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of
the
Bulge
Many
consumers
are
unaware
about
balanced
diets
or
their
own
waistline
situation-
a
recent
British
online
survey
of
overweight
people
found
that
27%
incorrectly
thought
their
weight
was
normal.
Other
British
research
indicates
todays
children
are
about
15%
less
fit
than
their
parents
were
at
the
same
age.
British
expert
Professor
Terence
Stephenson
says
this
challenges
doctors
whose
obese
patients
face
greater
risks
in
surgery
and
labour.
They
may
also
need
more
staff
help,
stronger
equipment
and
outsized
beds.
Its
expensive
too-
an
outsized
MRI
scanner
may
cost
around
75,000
more
than
a
standard
type.
The
WHO
report
cites
multiple
causes,
as
Social
and
economic
development
as
well
as
policies
in
the
areas
of
agriculture,
transport,
urban
planning,
environment,
education,
food
processing,
distribution
and
marketing
influence
children's
behaviour.
Some
experts
blame
living
in
obesogenic
environments,
where
fast
food
is
cheap
and
easily
available,
cars
are
necessary
for
almost
every
trip,
and
exercise
is
unusual
for
older
adults.
The
entertainment
industry
is
also
criticized
for
encouraging
sedentary
lifestyles.
British
psychologist
Professor
David
Kerrigan
emphasises
psychological
factors,
where
initially
food
is
a
crutch
for
unhappy
patients,
but
later
appetite
control
is
distorted,
so
they
lose
their
sense
of
satiety.
High
smoking
rates
can
compound
problems.
Controversially,
the
American
Medical
Association
recently
declared
obesity
to
be
a
disease,
and
British
campaigner
Dr
Tam
Fry
concurs,
as
otherwise
it
would
not
get
sufficient
attention,
and
lead
only
to
increased
instances
of
comorbidity,
the
presence
of
additional
disorders.
Critics
argue
that
obesity
has
multiple
causes,
outcomes
and
treatments,
and
should
not
be
classed
as
a
distinct
disease.
Some
experts
believe
that
physicians,
hospitals
and
drug
companies
are
happy
to
profit
from
the
crisis.
Also
culpable
are
global
food
giants,
says
Australia-
based
nutrition
expert
Rob
Moodie,
as
they
have
copied
how
the
tobacco
industry
promotes
and
funds
biased
research
findings,
co-opts
policy
makers
and
health
professionals,
lobbies
politicians
and
officials
to
oppose
public
regulation,
and
influences
voters
to
oppose
public
health
measures.
Serious
action
is
needed
as
the
benefits
unhealthy
businesses
bring
are
outweighed
by
the
costs
-
in
terms
of
premature
death,
chronic
illness,
limited
healthcare
finances,
overcrowding
of
hospitals
and
loss
of
productivity
from
unhealthy
employees.
Its
not
all
bad
news.
Dr
Fry
attributes
the
recent
drop
in
US
child
obesity
to
the
determination
of
President
Barack
Obama
and
his
wife
Michelle,
who
made
combatting
the
problem
a
major
presidential
goal.
Fry
says
this
focus
on
child
obesity
is
the
correct
one,
as
by
around
ten,
most
peoples
lifestyle
habits
have
been
set
out.
Fry
states
national
governments
are
the
stakeholder
most
capable
of
taking
necessary
actions.
It
is
they
who
can
regulate
and
invest
in
information
campaigns,
and
their
urban
planners
can
create
spaces
that
are
safe
to
walk,
cycle
and
play
sports
in.
Nutritionist
Kawther
Hashem,
of
London-based
Action
on
Sugar,
argues
for
reduced
marketing
of
junk
food
and
beverages
to
children,
"traffic
light
labelling",
and
taxing
unhealthy
foods,
similar
to
a
recent
Danish
initiative,
which
was
later
scrapped.
The
Danes
have
also
banned
the
use
of
deadly
trans
fats.
US
lobbyist
James
Zervios,
of
Obesity
Action
Coalition,
says
there
is
no
one-size-fits-all
approach.
Treatment
options
include
pharmacotherapy
and
surgery,
but
regardless
of
treatment
choice,
all
must
include
lifestyle
and
behavioral
changes.
Dr
Fry
also
advocates
surgery
as
an
effective
and
cheap
solution,
with
potential
in
newer,
less-invasive
forms.
What
seems
clear
is
the
unsuitability
of
the
traditional
model
of
healthcare,
where
a
patient
becomes
ill,
goes
to
a
doctor
and
receives
treatment.
As
many
illnesses
are
avoidable,
prevention
is
now
the
healthiest,
most
cost-effective
approach,
and
this
means
diverse
healthcare
professionals
should
act
in
teams
to
manage
individuals
and
encourage
sustainable
living.
Hashem
says
Solutions
need
to
be
multifaceted,
with
initiatives
throughout
governments
and
across
several
sectors.
Even
small
interventions
may
still
constitute
important
components
of
an
overall
strategy.
The
rest
of
the
effort
must
come
from
individuals,
who
can
take
whatever
steps
they
can
to
ensure
the
health
of
themselves
and
their
loved
ones,
without
the
hurtful
misguidedness
of
the
viewer
who
emailed
Ms
Livingston.
Without
such
radical
and
immediate
effort,
it
seems
we
are
condemning
our
children
to
unfitness,
poor
health,
bullying
and
early
death.
Topics:
World
Health
Organisation
,
Obesity,
American
Medical
Association,
BMI,
diabetes,
Rob
Moodie,
Professor
David
Kerrigan,
Professor
Terence
Stephenson,
Denmark,
Jennifer
Livingston,
Ron
Livingston,
Tam
Fry,
Kawther
Hashem,
Action
on
Sugar,
James
Zervios,
Obesity
Action
Coalition,
Barack
Obama,
Michelle
Obama
Well
researched,
plenty
of
further
reading
provided
by
the
links
and
good
use
of
photos.
Impressive.