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Demi
Thu, Nov-29-07, 07:36
Washington Post
29 November, 2007


Obesity Epidemic In America Shows Signs of Plateauing

http://media3.washingtonpost.com/wp-dyn/content/graphic/2007/11/29/GR2007112900109.gif

The obesity epidemic that has been spreading for more than a quarter-century in the United States has leveled off among women and may have hit a plateau for men, as well, federal health officials reported yesterday.

While the proportion of adults who are obese remains high at more than 30 percent, the rate in 2005 and 2006 was statistically unchanged from the last time government researchers took a national snapshot two years earlier.

The findings confirm earlier indications that the increase in obesity among women had stalled and suggests that the same trend may have begun among men.

"This is encouraging," said Cynthia L. Ogden of the National Center for Health Statistics, which released the new data. "I think we can say that obesity in women is stabilizing, and I'm optimistic that we may be seeing a leveling off in men, as well."

If both trends continue, it could mean that the effort to stem the nation's growing girth could be starting to pay off, Ogden and others said.

"This doesn't show we've turned the corner on obesity, but we might be at the corner," said William H. Dietz of the Centers for Disease Control and Prevention (CDC). "The first step in controlling any epidemic is halting a rise in the number of cases, and this suggests that might be happening."

But experts quickly cautioned that it is too soon to declare victory, noting that the lull could be fleeting and that about 72 million adults are still considered obese.

"This is still the biggest health problem of our time," Gary D. Foster, director of obesity research and education at Temple University, who is president of the Obesity Society, said. "It's not time to relax. We've got to continue to take the problem seriously and be aggressive about finding effective prevention and treatment strategies."

The proportion of Americans who are obese has increased dramatically in the last 25 years, doubling among adults and tripling among children since 1980. Because obesity increases the risk of heart disease, cancer, diabetes and other major health problems, the rapid rise has alarmed health experts.

Ogden and her colleagues reported last year that the National Health and Nutrition Examination Survey, an ongoing program tracking obesity and other major health issues, showed that the increases may have stalled for American women in 2003 and 2004. But they said more data were needed to confirm whether the shift was real.

The latest data collected from a nationally representative sample of 4,400 Americans age 20 and older showed that, while the proportion of women who were obese increased from 33.2 percent in 2003 and 2004 to 35.3 percent in 2005 and 2006, that difference was not statistically significant, and the rate has been stable since 1999.

Among men, Ogden and her colleagues found that the rate increased from 31.1 percent to 33.3 percent, but that change, too, was not statistically significant. But because the rate was still up compared with 1999, Odgen said more data are needed to confirm the stall.

"I'm optimistic, but I'm wary about the trend for men until we see more data," she said.

Ogden said the reasons that the epidemic might be easing were unclear, but some have speculated that the nation may have reached a saturation point, where most of those predisposed to obesity have already got there.

"Maybe we've gotten as heavy as we can," she said.

Efforts to get people to exercise more and eat better may also be starting to pay off, the CDC's Dietz said.

"I think people are paying attention more to nutrition and physical activity around the country," said Dietz, citing data released last week showing a rise in exercise rates and indications that eating patterns are improving and more employers are focusing on helping employees control their weight.

It is also unclear why women appear to be leading the way, outpacing men at first in gaining weight but now leveling off while men catch up. But experts said women tend to lead the way in issues related to health.

"Women are well-known to be the early adopters of health-related behaviors," Dietz said. "They also play a key role in most families in terms of what kinds of foods come into the house and how it is prepared."

Ogden noted that obesity rates vary by age, with adults ages 40 to 59 having the highest. About 40 percent of men in this age group are obese, compared with 28 percent of those 20 to 39 and 32 percent of men 60 and older. Among women, 41 percent of those 40 to 59 are obese, compared with 30.5 percent of women 20 to 39 and about 34 percent of women age 60 and older.

There are also large racial disparities among women. Approximately 53 percent of non-Hispanic black women and 51 percent of Mexican-American women ages 40 to 59 are obese, compared with about 39 percent of non-Hispanic white women of the same age.

Several researchers noted that childhood obesity rates are continuing to increase.

"As more obese children reach adulthood, it is conceivable that obesity levels will begin to rise again," David B. Allison, director of the clinical nutrition research center of the University of Alabama at Birmingham wrote in an e-mail.

In response, the federal government this week is announcing plans to expand efforts to combat obesity among young people, including $10 million to build new school playgrounds.

Here's a link to the report:http://www.cdc.gov/nchs/pressroom/07newsreleases/obesity.htm.



http://www.washingtonpost.com/wp-dyn/content/article/2007/11/28/AR2007112802016.html

rightnow
Thu, Nov-29-07, 07:41
What if the trend is stalling because so many of the obese are dying off of other things... like diseases caused by the same causal factors?

LessLiz
Thu, Nov-29-07, 07:58
I wondered if it is stalling because extremely high carb, high sugar diets are so pervasive that we are beginning to see everyone in the population who can get Metabolic Syndrome has it.

mike_d
Thu, Nov-29-07, 08:58
Yeah, the variety of fast food outlets is finite. Oh, wait now we have Java Juice!"This is still the biggest health problem of our time," Gary D. Foster, director of obesity research and education at Temple University, who is president of the Obesity Society, said. "It's not time to relax. We've got to continue to take the problem seriously and be aggressive about finding effective prevention and treatment strategies."Temple again :yawn:
Well they could start by giving the correct advise on diet and recommend the definitive health tests such as VAP for cholesterol.

Angeline
Thu, Nov-29-07, 10:12
I wondered if it is stalling because extremely high carb, high sugar diets are so pervasive that we are beginning to see everyone in the population who can get Metabolic Syndrome has it.

I would bet on this explanation rather than theirs; " it could mean that the effort to stem the nation's growing girth could be starting to pay off, Ogden and others said."

Since their efforts are totally not addressing the real issue, and basically consist of telling people to eat less and move more, I don't expect a whole lot of from it.

pengu1
Thu, Nov-29-07, 10:16
I wondered if it is stalling because extremely high carb, high sugar diets are so pervasive that we are beginning to see everyone in the population who can get Metabolic Syndrome has it.

I would believe that explanation before I believed anything federal health officials put out.

Mrs. Skip
Thu, Nov-29-07, 12:10
Maybe people having gastric bypass surgery are changing the statistics...I think it is more common than we realize, and maybe the statisticians aren't taking that into account.

NorthPeace
Thu, Nov-29-07, 12:26
More than 1/3 obese is still a tragedy. I would not take it as any indication that health programs are working.

AngieCat
Thu, Nov-29-07, 12:48
I wondered if it is stalling because extremely high carb, high sugar diets are so pervasive that we are beginning to see everyone in the population who can get Metabolic Syndrome has it.

That was my thought. But remember folks, it's a "healthy balanced diet" *rolls eyes*

typical daily food intake: (I see lots of people live like this, they think I'm nuts "OMG eggs!")

Breakfast:
Big Bowl (people forget a serving is a measily 1/2 cup) special K with skim milk for breakfast

Before work, hungry already!:
1 lemon cranberry scone from starbucks before work, with a 16 ouce non-fat, no-whip "peppermint white choco mocha".

Lunch:
Toasted bagel with low fat blueberry cream cheese. "Wow, Feeling really tired" so another 16 ouce non-fat, no-whip "peppermint white choco mocha".

After work: Exhausted!
ANOTHER 16 ouce non-fat, no-whip "peppermint white choco mocha".(gotta make it home awake!)
and a reduced fat fruit swirl! (that looks healthy and low fat! one of those too!)

Dinner:
Skinless chicken breast with a heap of steamed rice, carrots, with low fat "sweet in sour" sauces.

And people wonder why they are fat, starving and exhausted all the time. The carb count on the starbucks stuff alone for the day is 396 total carbs. I looked it up on the site. friends are always trying to get me to try that junk. Feel free to total up the rest of the food.

Dodger
Thu, Nov-29-07, 13:26
Breakfast:
Big Bowl (people forget a serving is a measily 1/2 cup) special K with skim milk for breakfast
What happened to the big glass of orange to get their daily vitamin C?

AngieCat
Thu, Nov-29-07, 14:25
You're right. Forgot the OJ. ;)

rightnow
Thu, Nov-29-07, 15:07
Than again it could just be a lie. Statistics are so commonly creatively used to lie.

Thanks to Taubes book, the public now has a pointer to evidence that fat intake's been falling since 1980 and nothing got better (except 'death' by heart disease but its incidence didn't decrease) and tons of things like obesity and diabetes got radically worse.

So maybe as a CYA it shouldn't be any surprise that as a proactive PR campaign we might start seeing stuff where someone finds a way to interpret some study no matter how obscure, to give them a way to say, "See the health advice we're giving must be working!"

MizKitty
Fri, Nov-30-07, 11:47
So maybe as a CYA it shouldn't be any surprise that as a proactive PR campaign we might start seeing stuff where someone finds a way to interpret some study no matter how obscure, to give them a way to say, "See the health advice we're giving must be working!"


That thought had occured to me, too.

LC FP
Fri, Nov-30-07, 15:47
Originally Posted by rightnow

nothing got better (except 'death' by heart disease

Unless you're a young woman...

Sorry this is a little long. Borrowed from WebMD :(

Mortality Rate From CHD Rising in Young Women



from Heartwire — a professional news service of WebMD

November 27, 2007 — New research shows that mortality rates from coronary heart disease (CHD) in the US appear to be leveling in young adults and may even be rising. The findings are cause for concern, indicating that decades of progress in reducing deaths from heart disease appear to be stalling, say Drs Earl S Ford (Centers for Disease Control and Prevention, Atlanta, GA) and Simon Capewell (University of Liverpool, UK) in their paper published online November 13, 2007 in the Journal of the American College of Cardiology [1].

In an accompanying editorial [2], Drs Philip Greenland and Donald Lloyd-Jones (Northwestern University School of Medicine, Chicago, IL) warn that "the ominous finding of a possible increase in the age-specific CHD death rate in young adults should not be ignored. It is time to stop giving the mixed message that 'we are wining the war on heart disease, but pay attention to your risk factors anyway.' The new data by Ford and Capewell suggest that the message should be immediately revised to 'we are now starting to lose the battle against heart disease.'

"It is time to give out a straight message to our young people and to ourselves as cardiologists and cardiovascular researchers," Greenland and Lloyd-Jones continue. "Our first priority must be to apply the knowledge we already have."

Significant increase in rate of death among women aged 35 to 44
Ford and Capewell analyzed US data from 1980 to 2002 on people aged 35 and older. Overall, the news was encouraging — mortality from CHD fell by 52% in men and 49% in women. Among men, the death rate from coronary disease declined, on average, by 2.9% per year during the 1980s, 2.6% per year during the 1990s, and 4.4% per year from 2000 to 2002. Among women, the corresponding figures were 2.6%, 2.4%, and 4.4%.

But this apparent success masks a different story, revealed when the data are analyzed by age. Among men aged 35 to 54, the average annual mortality rate from CHD fell by 6.2% in the 1980s, slowed to 2.3% in the 1990s, and leveled off between 2000 and 2002, with an annual decline of just 0.5%.

Among women in the same age group, the annual rate of death from CHD dropped by 5.4% in the 1980s and slowed to 1.2% in the 1990s. Between 2000 and 2002, CHD mortality actually increased by an average of 1.5%, although this increase was not statistically significant. However, in even younger women — those aged 35 to 44 — the rate of death from coronary disease increased by an average of 1.3% annually between 1997 and 2002, a finding that was significant.

"The trends for mortality from CHD among US adults age 35 to 53 are disquieting," say Ford and Capewell. "Particularly noteworthy is that the mortality rate among women aged 35 to 44 has been increasing on average by 1.3% per year since 1997."

The new findings mirror those of a UK study reported in July of this year [3]. Similar to the US data, the overall news on CHD mortality was good, but this shrouded an unfavorable trend in younger people: CHD mortality rates in men aged 35 to 44 years increased for the first time in over two decades, the British researchers noted.

Dr Darwin Labarthe (director of the division for heart disease and stroke, Centers for Disease Control and Prevention) told heartwire that in addition to the US and UK, countries in Eastern Europe are experiencing rising death rates from coronary heart disease. "While we have enjoyed substantial gains in recent decades, that advantage is being lost; it is slipping away," Labarthe noted.

Complacency runs a high risk: Vigorous response needed
Ford and Capewell say the adverse mortality trends in young adults have occurred despite the increasingly wide use of evidence-based therapies. "This suggests that a vigorous public-health response is needed to address lifestyle behaviors. Efforts to accelerate the past declines in smoking must be continued. Increased efforts to improve diet are now urgently required.

"Timely actions could potentially transform the abhorrent risk-factor profile that currently characterizes much of the US population and counteract the adverse trends that are now killing younger adults. Complacency runs a high risk; mortality rates among younger adults may represent the leading edge of a brewing storm," they warn.
In their editorial, Greenland and Lloyd-Jones summarize what they think the prevention message should be "if we are to capitalize on the achievements of our research" and also benefit from the warning of important papers like this one.

First, heart attacks rarely occur in the absence of major risk factors — adverse cholesterol, high blood pressure, smoking, diabetes — they note. Second, the absence of the major risk factors is highly protective against cardiovascular morbidity and mortality. "Thus, a formula starts to emerge in which preventing the occurrence of risk factors in early life could potentially prevent the vast majority of CHD and truly put an end to the CHD epidemic," they stress.

Unfortunately, very few people in the US have no major risk factors present, they note. And in young adults, the elevated risk factors appear to be a major consequence of weight gain. "Prevention of major CHD risk factors, most particularly through better efforts to prevent weight gain in young adults, could lead to a further marked reduction in CHD morbidity and mortality and an even further improvement in overall life expectancy in the US."

"Without increased and concerted vigilance toward risk-factor prevention in early life and young adulthood, we will witness increasing losses in the battle against health enemy number one — cardiovascular disease — a battle that we have been poised to win for more than a decade," the editorialists conclude.

Fundamentally, this is a nutrition problem
Labarthe says, "There is no question that obesity is a contributory factor. It's part of the problem but it is by no means the whole of it. It is fundamentally a nutrition problem and a central public-health problem, and it needs to be addressed vigorously on a country-by-country basis."

He also points out that the problems start long before young adulthood. "This begins in childhood and in adolescence. This requires both an effective public-health strategy and more effective clinical interventions," he says.

"If we work together to address this problem, we can return to the favorable trends we were experiencing, recapturing the gains and moving forward," he concludes