A Global Battle Against Obesity World Health Organization will decide whether to adopt an aggressive plan outlining ways nations can combat obesity. Suggestions

A Global Battle Against Obesity

World Health Organization will decide whether to adopt an aggressive plan outlining ways nations can combat obesity. Suggestions include limiting food advertising aimed at children, offering tax breaks and subsidies to lower prices of healthful foods, improving food labels and trying to curb added sugars to just 10% of daily calories. The plan also calls on food and beverage companies to reduce the fat, salt and sugar content in their products.

The proposal has generated intense criticism from the U.S. government, and from the sugar industry, grocers, soft-drink makers and big food companies, claiming the proposal isn't supported by science. But if the World Health Organization approves the plan, consumers will see a world-wide push to help them improve their diets, including international efforts to regulate food marketing, pricing and production.

Consumer HealthWeight Control

Weight Control

Basic Concepts Extent of the Problem Weight Loss Drugs, Products,

Procedures Suggestions for Weight Control

US Surgeon General Call to Action Overweight and obesity result from an

energy imbalance. This involves eating too many calories and not getting enough physical activity.

Body weight is the result of genes, metabolism, behavior, environment, culture, and socioeconomic status.

Behavior and environment play a large role causing people to be overweight and obese. These are the greatest areas for prevention and treatment actions.

What is Overweight & Obese?

Height / Weight ChartsFrame Size

Body Mass IndexLean Body Mass Index

Body Composition

Extent of the Problem

Healthy People 2010CDC

Leading Health IndicatorsTen Major Public Health Issues

1. Physical activity

2. Overweight and obesity

3. Tobacco use

4. Substance abuse

5. Responsible sexual behavior

6. Mental health

7. Injury and violence

8. Environmental quality

9. Immunization

10. Access to health care

Overweight and ObesityLeading Health Indicator

7-3b10. Increase the proportion of college students who have received information on dietary behaviors and nutrition.Baseline 32.7%, 2010 Target 55%

19-3. Reduce the proportion of adolescents and college student who are overweight and obese.Baseline 29.5%, 2010 Target 16%

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7-3b1. Increase the proportion of college students who received information from their college about dietary behaviors and nutrition prevention.

Targets:

Baselines:

Target setting method: National: Not applicableCollege: Better than the best. 32% improvementOur Campus: Better than the best. 28% improvementData sources: National: Not applicableCollege: National College Health Assessment, Spring 2000Our Campus: National College Health Assessment, Spring 2000

National DNC College 32.5% Our Campus 34.8%

National DNC College 55% Our Campus 55%

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19-3. Reduce the proportion of adolescent and college students who are overweight and obese.

Targets:

Baselines:

Target setting method: National: Better than the best. 55% improvementCollege: Better than the best. 49% improvementOur Campus: Better than the best. 51% improvementData sources: National: 1988-1994 NHANES, CDC.College: National College Health Assessment, Spring 2000 Our Campus: National College Health Assessment, Spring 2000

National 11% College 29.5% Our Campus 29.1%

National 5% College 16% Our Campus 16%

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*In those aged 6 to 19 years, overweight or obesity is defined as at or above the sex- and age-specific 95th percentile of Body Mass Index (BMI) based on CDC Growth Charts: United States.

**In adults, obesity is defined as a BMI of 30 kg/m2 or more; overweight is a BMI of 25 kg/m2 or more.

Source: Centers for Disease Control and Prevention, National Center for Health Statistics. National Health and Nutrition Examination Survey. 1988–94.

30%

16%

(2010Target)

Overweight or obeseCollege students

Overweight and obesity, United States,1988–94

Obesity Trends* Among U.S. Adults1985 *Obesity: BMI ≥30, or

~30 lbs overweight for 5’4” woman

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

NOTE: the next slides to year 2002 advance every 2 seconds automatically.

Obesity Trends* Among U.S. Adults1986

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

*Obesity: BMI ≥30, or ~30 lbs overweight for 5’4” woman


No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%



No Data <10% 10%–14% 15%–19% 20%–24% ≥25%


Source: Behavioral Risk Factor Surveillance System, CDC

(*BMI 30, or ~ 30 lbs overweight for 5’4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. Adults2002 *Obesity: BMI ≥30, or

~30 lbs overweight for 5’4” woman

Health Consequences

High blood pressure, hypertension

High blood cholesterol, dyslipidemia

Type 2 (non-insulin dependent) diabetes

Insulin resistance, glucose intolerance

Hyperinsulinemia

Coronary heart disease

Angina pectoris Congestive heart

failure Stroke Gallstones

Health Consquences

Cholescystitis and cholelithiasis

Gout Osteoarthritis Obstructive sleep

apnea and respiratory problems

Some types of cancer Complications of

pregnancy

Poor female reproductive health (such as menstrual irregularities, infertility, irregular ovulation)

Bladder control problems (such as stress incontinence)

Uric acid nephrolithiasis

Psychological disorders

Current Weight Loss Drugs, Products, Procedures American Medical Association’s

Today’s Health magazine Prescriptions; injections; hypnosis;

low-calorie, high fat, high protein, low carbohydrate, high carbohydrate, grapefruit, water, cabbage soup diets; diet pills; diet gum; gadgets; surgery

Much of the time “emerge defrauded” (1972)

Current Weight Loss Drugs, Products, Procedures Low Carb? - South Beach Diet

The Delicious, Doctor-Designed, Foolproof Plan for Fast and Healthy Weight Loss

The hottest diet craze in the country - The South Beach Diet. It is not low-fat. Nor is it low-carb. The South Beach Diet teaches you to rely on the right carbs and the right fats. Developed by renowned cardiologist Dr. Arthur Agatston, the South Beach Diet is a scientifically proven program that will not only help you lose weight fast - between 8 and 13 pounds in the first two weeks - but also improve your heart health.

Current Weight Loss Drugs, Products, Procedures

Low Carb High Carb Others . . .

Atkins, Ornish, Weight Watchers, Zone diet

ADA’s What to Ask

Promise a quick fix? Encourage or require you to stop eating

certain foods, food groups or products? Rely on a single study as the basis for its

recommendations? Contradict recommendations of reputable

health organizations? Identify “good” and “bad” foods? Just sound too good to be true?

Appropriate Weight Loss Techniques A diet that is

individually planned to help create a deficit of 500 to 1,000 kcal/day should be an intregal part of any program

aimed at achieving a weight loss of 1 to 2 pounds per week.

Physical activity should be part of a comprehensive weight loss therapy and weight control program because it: modestly contributes to weight loss in overweight

and obese adults may decrease abdominal fat increases cardiorespiratory fitness may help with maintenance of weight loss.

Appropriate Weight Loss Techniques Physical activity as an integral part of weight

loss therapy and weight maintenance. Initially, moderate levels of physical activity for 30 to 45

minutes 3 to 5 days a week, should be encouraged accumulate at least 30 minutes or more of

moderate-intensity physical activity on most, and preferably all, days of the week.

Reduced calorie diet and increased physical activity is recommended since it produces weight loss that may result in lower abdominal fat and increases in cardiorespiratory fitness.

Reliable Information Sources

NHLBI Clinical Guidelines www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm

Aim for Healthy Weight

Summary

Basic Concepts Extent of the Problem Weight Loss Drugs, Products,

Procedures Suggestions for Weight Control

Documents

A Global Battle Against Obesity World Health Organization will decide whether to adopt an aggressive plan outlining ways nations can combat obesity. Suggestions