Introduction Fat adults are fat because they eat too much fatty food and do not get enough exercise. Fat children are healthy and cute. Fat teenagers are not. Fat people are funny. Fat people can lose weight if they really wanted to. These are just a few common perceptions the public have of people who are over their ideal body weight. What most people do not know is that being overweight or obese carry with it a myriad of health risks, economic burden, social problems and psychological stress. In simplistic terms, obesity occurs when the body takes in more energy than it expends, and this propensity for storing excess energy (fat) is attributed to several factors interacting in complex ways. The common idea is that it is caused by the intake of excessive amounts or high-fat, high-energy foods and beverages, whether processed or not. Others perceive that being fat means prosperous (hence high socio-economic status). Some believe there is a definite genetic link for obesity, and perhaps hereditary factors may influence the susceptibility of the child for unhealthy eating behaviour as well as, to lesser extent affect how the body absorbs and processes energy. (Dehghan et al 2005) However, the condition is much more complicated, and the solution is not as simple as dieting or exercise. The need for research into this condition is spurred by the morbidities associated with obesity. Obesity poses significant costs in health and healthcare as high BMI increases the risk of some cancers, NIDDM, heart disease and hyperlipidaemia. In terms of financial costs, many developed countries disburse as much as 7% of their total healthcare expenditures for treatment of obesity, translating to US$99 billion in 1995 for the US, for example. Aside from these direct costs, the cost for loss in wages, premature pensions as well as intangible costs such as reduced sense of well-being and
References: Anderson, P. M. & Butcher, K.F. 2005. Reading, writing, and raisinets: are school finances contributing to children’s obesity? Working Paper 11177 (Cambridge, Mass.: National Bureau of Economic Research). Anderson, P. M., Butcher, K.F. & Levine, P.B. 2003. Maternal employment and overweight children. Journal of Health Economics. 22,477–504. Anderson, P.M. & Butcher, K.F. (2006). Childhood obesity: trends and potential causes [online]. The Future Of Children. 16,1,19-45. Available from: http://www.futureofchildren.org/usr_doc/02_obesity_anderson-butcher.pdf Anesbury, T Arenz, S. 2004. Breast-feeding and childhood obesity—a systematic review. International Journal of Obesity. 28,1247–1256. Bandini, L.G. 2000. Comparison of high-calorie, low-nutrient-dense food consumption among obese and non-obese adolescents. Obesity Research. 7,438–43. Batch, J.A. & Baur, L.A. (2005) Management and prevention of obesity and its complications in children and adolescents [online]. MJA 182,3,130-135. Available from: http://www.mja.com.au/public/issues/182_03_070205/bat10421_fm.html Berkey, C.S Brownell, K. & Puhl, R. (2003) Stigma and discrimination in weight management and obesity [online]. The Permanente Journal. 7,3,21-23. Available from http://xnet.kp.org/permanentejournal/sum03/stigma.pdf Caprio, S Carlsson, U. (2006). Regulation, awareness, empowerment: young people and harmful media content in the digital age [online]. UNESCO. Available from: http://unesdoc.unesco.org/images/0014/001469/146955E.pdf Centers for Disease Control and Prevention Childhood obesity [online]. (2005) U.S. Department of Health & Human Services. Available from: http://aspe.hhs.gov/health/reports/child_obesity/ Christakis, N.A Cole, T.J., Bellizzi M.C., Flegal, K.M., & Dietz, W.H. 2000. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 320,1240-1243. Crandall, C. S. 1994. Prejudice against fat people: ideology and self-interest. Journal of Personality and Social Psychology. 66,882–894. Cutler, D. M., Glaeser, E.L. & Shapiro, J.M. 2003. Why have Americans become more obese? Journal of Economic Perspectives 17,93–118. Daniels, S.R. (2006) The consequences of childhood overweight and obesity [online]. The Future of Children,16,1. Available from: http://www.futureofchildren.org/usr_doc/03_5562_daniels.pdf Dehghan, M., Akhtar-Danesh, N Ebbeling, C.B., Pawlak, D.B. & Ludwig, D.S. (2002). Childhood obesity: public-health crisis, common sense cure [online]. The Lancet. 360,473-482. Available from: http://www.commercialalert.org/childhoodobesity.pdf Gidding, S.S Hoppe, R.& Ogden, J. 1997. Practice nurses’ beliefs about obesity and weight related interventions in primary care. Int J Obes Relat Metab Disord. 21,2,141–146. Ludvigsen, A. & Sharma, N. (2004) Burger boy and sporty girl: children and young people’s attitudes towards food in school [online]. Barnardos. Available from: http://www.barnardos.org.uk/burger_boy_report_1.pdf Macdiarmid, J Maffeis, C., et al. 2006. Prevalence of overweight and obesity in 2- to 6-year-old Italian children. Obesity. 14,765–769. Parker, L. (2005) Obesity, food insecurity and the federal child nutrition programs: understanding the linkages [online]. Food Research and Action Center. Available from: http://www.frac.org/pdf/obesity05_paper.pdf Philipson, T.J Popkin, B.M., Richards, M.K. & Montiero, C.A. 1996. Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. Journal of Nutrition.126,3006-3016. Preventing childhood obesity [online]. (2005) British Medical Association. Available from: http://www.bma.org.uk/ap.nsf/AttachmentsByTitle/PDFchildhoodobesity/$FILE/PreventingObesityfinal.pdf Reilly, J.J Roberts, A.D. et al. (2007) Eating well for looked after children and young people [online]. The Caroline Walker Trust. Available from: http://www.cwt.org.uk/pdfs/EatingWellChildren2001.pdf Sallis, J Sharma, A., Sharma, K. & Mathur, K.P. (2006). Growth pattern and prevalence of obesity in affluent schoolchildren of Delhi [online]. Nutrition Foundation of India. Available from: http://www.aseanfood.info/Articles/11020366.pdf Speiser, P.W Steinberger, J. & Daniels, S.R. (2003). Obesity, insulin resistance, diabetes, and cardiovascular risk in children [online]. Circulation. 107,1448-1453. Available from http://circ.ahajournals.org/cgi/reprint/107/10/1448 Story, M., Kaphingst, K.M Stunkard, A., Foch, T., & Hrubec, Z. 1986. A twin study of human obesity. JAMA. 256,51-54. The role of media in childhood obesity [online]. 2004. Kaiser Family Foundation. Available from: http://www.kff.org/entmedia/upload/The-Role-Of-Media-in-Childhood-Obesity.pdf Wang, G Wang, Y. & Wang, J.Q. (2000) Standard definition of child overweight and obesity worldwide [online]. BMJ,321,1158. Available from: http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1118919&blobtype=pdf Weschler, H Whitaker, R.C. & Orzol, S.M. 2006. Obesity among US urban preschool children relationships to race, ethnicity, and socioeconomic status. Arch Pediatr Adolesc Med. 160, 578-584.