Two recent books demonstrate the why and how of the current *real* problem
of obesity and overweight.in  North America:

Fat Land by Greg Critser (a journalistic account)
Food Politics by Marion Nestle (a social science account)

I have always enjoyed debunking phony social problems, and in fact, a good
deal of my teaching is directed to doing just that.  However, this problem,
like the problems of alcohol overuse and cigarette smoking, is no joke IMO.

Paul Okami



----- Original Message ----- 
From: "Don Allen" <[EMAIL PROTECTED]>
To: "Teaching in the Psychological Sciences" <[email protected]>
Sent: Wednesday, December 29, 2004 4:45 PM
Subject: Re: obesity revisited


> Hi Annette-
>
> I think that the situation in Mexico is an illustration of what can happen
> when obesity is discounted.
>
> -Don
>
> Diabetes now Mexico's leading cause of death
> Report adds weight to concerns over global epidemic
>
> Updated: 10:22 p.m. ET Nov. 2, 2004
> MEXICO CITY - Diabetes has overtaken poverty-related infections to become
> the leading cause of death in Mexico, according to a new report that adds
> weight to a World Health Organization warning that a devastating global
> diabetes epidemic is looming.
> Mexico's Health Ministry said on Tuesday the report, just published, found
> deaths from diabetes, often linked to obesity, are increasing by 3 percent
> each year, making diabetes the cause of 12 percent of deaths in the
> country.
> "Diabetes is the best example of the epidemic transition the country is
> going through, characterized by a growing predominance of noncontagious
> illnesses," the report stated, noting associated factors like obesity were
> also on the rise.
> The global death toll from diabetes exceeds the three million killed by
> AIDS. World health bodies predict the number of diabetes sufferers
> worldwide could more than double to 366 million by 2030 from around 177
> million now.
> Normally considered a rich countries' disease, diabetes is growing fastest
> in poor countries, often in tandem with obesity - a rising problem in
> developing countries and especially in junk-food obsessed Mexico.
> Mexico is also seeing a swing toward cancer, which is now behind more than
> 10 percent of deaths.
> In total, the percentage of deaths from noninfectious illnesses like
> diabetes, heart disease, cancer and hypertension has risen to 73 percent
> from 44 percent in 1950. Fewer than 15 percent of deaths in Mexico are now
> from common infections.
> 'We must promote healthy habits'
> "These figures show the principal causes of death are no longer linked, as
> in the past, to infections but to the consumption of alcohol, tobacco and
> addictive substances, inactivity and obesity. We must promote more healthy
> habits," President Vicente Fox said in a speech on Monday.
> The most common form of diabetes results from the body's inability to
> respond to the action of insulin produced by the pancreas, generating
> symptoms like blurred vision, unusual thirst, frequent urination and
> tiredness.
> Left untreated, the illness can lead in later life to serious
> complications including heart disease, strokes, kidney disease and
> blindness.
> The World Health Organization is working to raise awareness of diabetes
> which is sometimes hard to spot and which experts say can be prevented
> with improved eating and exercise habits.
> Mexico's swing toward the illnesses that blight richer nations has come
> amid a slide in child mortality rates.
> Between 2000 and 2003 the infant mortality rate dropped 15 percent, while
> for children under five, deaths from respiratory infections and diarrhea
> fell by 16 percent, thanks to improved sanitary conditions and vaccination
> programs, the report said.
>
>
>
> Annette Taylor, Ph. D. said:
> > Given the recent thread on obesity and the discussion of whether or not
> > there  is a significant negative on health, this caught my ear today--I
> > was listening  to the TV news in the background and checked the website
> > for this information:  I'll see if I can get access to the full article
> > through our school library  next week.
> >
> > Annette
> >
>
> --------------------------------------------------------------------------
-----
> >
> > January 2005, Vol 95, No. 1 | American Journal of Public Health 159-165
> > � 2005 American Public Health Association
> > DOI: 10.2105/AJPH.2003.027946
> >
>
> --------------------------------------------------------------------------
-----
> >
> > RESEARCH AND PRACTICE
> > Health Care Expenditures Associated With Overweight and Obesity Among US
> >  Adults: Importance of Age and Race
> >
> > Christina C. Wee, MD, MPH, Russell S. Phillips, MD, Anna T. R. Legedza,
> > ScD,  Roger B. Davis, ScD, Jane R. Soukup, MS, Graham A. Colditz, MD,
> > DrPH and Mary  Beth Hamel, MD, MPH
> >
> > Correspondence: Requests for reprints should be sent to Christina C.
> > Wee, MD,  MPH, Division of General Medicine and Primary Care, Beth
> > Israel Deaconess  Medical Center and Harvard Medical School, 330
> > Brookline Ave, Boston, MA 02215  (email: [EMAIL PROTECTED]).
> >
> > Objectives. We estimated health care expenditures associated with
> > overweight  and obesity and examined the influence of age, race, and
> > gender.
> >
> > Methods. Using 1998 Medical Expenditure Panel Survey data, we employed
> > 2-stage  modeling to estimate annual health care expenditures associated
> > with high body  mass index (BMI) and examine interactions between
> > demographic factors and BMI.
> >
> > Results. Overall, the mean per capita annual health care expenditure
> > (converted to December 2003 dollars) was $3338 before adjustment. While
> > the  adjusted expenditure was $2127 (90% confidence interval [CI]=$1927,
> > $2362) for  a typical normal-weight White woman aged 35 to 44 years,
> > expenditures were  $2358 (90% CI=$2128, $2604) for women with BMIs of 25
> > to 29.9 kg/m2, $2873  (90% CI=$2530, $3236) for women with BMIs of 30 to
> > 34.9 kg/m2, $3058 (90%  CI=$2529, $3630) for women with BMIs of 35 to
> > 39.9 kg/m2, and $3506 (90%  CI=$2912, $4228) for women with BMIs of 40
> > kg/m2 or higher. Expenditures  related to higher BMI rose dramatically
> > among White and older adults but not  among Blacks or those younger than
> > 35 years. We found no interaction between  BMI and gender.
> >
> > Conclusions. Health care costs associated with overweight and obesity
> > are  substantial and vary according to race and age.
> >
>
> --------------------------------------------------------------------------
--
> >
> > Annette Kujawski Taylor, Ph. D.
> > Department of Psychology
> > University of San Diego
> > 5998 Alcala Park
> > San Diego, CA 92110
> > [EMAIL PROTECTED]
> >
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