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Aesthetics Journal

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Spotlight On Obesity Statistics

Figure 2: Obesity prevalence rates quoted by QOF, by Region in England – 2012/13 Region

Obesity Prevalence (%)

North of England

12

Midlands and East of England

11.2

London

9.2

South of England

9.7

Obesity Pandemics: The Fat Figures

problems. Adults with a BMI of more than 35 have a very high risk rate with any waist circumference (Figure 1).4 The Quality and Outcomes Framework (QOF) prevalence data tables for 2012/13 show a breakdown of obesity at a regional level in England (Figure 2). It shows that there is a clear north-south divide, with Northern England having higher obesity prevalence rates than Southern England.4 In 2012, in Scotland 27.1% of adults were classified as obese, and 64.3% of adults were classified as being overweight or obese . In Wales, 23.0% of adults were classified as obese, and Dr Amanda Wong Powell presents 58.5% of adults were classified as being overweight or obese. the statistics around obesity in the This compares with 24.7% of adults being obese in England and 61.9% of adults being overweight or obese.4 These results put the UK and internationally Scottish on top of the overweight and obese list followed by the Obesity and being overweight are the number five cause of English and then the Welsh. death globally, causing 2.8 million adult deaths annually.1,2 One In 2013, more than half (52.6%) of the adult population in the in four adults are now classed as obese, and worldwide obesity European Union reported that they were overweight or obese. has nearly doubled since 1980.1,2 The World Health Organisation This compares to just two years ago when 50.3% of the European (WHO) classifies a person as overweight if they have a body mass adult population in The Organisation for Economic Co-operation index (BMI: kg/m2) of more than 25, and a person as obese if their and Development (OECD) reported that they were overweight BMI is more than 30. The obese group is further classified into or obese. The least obese countries were India (2.1%), Indonesia Class I: moderately obese with a BMI of 30-35, Class II: severely (2.4%) and China (2.9%). The most obese countries were the US obese with a BMI of 35-40 and Class III: very severely obese with (36.5%), Mexico (32.4%) and New Zealand (28.4%).7 a BMI of more than 40. An endocrinology study8 suggested that India has the lowest Although BMI is a very acceptable method of measuring obesity, it obesity rates due to its traditional strengths in maternal nutrition, does not differentiate between mass due to fat or muscle. Hence, walking, yoga, meditation and traditional folk dance. Perhaps the waist circumference is also another method used to measure lifestyle difference, diet, pattern of snacking, eating frequency, obesity. A waistline of more than 102cm in men and 88cm in portion sizes, and high proportion of food prepared outside the women is considered to be overweight. The National Institute home is a more likely cause of the increased obesity rates in for Clinical Excellence (NICE) guidance on overweight and western countries.9 obesity statistics highlights the impact of increased BMI and waist The obesity pandemics lead to increased risk factors for other circumference on risk factors for developing long-term health medical conditions, including cardiovascular (heart disease and stroke predominantly), Figure 1: NICE Risk Categories diabetes, and musculoskeletal disorders (osteoarthritis Waist Circumference particularly). Childhood obesity is Low High Very High BMI associated with a higher chance (<94cm in men) (94-102cm in men) (>102cm in men) of adult obesity, disability, and (<80cm in women) (80-88cm in women) (>88cm in women) premature death. But in addition Normal: 18.5-25 No increased risk No increased risk Increased risk to increased future risks, obese children experience breathing Overweight: 25-30 No increased risk Increased risk High risk difficulties, greater risk of fractures, hypertension, early markers of Obesity I: 30-35 Increased risk High risk Very high risk cardiovascular disease, insulin Obesity II: 35-40 Very high risk Very high risk Very high risk resistance, and psychological effects.5,12 The rising numbers of Obesity III: 40 + Very high risk Very high risk Very high risk overweight patients will place Aesthetics | January 2015

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Profile for Aesthetics Journal

Aesthetics January 2015  

Weight Loss & Body Contouring

Aesthetics January 2015  

Weight Loss & Body Contouring