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Obesity: Definition and Epidemiology

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Abstract

Obesity is the most prevalent form of malnutrition in the industrialized countries, and it is rapidly becoming highly prevalent also in the developing world. In 2008, 35 % of adults aged 20+ were overweight and 11 % were obese (meaning that in the world 205 million men and 300 million women were obese). Obesity is considered a multifactorial condition, caused by a complex interaction between the environment, genetic predisposition, and human behavior. The relevance of obesity as a risk factor for medical conditions is very well known; it is now considered as a major contributor to the global burden of disease and disability, because it is linked to various disabling conditions, such as heart disease, diabetes, hypertension, stroke, certain cancers, osteoarthritis, etc. Moreover, it has been reported that obesity is associated with an increased risk of death, although the relation of BMI categories with mortality has been the subject of much controversy, because epidemiologic studies have found linear, U-shaped, or J-shaped relationship between BMI and total mortality. The problem of overweight and obesity is considered one of the most pressing global issues that we will continue to face during the next several decades and demands attention from the healthcare community, researchers, and policy makers.

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References

  1. Olshansky SJ, Passaro DJ, Hershow RC et al (2005) A potential decline in life expectancy in the United States in the 21st century. N Engl J Med 352(11):1138–1145

    Article  CAS  PubMed  Google Scholar 

  2. Peeters A, Backholer K (2012) Is the health burden associated with obesity changing? Am J Epidemiol 176(10):840–845

    Article  PubMed  Google Scholar 

  3. Campos P, Saguy A, Ernsberger P et al (2006) The epidemiology of overweight and obesity: public health crisis or moral panic? Int J Epidemiol 35(1):55–60

    Article  PubMed  Google Scholar 

  4. WHO (2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 894:1–253

    Google Scholar 

  5. Müller MJ, Lagerpusch M, Enderle J et al (2012) Beyond the body mass index: tracking body composition in the pathogenesis of obesity and the metabolic syndrome. Obes Rev 13:6–13

    Article  PubMed  Google Scholar 

  6. Okorodudu DO, Jumean MF, Montori VM et al (2010) Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis. Int J Obes 34:791–799

    Article  CAS  Google Scholar 

  7. Thomas EL, Frost G, Taylor-Robinson SD, Bell JD (2012) Excess body fat in obese and normal-weight subjects. Nutr Res Rev 25:150–161

    Article  PubMed  Google Scholar 

  8. Karastergiou K, Smith SR, Greenberg A (2012) Sex differences in human adipose tissues – the biology of pear shape. Biol Sex Differ 3:13

    Article  PubMed  PubMed Central  Google Scholar 

  9. WHO (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363:157–163

    Article  Google Scholar 

  10. World Health Organization (2008) Obesity. Available at: http://www.who.int/topics/obesity/en/. Accessed 7 Mar 2014

  11. Ogden CL, Carroll BK, Flegal KM (2013) Prevalence of obesity among adults: United States, 2011–2012. NCHS Data Brief 131

    Google Scholar 

  12. Finucane MM, Stevens GA, Cowan MJ, Danaei G et al (2011) National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants. Lancet 377(9765):557–567

    Article  PubMed  PubMed Central  Google Scholar 

  13. Flegal KM, Kit BK, Orpana H, Graubard BI (2013) Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA 309(1):71–82

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Ferreira I, Stehouwer CDA (2012) Obesity paradox or inappropriate study designs? Time for life-course epidemiology. J Hypertens 30(12):2271–2275

    Article  CAS  PubMed  Google Scholar 

  15. Adams KF, Schatzkin A, Harris TB et al (2006) Overweight, obesity, and mortality in large prospective cohort of persons 50 to 71 years old. N Engl J Med 355(8):763–778

    Article  CAS  PubMed  Google Scholar 

  16. Strandberg TE, Stenholm S, Strandberg AY et al (2013) The “obesity paradox,” frailty, disability, and mortality in older men: a prospective, longitudinal cohort study. Am J Epidemiol 178(9):1452–1460

    Article  PubMed  Google Scholar 

  17. Janssen I, Katzmarzyk PT, Ross R (2005) Body mass index is inversely related to mortality in older people after adjustment for waist circumference. J Am Geriatr Soc 53(12):2112–2118

    Article  PubMed  Google Scholar 

  18. Wang Y (2001) Cross-national comparison of childhood obesity: the epidemic and the relationship between obesity and socioeconomic status. Int J Epidemiol 30(5):1129–1136

    Article  CAS  PubMed  Google Scholar 

  19. Ogden CL, Carroll MD, Kit BK, Flegal KM (2014) Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 311(8):806–814

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Dati Nazionali 2012. Okkio alla Salute, www.okkioallasalute.it (2012)

  21. Weiss R, Dziura J, Burgert TS et al (2004) Obesity and the metabolic syndrome in children and adolescents. N Engl J Med 350:2362–2374

    Article  CAS  PubMed  Google Scholar 

  22. Han JC, Lawlor DA, Kimm SYS (2010) Childhood obesity. Lancet 375:1737–1748

    Article  PubMed  PubMed Central  Google Scholar 

  23. Franks PW, Hanson RL, Knowler WC et al (2010) Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med 362:485–493

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Kant AK, Graubard BI (2006) Secular trends in patterns of self-reported food consumption of adult Americans: NHANES 1971–1975 to NHANES 1999–2002. Am J Clin Nutr 84(5):1215–1223

    CAS  PubMed  PubMed Central  Google Scholar 

  25. Prentice AM, Jebb SA (1995) Obesity in Britain: gluttony or sloth? BMJ 311(7002):437–439

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Dietz WH Jr, Gortmaker SL (1985) Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics 75(5):807–812

    PubMed  Google Scholar 

  27. Holsten JE (2008) Obesity and the community food environment: a systematic review. Public Health Nutr 14:1–9

    Article  Google Scholar 

  28. Kipke MD, Iverson E, Moore D et al (2007) Food and park environments: neighborhood-level risks for childhood obesity in east Los Angeles. J Adolesc Health 40(4):325–333

    Article  PubMed  Google Scholar 

  29. Andreasen CH, Andersen G (2009) Gene-environment interactions and obesity-further aspects of genomewide association studies. Nutrition 25(10):998–1003

    Article  CAS  PubMed  Google Scholar 

  30. Wang YC, Orleans CT, Gortmaker SL (2012) Reaching the healthy people goals for reducing childhood obesity: closing the energy gap. Am J Prev Med 42(5):437–444

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Stefania Maggi .

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Maggi, S., Busetto, L., Noale, M., Limongi, F., Crepaldi, G. (2015). Obesity: Definition and Epidemiology. In: Lenzi, A., Migliaccio, S., Donini, L. (eds) Multidisciplinary Approach to Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-09045-0_3

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  • DOI: https://doi.org/10.1007/978-3-319-09045-0_3

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