Wednesday, December 13, 2006

Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children

The National Institute for Health and Clinical Excellence has issued guidelines on treating obesity and preventing people becoming overweight.

NICE says the NHS in England and Wales needs support from local authorities, schools and employers.

A quarter of England adults are obese, costing £3.7bn a year. It causes more harm than smoking, alcohol or poverty.

A Department of Health report published in August predicted a third of adults and a fifth of all children under 15 will be obese by 2010.

Presenter Slides (ppt file download)

Associated comorbidities in Adults:

  • type 2 diabetes
  • coronary heart disease (CHD)
  • hypertension
  • various cancers
  • osteoarthritis

Associated comorbidities in Children and teenagers:

  • hypertension
  • hyperinsulinaemia
  • dyslipidaemia
  • type 2 diabetes
  • psychosocial dysfunction
  • exacerbation of existing conditions
  • orthopaedic problems
Source: NICE booklet - Preventing obesity and staying a healthy weight.

If two people have the same BMI, the one with the bigger waist measurement is more likely to develop health problems as a result of being overweight. If you are a man, your chance of developing health problems is higher if your waist measurement is more than 94 cm (37 inches), and higher still if it is more than 102 cm (40 inches). If you are a woman, your chance of developing health problems is higher if your waist measurement is more than 80 cm (31.5 inches), and higher still if it is more than 88 cm (34.5 inches).

Target waist measurement: 94cm



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