Constructing the obesity epidemic: loose science, money and public health

Author(s):  
Alison Hann ◽  
Stephen Peckham
2011 ◽  
Vol 22 (1) ◽  
pp. 10-34 ◽  
Author(s):  
Rafael Samper-Ternent ◽  
Soham Al Snih

SummaryObesity is a worldwide problem with increasing prevalence and incidence in both developed and developing countries. In older adults, excess weight is associated with a higher prevalence of cardiovascular disease, metabolic disease, several important cancers, and numerous other medical conditions. Obesity has also been associated with increased functional limitations, disability, and poorer quality of life. Additionally, obesity has been independently associated with all-cause mortality. The obesity epidemic has important social and economic implications, representing an important source of increased public health care costs. The aim of this review is to report the epidemiology of obesity worldwide, and the implications of obesity on disability and chronic diseases in older adults.


2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Anna-Marie Hendriks ◽  
Stef P. J. Kremers ◽  
Jessica S. Gubbels ◽  
Hein Raat ◽  
Nanne K. de Vries ◽  
...  

The childhood obesity epidemic can be best tackled by means of an integrated approach, which is enabled by integrated public health policies, orHealth in All Policies. Integrated policies are developed through intersectoral collaboration between local government policy makers from health and nonhealth sectors. Suchintersectoral collaborationhas been proved to be difficult. In this study, we investigated which resources influence intersectoral collaboration. Thebehavior change wheelframework was used to categorize motivation-, capability-, and opportunity-related resources for intersectoral collaboration. In-depth interviews were held with eight officials representing 10 non-health policy sectors within a local government. Results showed that health and non-health policy sectors did not share policy goals, which decreased motivation for intersectoral collaboration. Awareness of the linkage between health and nonhealth policy sectors was limited, and management was not involved in creating such awareness, which reduced the capability for intersectoral collaboration. Insufficient organizational resources and structures reduced opportunities for intersectoral collaboration. To stimulate intersectoral collaboration to prevent childhood obesity, we recommend that public health professionals should reframe health goals in the terminology of nonhealth policy sectors, that municipal department managers should increase awareness of public health in non-health policy sectors, and that flatter organizational structures should be established.


2020 ◽  
Vol 27 ◽  
Author(s):  
Juliana F. Silva ◽  
Bruno P. Moreira ◽  
Luís Rato ◽  
Maria de Lourdes Pereira ◽  
Pedro F. Oliveira ◽  
...  

The prevalence of obesity has tripled in recent decades and is now considered an alarming public health problem. In recent years, a group of endocrine disruptors, known as obesogens, have been directly linked to the obesity epidemic. Its etiology is generally associated with a sedentary lifestyle, a high-fat diet and genetic predisposition, but environmental factors, such as obesogens, have also been reported as contributors for this pathology. In brief, obesogens are exogenous chemical compounds that alter metabolic processes and/or energy balance and appetite, thus predisposing to weight gain. Although this theory is still recent, the number of compounds with suspected obesogenic activity has steadily increased over the years, though much more remain a matter of debate. Technical-grade chlordane is an organochlorine pesticide widely present in the environment, albeit at low concentrations. Highly lipophilic, this compound can be metabolized by humans and animals into more toxic and stable compounds that are stored in fat tissue and consequently pose a danger to the human body, including the physiology of adipose tissue, which plays an important role in weight regulation. In addition, technical-grade chlordane is classified as a persistent organic pollutant, a group of chemicals whose epidemiological studies are associated with metabolic disorders, including obesity. Herein, we discuss the emerging roles of obesogens as threats to public health. We particularly discuss the relevance of chlordane persistence in the environment and how its effects on human and animal health provide evidence for its role as an endocrine disruptor with possible obesogenic activity.


2011 ◽  
Vol 15 (8) ◽  
pp. 1483-1488 ◽  
Author(s):  
Gabrielle Jenkin ◽  
Louise Signal ◽  
George Thomson

AbstractObjectiveIn the context of the global obesity epidemic, national nutrition policies have come under scrutiny. The present paper examines whose interests – industry or public health – are served by these policies and why.DesignUsing an exemplary case study of submissions to an inquiry into obesity, the research compared the positions of industry and public health groups with that taken by government. We assessed whether the interests were given equal consideration (a pluralist model of influence) or whether the interests of one group were favoured over the other (a neo-pluralist model).Setting2006 New Zealand Inquiry into Obesity.SubjectsFood and advertising industry and public health submitters.ResultsThe Government's position was largely aligned with industry interests in three of four policy domains: the national obesity strategy; food industry policy; and advertising and marketing policies. The exception to this was nutrition policy in schools, where the Government's position was aligned with public health interests. These findings support the neo-pluralist model of interest group influence.ConclusionsThe dominance of the food industry in national nutrition policy needs to be addressed. It is in the interests of the public, industry and the state that government regulates the food and advertising industries and limits the involvement of industry in policy making. Failure to do so will be costly for individuals, in terms of poor health and earlier death, costly to governments in terms of the associated health costs, and costly to both the government and industry due to losses in human productivity.


2008 ◽  
Vol 11 (10) ◽  
pp. 1085-1088 ◽  
Author(s):  
Zuhal Gundogdu

AbstractAimTo investigate the relationship between BMI and blood pressure as this is of crucial interest in evaluating both public health and the clinical impact of the so-called obesity epidemic.MethodsData were gathered from 1899 children aged between 6 and 14 years, analysing and evaluating a possible relationship between BMI and systolic and diastolic blood pressure values for both girls and boys. Each child was classified on the basis of age- and sex-specific BMI percentile as normal weight (<85th percentile), overweight (≥85th and <95th percentile) or obese (≥95th percentile).ResultsIn comparisons among age–sex–BMI percentile groups, systolic and diastolic blood pressure values were higher in obese and overweight groups than in normal weight groups for both sexes. Although BMI among girls was higher than among boys in all three percentile groups, there were no significant differences between sexes with respect to blood pressure values.ConclusionThe present findings emphasize the importance of the prevention of obesity in order to prevent future related problems such as hypertension in children and adolescents.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Public health has always had a close relation with regulation. In the middle ages, the spread of infectious diseases was regulated by imposing a quarantine on travellers, this measure is still the first step to containment of an infectious disease. In the last century, public health regulation was also aimed at smoking, for instance implementing laws to ban smoking in public places (e.g restaurants). These regulations are very often combined with public health information campaigns on how to quit, the negative effects of smoking and passive smoking. In recent years, public health still calls for regulations now aiming at food, such as the fat tax, soda tax and sugar tax. Regulating for public health is a complex and sensitive issue. Sometimes it is used to solve public health’s failings at promoting a healthy lifestyle. For instance, the information campaigns to overcome obesity and invite people to eat healthily and exercise were not as successful as planned and the obesity epidemic remains an increasing problem. So, law kicked in and taxation policies to change dietary behaviours were introduced. Taxation policies, however, are controversial and widely discussed. The term ‘Nanny-State’ where the government is regarded as overprotective or as interfering unduly with personal choice, comes to mind and this has a negative impact on public health. The question remains: should we regulate for healthier behaviour or not. In this workshop, we are going to try answer this question. After two general presentations, we have 3 country examples of the relation between law/regulations and public health, followed by a discussion with the audience. Key messages Regulation can be one of the tools to promote public health. Careful consideration should be given before regulating for public health.


2018 ◽  
Vol 13 (2) ◽  
pp. 116-128 ◽  
Author(s):  
R. Glenn Weaver ◽  
Michael W. Beets ◽  
Keith Brazendale ◽  
Timothy A. Brusseau

Over the past 3 decades, public health professionals have worked to stem the rising childhood obesity epidemic. Despite the field’s best efforts, no progress has been made in reducing child obesity. One reason for this failure may be that obesity prevention and treatment efforts have predominately been delivered during the 9-month school year. However, recent evidence suggests that the summer, not the school year, is when unhealthy changes in body composition (ie, accelerated increases in percent body fat) and fitness losses occur. This unhealthy change in body composition and fitness loss during the summer could be explained by the “Structured Days Hypothesis,” which posits that children engage in a greater number of unhealthy obesogenic behaviors on unstructured days when compared with structured days. Furthermore, the summer may be contributing to a widening “health gap” between children from low-income and middle- to upper-income families. During summer, fewer opportunities exist for children from low-income households to access healthy structured programs that do not require fees for participation. Moving forward, public health professionals should prioritize efforts to mitigate unhealthy changes in body composition and fitness loss during the summer by identifying ways to provide access to structured programming during this timeframe for children from low-income households.


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