in the classroom would be sufficient to get their blood moving again which means their brains would be bettr able to accept and store new information.

    - Barbara

  • October 3, 2012 3:18 p.m.

    Obesity is a serious problem. Health insuarance costs more for overwight people since they need more health services,therefore, private companies should charge more for overwight people until they loose their exta pounds

    - Fidaa

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