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بسم الله الرحمن الرحيم
Our Agenda ,[object Object],[object Object],[object Object],[object Object]
Obesity as a Pandemic  BY /Essam Adel Wahab  Associated lecturer of Internal Medicine
Obese elsewhere
Rise in Childhood Obesity Bundred et al, BMJ Feb 2001
 
Animal problem
 
Most important disease states in the world? 2020 1990 Communicable Diseases Chronic Disease Injuries Source :  Harvard School of Public Health
Obesity Trends Among U.S. Adults (BMI > 30) BRFSS, 1991, 1995, and 2000 1991 1995 2000 No Data  < 10%  10%-14%  15-19%   20%
Global effect of Over weight ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevalence of overweight and obesity * Obesity only
 
Over weight and Obesity among  females is 54% & 48%among Male
 
Hazards of the obesity  اضرار السمنة  Financial costs  Health problems
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Costs of Obesity
Burden of Obesity ,[object Object]
Health Risks of Excessive Fat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physical  Effects of Obesity Cardiovascular Respiratory disease Gall bladder disease Hormonal abnormalities Hyperuricaemia and gout Stroke Diabetes Osteoarthritis Cancer
chronic diseases result in  percent of deaths worldwide... 4 50 Cardiovascular Chronic Respiratory Disease Type 2 Diabetes Cancer
Association of Obesity and related diseases  Obesity Cancer Gall-bladder disease Kidney failure Stroke Heart failure Hyper-tension Type 2 diabetes Athero-sclerosis
RISK FACTORS Diabetes 2  in 10 Hypertension 1 in  4 Smoking 1 in  3 Obesity 1 in  2 Dyslipidaemia 1 in  2 Physical Inactivity  8 in 10
Source :  Hinkle et al., CDC 1997 What matters most in health care? Lifestyle Factors Human Biology Environmental Factors Medical Care
 
Causes
 
 
 
3 …  and are caused by  risk factors Tobacco Poor Diet Lack of Exercise
Size is every thing
Obesity is caused by what? ,[object Object],[object Object],[object Object]
Energy Expenditure Energy  Intake الميزان
Pathways to Obesity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Or, in simple terms ,[object Object]
 
Diagnosis
 
 
Body fat distribution Apple shaped obesity  Women >88 cm (80cm) = Increased risk Men >102 cm (90cm) = Increased risk cm
 
Waist Measurement or BMI?
WHO criteria for Over weight and Obesity   ,[object Object],[object Object]
How to deal  ???
WHO ,[object Object]
Excuses ,[object Object],[object Object],[object Object],[object Object],[object Object],Nonsense! Nonsense! Nonsense! Nonsense! True!
Role of Media
Food is advertised, and marketed.  Choices depend on availability Governments have a responsibility for food standards and labelling
Los Angeles 25 th  Nov 2003
 
What we need ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
The Plane  ,[object Object],[object Object],[object Object],[object Object]
 
 
Success in weight management? Starting weight Time Natural course of weight gain  Increasing success Body weight (kg) Weight loss phase Weight maintenance phase years months
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Who is responsible for policy response  to Obesity?
Multiple stakeholder interventions can be effective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Raising community awareness (Eat less – Walk more):   ,[object Object]
NEGLECTING OVERWEIGHT-OBESITY IS  A disaster
“ All segments of the society must unite across the world to provide a global obesity
[object Object],[object Object]
[object Object]
 

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  1. 13 Xenical Slide Kit August 1998 Section 1 13 Slide 13: Consequences of obesity The slide illustrates the most common co-morbidities and risk factors associated with obesity. These range from type 2 diabetes, osteoarthritis, cancer of the breast and prostate, major cardiovascular disease, stroke and respiratory disease to gallstones and gout. In short, obesity predisposes patients to a variety of diseases and, accordingly, should be considered by the medical profession as a serious, potentially life-threatening condition rather than an affliction brought on by lack of self-control.
  2. so as you can see something new must happen!