Fat of the land
According to the World Health Organization, obesity is now among the top 10 health problems
affecting the globe. And it remains one of the most intractable, because it has so many roots,
many of them hidden and some of them deliberately covered up lest they be attacked.
The 7 February issue of Science included a series of papers dealing with aspects of
the obesity epidemic. An editorial by Marion Nesle, a professor in the department of nutrition
and food studies at New York University, comments that it is a great irony of 21st-century global
public health that, while hundreds of millions of people world-wide lack adequate food because
of economic inequities, many hundreds of millions are overweight to the extent of being at risk
from attendant chronic diseases. Obesity is of worldwide distribution and affects children as
well as adults, diverting scarce funds to cope with preventable heart disease and diabetes.
Fundamentally, excess body weight arises from consuming more food energy than an individual
expends in physical activity. This follows improved prosperity, when people use their extra income
to buy more food and avoid being active. The tendency is encouraged by organisations seeking
to market food high in energy but low in nutritional value, and to sell more cars, television
sets and computers, all of which encourage sedentary behaviour. Thus, obesity is good for business,
however harmful it may be to health. Moreover, many countries overproduce foodstuffs, so that
companies compete for sales through advertising, much of it directed at children.
It follows that if campaigns to promote healthier eating habits do not serve the vested interests
of industry, governments will fight shy of taking a realistic stand to overcome unhealthy eating
and lack of exercise. Different government agencies find themselves in conflict over the issue,
which becomes essentially political and not medical. There is need for a government department
that is independent of industry and will take responsibility for regulating food, nutrition and
health.
Meanwhile, 30 per cent of adults in the United States are classed as obese, and another 35
per cent as overweight. And a similar picture occurs elsewhere.
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