Obesity: Overview of Prevalence, Etiology, and Treatment

Autor: Susan S. Deusinger, Robert H. Deusinger, Susan B. Racette
Rok vydání: 2003
Předmět:
Zdroj: Physical Therapy. 83:276-288
ISSN: 1538-6724
0031-9023
DOI: 10.1093/ptj/83.3.276
Popis: Obesity is a worldwide epidemic1 that is characterized by excess adipose tissue and that contributes to numerous chronic diseases2 and early mortality.3,4 This epidemic has received both national and international attention because of obesity's detrimental impact on health, the enormous economic burden it imposes,5 and its increasing prevalence. The adverse health consequences associated with obesity include cardiovascular disease6,7; stroke; type 2 diabetes mellitus8; hypertension; dyslipidemia; cancers of the breast, endometrium, prostate, and colon9,10; gallbladder disease; osteoarthritis11–13 respiratory problems, including asthma14 and sleep apnea15; and perhaps depression.16,17 Furthermore, aerobic capacity and the ability to perform physical activities may be hindered by obesity,18,19 and this may have implications for physical therapists' interventions. In addition to the increased morbidity and functional limitations associated with obesity, approximately 325,000 deaths in the United States each year among nonsmokers are attributable to obesity.20 We will discuss the prevalence of obesity, its etiology in the context of our environment, and the currently available treatment modalities. The most commonly used method today for classifying an individual as overweight or obese is based on body mass index (BMI), a value that is determined by dividing body weight (in kilograms) by the square of height (in meters). In adults, overweight is defined by a BMI of ≥25.0 kg/m2, and obesity is defined by a BMI of ≥30.0 kg/m2, regardless of sex. The World Health Organization distinguishes several BMI categories based on increasing health risks (Table).21 Despite these categorizations, however, the adverse health effects of overweight and obesity occur along a continuum of increasing adiposity. The use of BMI to assess weight-related health risk has gained …
Databáze: OpenAIRE
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