The Magnitude of Obesity, Strategies, and Interventions
Abstract
This article addresses the critical public health issue of obesity, a condition defined by a Body Mass Index (BMI) of 30 or higher, which affects millions of Americans. The introduction highlights the profound impact of obesity on health, the economy, and society, underscoring the urgency of addressing this epidemic. The prevalence of obesity in the U.S. has steadily increased over the past few decades, with recent data showing that 42.4% of adults are classified as obese. The manuscript explores the various factors contributing to this rise, including genetics, environmental influences, behavioral factors, the food industry, government policies, and socio-economic conditions.
The consequences of obesity are far-reaching, impacting individual health, the economy, and societal well-being. Health risks associated with obesity include cardiovascular diseases, type 2 diabetes, and certain cancers, while the economic burden is reflected in substantial healthcare costs and lost productivity. Social and psychological impacts, including discrimination and reduced quality of life, further exacerbate the challenges faced by individuals with obesity.
In response to this complex issue, the manuscript discusses a multi-faceted approach to combating obesity, emphasizing the importance of public health campaigns, community programs, school-based interventions, and policy measures. Public health campaigns aim to raise awareness and promote healthier lifestyles, while community programs focus on creating supportive environments for behavior change. School-based interventions are critical in preventing childhood obesity, and policy measures, such as food labeling, taxation of unhealthy foods, and regulation of food advertising, are essential for creating systemic changes. Overall, the manuscript provides a comprehensive overview of the magnitude of obesity, its causes and consequences, and the strategies and interventions necessary to address this significant public health challenge.
References
Baum, C. L., & Ford, W. F. (2004). The wage effects of obesity: a longitudinal study. Health Economics, 13(9), 885-899.
Centers for Disease Control and Prevention. (2020). Adult Obesity Facts. Retrieved from CDC Website
Centers for Disease Control and Prevention. (2020). Childhood Obesity Facts. Retrieved from CDC Website
Colchero, M. A., et al. (2016). Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study. BMJ, 352, h6704.
Crockett, R.A., King, S.E., Marteau, T.M., et al. (2022). Food Labeling to Promote Healthier Eating: An Updated Systematic Review. The Cochrane Database of Systematic Reviews.
Drewnowski, A., & Specter, S. E. (2004). Poverty and obesity: the role of energy density and energy costs. The American Journal of Clinical Nutrition, 79(1), 6-16.
Finkelstein, E. A., et al. (2009). Annual Medical Spending Attributable to Obesity: Payer-And Service-Specific Estimates. Health Affairs, 28(5), w822-w831.
Flegal, K. M., et al. (2010). Prevalence and trends in obesity among US adults, 1999-2008. Journal of the American Medical Association, 303(3), 235-241.
Frazao, E., & Allshouse, J. (2003). Strategies for intervention: Commentary and debate. Journal of Nutrition, 133(3). Retrieved January 1, 2011, from http://jn.nutrition.org/content/133/3/844S.short
Hales, C. M., et al. (2020). Prevalence of Obesity Among Adults and Youth: United States, 2017-2018. NCHS Data Brief, No. 360. Retrieved from CDC Website
Hall, K.D., et al. (2019). Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain: An Inpatient Randomized Controlled Trial of Ad Libitum Food Intake. Cell Metabolism, 30(1), 67-77.
Hammond, R., & Levine, R. (2010). The economic impact of obesity in the United States. Diabetes, Metabolic Syndrome, and Obesity: Targets and Therapy, 3, 285-295, Retrieved January 2, 2011, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3047996
Harris, J. L., et al. (2009). Priming effects of television food advertising on eating behavior. Health Psychology, 28(4), 404-413.
Haung, J., et al. (2022). Genomics and phenomics of body mass index reveals a complex disease network. Nature, 13, 7973. https://www.nature.com/articles/s41467-022-35553-2
Hebebrand, J., et al. (2013). Genetic aspects of weight regulation. Dtsch Arztebl Int., 110(19), 338-344.
Henderson, L. J. (2007). Obesity, Poverty and Diversity: Theoretical and Strategic Challenges. In J. Zoltan, Z. Acs, & A. Lyles (Eds.), Obesity, business, and public policy (pp. 57-75). Cheltenham, UK: Edward Elgar.
Hojjat, T. A. (2021). The Economics of Obesity: Poverty, Income Inequality, and Health. Springer.
Johnson, K., Lee, A., & Martin, S. (2023). The Effect of Menu Labeling on Calories Purchased: A Randomized Controlled Trial. Journal of the Academy of Nutrition and Dietetics.
Kawachi I, B., Kennedy B., & Wilkinson, R. (1999-2000). The society and population health reader: Income Inequality and Health. New York, NY: New Press.
Kawachi, I. (2000). Is inequality bad for our health. Boston: MA: Beacon Press.
Kim, S., Lee, Y., & Park, J. (2023). Evaluating the Impact of South Korea's Food Advertising Restrictions. International Journal of Behavioral Nutrition and Physical Activity.
Kropski, J. A., Keckley, P. H., & Jensen, G. L. (2008). School-based obesity prevention programs: an evidence-based review. Obesity, 16(5), 1009-1018. https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2008.29
Lake Snell Perry & Associates (2003). Obesity as a public health issue: a look at solutions. Retrieved July 8, 2024, from www.phsi.harvard.eduhealth_reformpoll_results.pdf.
Martinez, A., Rivera, J., & Gonzalez, T. (2023). Sugar-Sweetened Beverage Taxes and Health Outcomes: A Review. The BMJ.
Moss, M. (2013). Salt, Sugar, Fat: How the Food Industry Hooked Us. Random House.
Puhl, R.M., & Heuer, C.A. (2009). The stigma of obesity: A review and update. Obesity, 17(5), 941–964.
Srour, B., et al. (2019). Ultra-processed food intake and risk of cardiovascular disease: prospective cohort study (NutriNet-Santé). BMJ, 365, l1451.
Story, M. (1999). School-based approaches for preventing and treating obesity. Int J Obes Relat Metab Disord, 23(Suppl 2), S43–S51.
Story, M., et al. (2008). Creating healthy food and eating environments: Policy and environmental approaches. Annual Review of Public Health, 29, 253-272.
Stutzer, A. (2007). Limited self-control, obesity, and the loss of happiness. Social Science Research Network, Discussion Paper, No. 2925, 10. Retrieved January 1, 2011, from http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1001413
Thow, A. M., et al. (2010). The effect of fiscal policy on diet, obesity and chronic disease: a systematic review. Bulletin of the World Health Organization, 88(8), 609-614.
Tomer, J.F. (2011). What causes obesity? And why has it grown so much? Challenge, 54(4), 22.
Wilkinson, R & Pickett, K. (2009). Why greater equality makes societies stronger: The spirit level. New York, NY: Bloomsbury Press.
Yanbo, Z., et al. (2024). Associations of Lifestyle and Genetic Risks with Obesity and Related Chronic Diseases in the UK Biobank: A Prospective Cohort Study, The American Journal of Clinical Nutrition, 119(6), 1514-1522. https://doi.org/10.1016/j.ajcnut.2024.04.025.
Yengo, L. et al. (2018). Meta-analysis of genome-wide association studies for height and body mass index in approximately 700000 individuals of European ancestry. Hum. Mol. Genet., 27, 3641–3649.
Copyright (c) 2024 Tahereh Alavi Hojjat
This work is licensed under a Creative Commons Attribution 4.0 International License.