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B.Popkin 2009
BMI Distribution Shifts among Mexican women 18-49 y
(National Surveys 1988, 1999 y 2006)
.1
1988
1999
.08
2006
K density BMI
.06
.04
.02
0
10 15 20 25 30 35 40 45 50 55 60 65
BMI (Kg/m2)
From Juan Rivera
BMI Distribution Shifts Among Chinese Adults,
ages 19 and Older
Percent
Worldwide :
Range from ( 10% to 25%).
Trends in U.S. Child and
Adolescent Overweight
20 20
15 15
Percent
Percent
6-11 years old
10 10
0 0
0
4
4
7
-2 2
20 - 2 0
4
97
96
98
99
03 0 0
01 0 0
00
-1
-1
-1
2 0 -2
-1
71
76
88
63
99
19
19
19
19
19
Annual Absolute Change in the Prevalence of Childhood Overweight
and Obesity in 7 Countries from 1985/1995 to 1995/2006
(IOTF definition for childhood obesity)
Annual percentage change
Source: National Center for Health Statistics, 1999 National Health and Nutrition Examination
Survey.
Percent increase in Prevalence of Childhood obesity in
Sweden
(1969-2005)
Prevalence of Childhood Obesity in the
UK (1995-2002)
Prevalence of Childhood Obesity in Italy
25
Prevalence (%)
20
15
10
5
0
1964 1974 -
1984 1994
Genetics
Childhood obesity
Behavioral Nutritional
Obesity: Environmental Influence
Current environment
BMI %
Past environment
Genetic susceptibility
November 8, 1999
SPECIAL ISSUE
23
Obesity Is Caused by Long-Term
Positive Energy Balance
Fat
Stores
obesity
Weight gain:
Energy Out
Energy In
Changing Dietary Habits
Increased intake of caloric sweeteners & edible oil
Increased intake of processed foods, refined
carbohydrates & salty high fat snacks
Reduced intake of fruits and vegetables
Increased global beverage due to:
increased accessibility,
lower price,
Skin Phlebitis
venous
Gout stasis
RED FLAG
Obesity and overweight account for more
than 300,000 premature deaths annually in
United States, 2nd only to tobacco-related
deaths.
Obesity would surpass tobacco as the
leading cause of death worldwide in the
next decade.
The Bottom Line
75 77
80
69 67
60 52 55
40 36
26
16 17 19
20 15 12 11 10 9
0
Birth 1 to 3 3 to 6 6 to 10 10 to 15 15 to 18
Age of child (years )
Common Complications in Children
Metabolic Syndrome.
Hypertension
Fatty Liver .
Early Sexual Maturation.
Asthma
Sleep apnea
The first wealth is health.