obesity crisis essay

Opinion Addressing the American obesity crisis

Regarding Kate Manne’s Feb. 6 Tuesday Opinion essay, “ A diagnosis for the doctors — fatphobia ”:

We heard echoes of Ms. Manne’s story across the country last summer. During four town hall events held at senior centers and churches, older adults with obesity told the National Council on Aging and National Consumers League : “I feel invisible” when seeking health care.

Every American — regardless of weight or size — deserves to be treated with dignity and have equitable access to quality care. That’s why we developed and launched the nation’s first Obesity Bill of Rights . With obesity now one of the most prevalent and costly chronic diseases in the United States , we must change the national dialogue away from blame and stigma and toward understanding and treatment.

More than 40 organizations have joined our effort to define quality obesity care as the right of all adults and to drive systems change. The Obesity Bill of Rights establishes eight essential rights, so people with obesity will be screened, diagnosed, counseled and treated according to medical guidelines and no longer face widespread weight bias and ageism within the health-care system or face exclusionary coverage policies by insurers and government agencies.

Ms. Manne argued that it is the system that is failing individuals. We agree. The Obesity Bill of Rights is an important step forward. NCL and NCOA are spearheading Right2ObesityCare , a grass-roots movement to engage people with obesity, their caregivers, health professionals, community leaders, employers, and obesity and chronic disease organizations to drive adoption of the Obesity Bill of Rights in clinical settings.

Ramsey Alwin , Arlington

The writer is president and chief executive of the National Council on Aging.

Sally Greenberg , Washington

The writer is chief executive of the National Consumers League.

In her Feb. 6 Tuesday Opinion essay, Kate Manne wrote, “Research has shown that ‘overweight’ people have the lowest risks of premature mortality and that ‘moderately obese’ and ‘normal-weight’ people have similar mortality risks. Yes, being heavier than ‘moderately obese’ is correlated with an increased mortality risk; but so is being very thin (even excluding people who smoked or had preexisting illnesses).”

However, the linked studies paint a different picture. One study concludes : “From a public health perspective, the findings suggest that even moderate levels of overweight may indicate worse health risk profiles than lower body weights, with potentially important implications for chronic disease and health-related quality of life.” Another study Ms. Manne cited concluded that “underweight and obesity, particularly higher levels of obesity, were associated with increased mortality relative to the normal weight category.”

Though there might be some dispute as to the degree to which obesity or overweight represents a health risk, Ms. Manne mischaracterized the current research on the dangers of excess weight.

Raymond Natter , Washington

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Obesity: causes, consequences, treatments, and challenges

Obesity has become a global epidemic and is one of today’s most public health problems worldwide. Obesity poses a major risk for a variety of serious diseases including diabetes mellitus, non-alcoholic liver disease (NAFLD), cardiovascular disease, hypertension and stroke, and certain forms of cancer ( Bluher, 2019 ).

Obesity is mainly caused by imbalanced energy intake and expenditure due to a sedentary lifestyle coupled with overnutrition. Excess nutrients are stored in adipose tissue (AT) in the form of triglycerides, which will be utilized as nutrients by other tissues through lipolysis under nutrient deficit conditions. There are two major types of AT, white AT (WAT) and brown AT, the latter is a specialized form of fat depot that participates in non-shivering thermogenesis through lipid oxidation-mediated heat generation. While WAT has been historically considered merely an energy reservoir, this fat depot is now well known to function as an endocrine organ that produces and secretes various hormones, cytokines, and metabolites (termed as adipokines) to control systemic energy balance. Studies over the past decade also show that WAT, especially subcutaneous WAT, could undergo ‘beiging’ remodeling in response to environmental or hormonal perturbation. In the first paper of this special issue, Cheong and Xu (2021) systematically review the recent progress on the factors, pathways, and mechanisms that regulate the intercellular and inter-organ crosstalks in the beiging of WAT. A critical but still not fully addressed issue in the adipose research field is the origin of the beige cells. Although beige adipocytes are known to have distinct cellular origins from brown and while adipocytes, it remains unclear on whether the cells are from pre-existing mature white adipocytes through a transdifferentiation process or from de novo differentiation of precursor cells. AT is a heterogeneous tissue composed of not only adipocytes but also nonadipocyte cell populations, including fibroblasts, as well as endothelial, blood, stromal, and adipocyte precursor cells ( Ruan, 2020 ). The authors examined evidence to show that heterogeneity contributes to different browning capacities among fat depots and even within the same depot. The local microenvironment in WAT, which is dynamically and coordinately controlled by inputs from the heterogeneous cell types, plays a critical role in the beige adipogenesis process. The authors also examined key regulators of the AT microenvironment, including vascularization, the sympathetic nerve system, immune cells, peptide hormones, exosomes, and gut microbiota-derived metabolites. Given that increasing beige fat function enhances energy expenditure and consequently reduces body weight gain, identification and characterization of novel regulators and understanding their mechanisms of action in the beiging process has a therapeutic potential to combat obesity and its associated diseases. However, as noticed by the authors, most of the current pre-clinical research on ‘beiging’ are done in rodent models, which may not represent the exact phenomenon in humans ( Cheong and Xu, 2021 ). Thus, further investigations will be needed to translate the findings from bench to clinic.

While both social–environmental factors and genetic preposition have been recognized to play important roles in obesity epidemic, Gao et al. (2021) present evidence showing that epigenetic changes may be a key factor to explain interindividual differences in obesity. The authors examined data on the function of DNA methylation in regulating the expression of key genes involved in metabolism. They also summarize the roles of histone modifications as well as various RNAs such as microRNAs, long noncoding RNAs, and circular RNAs in regulating metabolic gene expression in metabolic organs in response to environmental cues. Lastly, the authors discuss the effect of lifestyle modification and therapeutic agents on epigenetic regulation of energy homeostasis. Understanding the mechanisms by which lifestyles such as diet and exercise modulate the expression and function of epigenetic factors in metabolism should be essential for developing novel strategies for the prevention and treatment of obesity and its associated metabolic diseases.

A major consequence of obesity is type 2 diabetes, a chronic disease that occurs when body cannot use and produce insulin effectively. Diabetes profoundly and adversely affects the vasculature, leading to various cardiovascular-related diseases such as atherosclerosis, arteriosclerotic, and microvascular diseases, which have been recognized as the most common causes of death in people with diabetes ( Cho et al., 2018 ). Love et al. (2021) systematically review the roles and regulation of endothelial insulin resistance in diabetes complications, focusing mainly on vascular dysfunction. The authors review the vasoprotective functions and the mechanisms of action of endothelial insulin and insulin-like growth factor 1 signaling pathways. They also examined the contribution and impart of endothelial insulin resistance to diabetes complications from both biochemical and physiological perspectives and evaluated the beneficial roles of many of the medications currently used for T2D treatment in vascular management, including metformin, thiazolidinediones, glucagon-like receptor agonists, dipeptidyl peptidase-4 inhibitors, sodium-glucose cotransporter inhibitors, as well as exercise. The authors present evidence to suggest that sex differences and racial/ethnic disparities contribute significantly to vascular dysfunction in the setting of diabetes. Lastly, the authors raise a number of very important questions with regard to the role and connection of endothelial insulin resistance to metabolic dysfunction in other major metabolic organs/tissues and suggest several insightful directions in this area for future investigation.

Following on from the theme of obesity-induced metabolic dysfunction, Xia et al. (2021) review the latest progresses on the role of membrane-type I matrix metalloproteinase (MT1-MMP), a zinc-dependent endopeptidase that proteolytically cleaves extracellular matrix components and non-matrix proteins, in lipid metabolism. The authors examined data on the transcriptional and post-translational modification regulation of MT1-MMP gene expression and function. They also present evidence showing that the functions of MT1-MMP in lipid metabolism are cell specific as it may either promote or suppress inflammation and atherosclerosis depending on its presence in distinct cells. MT1-MMP appears to exert a complex role in obesity for that the molecule delays the progression of early obesity but exacerbates obesity at the advanced stage. Because inhibition of MT1-MMP can potentially lower the circulating low-density lipoprotein cholesterol levels and reduce the risk of cancer metastasis and atherosclerosis, the protein has been viewed as a very promising therapeutic target. However, challenges remain in developing MT1-MMP-based therapies due to the tissue-specific roles of MT1-MMP and the lack of specific inhibitors for this molecule. Further investigations are needed to address these questions and to develop MT1-MMP-based therapeutic interventions.

Lastly, Huang et al. (2021) present new findings on a critical role of puromycin-sensitive aminopeptidase (PSA), an integral non-transmembrane enzyme that catalyzes the cleavage of amino acids near the N-terminus of polypeptides, in NAFLD. NAFLD, ranging from simple nonalcoholic fatty liver to the more aggressive subtype nonalcoholic steatohepatitis, has now become the leading chronic liver disease worldwide ( Loomba et al., 2021 ). At present, no effective drugs are available for NAFLD management in the clinic mainly due to the lack of a complete understanding of the mechanisms underlying the disease progress, reinforcing the urgent need to identify and validate novel targets and to elucidate their mechanisms of action in NAFLD development and pathogenesis. Huang et al. (2021) found that PSA expression levels were greatly reduced in the livers of obese mouse models and that the decreased PSA expression correlated with the progression of NAFLD in humans. They also found that PSA levels were negatively correlated with triglyceride accumulation in cultured hepatocytes and in the liver of ob/ob mice. Moreover, PSA suppresses steatosis by promoting lipogenesis and attenuating fatty acid β-oxidation in hepatocytes and protects oxidative stress and lipid overload in the liver by activating the nuclear factor erythroid 2-related factor 2, the master regulator of antioxidant response. These studies identify PSA as a pivotal regulator of hepatic lipid metabolism and suggest that PSA may be a potential biomarker and therapeutic target for treating NAFLD.

In summary, papers in this issue review our current knowledge on the causes, consequences, and interventions of obesity and its associated diseases such as type 2 diabetes, NAFLD, and cardiovascular disease ( Cheong and Xu, 2021 ; Gao et al., 2021 ; Love et al., 2021 ). Potential targets for the treatment of dyslipidemia and NAFLD are also discussed, as exemplified by MT1-MMP and PSA ( Huang et al., 2021 ; Xia et al., 2021 ). It is noted that despite enormous effect, few pharmacological interventions are currently available in the clinic to effectively treat obesity. In addition, while enhancing energy expenditure by browning/beiging of WAT has been demonstrated as a promising alternative approach to alleviate obesity in rodent models, it remains to be determined on whether such WAT reprogramming is effective in combating obesity in humans ( Cheong and Xu, 2021 ). Better understanding the mechanisms by which obesity induces various medical consequences and identification and characterization of novel anti-obesity secreted factors/soluble molecules would be helpful for developing effective therapeutic treatments for obesity and its associated medical complications.

• Bluher M. (2019). Obesity: global epidemiology and pathogenesis . Nat. Rev. Endocrinol . 15 , 288–298. [ PubMed ] [ Google Scholar ]
• Cheong L.Y., Xu A. (2021). Intercellular and inter-organ crosstalk in browning of white adipose tissue: molecular mechanism and therapeutic complications . J. Mol. Cell Biol . 13 , 466–479. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Cho N.H., Shaw J.E., Karuranga S., et al. (2018). IDF Diabetes Atlas: global estimates of diabetes prevalence for 2017 and projections for 2045 . Diabetes Res. Clin. Pract . 138 , 271–281. [ PubMed ] [ Google Scholar ]
• Gao W., Liu J.-L., Lu X., et al. (2021). Epigenetic regulation of energy metabolism in obesity . J. Mol. Cell Biol . 13 , 480–499. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Huang B., Xiong X., Zhang L., et al. (2021). PSA controls hepatic lipid metabolism by regulating the NRF2 signaling pathway . J. Mol. Cell Biol . 13 , 527–539. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Loomba R., Friedman S.L., Shulman G.I. (2021). Mechanisms and disease consequences of nonalcoholic fatty liver disease . Cell 184 , 2537–2564. [ PubMed ] [ Google Scholar ]
• Love K.M., Barrett E.J., Malin S.K., et al. (2021). Diabetes pathogenesis and management: the endothelium comes of age . J. Mol. Cell Biol . 13 , 500–512. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Ruan H.-B. (2020). Developmental and functional heterogeneity of thermogenic adipose tissue . J. Mol. Cell Biol . 12 , 775–784. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Xia X.-D., Alabi A., Wang M., et al. (2021). Membrane-type I matrix metalloproteinase (MT1-MMP), lipid metabolism, and therapeutic implications . J. Mol. Cell Biol . 13 , 513–526. [ PMC free article ] [ PubMed ] [ Google Scholar ]

Obesity in America: A Public Health Crisis

Obesity is a public health issue that impacts more than 100 million adults and children in the U.S.

What You Need to Know About Obesity

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Obesity has become a public health crisis in the United States. The medical condition, which involves having an excessive amount of body fat, is linked to severe chronic diseases including type 2 diabetes, cardiovascular disease, high blood pressure and cancer. It causes about 1 in 5 deaths in the U.S. each year – nearly as many as smoking, according to a study published in the American Journal of Public Health.

The financial cost of obesity is high as well. According to the U.S. Centers for Disease Control and Prevention , "The estimated annual medical cost of obesity in the United States was $147 billion in 2008 U.S. dollars; the medical cost for people who have obesity was $1,429 higher than those of normal weight."

While researchers say the obesity epidemic began in the U.S. in the 1980s, there has been a sharp increase in obesity rates in the U.S. over the last decade. Nearly 40% of all adults over the age of 20 in the U.S. – about 93.3 million people – are currently obese, according to data published in JAMA in 2018. Every state in the U.S. has more than 20% of adults with obesity, according to the CDC – a significant uptick since 1985, when no state had an obesity rate higher than 15%. Certain states have higher rates than others: there are more obese people living in the South (32.4%) and Midwest (32.3%) than in other parts of the country.

Sugar Taxes and Other Efforts to Reduce Obesity

Federal, state and local governments have moved to address obesity in several ways. On the federal level, several programs – such as the Supplemental Nutrition Assistance Program (SNAP), Women, Infants and Children (WIC) Program, Child and Adult Care Food Program (CACFP) and the Healthy Food FInancing Initiative – as well as the U.S. Departments of Agriculture and Health and Human Services work to make healthier foods affordable and available in underserved communities. To prevent childhood obesity in particular, there are also school and early childhood policies, such as Head Start – a comprehensive early childhood education program – school-based physical education and Safe Routes to School, which promotes walking and biking to and from school and increasing healthy eating and physical activity while reducing the risk of obesity.

In March, the American Academy of Pediatrics and the American Heart Association offered several public policy recommendations , including raising the price of sugary drinks, encouraging federal and state governments to limit the marketing of sugary drinks to kids and teenagers, having vending machines offer water, milk and other healthy beverages, improving nutritional information on labels, restaurant menus and advertisements, and supporting hospitals in establishing policies to discourage the purchase of sugary drinks in their facilities.

Meanwhile, states have implemented laws, largely through early childhood education settings, to improve access to healthy food and increase physical activity in order to promote a healthy weight. These policies stretch from breastfeeding, providing available drinking water and daily physical activity to limited screen time as well as meals and snacks that meet healthy eating standards set by the USDA or CACFP.

City governments have considered, and in some cases implemented, so-called "sin taxes" that aim to make potentially unhealthy food choices less attractive and accessible. Cities including Philadelphia, Boulder, Colorado, and Berkeley, California, levy a tax on sugar-sweetened beverages; The American Public Health Association noted in 2016 that the tax led to a 21% drop in the consumption of sugary drinks in Berkeley alone. (A proposal to expand it to all of California stalled this year .) In Philadelphia , the price of sugary beverages sold in supermarkets, mass merchandisers and pharmacies rose – and sales fell – after the city implemented a tax on those products, but a study found that sales in towns bordering Philadelphia increased.

Some researchers say there's little proof that taxing food or drink choices really changes behavior. In spite of taxes and warnings about the health effects of drinking sugary beverages, eight of every 10 American households buys sodas and other sugary drinks each week, adding up to 2,000 calories per household per week, new research shows .

"Large authoritative systematic reviews of the peer-reviewed scientific literature have failed to illustrate any compelling evidence that economic interventions are effective in promoting any type of dietary behavior change," says Taylor Wallace , principal and CEO of the Think Healthy Group and an adjunct professor in the department of nutrition and food studies at George Mason University.

But others contend that making it more expensive to buy sugary drinks is a step in the right direction.

"We need to ensure that people understand the threat of these products to their health, so they want to reduce their consumption," says Sandra Mullin, senior vice president of policy, advocacy and communication for Vital Strategies, an organization that works to implement health initiatives, and a former public health official in New York City "And [hiking] the price is a prompt for them to do that."

Learn more about obesity:

What is obesity?

Obesity is a chronic disease . It occurs when an excessive amount of body fat affects a person's overall health.

How is obesity diagnosed?

According to the Obesity Action Coalition , a healthcare provider may diagnose a patient with obesity if his or her body mass index, or BMI, is 30 or greater. BMI is a value derived from the weight and height of a person; normal BMI ranges from 20 to 25. There is no lab test, blood screening or other diagnostic used to diagnose obesity.

What is morbid obesity?

Morbid obesity is diagnosed when a person has a BMI of 40 or greater. People can also be diagnosed with morbid obesity if their BMI is 35 if they are also experiencing health complications like high blood pressure or diabetes.

How is being overweight different from being obese?

Obesity has to do with having too much body fat and a Body Mass Index, or BMI, of 30 or more. Being overweight can involve having too much body fat, the Department of Health and Human Services says , but having extra muscle, bone or water can also be a factor.

What causes obesity?

Obesity occurs when a person takes in more calories than he or she burns through normal daily activities and exercise, according to the Mayo Clinic . It is not simply a matter of over-indulgence or a lack of self control, obesity researcher Dr. George Bray said at the first annual U.S. News Combating Childhood Obesity summit , held at Texas Children's Hospital in May.

"Obesity isn't a disease of willpower – it's a biological problem," he said . "Genes load the gun, and environment pulls the trigger."

Certain scientific and societal factors – including genetics, the increased consumption of processed foods and sugar-sweetened beverages, and some medications and medical conditions – can increase a person's risk of becoming obese. Age and pregnancy can also trigger weight gain.

The 10 Fattest States in the U.S.

Diet has an important connection to obesity. Studies show the amount of soybean oil Americans consume spiked in the 1960s and 1970s, most likely as highly processed foods became popular, and American adults and children started to weight more around that time, Bray said.

"The fats in our food supply may well be playing a part in our inability to regulate" food intake, Bray said at the obesity summit . Consumption of sugary soft drinks also skyrocketed between 1950 and 2000, he pointed out, as Americans tripled the amount of sweet beverages they drank each year.

Artificial sweeteners have also been linked to obesity . A study presented at the 2018 Experimental Biology meeting suggests artificial sweeteners alter how bodies process fat and obtain energy.

"Despite the addition of these non-caloric artificial sweeteners to our everyday diets, there has still been a drastic rise in obesity and diabetes," one of the study's authors, Brian Hoffmann, assistant professor in the department of biomedical engineering at the Medical College of Wisconsin and Marquette University , said. "In our studies, both sugar and artificial sweeteners seem to exhibit negative effects linked to obesity and diabetes, albeit through very different mechanisms from each other."

What are some of the risk factors for obesity?

Genetic factors include: the amount of body fat a person stores, where it's distributed and how efficiently his or her body metabolizes food into energy.

Medical conditions include: Prader-Willi syndrome, Cushing's syndrome, arthritis and other diseases that can lead to decreased activity. Certain medications – some antidepressants, anti-seizure, diabetes, antipsychotic medications, steroids and beta blockers – can also cause weight gain.

Lifestyle and behavioral factors include: a lack of physical activity that burns calories, smoking, lack of sleep (which can lead to an increased desire to consume calories), eating an unhealthy diet.

Social and economic factors include: not having a safe space to exercise, not having enough money to afford healthier foods, food deserts where grocery stores that carry fresh fruits and vegetables are not available, lack of transportation to access healthy food options.

Can children be obese?

Obesity can be diagnosed at any age. The prevalence of obesity among children and adolescents between ages 2 and 19 was estimated to be 18.5% – more than one in six – between 2015 and 2016, with 13.7 million impacted, according to the CDC's National Center for Health Statistics .

Children who are obese are at risk for developing premature heart disease , the American Heart Association reports. A study of nearly 2.3 million people monitored over the course of 40 years found that the risk of dying from heart disease was two to three times higher if they had been overweight or obese as teens.

Obesity is a problem in other countries as well. A study published in the Lancet in 2017 found that the number of obese 5 to 19 year olds worldwide increased from 11 million in 1975 and to 124 million in 2016. The researchers projected the number of children and adolescents who are obese will surpass those that are moderately or severly underweight by 2022.

How many adult men and women are obese?

U.S. adult obesity prevalence between 2015 and 2016 was nearly 40% – about 93.3 million people, according to the CDC . The highest rate (42.8%) was among adults between the ages of 40 and 59; the prevalence among adults age 20 to 39 years was 35.7%, and 41% among adults age 60 and older. There was no significant difference between men and women overall or by age group, according to the data brief.

What preventable diseases and health issues are associated with obesity?

Mental and physical health problems involving obesity include:

• Type 2 diabetes
• High blood pressure
• Heart disease
• Gallbladder disease
• Cancers (including breast, liver, pancreas, endometrial, colorectal, prostate and kidney)
• High cholesterol
• Osteoarthritis of weight-bearing joints
• Sleep apnea
• Respiratory problems
• Gastroesophageal reflux disease
• Urinary stress incontinence
• Infertility
• Sexual dysfunction
• Physical disability
• Lower work achievement
• Social isolation

What are the financial costs of obesity in the U.S.?

Researchers from the University of Cincinnati in 2008 estimated the cost of medical care to diagnose and treat obesity and its associated health issues to be about $147 billion annually.

The CDC estimates the indirect costs of obesity-related health issues – including absenteeism, premature disability, declines in productiving and earlier mortality – to range from $3 billion and $6.4 billion annually.

Are certain races more likely to become obese than others?

At 25.8%, Hispanic children and adolescents between the ages of 2 and 19 had the highest prevalence of obesity between 2015 and 2016, according to the National Center for Health Statistics . Meanwhile, obesity prevalence was about 22% among black youths; 14.1% among non-Hispanic whites; and 11% among non-Hispanic Asians. While the report notes that there were no significant differences in the prevalence of obesity between boys and girls by race and Hispanic origin, Hispanic boys in particular had a higher prevalence of obesity than non-Hispanic black boys.

Similarly, non-hispanic black (46.8%) and Hispanic (47%) adults in the U.S. have higher obesity rates than non-Hispanic white (37.9%) and non-Hispanic Asian (12.7%) adults, according to the NCHS. Rates of obesity were especially high among black and Hispanic women, according to the report, surpassing 50%.

How is obesity treated?

Treatment of obesity primarily involves changing a patient's behavior, but surgery to reduce the size of a patient's stomach or alter the digestive tract and medication may also be options for those who have trouble losing weight on their own.

The National Institute of Diabetes and Digestive and Kidney Diseases says common treatments include eating more healthy foods, incorporating more physical activity and changing other habits , such as taking the stairs instead of the elevator. Developing a healthy eating plan with fewer calories, setting realistic and measurable goals, participating in formal weight-management programs and seeking help from family, friends, health professionals and support groups can make it easier to develop healthier habits, though the federal agency warns that setbacks occur and people should be prepared.

Experts say obese patients who lose 5% to 10% of their body weight – about 10 to 20 pounds for a 200-lb person with a BMI indicating obesity, for example – can reduce his or her risk of obesity-related health problems like type 2 diabetes as well as lower blood pressure and cholesterol levels.

Can obesity be prevented?

When it comes to suggestions about how to prevent obesity, common principles stand out across local, state and federal guidelines :

• increase physical activity
• improve nutrition through increased consumption of fruits and vegetables
• encourage breastfeeding
• encourage mobility between work, school and communities.

Some researchers also say that the food industry has a role to play in solving the obesity crisis: Making highly processed and fast food much more expensive could curb consumption and lower the obesity rate in the U.S. over time.

"My former brethren in the soft drink business really fought the issue of obesity early on rather than stepping up and saying, 'OK, we don't wish to be blamed totally for this issue but we still can do something,'" Hank Cardello, a former food company executive who now works as a food policy analyst at the Hudson Institute, a Washington, D.C. think tank, said during the U.S. News Combating Childhood Obesity summit in May. "Larger portions, the whole supersize phenomenon – it's actually proven that that made more money for them" while helping trigger the national obesity epidemic, he explained.

What are the most-obese states in America?

According to the CDC, as of 2017 (the most-recent data available) the most-obese states in America are:

• West Virginia (38.1% of adults)
• Mississippi (37.3%)
• Oklahoma (36.5%)
• Iowa (36.4%)
• Alabama (36.2%)
• Louisiana (36.2%)
• Arkansas (35%)
• Kentucky (34.3%)
• Alaska (34.2%)
• South Carolina (34.1%)

What are the least-obese states in America?

These states have the lowest obesity rates in the U.S., according to the CDC:

• Colorado (22.6% of adults)
• Hawaii (23.8%)
• California (25.1%)
• Utah (25.25%)
• Montana (25.27%)
• New York (25.7%)
• Massachuestts (25.9%)
• Nevada (26.7%)
• Connecticut (26.9%)
• New Jersey (27.3%)

Is obesity a problem in other countries?

The World Health Organization estimates 39% of women and 39% of men ages 18 and older are overweight, with the highest prevalence of obesity on the island of Nauru, at 61%. (The U.S. ranked 12th worldwide, at 36.2%).

Among the 20 most-populous countries worldwide, the United States had the highest level of age-standardized childhood obesity, at 12.7%, while China and India had the highest numbers of obese children in 2015, according to a 2017 University of Washington study . Further, the United States and China had the highest number of obese adults, the study found. That same year, the researchers determined excess body weight to be associated with about 4 million deaths and 120 million disability-adjusted life-years lost.

Rates of adult obesity among the 36 countries in the Organization for Economic Cooperation were highest in the U.S., Mexico, New Zealand and Hungary. They were lowest in Japan and South Korea in 2017, according to an OECD "Obesity Update" report .

Tags: obesity , weight loss , public health

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Prevention, prevention, prevention.

Losing weight is hard to do.

In the U.S., only one in six adults who have dropped excess pounds actually keep off at least 10 percent of their original body weight. The reason: a mismatch between biology and environment. Our bodies are evolutionarily programmed to put on fat to ride out famine and preserve the excess by slowing metabolism and, more important, provoking hunger. People who have slimmed down and then regain their weight don’t lack willpower—their bodies are fighting them every inch of the way.

This inborn predisposition to hold on to added weight reverberates down the life course. Few children are born obese, but once they become heavy, they are usually destined to be heavy adolescents and heavy adults. According to a 2016 study in the New England Journal of Medicine , approximately 90 percent of children with severe obesity will become obese adults with a BMI of 35 or higher. Heavy young adults are generally heavy in middle and old age. Obesity also jumps across generations; having a mother who is obese is one of the strongest predictors of obesity in children.

All of which means that preventing child obesity is key to stopping the epidemic. By the time weight piles up in adulthood, it is usually too late. Luckily, preventing obesity in children is easier than in adults, partly because the excess calories they absorb are minimal and can be adjusted by small changes in diet—substituting water, for example, for sugary fruit juices or soda.

Still, the bulk of the obesity problem—literally—is in adults. According to Frank Hu, chair of the Harvard Chan Department of Nutrition, “Most people gain weight during young and middle adulthood. The weight-gain trajectory is less than 1 pound per year, but it creeps up steadily from age 18 to age 55. During this time, people gain fat mass, not muscle mass. When they reach age 55 or so, they begin to lose their existing muscle mass and gain even more fat mass. That’s when all the metabolic problems appear: insulin resistance, high cholesterol, high blood pressure.”

Adds Walter Willett, Frederick John Stare Professor of Epidemiology and Nutrition at Harvard Chan, “The first 5 pounds of weight gain at age 25—that’s the time to be taking action. Because someone is on a trajectory to end up being 30 pounds overweight by the time they’re age 50.”

The most realistic near-term public health goal, therefore, is not to reverse but rather to slow down the trend—and even this will require strong commitment from government at many levels. In May 2017, the Trump administration rolled back recently-enacted standards for school meals, delaying a rule to lower sodium and allowing waivers for regulations requiring cafeterias to serve foods rich in whole grains. If recent expansions in food entitlements and school meals are undermined, “It would be a ‘disaster,’ to use the president’s word,” says Marlene Schwartz, director of the Rudd Center for Obesity & Food Policy at the University of Connecticut. “The federal food programs are incredibly important, not just because of the food and money they provide families, but because supporting better nutrition in child care, schools, and the WIC [Women, Infants, and Children] program has created new social norms. We absolutely cannot undo the progress that we’ve made in helping this generation transition to a healthier diet.”

Get the science right.

It is impossible to prescribe solutions to obesity without reminding ourselves that nutrition scientists botched things decades ago and probably sent the epidemic into overdrive. Beginning in the 1970s, the U.S. government and major professional groups recommended for the first time that people eat a low-fat/high-carbohydrate diet. The advice was codified in 1977 with the first edition of The Dietary Goals for the United States , which aimed to cut diet-related conditions such as heart disease and diabetes. What ensued amounted to arguably the biggest public health experiment in U.S. history, and it backfired.

At the time, saturated fat and dietary cholesterol were believed to be the main factors responsible for cardiovascular disease—an oversimplified theory that ignored the fact that not all fats are created equal. Soon, the public health blitz against saturated fat became a war on all fat. In the American diet, fat calories plummeted and carb calories shot up.

“We can’t blame industry for this. It was a bandwagon effect in the scientific community, despite the lack of evidence—even with evidence to the contrary,” says Willett. “Farmers have known for thousands of years that if you put animals in a pen, don’t let them run around, and load them up with grains, they get fat. That’s basically what has been happening to people: We created the great American feedlot. And we added in sugar, coloring, and seductive promotion for low-fat junk food.”

Scientists now know that whole fruits and vegetables (other than potatoes), whole grains, high-quality proteins (such as from fish, chicken, beans, and nuts), and healthy plant oils (such as olive, peanut, or canola oil) are the foundations of a healthy diet.

But there is also a lot scientists don’t yet know. One unanswered question is why some people with obesity are spared the medical complications of excess weight. Another concerns the major mechanisms by which obesity ushers in disease. Although surplus body weight can itself directly cause problems—such as arthritis due to added load on joints, or breast cancer caused by hormones secreted by fat cells—in general, obesity triggers myriad biological processes. Many of the resulting conditions—such as atherosclerosis, diabetes, and even Alzheimer’s disease—are mediated by inflammation, in which the body’s immune response becomes damagingly self-perpetuating. In this sense, today’s food system is as inflammagenic as it is obesigenic.

Scientists also need to ferret out the nuanced effects of particular foods. For example, do fermented products—such as yogurt, tempeh, or sauerkraut—have beneficial properties? Some studies have found that yogurt protects against weight gain and diabetes, and suggest that healthy live bacteria (known as probiotics) may play a role. Other reports point to fruits being more protective than vegetables in weight control and diabetes prevention, although the types of fruits and vegetables make a difference.

A 2017 article in the American Journal of Clinical Nutrition showed that substituting whole grains for refined grains led to a loss of nearly 100 calories a day—by speeding up metabolism, cutting the number of calories that the body hangs on to, and, more surprisingly, by changing the digestibility of other foods on the plate. That extra energy lost daily—by substituting, say, brown rice for white rice or barley for pita bread—was equivalent to a brisk 30-minute walk. One hundred calories a day, sustained over years, and multiplied by the population is one mathematical equivalent of the obesity epidemic.

A companion study found that adults who ate a whole-grain-rich diet developed healthier gut bacteria and improved immune responses. That particular foods alter the gut microbiome—the dense and vital community of bacteria and other microorganisms that work symbiotically with the body’s own digestive system—is another critical insight. The microbiome helps determine weight by controlling how our bodies extract calories and store fat in the liver, and the microbiomes of obese individuals are startlingly efficient at harvesting calories from food. [To learn more about Harvard Chan research on the gut microbiome, read “ Bugs in the System .”] The hormonal effects of sleep deprivation and stress—two epidemics concurrent and intertwined with the obesity trend—are other promising avenues of research.

And then there are the mystery factors. One recent hypothesis is that an agent known as adenovirus 36 partly accounts for our collective heft. A 2010 article in The Royal Society described a study in which researchers examined samples of more than 20,000 animals from eight species living with or around humans in industrialized nations, a menagerie that included macaques, chimpanzees, vervets, marmosets, lab mice and rats, feral rats, and domestic dogs and cats. Like their Homo sapiens counterparts, all of the study populations had gained weight over the past several decades—wild, domestic, and lab animals alike. The chance that this is a coincidence is, according to the scientists’ estimate, 1 in 10 million. The stumped authors surmise that viruses, gene expression changes, or “as-of-yet unidentified and/or poorly understood factors” are to blame.

Master the art of persuasion.

A 2015 paper in the American Journal of Public Health revealed the philosophical chasm that hampers America’s progress on obesity prevention. It found that 72 to 98 percent of obesity-related media reports emphasize personal responsibility for weight, compared with 40 percent of scientific papers.

A recent study by Drexel University researchers also quantified the political polarization around public health measures. From 1998 through 2013, Democrats voted in line with recommendations from the American Public Health Association 88.3 percent of the time, on average, while Republicans voted for the proposals just 21.3 percent of the time.

Clearly, we can’t count on bipartisan goodwill to stem the obesity crisis. But we can ask what kinds of messages appeal to politically divergent audiences. A stealth strategy may be to avoid even uttering the word “obesity.” On January 1 of this year, Philadelphia’s 1.5-cents-per-ounce excise tax on sugar-sweetened and diet beverages took effect. When Philadelphia Mayor Jim Kenney lobbied voters to approve the tax, his bid centered not on improving health—the unsuccessful pitch of his predecessor—but on raising $91 million annually for prekindergarten programs.

“That’s something lots of people care about and can get behind—it’s a feel-good policy, and it makes sense,” says psychologist Christina Roberto, assistant professor of medical ethics and health policy at the University of Pennsylvania, and a former assistant professor of social and behavioral sciences and nutrition at Harvard Chan. The provision for taxing diet beverages was also shrewd, she adds, because it spread the tax’s pain; since wealthier people are more likely than less-affluent individuals to buy diet drinks, the tax could not be slapped with the label “regressive.”

But Roberto sees a larger lesson in the Philadelphia story. Public health messaging that appeals to values that transcend the individual is less fraught, less stigmatizing, and perhaps more effective. As she puts it, “It’s very different to hear the message, ‘Eat less red meat, help the planet’ versus ‘Eat less red meat, help yourself avoid saturated fat and cardiovascular disease.’”

Supermarket makeovers

Supermarket aisles are other places where public health can shuffle a deck stacked against healthy consumer choices.

With slim profit margins and 50,000-plus products on their shelves, grocery stores depend heavily on food manufacturers’ promotional incentives to make their bottom lines. “Manufacturers pay slotting fees to get their products on the shelf, and they pay promotion allowances: We’ll give you this much off a carton of Coke if you put it on sale for a certain price or if you put it on an end-of-aisle display,” says José Alvarez, former president and chief executive officer of Stop & Shop/Giant-Landover, now senior lecturer of business administration at Harvard Business School. Such promotional payments, Alvarez adds, often exceed retailers’ net profits.

Healthy new products—like flash-frozen dinners prepared with heaps of vegetables and whole grains, and relatively little salt—can’t compete for prized shelf space against boxed mac and cheese or cloying breakfast cereals. One solution, says Alvarez, is for established consumer packaged goods companies to buy out what he calls the “hippie in the basement” firms that have whipped up more nutritious items. The behemoths could apply their production, marketing, and distribution prowess to the new offerings—and indeed, this has started to happen over the last five years.

Another approach is to make nutritious foods more convenient to eat. “We have all of these cooking shows and upscale food magazines, but most people don’t have the time or inclination—or the skills, quite frankly—to cook,” says Alvarez. “Instead, we should focus on creating high-quality, healthy, affordable prepared foods.”

An additional model is suggested by Jeff Dunn, a 20-year veteran of the soft drink industry and former president of Coca-Cola North America, who went on to become an advocate for fresh, healthy food. Dunn served as president and chief executive officer of Bolthouse Farms from 2008 to 2015, where he dramatically increased sales of baby carrots by using marketing techniques common in the junk food business. “We operated on the principles of the three 3 A’s: accessibility, availability, and affordability,” says Dunn. “That, by the way, is Coke’s more-than-70-year-old formula for success.”

Show them the money.

Obesity kills budgets. According to the Campaign to End Obesity, a collaboration of leaders from industry, academia, public health, and policymakers, annual U.S. health costs related to obesity approach $200 billion. In 2010, the nonpartisan Congressional Budget Office reported that nearly 20 percent of the rise in health care spending from 1987 to 2007 was linked to obesity. And the U.S. Centers for Disease Control and Prevention (CDC) found that full-time workers in the U.S. who are overweight or obese and have other chronic health conditions miss an estimated 450 million more days of work each year than do healthy employees—upward of $153 billion in lost productivity annually.

But making the money case for obesity prevention isn’t straightforward. For interventions targeting children and youth, only a small fraction of savings is captured in the first decade, since most serious health complications don’t emerge for many years. Long-term obesity prevention, in other words, doesn’t fit into political timetables for elected officials.

Yet lawmakers are keen to know how “best for the money” obesity-prevention programs can help them in the short run. Over the past two years, Harvard Chan’s Steve Gortmaker and his colleagues have been working with state health departments in Alaska, Mississippi, New Hampshire, Oklahoma, Washington, and West Virginia and with the city of Philadelphia and other locales, building cost-effectiveness models using local data for a wide variety of interventions—from improved early child care to healthy school environments to communitywide campaigns. “We collaborate with health departments and community stakeholders, provide them with the evidence base, help assess how much different options cost, model the results over a decade, and they pick what they want to work on. One constant that we’ve seen—and these are very different political environments—is a strong interest in cost-effectiveness,” he says.

In a 2015 study in Health Affairs , Gortmaker and colleagues outlined three interventions that would more than pay for themselves: an excise tax on sugar-sweetened beverages implemented at the state level; elimination of the tax subsidy for advertising unhealthy food to children; and strong nutrition standards for food and drinks sold in schools outside of school meals. Implemented nationally, these interventions would prevent 576,000, 129,100, and 345,000 cases of childhood obesity, respectively, by 2025. The projected net savings to society in obesity-related health care costs for each dollar invested: $31, $33, and $4.60, respectively.

Gortmaker is one of the leaders of a collaborative modeling effort known as CHOICES—for Childhood Obesity Intervention Cost-Effectiveness Study—an acronym that seems a pointed rebuttal to the reflexive conservative argument that government regulation tramples individual choice. Having grown up not far from Des Plaines, Illinois, site of the first McDonald’s franchise in the country, he emphasizes to policymakers that at this late date, America cannot treat its way out of obesity, given current medical know-how. Only a thoroughgoing investment in prevention will turn the tide. “Clinical interventions produce too small an effect, with too small a population, and at high cost,” Gortmaker says. “The good news is that there are many cost-effective options to choose from.”

While Gortmaker underscores the importance of improving both food choices and options for physical activity, he has shown that upgrading the food environment offers much more benefit for the buck. This is in line with the gathering scientific consensus that what we eat plays a greater role in obesity than does sedentary lifestyle (although exercise protects against many of the metabolic consequences of excess weight). “The easiest way to explain it,” Gortmaker says, “is to talk about a sugary beverage—140 calories. You could quickly change a kid’s risk of excess energy balance by 140 calories a day just by switching from a sugary drink a day to water or sparkling water. But for a 10-year-old boy to burn an extra 140 calories, he’d have to replace an hour-and-a-half of sitting with an hour-and-a-half of walking.”

Small tweaks in adults’ diets can likewise make a big difference in short order. “With adults, health care costs rise rapidly with excess weight gain,” Gortmaker says. “If you can slow the onset of obesity, you slow the onset of diabetes, and potentially not only save health care costs but also boost people’s productivity in the workforce.”

One of Gortmaker’s most intriguing calculations spins off of the food industry’s estimated $633 million spent on television marketing aimed at kids. Currently, federal tax treatment of advertising as an ordinary business expense means that the government, in effect, subsidizes hawking of junk food to children. Gortmaker modeled a national intervention that would eliminate this subsidy of TV ads for nutritionally empty foods and beverages aimed at 2- to 19-year-olds. Drawing on well-delineated relationships between exposure to these advertisements and subsequent weight gain, he found that the intervention would save $260 million in downstream health care costs. Although the effect would probably be small at the individual level, it would be significant at the population level.

Level the playing field through taxes and regulation.

When public health took on cigarette smoking, starting in the 1960s, it did so with robust policies banning television ads and other marketing, raising taxes to increase prices, making public places smoke-free, and offering people treatment such as the nicotine patch. In 1965, the smoking rate for U.S. adults was 42.2 percent; today, it is 16.8 percent.

Similarly, America reduced the rate of deaths caused by motor vehicle accidents—a 90 percent decrease over the 20th century, according to the CDC—with mandatory seat belt laws, safer car designs, stop signs, speed limits, rumble strips, and the stigmatization of drunk driving.

Change the product. Change the environment. Change the culture. That is also the policy recipe for stopping obesity.

Laws that make healthy behaviors easier are often followed by positive changes in those behaviors. And people who are trying to adopt healthy behaviors tend to support policies that make their personal aspirations achievable, which in turn nudges lawmakers to back the proposals.

One debate today revolves around whether recipients of federal Supplemental Nutrition Assistance Program (SNAP) benefits (formerly known as food stamps) should be restricted from buying sodas or junk food. The largest component of the USDA budget, SNAP feeds one in seven Americans. A USDA report, issued last November, found that the number-one purchase by SNAP households was sweetened beverages, a category that included soft drinks, fruit juices, energy drinks, and sweetened teas, accounting for nearly 10 percent of SNAP money spent on food. Is the USDA therefore underwriting the soda industry and planting the seeds for chronic disease that the government will pay to treat years down the line?

Eric Rimm, a professor in the Departments of Epidemiology and Nutrition at the Harvard Chan School, frames the issue differently. In a 2017 study in the American Journal of Preventive Medicine , he and his colleagues asked SNAP participants whether they would prefer the standard benefits package or a “SNAP-plus” that prohibited the purchase of sugary beverages but offered 50 percent more money for buying fruits and vegetables. Sixty-eight percent of the participants chose the healthy SNAP-plus option.

“A lot of work around SNAP policy is done by academics and politicians, without reaching out to the beneficiaries,” says Rimm. “We haven’t asked participants, ‘What’s your say in this? How can we make this program better for you?’” To be sure, SNAP is riddled with nutritional contradictions. Under current rules, for example, participants can use benefits to buy a 12-pack of Pepsi or a Snickers bar or a giant bag of Lay’s potato chips but not real food that happens to be heated, such as a package of rotisserie chicken. “This is the most vulnerable population in the country,” says Rimm. “We’re not listening well enough to our constituency.”

Other innovative fiscal levers to alter behavior could also drive down obesity. In 2014, a trio of strong voices on food industry practices—Dariush Mozaffarian, DrPH ’06, dean of Tufts University’s Friedman School of Nutrition Science and Policy and former associate professor of epidemiology at the Harvard Chan School; Kenneth Rogoff, professor of economics at Harvard; and David Ludwig, professor in the Department of Nutrition at Harvard Chan and a physician at Boston Children’s Hospital—broached the idea of a “meaningful” tax on nearly all packaged retail foods and many chain restaurants, with the proceeds used to pay for minimally processed foods and healthier meals for school kids. In essence, the tax externalizes the social costs of harmful individual behavior.

“We made a straightforward proposal to tax all processed foods and then use the income to subsidize whole foods in a short-term, revenue-neutral way,” explains Ludwig. “The power of this idea is that, since there is so much processed food consumption, even a modest tax—in the 10 to 15 percent range—is not going to greatly inflate the cost of these foods. Their price would increase moderately, but the proceeds would not disappear into government coffers. Instead, the revenue would make healthy foods affordable for virtually the entire population, and the benefits would be immediately evident. Yes, people will pay moderately more for their Coke or for their cinnamon bear claw but a lot less for nourishing, whole foods.”

Another suggestion comes from Sandro Galea, dean of the Boston University School of Public Health, and Abdulrahman M. El-Sayed, a public health physician and epidemiologist. In a 2015 issue of the American Journal of Public Health , they called for “calorie offsets,” similar to the carbon offsets used to mitigate environmental harm caused by the gas and oil industries. A “calorie offset” scheme could hand the food and beverage industries a chance at redemption by inviting them to invest in such undertakings as city farms, cooking classes for parents, healthy school cafeterias, and urban green spaces.

These ambitious proposals face almost impossibly high hurdles. Political battle lines typically pit public health against corporations, with Big Food casting doubt on solid nutrition science, deeming government regulation a threat to free choice, and making self-policing pledges that it has never kept. On the website for the Americans for Food and Beverage Choice, a group spearheaded by the American Beverage Association, is the admonition: “[W]hether it’s at a restaurant or in a grocery store, it’s never the government’s job to decide what you choose to eat and drink.”

Yet surprisingly, many public health professionals are convinced that the only way to stop obesity is to make common cause with the food industry. “This isn’t like tobacco, where it’s a fight to the death. We need the food industry to make healthier food and to make a profit,” says Mozaffarian. “The food industry is much more diverse and heterogeneous than tobacco or even cars. As long as we can help them—through carrots and sticks, tax incentives and disincentives—to move towards healthier products, then they are part of the solution. But we have to be vigilant, because they use a lot of the same tactics that tobacco did.”

Sow what we want to reap.

Americans overeat what our farmers overproduce.

“The U.S. food system is egregiously terrible for human and planetary health,” says Walter Willett. It’s so terrible, Willett made a pie chart of American grain production consumed domestically. It shows that most of the country’s agricultural land goes to the two giant commodity crops: corn and soy. Most of those crops, in turn, go to animal fodder and ethanol, and are also heavily used in processed snack foods. Today, only about 10 percent of grain grown in the U.S. for domestic use is eaten directly by human beings. According to a 2013 report from the Union of Concerned Scientists, only 2 percent of U.S. farmland is used to grow fruits and vegetables, while 59 percent is devoted to commodity crops.

Historically, those skewed proportions made sense. Federal food policies, drafted with the goal of alleviating hunger, preferentially subsidize corn and soy production. And whereas corn or soybeans could be shipped for days on a train, fruits and vegetables had to be grown closer to cities by truck farmers so the produce wouldn’t spoil. But those long-ago constraints don’t explain today’s upside-down agricultural priorities.

In a now-classic 2016 Politico article titled “The farm bill drove me insane,” Marion Nestle illustrated the irrational gap between what the government recommends we eat and what it subsidizes: “If you were to create a MyPlate meal that matched where the government historically aimed its subsidies, you’d get a lecture from your doctor. More than three-quarters of your plate would be taken up by a massive corn fritter (80 percent of benefits go to corn, grains and soy oil). You’d have a Dixie cup of milk (dairy gets 3 percent), a hamburger the size of a half dollar (livestock: 2 percent), two peas (fruits and vegetables: 0.45 percent) and an after-dinner cigarette (tobacco: 2 percent). Oh, and a really big linen napkin (cotton: 13 percent) to dab your lips.”

In this sense, the USDA marginalizes human health. Many of the foods that nutritionists agree are best for us—notably, fruits, vegetables, and tree nuts—fall under the bureaucratic rubric “specialty crops,” a category that also includes “dried fruits, horticulture, and nursery crops (including floriculture).” Farm bills, which get passed every five years or so, fortify the status quo. The 2014 Farm Bill, for example, provided $73 million for the Specialty Crop Block Grant Program in 2017, out of a total of about $25 billion for the USDA’s discretionary budget. (The next Farm Bill, now under debate, will be coming out in 2018.)

By contrast, a truly anti-obesigenic agricultural system would stimulate USDA support for crop diversity—through technical assistance, research, agricultural training programs, and financial aid for farmers who are newly planting or transitioning their land into produce. It would also enable farmers, most of whom survive on razor-thin profit margins, to make a decent living.

In the early 1970s, Finland’s death rate from coronary heart disease was the highest in the world, and in the eastern region of North Karelia—a pristine, sparsely populated frontier landscape of forest and lakes—the rate was 40 percent worse than the national average. Every family saw physically active men, loggers and farmers who were strong and lean, dying in their prime.

Thus was born the North Karelia Project, which became a model worldwide for saving lives by transforming lifestyles. The project was launched in 1972 and officially ended 25 years later. While its initial goal was to reduce smoking and saturated fat in the diet, it later resolved to increase fruit and vegetable consumption.

The North Karelia Project fulfilled all of these ambitions. When it started, for example, 86 percent of men and 82 percent of women smeared butter on their bread; by the early 2000s, only 10 percent of men and 4 percent of women so indulged. Use of vegetable oil for cooking jumped from virtually zero in 1970 to 50 percent in 2009. Fruit and vegetables, once rare visitors to the dinner plate, became regulars. Over the project’s official quarter-century existence, coronary heart disease deaths in working-age North Karelian men fell 82 percent, and life expectancy rose seven years.

The secret of North Karelia’s success was an all-out philosophy. Team members spent innumerable hours meeting with residents and assuring them that they had the power to improve their own health. The volunteers enlisted the assistance of an influential women’s group, farmers’ unions, homemakers’ organizations, hunting clubs, and church congregations. They redesigned food labels and upgraded health services. Towns competed in cholesterol-cutting contests. The national government passed sweeping legislation (including a total ban on tobacco advertising). Dairy subsidies were thrown out. Farmers were given strong incentives to produce low-fat milk, or to get paid for meat and dairy products based not on high-fat but on high-protein content. And the newly established East Finland Berry and Vegetable Project helped locals switch from dairy farming—which had made up more than two-thirds of agriculture in the region—to cultivation of cold-hardy currants, gooseberries, and strawberries, as well as rapeseed for heart-healthy canola oil.

“A mass epidemic calls for mass action,” says the project’s director, Pekka Puska, “and the changing of lifestyles can only succeed through community action. In this case, the people pulled the government—the government didn’t pull the people.”

Could the United States in 2017 learn from North Karelia’s 1970s grand experiment?

“Americans didn’t become an obese nation overnight. It took a long time—several decades, the same timeline as in individuals,” notes Frank Hu. “What were we doing over the past 20 years or 30 years, before we crossed this threshold? We haven’t asked these questions. We haven’t done this kind of soul-searching, as individuals or society as a whole.”

Today, Americans may finally be willing to take a hard look at how food figures in their lives. In a July 2015 Gallup phone poll of Americans 18 and older, 61 percent said they actively try to avoid regular soda (the figure was 41 percent in 2002); 50 percent try to avoid sugar; and 93 percent try to eat vegetables (but only 57.7 percent in 2013 reported they ate five or more servings of fruits and vegetables at least four days of the previous week).

Individual resolve, of course, counts for little in problems as big as the obesity epidemic. Most successes in public health bank on collective action to support personal responsibility while fighting discrimination against an epidemic’s victims. [To learn more about the perils of stigma against people with obesity, read “ The Scarlet F .”]

Yet many of public health’s legendary successes also took what seems like an agonizingly long time to work. Do we have that luxury?

“Right now, healthy eating in America is like swimming upstream. If you are a strong swimmer and in good shape, you can swim for a little while, but eventually you’re going to get tired and start floating back down,” says Margo Wootan, SD ’93, director of nutrition policy for the Center for Science in the Public Interest. “If you’re distracted for a second—your kid tugs on your pant leg, you had a bad day, you’re tired, you’re worried about paying your bills—the default options push you toward eating too much of the wrong kinds of food.”

But Wootan has not lowered her sights. “What we need is mobilization,” she says. “Mobilize the public to address nutrition and obesity as societal problems—recognizing that each of us makes individual choices throughout the day, but that right now the environment is stacked against us. If we don’t change that, stopping obesity will be impossible.”

The passing of power to younger generations may aid the cause. Millennials are more inclined to view food not merely as nutrition but also as narrative—a trend that leaves Duke University’s Kelly Brownell optimistic. “Younger people have been raised to care about the story of their food. Their interest is in where it came from, who grew it, whether it contributes to sustainable agriculture, its carbon footprint, and other factors. The previous generation paid attention to narrower issues, such as hunger or obesity. The Millennials are attuned to the concept of food systems.”

We are at a public health inflection point. Forty years from now, when we gaze at the high-resolution digital color photos from our own era, what will we think? Will we realize that we failed to address the obesity epidemic, or will we know that we acted wisely?

The question brings us back to the 1970s, and to Pekka Puska, the physician who directed the North Karelia Project during its quarter-century existence. Puska, now 71, was all of 27 and burning with big ideas when he signed up to lead the audacious effort. He knows the promise and the perils of idealism. “Changing the world may have been utopic,” he says, “but changing public health was possible.”

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Over one billion obese people globally, health crisis must be reversed - WHO

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On World Obesity Day, marked on Friday, the World Health Organization (WHO) urged countries to do more to reverse what is a preventable health crisis.

According to recent data , more than one billion people worldwide are obese , including 650 million adults, 340 million adolescents and 39 million children. With the numbers still increasing, WHO estimates that by 2025, approximately 167 million people will become less healthy because they are overweight or obese.

Impacts of obesity

Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. As a disease that impacts most body systems, obesity affects the heart, liver, kidneys, joints, and reproductive system.

WHO underlined that obesity also leads to a range of noncommunicable diseases (NCDs), such as type 2 diabetes, cardiovascular disease, hypertension and stroke, various forms of cancer, as well as mental health issues.

According to the UN health agency, people with obesity are also three times more likely to be hospitalized for COVID-19 . 

Key to prevention: act early

Worldwide obesity has nearly tripled since 1975.

WHO said the key to preventing obesity is to act early. For example, before even considering having a baby, get healthy.

“ Good nutrition in pregnancy, followed by exclusive breastfeeding until the age of 6 months and continued breastfeeding until two years and beyond, is best for all infants and young children,” WHO reiterated.

Global response

At the same time, countries need to work together to create a better food environment so that everyone can access and afford a healthy diet .

To achieve that, steps to be taken include restricting the marketing to children of food and drinks high in fats, sugar, and salt, taxing sugary drinks, and providing better access to affordable, healthy food.

Along with changes in diet , WHO also mentioned the need for exercise.

“Cities and towns need to make space for safe walking, cycling, and recreation, and schools need to help households teach children healthy habits from early on.”

WHO continues to address the global obesity crisis by monitoring global trends and prevalence, developing a broad range of guidance to prevent and treat overweight and obesity, and providing support and guidance for countries.

Action plan to stop obesity

Following a request from Member States, the WHO secretariat is also developing an acceleration action plan to stop obesity, tackle the epidemic in high burden countries and catalyze global action. The plan will be discussed at the 76 World Health Assembly to be held in May.

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• Published: 02 December 2022

Epidemiology and Population Health

Obesity and the cost of living crisis

• Eric Robinson   ORCID: orcid.org/0000-0003-3586-5533 1  

International Journal of Obesity volume  47 ,  pages 93–94 ( 2023 ) Cite this article

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• Risk factors

2022 has seen the emergence of a global cost of living crisis driven by rapid increases in the cost of energy and food. The result will be a growing number of families experiencing short-term financial turmoil and long-term financial hardship [ 1 ]. Increasing inflation results in households with proportionately less disposable income, and this will invariably impact on food purchasing. One likely impact will be the tipping of many people from lesser economically developed countries into extreme poverty and starvation [ 2 ]. Furthermore, in the context of an already well-established obesity crisis, the cost of living crisis may also create the perfect storm for driving global obesity prevalence further upwards.

Families already have to choose between cheap and readily available energy-dense foods vs. more costly healthier food options, often financially and also in terms of preparation time. As financial hardship hits, choosing the latter will become more difficult. Households with the lowest incomes are less able to place long-term health at the top of their considerations when buying, choosing and cooking food. Recent research suggests that this is one likely reason why lower socioeconomic status is associated with higher BMI [ 3 ]. If left unchecked, the cost of living crisis has the potential to further widen socioeconomic inequalities in obesity by disproportionately affecting disadvantaged families and communities already at risk of obesity.

The stress of financial crises is thought to damage mental health, and the well-being of many of those experiencing financial hardship will be at risk [ 4 ]. Poorer mental health likely decreases motivation in the context of obesity management [ 5 ] and is a risk factor for increased weight gain among the general population, potentially through biopsychological mechanisms such as comfort eating [ 6 ]. Although research is less convincing and comprehensive in humans than in non-human animals, resource deprivation and insecurity may directly impact on biological systems to increase fat deposition and weight gain [ 7 ]. Well before the emergence of the current cost of living crisis, research had documented the concerning number of people worldwide living in food insecurity. Experiencing food insecurity is a risk factor for obesity and other health problems [ 8 ]. The cost of living crisis therefore has potential to move many more into food insecurity and further increase obesity among those already experiencing financial hardship.

Obesity research in the context of the current and future financial crises will have both theoretical and applied value. The COVID-19 pandemic stimulated a large amount of research into understanding how obesity increased risk of death, how those living with obesity were disproportionately affected, and the impact the pandemic has had on obesity prevalence [ 9 ]. The current cost of living crisis provides an (unfortunate) opportunity to study how and why diet, physical activity and obesity are affected in those experiencing acute financial hardship. Furthermore, documenting the impacts that the cost of living crisis has on absolute and relative inequalities in obesity prevalence will be important.

How countries respond to the cost of living crisis will matter, and invariably will differ from one government to another. Although there will be universal efforts to address inflation and financial hardship, in the context of obesity the devil will be in the detail. In recent years the UK government have implemented and proposed the introduction of a range of population-level anti-obesity measures including, among others, banning of price promotions and advertisement of unhealthy food products. However, in response to the cost of living crisis, there are suggestions that government will reverse the introduction of such measures in order to remove constraints on businesses and drive promote economic growth [ 10 ].

If governments deprioritise obesity policy to instead try and spur short-term economic growth, not only will obesity be worsened, but it is likely that there be damaging longer-term economic impacts. The current global burden of obesity is large and will continue to grow if upwards obesity prevalence trends continue. Obesity policy in many countries has historically been fragmented and not been considered in the wider context of other major societal challenges, such as climate change and financial crises. If this continues, then the obesity crisis will be with us for a very long time or even worse, indefinitely.

World Economic Forum. The cost-of-living crisis is having a global impact. Here’s what countries are doing to help. 2022. https://www.weforum.org/agenda/2022/09/cost-of-living-crisis-global-impact/

Ortiz-Juarez E, Molina G, Montoya-Aguire M. United Nations Development Programme, Cost-of-Living Report. 2022. https://www.undp.org/germany/publications/cost-living-report

Robinson E, Jones A, Marty L. The role of health-based food choice motives in explaining the relationship between lower socioeconomic position and higher BMI in UK and US adults. Int J Obes. 2022;46:1818–24.

Frasquilho D, Matos MG, Salonna F, Guerreiro D, Storti CC, Gaspar T, et al. Mental health outcomes in times of economic recession: a systematic literature review. BMC Public Health. 2015;16:1–40.

Article   Google Scholar  

Jones RA, Mueller J, Sharp SJ, Vincent A, Duschinsky R, Griffin SJ, et al. The impact of participant mental health on attendance and engagement in a trial of behavioural weight management programmes: secondary analysis of the WRAP randomised controlled trial. Int J Behav Nutr Phys Activity. 2021;18:1–3.

Konttinen H, Van Strien T, Männistö S, Jousilahti P, Haukkala A. Depression, emotional eating and long-term weight changes: a population-based prospective study. Int J Behav Nutr Phys Activity. 2019;16:1.

Nettle D, Andrews C, Bateson M. Food insecurity as a driver of obesity in humans: the insurance hypothesis. Behav Brain Sci. 2017;40:e105.

Moradi S, Mirzababaei A, Dadfarma A, Rezaei S, Mohammadi H, Jannat B, et al. Food insecurity and adult weight abnormality risk: a systematic review and meta-analysis. Eur J Nutr. 2019;58:45–61.

Jones RA, Christiansen P, Maloney NG, Duckworth JJ, Hugh-Jones S, Ahern AL, et al. Perceived weight-related stigma, loneliness, and mental wellbeing during COVID-19 in people with obesity: a cross-sectional study from ten European countries. Int J Obes. 2022;46:2120–7.

BBC News. Anti-obesity strategy to be reviewed due to cost-of-living crisis. 2022. https://www.bbc.co.uk/news/uk-politics-62900076 .

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Home — Essay Samples — Nursing & Health — Public Health Issues — Obesity

Essay Examples on Obesity

Hook examples for obesity essays, "the silent epidemic among us" hook.

"Obesity silently creeps into our lives, affecting millions. Explore the hidden health crisis, its causes, and its far-reaching consequences on individuals and society."

"From Childhood to Adulthood: Battling Obesity" Hook

"Childhood obesity often follows us into adulthood. Share stories of individuals who have embarked on journeys of transformation and discuss the challenges they face."

"Obesity's Toll on Public Health" Hook

"Obesity is a public health crisis with wide-ranging effects. Investigate the strain on healthcare systems, the rise of related diseases, and the economic impact of obesity."

"The Cultural Shift: Food, Technology, and Sedentary Lifestyles" Hook

"Examine how cultural factors, including dietary habits, technology use, and sedentary lifestyles, have contributed to the obesity epidemic. What can we learn from these trends?"

"Breaking the Cycle: Strategies for Prevention" Hook

"Prevention is key to combating obesity. Discuss effective strategies for preventing obesity in children and adults, from education to policy changes."

"The Psychological Battle: Obesity and Mental Health" Hook

"Obesity often intersects with mental health challenges. Explore the complex relationship between obesity and mental well-being, as well as the stigma attached to it."

"Shifting Perspectives: Celebrating Body Positivity" Hook

"In the midst of the obesity crisis, the body positivity movement is gaining ground. Discuss the importance of promoting self-acceptance and diverse body images."

Essay on Obesity in America

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Obesity is a condition in which excess body fat has accumulated to such an extent that it may have a negative effect on health. Medical organizations tend to classify people as obese based on body mass index (BMI) – a ratio of a person's weight in kilograms to the square of their height in meters.

There are three types of obesity: Class 1 (low-risk) obesity, if BMI is 30.0 to 34.9; Class 2 (moderate-risk) obesity, if BMI is 35.0 to 39.9; Class 3 (high-risk) obesity, if BMI is equal to or greater than 40.0.

The major contributors to obesity are: diet, sedentary lifestyle, genetics, other illnesses, social determinants, gut bacteria, and other factors.

Excessive body weight has a strong link to many diseases and conditions, particularly cardiovascular diseases, diabetes mellitus type 2, obstructive sleep apnea, certain types of cancer, osteoarthritis, and asthma. As a result, obesity has been found to reduce life expectancy.

Most of the world's population live in countries where overweight and obesity kills more people than underweight. 39 million children under the age of 5 were overweight or obese in 2020. Worldwide obesity has nearly tripled since 1975. From 1999-2000 through 2017-March 2020, US obesity prevalence increased from 30.5% to 41.9%.

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Essay on Obesity

List of essays on obesity, essay on obesity – short essay (essay 1 – 150 words), essay on obesity (essay 2 – 250 words), essay on obesity – written in english (essay 3 – 300 words), essay on obesity – for school students (class 5, 6, 7, 8, 9, 10, 11 and 12 standard) (essay 4 – 400 words), essay on obesity – for college students (essay 5 – 500 words), essay on obesity – with causes and treatment (essay 6 – 600 words), essay on obesity – for science students (essay 7 – 750 words), essay on obesity – long essay for medical students (essay 8 – 1000 words).

Obesity is a chronic health condition in which the body fat reaches abnormal level. Obesity occurs when we consume much more amount of food than our body really needs on a daily basis. In other words, when the intake of calories is greater than the calories we burn out, it gives rise to obesity.

Audience: The below given essays are exclusively written for school students (Class 5, 6, 7, 8, 9, 10, 11 and 12 Standard), college, science and medical students.

Introduction:

Obesity means being excessively fat. A person would be said to be obese if his or her body mass index is beyond 30. Such a person has a body fat rate that is disproportionate to his body mass.

Obesity and the Body Mass Index:

The body mass index is calculated considering the weight and height of a person. Thus, it is a scientific way of determining the appropriate weight of any person. When the body mass index of a person indicates that he or she is obese, it exposes the person to make health risk.

Stopping Obesity:

There are two major ways to get the body mass index of a person to a moderate rate. The first is to maintain a strict diet. The second is to engage in regular physical exercise. These two approaches are aimed at reducing the amount of fat in the body.

Conclusion:

Obesity can lead to sudden death, heart attack, diabetes and may unwanted illnesses. Stop it by making healthy choices.

Obesity has become a big concern for the youth of today’s generation. Obesity is defined as a medical condition in which an individual gains excessive body fat. When the Body Mass Index (BMI) of a person is over 30, he/ she is termed as obese.

Obesity can be a genetic problem or a disorder that is caused due to unhealthy lifestyle habits of a person. Physical inactivity and the environment in which an individual lives, are also the factors that leads to obesity. It is also seen that when some individuals are in stress or depression, they start cultivating unhealthy eating habits which eventually leads to obesity. Medications like steroids is yet another reason for obesity.

Obesity has several serious health issues associated with it. Some of the impacts of obesity are diabetes, increase of cholesterol level, high blood pressure, etc. Social impacts of obesity includes loss of confidence in an individual, lowering of self-esteem, etc.

The risks of obesity needs to be prevented. This can be done by adopting healthy eating habits, doing some physical exercise regularly, avoiding stress, etc. Individuals should work on weight reduction in order to avoid obesity.

Obesity is indeed a health concern and needs to be prioritized. The management of obesity revolves around healthy eating habits and physical activity. Obesity, if not controlled in its initial stage can cause many severe health issues. So it is wiser to exercise daily and maintain a healthy lifestyle rather than being the victim of obesity.

Obesity can be defined as the clinical condition where accumulation of excessive fat takes place in the adipose tissue leading to worsening of health condition. Usually, the fat is deposited around the trunk and also the waist of the body or even around the periphery.

Obesity is actually a disease that has been spreading far and wide. It is preventable and certain measures are to be taken to curb it to a greater extend. Both in the developing and developed countries, obesity has been growing far and wide affecting the young and the old equally.

The alarming increase in obesity has resulted in stimulated death rate and health issues among the people. There are several methods adopted to lose weight and they include different diet types, physical activity and certain changes in the current lifestyle. Many of the companies are into minting money with the concept of inviting people to fight obesity.

In patients associated with increased risk factor related to obesity, there are certain drug therapies and other procedures adopted to lose weight. There are certain cost effective ways introduced by several companies to enable clinic-based weight loss programs.

Obesity can lead to premature death and even cause Type 2 Diabetes Mellitus. Cardiovascular diseases have also become the part and parcel of obese people. It includes stroke, hypertension, gall bladder disease, coronary heart disease and even cancers like breast cancer, prostate cancer, endometrial cancer and colon cancer. Other less severe arising due to obesity includes osteoarthritis, gastro-esophageal reflux disease and even infertility.

Hence, serious measures are to be taken to fight against this dreadful phenomenon that is spreading its wings far and wide. Giving proper education on benefits of staying fit and mindful eating is as important as curbing this issue. Utmost importance must be given to healthy eating habits right from the small age so that they follow the same until the end of their life.

Obesity is majorly a lifestyle disease attributed to the extra accumulation of fat in the body leading to negative health effects on a person. Ironically, although prevalent at a large scale in many countries, including India, it is one of the most neglect health problems. It is more often ignored even if told by the doctor that the person is obese. Only when people start acquiring other health issues such as heart disease, blood pressure or diabetes, they start taking the problem of obesity seriously.

Obesity Statistics in India:

As per a report, India happens to figure as the third country in the world with the most obese people. This should be a troubling fact for India. However, we are yet to see concrete measures being adopted by the people to remain fit.

Causes of Obesity:

Sedentary lifestyle, alcohol, junk food, medications and some diseases such as hypothyroidism are considered as the factors which lead to obesity. Even children seem to be glued to televisions, laptops and video games which have taken away the urge for physical activities from them. Adding to this, the consumption of junk food has further aggravated the growing problem of obesity in children.

In the case of adults, most of the professions of today make use of computers which again makes people sit for long hours in one place. Also, the hectic lifestyle of today makes it difficult for people to spare time for physical activities and people usually remain stressed most of the times. All this has contributed significantly to the rise of obesity in India.

Obesity and BMI:

Body Mass Index (BMI) is the measure which allows a person to calculate how to fit he or she is. In other words, the BMI tells you if you are obese or not. BMI is calculated by dividing the weight of a person in kg with the square of his / her height in metres. The number thus obtained is called the BMI. A BMI of less than 25 is considered optimal. However, if a person has a BMI over 30 he/she is termed as obese.

What is a matter of concern is that with growing urbanisation there has been a rapid increase of obese people in India? It is of utmost importance to consider this health issue a serious threat to the future of our country as a healthy body is important for a healthy soul. We should all be mindful of what we eat and what effect it has on our body. It is our utmost duty to educate not just ourselves but others as well about this serious health hazard.

Obesity can be defined as a condition (medical) that is the accumulation of body fat to an extent that the excess fat begins to have a lot of negative effects on the health of the individual. Obesity is determined by examining the body mass index (BMI) of the person. The BMI is gotten by dividing the weight of the person in kilogram by the height of the person squared.

When the BMI of a person is more than 30, the person is classified as being obese, when the BMI falls between 25 and 30, the person is said to be overweight. In a few countries in East Asia, lower values for the BMI are used. Obesity has been proven to influence the likelihood and risk of many conditions and disease, most especially diabetes of type 2, cardiovascular diseases, sleeplessness that is obstructive, depression, osteoarthritis and some cancer types.

In most cases, obesity is caused through a combination of genetic susceptibility, a lack of or inadequate physical activity, excessive intake of food. Some cases of obesity are primarily caused by mental disorder, medications, endocrine disorders or genes. There is no medical data to support the fact that people suffering from obesity eat very little but gain a lot of weight because of slower metabolism. It has been discovered that an obese person usually expends much more energy than other people as a result of the required energy that is needed to maintain a body mass that is increased.

It is very possible to prevent obesity with a combination of personal choices and social changes. The major treatments are exercising and a change in diet. We can improve the quality of our diet by reducing our consumption of foods that are energy-dense like those that are high in sugars or fat and by trying to increase our dietary fibre intake.

We can also accompany the appropriate diet with the use of medications to help in reducing appetite and decreasing the absorption of fat. If medication, exercise and diet are not yielding any positive results, surgery or gastric balloon can also be carried out to decrease the volume of the stomach and also reduce the intestines’ length which leads to the feel of the person get full early or a reduction in the ability to get and absorb different nutrients from a food.

Obesity is the leading cause of ill-health and death all over the world that is preventable. The rate of obesity in children and adults has drastically increased. In 2015, a whopping 12 percent of adults which is about 600 million and about 100 million children all around the world were found to be obese.

It has also been discovered that women are more obese than men. A lot of government and private institutions and bodies have stated that obesity is top of the list of the most difficult and serious problems of public health that we have in the world today. In the world we live today, there is a lot of stigmatisation of obese people.

We all know how troubling the problem of obesity truly is. It is mainly a form of a medical condition wherein the body tends to accumulate excessive fat which in turn has negative repercussions on the health of an individual.

Given the current lifestyle and dietary style, it has become more common than ever. More and more people are being diagnosed with obesity. Such is its prevalence that it has been termed as an epidemic in the USA. Those who suffer from obesity are at a much higher risk of diabetes, heart diseases and even cancer.

In order to gain a deeper understanding of obesity, it is important to learn what the key causes of obesity are. In a layman term, if your calorie consumption exceeds what you burn because of daily activities and exercises, it is likely to lead to obesity. It is caused over a prolonged period of time when your calorie intake keeps exceeding the calories burned.

Here are some of the key causes which are known to be the driving factors for obesity.

If your diet tends to be rich in fat and contains massive calorie intake, you are all set to suffer from obesity.

Sedentary Lifestyle:

With most people sticking to their desk jobs and living a sedentary lifestyle, the body tends to get obese easily.

Of course, the genetic framework has a lot to do with obesity. If your parents are obese, the chance of you being obese is quite high.

The weight which women gain during their pregnancy can be very hard to shed and this is often one of the top causes of obesity.

Sleep Cycle:

If you are not getting an adequate amount of sleep, it can have an impact on the hormones which might trigger hunger signals. Overall, these linked events tend to make you obese.

Hormonal Disorder:

There are several hormonal changes which are known to be direct causes of obesity. The imbalance of the thyroid stimulating hormone, for instance, is one of the key factors when it comes to obesity.

Now that we know the key causes, let us look at the possible ways by which you can handle it.

Treatment for Obesity:

As strange as it may sound, the treatment for obesity is really simple. All you need to do is follow the right diet and back it with an adequate amount of exercise. If you can succeed in doing so, it will give you the perfect head-start into your journey of getting in shape and bidding goodbye to obesity.

There are a lot of different kinds and styles of diet plans for obesity which are available. You can choose the one which you deem fit. We recommend not opting for crash dieting as it is known to have several repercussions and can make your body terribly weak.

The key here is to stick to a balanced diet which can help you retain the essential nutrients, minerals, and, vitamins and shed the unwanted fat and carbs.

Just like the diet, there are several workout plans for obesity which are available. It is upon you to find out which of the workout plan seems to be apt for you. Choose cardio exercises and dance routines like Zumba to shed the unwanted body weight. Yoga is yet another method to get rid of obesity.

So, follow a blend of these and you will be able to deal with the trouble of obesity in no time. We believe that following these tips will help you get rid of obesity and stay in shape.

Obesity and overweight is a top health concern in the world due to the impact it has on the lives of individuals. Obesity is defined as a condition in which an individual has excessive body fat and is measured using the body mass index (BMI) such that, when an individual’s BMI is above 30, he or she is termed obese. The BMI is calculated using body weight and height and it is different for all individuals.

Obesity has been determined as a risk factor for many diseases. It results from dietary habits, genetics, and lifestyle habits including physical inactivity. Obesity can be prevented so that individuals do not end up having serious complications and health problems. Chronic illnesses like diabetes, heart diseases and relate to obesity in terms of causes and complications.

Factors Influencing Obesity:

Obesity is not only as a result of lifestyle habits as most people put it. There are other important factors that influence obesity. Genetics is one of those factors. A person could be born with genes that predispose them to obesity and they will also have difficulty in losing weight because it is an inborn factor.

The environment also influences obesity because the diet is similar in certain environs. In certain environments, like school, the food available is fast foods and the chances of getting healthy foods is very low, leading to obesity. Also, physical inactivity is an environmental factor for obesity because some places have no fields or tracks where people can jog or maybe the place is very unsafe and people rarely go out to exercise.

Mental health affects the eating habits of individuals. There is a habit of stress eating when a person is depressed and it could result in overweight or obesity if the person remains unhealthy for long period of time.

The overall health of individuals also matter. If a person is unwell and is prescribed with steroids, they may end up being obese. Steroidal medications enable weight gain as a side effect.

Complications of Obesity:

Obesity is a health concern because its complications are severe. Significant social and health problems are experienced by obese people. Socially, they will be bullied and their self-esteem will be low as they will perceive themselves as unworthy.

Chronic illnesses like diabetes results from obesity. Diabetes type 2 has been directly linked to obesity. This condition involves the increased blood sugars in the body and body cells are not responding to insulin as they should. The insulin in the body could also be inadequate due to decreased production. High blood sugar concentrations result in symptoms like frequent hunger, thirst and urination. The symptoms of complicated stages of diabetes type 2 include loss of vision, renal failure and heart failure and eventually death. The importance of having a normal BMI is the ability of the body to control blood sugars.

Another complication is the heightened blood pressures. Obesity has been defined as excessive body fat. The body fat accumulates in blood vessels making them narrow. Narrow blood vessels cause the blood pressures to rise. Increased blood pressure causes the heart to start failing in its physiological functions. Heart failure is the end result in this condition of increased blood pressures.

There is a significant increase in cholesterol in blood of people who are obese. High blood cholesterol levels causes the deposition of fats in various parts of the body and organs. Deposition of fats in the heart and blood vessels result in heart diseases. There are other conditions that result from hypercholesterolemia.

Other chronic illnesses like cancer can also arise from obesity because inflammation of body cells and tissues occurs in order to store fats in obese people. This could result in abnormal growths and alteration of cell morphology. The abnormal growths could be cancerous.

Management of Obesity:

For the people at risk of developing obesity, prevention methods can be implemented. Prevention included a healthy diet and physical activity. The diet and physical activity patterns should be regular and realizable to avoid strains that could result in complications.

Some risk factors for obesity are non-modifiable for example genetics. When a person in genetically predisposed, the lifestyle modifications may be have help.

For the individuals who are already obese, they can work on weight reduction through healthy diets and physical exercises.

In conclusion, obesity is indeed a major health concern because the health complications are very serious. Factors influencing obesity are both modifiable and non-modifiable. The management of obesity revolves around diet and physical activity and so it is important to remain fit.

In olden days, obesity used to affect only adults. However, in the present time, obesity has become a worldwide problem that hits the kids as well. Let’s find out the most prevalent causes of obesity.

Factors Causing Obesity:

Obesity can be due to genetic factors. If a person’s family has a history of obesity, chances are high that he/ she would also be affected by obesity, sooner or later in life.

The second reason is having a poor lifestyle. Now, there are a variety of factors that fall under the category of poor lifestyle. An excessive diet, i.e., eating more than you need is a definite way to attain the stage of obesity. Needless to say, the extra calories are changed into fat and cause obesity.

Junk foods, fried foods, refined foods with high fats and sugar are also responsible for causing obesity in both adults and kids. Lack of physical activity prevents the burning of extra calories, again, leading us all to the path of obesity.

But sometimes, there may also be some indirect causes of obesity. The secondary reasons could be related to our mental and psychological health. Depression, anxiety, stress, and emotional troubles are well-known factors of obesity.

Physical ailments such as hypothyroidism, ovarian cysts, and diabetes often complicate the physical condition and play a massive role in abnormal weight gain.

Moreover, certain medications, such as steroids, antidepressants, and contraceptive pills, have been seen interfering with the metabolic activities of the body. As a result, the long-term use of such drugs can cause obesity. Adding to that, regular consumption of alcohol and smoking are also connected to the condition of obesity.

Harmful Effects of Obesity:

On the surface, obesity may look like a single problem. But, in reality, it is the mother of several major health issues. Obesity simply means excessive fat depositing into our body including the arteries. The drastic consequence of such high cholesterol levels shows up in the form of heart attacks and other life-threatening cardiac troubles.

The fat deposition also hampers the elasticity of the arteries. That means obesity can cause havoc in our body by altering the blood pressure to an abnormal range. And this is just the tip of the iceberg. Obesity is known to create an endless list of problems.

In extreme cases, this disorder gives birth to acute diseases like diabetes and cancer. The weight gain due to obesity puts a lot of pressure on the bones of the body, especially of the legs. This, in turn, makes our bones weak and disturbs their smooth movement. A person suffering from obesity also has higher chances of developing infertility issues and sleep troubles.

Many obese people are seen to be struggling with breathing problems too. In the chronic form, the condition can grow into asthma. The psychological effects of obesity are another serious topic. You can say that obesity and depression form a loop. The more a person is obese, the worse is his/ her depression stage.

How to Control and Treat Obesity:

The simplest and most effective way, to begin with, is changing our diet. There are two factors to consider in the diet plan. First is what and what not to eat. Second is how much to eat.

If you really want to get rid of obesity, include more and more green vegetables in your diet. Spinach, beans, kale, broccoli, cauliflower, asparagus, etc., have enough vitamins and minerals and quite low calories. Other healthier options are mushrooms, pumpkin, beetroots, and sweet potatoes, etc.

Opt for fresh fruits, especially citrus fruits, and berries. Oranges, grapes, pomegranate, pineapple, cherries, strawberries, lime, and cranberries are good for the body. They have low sugar content and are also helpful in strengthening our immune system. Eating the whole fruits is a more preferable way in comparison to gulping the fruit juices. Fruits, when eaten whole, have more fibers and less sugar.

Consuming a big bowl of salad is also great for dealing with the obesity problem. A salad that includes fibrous foods such as carrots, radish, lettuce, tomatoes, works better at satiating the hunger pangs without the risk of weight gain.

A high protein diet of eggs, fish, lean meats, etc., is an excellent choice to get rid of obesity. Take enough of omega fatty acids. Remember to drink plenty of water. Keeping yourself hydrated is a smart way to avoid overeating. Water also helps in removing the toxins and excess fat from the body.

As much as possible, avoid fats, sugars, refined flours, and oily foods to keep the weight in control. Control your portion size. Replace the three heavy meals with small and frequent meals during the day. Snacking on sugarless smoothies, dry fruits, etc., is much recommended.

Regular exercise plays an indispensable role in tackling the obesity problem. Whenever possible, walk to the market, take stairs instead of a lift. Physical activity can be in any other form. It could be a favorite hobby like swimming, cycling, lawn tennis, or light jogging.

Meditation and yoga are quite powerful practices to drive away the stress, depression and thus, obesity. But in more serious cases, meeting a physician is the most appropriate strategy. Sometimes, the right medicines and surgical procedures are necessary to control the health condition.

Obesity is spreading like an epidemic, haunting both the adults and the kids. Although genetic factors and other physical ailments play a role, the problem is mostly caused by a reckless lifestyle.

By changing our way of living, we can surely take control of our health. In other words, it would be possible to eliminate the condition of obesity from our lives completely by leading a healthy lifestyle.

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Obesity Crisis

As with some previous sections, key information in relation to obesity statistics and government policies to address these, is shown separately for each of the devolved nations within the UK:

The following are statistics provided by NHS England around obesity rates:

• ‘Nearly two-thirds of adults in England are overweight or obese’
• ‘A third of children leaving primary school are overweight or obese’
• ‘In 2016/17, 617,000 admissions to NHS hospitals recorded obesity as a primary or secondary diagnosis’

NHS England’s ‘Statistics on Obesity, Physical Activity and Diet, England, 2020’ and the House of Commons Research Briefing, ‘Obesity Statistics’ , also provide figures in relation to obesity in England. 

Key documentation:

Tackling obesity: government strategy

Published in July 2020, this outlines the ‘actions the government will take to tackle obesity and help adults and children to live healthier lives’. 

It addresses the issue of ‘COVID-19 and obesity’ and how they aim to address this.

It also links to Public Health England’s Excess Weight and COVID-19: Insights from new evidence . 

NHS Long Term Plan

Published in January 2019, and ‘drawn up by frontline staff, patients groups, and national experts to be ambitious but realistic’, the Long Term Plan sets the aims for the next 10 years in the NHS. ‍

There is a section specifically on obesity, outlining what the concerns are and the plans to tackle these, including:

• The government pledge to half childhood obesity and reduce the gaps between the most and least deprived by 2030
• Targeted support and ‘access to weight management services in primary care for people with a diagnosis of type 2 diabetes or hypertension with a BMI of 30+’ 
• ‘Doubling of the NHS Diabetes Prevention Programme’ over 5 years.

See also the ‘Implementation Framework’ , which sets out how the ‘commitments in the Long Term Plan will be delivered’ and the ‘Interim NHS People Plan’ , which sets out how people working in the NHS will be supported.

Health matters: obesity and the food environment

Government guidance published in 2017. It examines the ‘scale of the obesity problem [and] factors behind the rise in obesity levels’, as well as looking at how improvements can be made.

It outlines the following ‘national policies to tackle obesity’:

• ‘A soft drinks industry levy’
• ‘Sugar reduction’
• Public Health England’s (PHE’s) ‘marketing campaigns’

Childhood obesity: a plan for action

Published in 2016 as a ‘plan for action to significantly reduce childhood obesity by supporting healthier choices’

It outlines a number of actions to achieve this, including:

• The introduction of a soft drinks industry levy
• ‘Taking out 20% of sugar in products’
• Clearer food labelling
• ‘Making healthy options available in the public sector [and making school food healthier’
• ‘Helping all children to enjoy an hour of physical activity every day [and] improving the co-ordination of quality sport and physical activity programmes for schools’

The following are statistics provided in the government’s ‘Health Weight Healthy Wales: Youth and community version’ relating to obesity rates:

• ‘60% of adults are overweight or obese’.
• The number of overweight or obese adults is increasing by 10,000 each year.
• ‘A quarter of all children (around 8,500) start school overweight or obese. 

Healthy Weight Healthy Wales

The government’s ‘long term strategy to prevent and reduce obesity’ which was published in October 2019.

There are 4 key themes of the plan:

• ‘Healthy Environments’ focusing on ‘food environments’ and ‘active environments’.
• ‘Healthy Settings’ focusing on the ‘settings where we learn, work and live [...] providing healthier food choices and encouraging regular physical activity’.
• ‘Leadership and Enabling Change’ to ‘develop a ‘wellness’ system’.
• ‘Healthy People’ focusing on ‘people feeling more motivated, enabled and supported to make healthier choices throughout their lives’.

Healthy Weight Healthy Wales: Youth and community Version

Published alongside the ‘Healthy Weight Healthy Wales’ . It details the same 4 key themes but outlines how they specifically relate to young people.  

Public Health Wales also outlines why obesity is a problem in Wales, how many people it affects and how this is being addressed, in their ‘Overweight and Obesity’ section.

The following are statistics provided Public Health Scotland in relation to obesity rates:

• ‘In 2016, 65% of adults were overweight including 29% obese’.
• ‘In 2016, 29% of Scotland's children were at risk of becoming overweight (including obesity). 14% were at risk of becoming obese’.

This document also outlines ‘local and nations actions’, which you may find useful. 

The Scottish Health Survey confirms that the figures for adults have remained ‘stable since 2008’ and gives the following statistics for 2018:

• ‘Two thirds (65%) of adults were overweight, including 28% who were obese’.
• ‘Children at risk of obesity has remained relatively stable in 2018 at 16%’.
• ‘70% of children (aged 2-15) were of healthy weight’.

A healthier future: Scotland's diet and healthy weight delivery plan

Published in July 2018, this ‘strategy/plan’ sets out how the government will ‘work with partners in the public and private sector to help people make healthier choices about food’. 

It outlines the following ‘five key outcomes’ that they are working towards:

• ‘Children have the best start in life – they eat well and have a healthy weight’.
• ‘The food environment supports healthier choices’.
• ‘People have access to effective weight management services’.
• ‘Leaders across all sectors promote health weight and diet’.
• ‘Diet-related health inequalities are reduced’.

Obesity and health inequalities in Scotland

Published in 2017 this ‘summary report’ focuses on the ‘inequalities in the distribution of obesity in Scotland among adults and children and how these have changed over time’.

Northern Ireland

The following are statistics provided Department for Health, from the ‘Health Survey (NI): First Result 2019/20’ ,  in relation to obesity rates:

• ‘65% of adults were either overweight (38%) or obese (27%)’.
• This is an increase from 2018/19 when the total was 62%.
• ‘Around a quarter (25%) of children aged 2–15 were either overweight (20%) or obese (6%) – similar to 2018/19’.

‍ A Fitter Future for All

Produced by the Department of Health, Social Services and Public Safety, ‘A Fitter Future for All’ is the ‘framework for preventing and addressing overweight and obesity in Northern Ireland 2012-2022’.

It sets out the following overarching targets:

• For adults: ‘to reduce the level of obesity by 4% and overweight and obesity by 3% by 2022’.
• For children: ‘a 3% reduction of obesity and 2% reduction of overweight and obesity by 2022’.

It also outlines the following overarching objectives:

• ‘To increase the percentage of people eating a healthy, nutritionally balanced diet’.
• ‘To increase the percentage of the population meeting the CMO guidelines on physical activity’. 

You can find progress reports for the framework on the Department of Health website .

Ethical considerations & wider issues

Obesity is an important topic due to its impact on individuals’ overall health and quality of life. The NHS states that ‘obesity reduces life expectancy by an average of 3 to 10 years, depending on how severe it is [and] it’s estimated that obesity and being overweight contributes to at least 1 in every 13 deaths in Europe’. It also increases the risk of developing ‘many potentially serious health conditions’, including type 2 diabetes, several types of cancer, including bowel, breast and womb cancer, and liver and kidney disease. You can find the full range given by the NHS here .

Linked to this, is the cost of obesity to the NHS, which is also a wider issue associated with this topic. For examples of this, ‘Health matters: obesity and the food environment’ , which outlines the cost to the NHS in England, and ‘The impact of overweight and obesity on hospital resource use (hospital episodes) in Scotland’ are useful starting points for further research.

Further research

Having an understanding of the following will support your to be able to discuss the topic of obesity, should it arise at your medical school interview:

• The impact of obesity on an individual’s health and life expectancy
• The impact of obesity on the NHS
• Policies and strategies to tackle obesity across the UK
• Public health campaigns aimed at reducing and preventing obesity

You may also find it useful to consider the impact that government policies and public health campaigns have on people’s actions, as well as what role doctors play in preventing and managing obesity. 

Some further areas which you may find interesting to explore are:

• Why, in general, obesity levels are rising – although it is focused on England, documents such as ‘health matters: obesity and the food environment’ can provide some insight into this.
• England – ‘Statistics on Obesity, Physical Activity and Diet, England, 2020’ which shows ‘prevalence of obesity in children was over twice as high in most deprived areas than least’. As well as ‘health matters: obesity and the food environment‘ which also shows ‘obesity and health inequalities’.
• Wales – Public Health Network Cymru which states that ‘levels of obesity higher across all ages in the more deprived areas (Welsh Health Survey 2013)’
• Scotland – Public Health Scotland discusses obesity and health inequalities and states that the ‘risk of obesity in children is lowest for those living in more affluent areas’. See also NHS Scotland's ‘Obesity and health inequalities in Scotland’ report.

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Obesity putting strain on NHS as weight-related admissions rise

Treatment in England for obesity or conditions caused or complicated by obesity rose by 18% last year

The toll taken by obesity on the NHS is increasing, as more people are admitted to hospital with heart conditions, gallstones or needing hip and knee replacements related to their weight.

Data from NHS Digital shows an 18% increase in admissions in the last year either for obesity treatment – usually stomach-reducing surgery – or conditions caused or complicated by obesity, such as heart disease or pregnancy.

There were 617,000 obesity-related admissions in total in England, of which 10,705 were directly for obesity treatment such as bariatric surgery. The most common problem caused or worsened by obesity was wear and tear of the knee joints, followed by the admission of women where the pregnancy had become risky because of weight.

Most of those admitted were women – 72% for obesity treatment, most often the adjustment of a gastric band fitted to reduce the capacity of the stomach, and 66% for other conditions. The numbers of men and women who are obese – a body mass index (BMI) of 30 to 39.9 – in England are almost identical, at 26% and 27% respectively, suggesting women may be more likely to come forward for treatment than men. More men are overweight (a BMI of 25 to 29.9) than women – 40% against 30%.

Bariatric surgery is considered a last resort, but evidence shows it is effective in reducing weight and could save the NHS a great deal of money in the long run. Last year (2015-16), 6,760 operations were carried out, which is 5% higher than the year before, but 23% lower than at the peak in 2011-12. Some hospital trusts carry out far more procedures than others: Telford and Wrekin did the most, at 53 per 100,000 of the population.

Data from the OECD shows that the UK is still one of the most obese countries in the world. It has the sixth highest levels after the US on 38%, Mexico, New Zealand, Hungary and Australia. South Korea and Japan are at the bottom of the OECD table.

Childhood obesity has not shifted very much since the school measurement programme was introduced in 2006-7. Last year 10% of children starting school in the reception year were classed as obese, a slight decrease over time. But theproportion for those leaving in Year 6 for secondary school was 20%, which is a small increase.

Children in the most deprived communities are twice as likely to be obese as those in the most affluent. In the reception year, obesity was highest in Wolverhampton at 14% and lowest in Kingston upon Thames at 5%. In Year 6, it was highest in Barking and Dagenham at 29% and lowest in Rutland at 11%.

The data shows that few people eat the recommended five portions of fruit and vegetables a day – 26% of adults and 16% of children. Two-thirds of men (66%) and 58% of women take enough exercise, while a fifth of men and a quarter of women are classed as inactive.

“These latest figures reinforce the urgency with which we need to tackle obesity in childhood in order to reduce the strain on an individual’s health, as well as health services, later in life,” said Prof Russell Viner, the president of the Royal College of Paediatrics and Child Health .

“We know that obese children are likely to go on to be obese in adulthood, which can result in serious conditions such as type 2 diabetes and cardiovascular disease. The increase in hospital admissions directly attributed to obesity is an indicator that this impact is already being seen.

Labour pointed out that in 2016/17, there were nearly 616,961 admissions in NHS hospitals where obesity was a primary or secondary factor – the highest number of admissions on record– and is a 334% increase compared with 2009/10 when there were 142,219 admissions.

Jonathan Ashworth, the shadow health secretary, said: “These statistics reveal we still have a long way to go to tackle childhood obesity and ensure every child is given the best start in life,.”

He described the government’s obesity strategy as “watered down”.

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Obesity In America America is accreting in its number of potential threats, whether it is political, social, or economical. Yet, comparing today's society to the way America was in the 20th century, Americans have taken a step forward in terms of hunger and starvation. Presently, new dangers face Americans, namely obesity. For decades, Americans have belittled the thought of being fat or obese, living in a life of levity. But now, it is time to face the truth. A shocking two-thirds of Americans are overweight, and half of those graduated to full blown obesity (Centers for Disease Control and Prevention; CDC). It is too late for American adults to change the way they grew up to be, but it is not too late for their children. Obesity can be changed by changing the American market (advertisement of unhealthy food), and regular exercise. An arcane fact, according to CDC, the percentage of children in 1980 aged 6-11 years in the US who were obese increased from 7% to 18%, and adolescents in 1980 aged 12 to 19% who were obese increased from 5% to 18%. With those statistics considered, the percentage of obesity can only go up. This information begs the question, "how did America turn out with an obesity crisis?" The answer lies in American market. Fast-food restaurants, lack of exercise, overuse of hormones in agricultural produce, and commercials that cogently advertise fattening foods create an inevitable scenario for most Americans. Unfortunately, fattening foods are available everywhere. Fast food restaurants are becoming a major threat. Should one eat fast food or stay home and cook? Due to laziness, most Americans choose the first option, then suffer ten-fifteen years from now, and so may their children. Morgan Spurlock starred in Supersize Me, a movie created to deride the fast food industry. According to this movie, eating McDonald's for thirty days straight, can not only lead to obesity, but also to over cholesterol, liver damage, and an addiction to fast food. Regular exercise can prevent obesity. If one kept active, then it would help him/her to maintain a healthy weight, or even lose weight. According to Harvard School of Public Health (HSPH), regular exercise can lower the risk of heart disease, diabetes, stroke, high blood pressure, osteoporosis, and certain cancers, and can also reduce stress and boost moods. Inactive lifestyles do the opposite. HSPH also makes known that obesity results from energy imbalance, which means that there is a much greater amount of caloric intake compared to the amount of calories burn each day. Even as much as walking for an hour every day could help burn extra calories, and would also be a great start for someone who is obese. In conclusion, obesity is a difficult crisis to concord with in terms of politics because many views differ on whether it is the Show More

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According to the Economic research service of the U.S department of Agriculture that the family had at times, “limited or uncertain access to adequate food, caused by either economic or social conditions.” In other words the family didn’t always have enough food to feed everyone. Among households with children, one in five 7.8 million households were food insecure. (Hunger Pg.1) How can so many Americans be hungry in a country whe4re obesity is an

Obesity In America Essay

According to the latest statistics from various sources, 1 out of 3 kids are obese in America and obesity is gradually becoming more and more common as it affects 37 percent of all adults and nearly 18 percent of all children in America (Yaniv and Rosin, 2009). The problem of obesity is also rising in parts of the developing world, as income levels rise and people have access to fattier products. In fact, the percentage of adult obesity has more than doubled while children’s obesity rates have more than tripled within the past thirty years around the globe (Yaniv and Rosin, 2009). However, despite the rise in global obesity rates, an alarming estimate of about 112,000 deaths are associated with obesity each in the U.S. alone. One of the chief causes is many people suffering from obesity do not make healthy food choices (Sturm, Powell, Chriqui and Chaloupka, 2010).

Rhetorical Analysis Of Don T Blame The Eater

Through the span of twenty years, it is clear that America has faced evolving obesity percentages. These obesity percentages correlate usually with children, and adolescents. However, the rate of obese personage lightened in the last few years. David Zinczenko, Men’s Health Magazine’s editor in chief, distributed his article, “Don't Blame the Eater” in 2002. In this article, he targets the reader's attention by informing them of the harsh realities and ramifications of Fast Food Industries.

Argumentative Essay On Childhood Obesity

The issue is childhood obesity, and it is only accelerating as a percentage of children in both America and all western nations of the world. Childhood Obesity is an issue relevant to all who consider themselves part of American society and it has profound adverse effects economically, physically for those afflicted with the issue, and mentally for those who live an obese childhood or within the family unit of a household with at least one obese child. The scope of the issue is massive and the impact of the consequences dire in many accounts. There is hope to reverse course and change the way of American-western living, and it starts with understanding the size and

What You Eat Is Your Business By Radley Balko Analysis

In “What You Eat Is Your Business,” Radley Balko tackles the issue of who is responsible for fighting obesity. Balko argues that the controversy of obesity should make the individual consumers culpable for their own health and not the government (467). As health insurers refrain from increasing premiums for obese and overweight patients, there is a decrease in motivation to keep a healthy lifestyle (Balko 467). As a result, Balko claims these manipulations make the public accountable for everyone else 's health rather than their own (467). Balko continues to discuss the ways to fix the issue such as insurance companies penalizing consumers who make unhealthy food choices and rewarding good ones (468).

What You Eat Is Your Business Rhetorical Analysis

In both David Zinczenko’s “Don’t Blame The Eater” and “ Radley Balko’s “What You Eat is Your Business”, the argument of obesity in America is present and clear from opposing viewpoints. Both articles were written in the early 2000’s, when the popular political topic of the time was obesity and how it would be dealt by our nation in the future. While Zinczenko argues that unhealthy junk food is an unavoidable cultural factor, Balko presents the thought that the government should have no say in it’s citizens diet or eating habits. Zinczenko’s article was written with the rhetorical stratedgy of pathos in mind.

Analysis Of What You Eat Is Your Business By Radley Balko

Put Down That Cheeseburger! “What incentive is there for me to put down the cheeseburger?” asks Radley Balko in his article "What You Eat Is Your Business." He argues that, obesity does not belong in the public health crisis. He claims that obesity is not a problem that should be dealt at the cost of public money but should be dealt at a personal level by every individual.

Causes Of Obesity In America

Obesity has gained a lot of attention in the recent years especially in the 21st century. Right now in America, there is an ongoing epidemic. The cause is not by viruses or bacteria, but by human nature. There is no one way to solve this serious problem. With growing body sizes and serious medical problems associated with obesity, it is a problem that needs to be addressed and changed.

Fast Food Who's To Blame Essay

Since 2000 research has shown that ⅓ of child are now overweight. Teenagers are blaming fast foods industries for their health problems, but no one is forcing them to eat the food. Obesity is a serious issue in the United States now causing some public health groups in california to ask the governor to declare a childhood obesity state of emergency, recording to Daniel Weintraub. I believe that children obesity does start at home and parents are to blame because they are letting their children eat unhealthy foods, lack of exercise, and overall poor choices. Fast food industries have exploded

More about Obesity Crisis In Wil Haygood's Essay Kentucky Town Of Manchester

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Getting Britain slimmer will solve productivity crisis, says Leon co-founder

Obesity and sickness will ‘impoverish the nation’, warns Henry Dimbleby

Tackling obesity is the key to solving Britain’s stagnant productivity rates , former government food tsar Henry Dimbleby has said.

Mr Dimbleby, the co-founder of the Leon fast food chain and a former adviser to the Government, argued that increasing the fitness of the nation could help remedy high rates of economic inactivity in the UK and improve productivity. 

He said: “We’ve got a situation where 2.8 million people are out of work for four major conditions: muscular skeletal problems, type two diabetes, coronary heart disease and mental health, three of which are directly caused by food.

“You’ve got the Treasury looking at this and saying ‘my god, diet is costing us a lot of money’.

“If you don’t do anything, what happens is the NHS sucks in the money from the rest of society, because we can’t let that go down.”

He added: “We have lower productivity, lower tax receipts, and we become both sick and impoverished as a nation.”

Workers in Britain are less productive than their counterparts in the US, France and Germany, according to the Office for National Statistics.

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Mr Dimbleby called for a crack down on junk food to bring down obesity rates and address the problem.

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Mr Dimbleby said: “The fundamental [question] is - are people fit and ready to work? Food is a huge part of that.”

Mr Dimbleby, the son of the veteran broadcaster David Dimbleby, was hired by Michael Gove in 2019 to lead a major review of the UK food system when Mr Gove was the environment secretary. The result was a series of policy recommendations called the National Food Strategy.

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He said: “I have done all I can do on the regulatory stuff, so I’m going to try and direct more money into the space, both on environment and on health and food security.”

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Guest Essay

What Began as a War on Theater Won’t End There

By James Shapiro

Mr. Shapiro is the author of the forthcoming “The Playbook: A Story of Theater, Democracy, and the Making of a Culture War.”

Productions of plays in America’s high schools have been increasingly under attack. In 2023, Anton Chekhov’s “Three Sisters” was rejected in Tennessee (since it deals with adultery); “August: Osage County,” the Pulitzer Prize-winning play by Tracy Letts, was canceled in Iowa after rehearsals had begun (the community was deemed not ready for it); and in Kansas, students were not even allowed to study, let alone stage, “The Laramie Project ,” a play by Moisés Kaufman and members of the Tectonic Theater Project about the murder of a gay student, Matthew Shepard.

It should come as no surprise, then, that in the Educational Theater Association’s most recent survey, 85 percent of American theater teachers expressed concern about censorship . Even Shakespeare is at risk: In Florida, new laws led to the restriction of “A Midsummer Night’s Dream” to grades 10 through 12 and “Romeo and Juliet” could not be taught in full to avoid falling afoul of legislation targeting “sexual conduct.” Kill off young people’s exposure to theater, and you kill off a generation of playgoers, along with the empathy and camaraderie (already in short supply) that are intrinsic to theater. According to the latest report from the National Endowment for the Arts , from 2017 to 2022 the percentage of Americans who went even once a year to see a nonmusical play dropped by roughly half, from about 10 percent to less than 5 percent.

What begins as a war on theater never ends there.

The current attacks on theater in American schools have their origins in a struggle that took place in the late 1930s, when America’s political leadership believed that the arts, no less than industry and agriculture, were vital to the health of the Republic and deserving of its financial support. There was still an implicit understanding that theater and democracy — twinborn in ancient Greece, spheres where competing visions of society could be aired and debated — were mutually dependent. Funded by Congress as part of a Works Progress Administration relief bill and established in 1935, the Federal Theater Project by 1939 had staged over 1,000 productions in 29 states, seen free or for a pittance by 30 million spectators, or roughly one in four Americans, two-thirds of whom had never seen a play before.

It brought children’s plays on touring trucks to kids in crowded cities. It staged works in Spanish, Yiddish and Italian to reach immigrants. It established what it called Negro units from Hartford, Conn., to Seattle to support Black actors and playwrights. It staged Christmas plays and classics by Shakespeare and Euripides and nurtured young playwrights and directors, including Arthur Miller and Orson Welles. It brought free theater to asylums, orphanages, hospitals, prisons and veterans’ homes. It revived playgoing in rural states where the movies had all but ended it. Ten million listeners a week tuned in to its radio broadcasts. It established ties with hundreds of educational, fraternal, civic and religious groups, strengthening communal bonds.

It turned out that Americans were hungry for plays about issues that mattered to their lives, topics largely shunned by Hollywood and the commercial stage. So they flocked to see new plays about substandard housing and the plight of struggling farmers. One of the most remarkable Federal Theater ventures was a stage version of Sinclair Lewis’s novel “It Can’t Happen Here ,” in which a fascist is elected president of the United States. It opened on the same day, Oct. 27, 1936, in 18 cities across the country, and by the time it closed, more than 379,000 Americans had seen it. The cost of these thousand or so productions to taxpayers was roughly the price of building a single battleship.

The program’s popularity contributed to its undoing. Many of those in Congress who had voted to fund the Federal Theater became frightened by its reach and impact, its interracial casting, its challenge to the status quo — frightened, too, perhaps, by the prospect of Americans across racial, economic and political divides sitting cheek by jowl in packed playhouses.

Three years after the creation of the Federal Theater, Congress authorized the establishment of what would become the House Un-American Activities Committee, chaired by Martin Dies of Texas. It was to supposed to spend seven months investigating the rise of Nazism, fascism and communism in America and submit a report. The ambitious Mr. Dies, desperate to have his committee’s life extended, instead focused much of his attention on a more vulnerable target: the Federal Theater, accusing it of disseminating offensive and communistic and therefore un-American values. In the course of waging and winning this battle, he assembled a right-wing playbook so pervasive that it now seems timeless. He succeeded wildly: All Federal Theater productions were abruptly terminated in 1939, and the House Un-American Activities Committee lasted until 1975. With a nascent national theater now destroyed, targeting theater in schools was the inevitable next step for his successors, who — whether cynical politicians or school board members eager to police what offends their sensibilities — have all stolen a page from the Dies playbook.

It’s hard to imagine what America would be like today had support for the Federal Theater continued and Mr. Dies’s committee not been renewed. Counterfactual history is best left to novelists. But a more vibrant theatrical culture extending across the land might well have led to a more informed citizenry and, by extension, a less divided and more equitable and resilient democracy. What happened instead was that Mr. Dies begat Joseph McCarthy, who begat Roy Cohn, who begat Donald Trump.

Some of those familiar with this history haven’t given up. Right now, artists are preparing projects that on July 27 will open simultaneously in 18 U.S. cities and towns, much as “It Can’t Happen Here” did in 1936 . Under the rubric of Arts for EveryBody, the initiative is bringing together performers, audiences, community leaders and local officials. It is a small start and a promising one. So, too, is legislation coming before Congress, the STAGE Act of 2024, that would provide badly needed support for endangered nonprofit theaters across the land. Passing it should be a no-brainer, but there’s a likelihood that the Dies playbook will be used to defeat it. Until those in power in this country pivot from suppressing theater to investing in it, it’s not just the arts but also democracy itself that remains vulnerable.

James Shapiro teaches English at Columbia University and is the author of the forthcoming “ The Playbook: A Story of Theater, Democracy, and the Making of a Culture War .”

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