The pre-balance of obesity in the United States – in both adults and children is increasing at an alarming rate. Currently, thirty percent of the population is considered obese and almost two thirds are classified as overweight. We clearly have a health crisis on our hands.

Obese people are at increased risk of heart disease, hypertension, non-insulin dependent diabetes, gallstones, osteoarthritis of weight bearing joints, sleep apnea, reproductive disorders and some cancers.
It is important that obesity is given more prominence as a risk factor for disease. Obesity is a reversible condition, and with careful attention to both prevention and treatment it should be possible to tackle this problem in the future.

Physicians measure waist circumference as a way to assess a patient’s abdominal fat – a predictor of risk factors for obesity-related medical conditions. Men who have a waist measurement greater than 40 inches, and women with a measurement greater than 35 inches are likely considered to be overweight. They are, therefore, at higher risk for obesity and related diseases, including cardiovascular disease, diabetes, and hypertension. It is important to note that clinicians do not typically use waist circumference values.

Combating this crisis requires a multi-pronged approach – one that incorporates scientific research into the causes of obesity, patient education, and collaborative patient care.

In 2004, the U.S. Centers for Disease Control and Prevention (CDC) ranked obesity as the number one health threat facing America. Obesity currently results in an estimated 400,000 deaths annually and costs the nation nearly $122.9 billion. Recent government programs aimed at combating this epidemic, such as the U.S. Food and Drug Administration’s “Calories Count” and the Department of Health and Human Service’s “Small Steps” programs have further magnified media and public attention of this topic.

The condition, which not only impacts lifestyle but can also lead to lower self-esteem, and cause depression and discomfort in social situations, is significantly reducing the quality of life among adults in our nation. Obesity also increases a person’s risk for developing several serious health conditions such as cardiovascular disease, hypertension and diabetes. In addition, obesity is affecting our children, with more than 15% of the population under 18 years old classified as overweight. “Obesity in America has reached epidemic proportions. As we continue to raise awareness about this urgent health issue, it is important to remember that combating obesity will require a coordinated effort – together, we can take small steps to beat the condition with a balanced combination of behavior change, medical/scientific understanding and intervention.” E. Chester Ridgeway, M.D., President, The Endocrine Society.

In addition, obesity is affecting our children, with more than 16 percent of the population under 18 years old classified as overweight.

Obesity has generally been defined as an excessive amount of body fat in relation to lean body mass. In more scientific terms, it refers to a body weight that is at least 30 percent over the ideal weight for a specified height. More commonly, obese refers to any individual with a BMI>30.

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