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Obesity Introduction

 

Obesity has become a focus of national concern and the nation's No. 1 public-health problem.  Health experts from the National Institutes of Health, Centers for Disease Control, and Prevention and the American Heart Association, have warned the publics of the dangers associated with being overweight.

 

Statistically, over two-thirds of U.S. adults are overweight, and about half of those are fully obese. [1, 2]  If this trend continues, most of America will become unhealthily and frighteningly overweight and/or obese within the next couple of decades. The most alarming trend is the steadily rising number of obese children, where one out of every six children are now considered overweight.

 

Obesity is defined as being more than twenty percent above the average weight for a person's age, sex, and height; or having a Body Mass Index (BMI) of over 30.  The BMI is a height-weight calculation that correlates body fat with risk for disease. Obesity is more than an aesthetic problem.  It is the second leading cause of preventable death in the U.S. (tobacco being first), and may soon overtake tobacco as the leading cause of preventable death.  Being overweight and/or obese are major risk factors for many chronic diseases including:

  • heart disease

  • high blood pressure and stroke

  • some cancers (uterine, breast, colorectal, kidney, prostate, pancreatic, and gallbladder)

  • arthritis

  • diabetes

  • gall bladder disease

  • sleep apnea

  • sexual dysfunction

The primary cause of obesity is dietary and lifestyle practices, such as overeating and lack of exercise.  Many Americans are overweight because they have sedentary lifestyles and eat too much processed, high-fat, high-sugar junk foods.  However, emerging physiological theories of obesity are suggesting that obesity may not be just a matter of inactivity and eating too much. Obesity may also be associated with certain physiological factors, including;  low brain serotonin levels (causing carbohydrate cravings), diet-induced thermogenesis and insulin insensitivity (causing decreased metabolic rate), impaired sympathetic nervous system activity (causing decreased metabolism), and a low percentage of brown fat cells (causing decreased metabolic rate).

 

Obesity has a profound effect not only on physical health, but also on emotional well-being.  Most conventional weight loss programs have a high failure rate, although some research indicates success of long-term weight management with regular exercise. One of the most difficult emotional impacts of obesity and dieting may be the disappointment of regaining some or all of the lost weight, and/or ending up weighing more than dieting began.

 

 

Obesity Statistics

 

According to National Center for Health Statistics (3):

  • 64 percent of adults age 20 years and over are overweight or obese

  • 30 percent of adults age 20 years and over are obese

  • 15 percent of adolescents age 12-19 years are overweight

  • 15 percent of children age 6-11 years are overweight

 

Obesity Symptoms

 

The main symptoms of obesity include:

  • Weighing more than twenty percent above the average weight for a person's age, sex and height
     

  • A Body Mass Index (BMI) over 30
     

  • A BMI between 20 and 25 is considered a healthy number for men and women. Any number over 25 is considered overweight
     

  • To figure out the BMI, multiply the weight in pounds by 700. Then divide this number by the square of the height in inches:

    BMI = weight in pounds x 700 divided by (height in inches) 2

 

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