Estimates of Obesity-attributable Mortality in the United States

Estimates of Obesity-attributable Mortality in the United States

Author: Lingyi Lu

Publisher:

Published: 2005

Total Pages: 0

ISBN-13:

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The increasing prevalence of obesity over the past decades has generated considerable concern about health problems and subsequent economic burden. Approximately 64% of U.S. adults are estimated to be overweight or obese. Over 30% are obese and 5% are extremely obese among them. Obesity has been associated with a variety of chronic diseases and with increased risk of all-cause mortality. The number of annual deaths in the U.S. attributable to obesity estimated from epidemiological cohorts ranges widely from 26,917 to 385,000. The objective of the current study is to estimate a more accurate number of excess deaths attributable to obesity. A sub-sample of 6,913 subjects from the First National Health and Nutrition Examination Survey (NHANES I, 197 1-1975) data set and corresponding mortality information from the National Health and Nutrition examination Survey I Epidemiologic Follow-up Study (NHEFS,1992) was employed for building a Cox's proportional hazards model. The number (2,374,029) of total deaths age from 25 and older in the U.S. came from the National Center for Health Statistics 2003 National Vital Statistics Report. Body weight was categorized based upon body mass index (BMI) which is defined as Weight (kg) / Height2 (m2). "Underweight" was defined as BMI 18.5; "Normal weight" was defined as 18.5 BMI


Explaining Divergent Levels of Longevity in High-Income Countries

Explaining Divergent Levels of Longevity in High-Income Countries

Author: National Research Council

Publisher: National Academies Press

Published: 2011-06-27

Total Pages: 200

ISBN-13: 0309217105

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During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.


The Surgeon General's Vision for a Healthy and Fit Nation, 2010

The Surgeon General's Vision for a Healthy and Fit Nation, 2010

Author:

Publisher:

Published: 2010

Total Pages:

ISBN-13:

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In the 2001 Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity, former Surgeon General David Satcher, MD, PhD, warned of the negative effects of the increasing weight of American citizens and outlined a public health response to reverse the trend. The Surgeon General plans to strengthen and expand this blueprint for action created by her predecessor. Although the country has made some strides since 2001, the prevalence of obesity, obesity-related diseases, and premature death remains too high.


Obesity Epidemiology

Obesity Epidemiology

Author: Frank Hu

Publisher: Oxford University Press

Published: 2008-03-21

Total Pages: 513

ISBN-13: 0199718474

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During the past twenty years there has been a dramatic increase in obesity in the United States. An estimated thirty percent of adults in the US are obese; in 1980, only fifteen percent were. The issue is gaining greater attention with the CDC and with the public health world in general. This book will offer practical information about the methodology of epidemiologic studies of obesity, suitable for graduate students and researchers in epidemiology, and public health practitioners with an interest in the issue. The book will be structured in four main sections, with the majority of chapters authored by Dr. Hu, and some authored by specialists in specific areas. The first section will consider issues surrounding the definition of obesity, measurement techniques, and the designs of epidemiologic studies. The second section will address the consequences of obesity, looking at epidemiologic studies that focus on cardio-vascular disease, diabetes, and cancer The third section will look at determinants obesity, reviewing a wide range of risk factors for obesity including diet, physical activity and sedentary behaviors, sleep disorders, psychosocial factors, physical environment, biochemical and genetic predictors, and intrauterine exposures. In the final section, the author will discuss the analytical issues and challenges for epidemiologic studies of obesity.


Obesity

Obesity

Author: World Health Organization

Publisher: World Health Organization

Published: 2000

Total Pages: 267

ISBN-13: 9241208945

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This report issues a call for urgent action to combat the growing epidemic of obesity, which now affects developing and industrialized countries alike. Adopting a public health approach, the report responds to both the enormity of health problems associated with obesity and the notorious difficulty of treating this complex, multifactorial disease. With these problems in mind, the report aims to help policy-makers introduce strategies for prevention and management that have the greatest chance of success. The importance of prevention as the most sensible strategy in developing countries, where obesity coexists with undernutrition, is repeatedly emphasized. Recommended lines of action, which reflect the consensus reached by 25 leading authorities, are based on a critical review of current scientific knowledge about the causes of obesity in both individuals and populations. While all causes are considered, major attention is given to behavioural and societal changes that have increased the energy density of diets, overwhelmed sophisticated regulatory systems that control appetite and maintain energy balance, and reduced physical activity. Specific topics discussed range from the importance of fat content in the food supply as a cause of population-wide obesity, through misconceptions about obesity held by both the medical profession and the public, to strategies for dealing with the alarming prevalence of obesity in children. "... the volume is clearly written, and carries a wealth of summary information that is likely to be invaluable for anyone interested in the public health aspects of obesity and fatness, be they students, practitioner or researcher." - Journal of Biosocial Science


Preventing Childhood Obesity

Preventing Childhood Obesity

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2005-01-31

Total Pages: 435

ISBN-13: 0309133408

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Children's health has made tremendous strides over the past century. In general, life expectancy has increased by more than thirty years since 1900 and much of this improvement is due to the reduction of infant and early childhood mortality. Given this trajectory toward a healthier childhood, we begin the 21st-century with a shocking developmentâ€"an epidemic of obesity in children and youth. The increased number of obese children throughout the U.S. during the past 25 years has led policymakers to rank it as one of the most critical public health threats of the 21st-century. Preventing Childhood Obesity provides a broad-based examination of the nature, extent, and consequences of obesity in U.S. children and youth, including the social, environmental, medical, and dietary factors responsible for its increased prevalence. The book also offers a prevention-oriented action plan that identifies the most promising array of short-term and longer-term interventions, as well as recommendations for the roles and responsibilities of numerous stakeholders in various sectors of society to reduce its future occurrence. Preventing Childhood Obesity explores the underlying causes of this serious health problem and the actions needed to initiate, support, and sustain the societal and lifestyle changes that can reverse the trend among our children and youth.


The Global Burden of Disease

The Global Burden of Disease

Author: Christopher J. L. Murray

Publisher: Harvard School of Public Health, Frangois-Xavier Bagnoud Cen

Published: 1996

Total Pages: 1034

ISBN-13:

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The Global Burden of Disease (GBD) provides systematic epidemiological estimates for an unprecedented 150 major health conditions. The GBD provides indispensable global and regional data for health planning, research, and education.


Comparative Quantification of Health Risks: Sexual and reproductive health

Comparative Quantification of Health Risks: Sexual and reproductive health

Author: Majid Ezzati

Publisher: World Health Organization

Published: 2004

Total Pages: 2282

ISBN-13: 9241580313

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Provides a comprehensive assessment of the scientific evidence on prevalence and the resulting health effects of a range of exposures that are know to be hazardous to human health, including childhood and maternal undernutrition, nutritional and physiological risk factors for adult health, addictive substances, sexual and reproductive health risks, and risks in the physical environments of households and communities, as well as among workers. This book is the culmination of over four years of scientific equiry and data collection, know as the comparative risk assessment (CRA) project.