Tackling the obesity time
bomb
March 15, 2004
LONDON Growing rates of
obesity present a major public health problem for government's across the
globe.
In the UK, ministers have embarked on a public consultation exercise to
assess just how best the tackle the problem.
However, medical experts fear initiatives will have little effect unless
people start taking responsibility for their own health.
They are convinced there is no fix solution - the answer lies in the hands
of individuals.
As the number of child and adult obesity cases continues to rise, people
need to take stock of their lifestyle, they argue.
Governments can take a proactive role, and encourage people to adopt a
healthy lifestyle - but if their efforts fall on deaf ears then they will
have no effect.
How to start changing your habits
|
-
Always eat breakfast,
preferably toast or cereal
-
Only eat when hungry
-
In restaurants:
-
'Go large' on vegetables and
fruit
-
Choose tomato-based sauces
over creamy ones
-
Grill, bake or boil food
instead of frying
-
Snack on low-fat foods like
fresh or dried fruit and
-
breadsticks
-
Park your car at the furthest
end of the car park
-
Get off a bus a stop earlier
-
Increase your level of
activity by a few minutes a day
|
The figures in the UK make for depressing reading. Over half of women, and
about two-thirds of men in the UK are either overweight or obese.
Being overweight or obese increases the risk of heart disease, Type 2
diabetes, high blood pressure and osteoarthritis.
The estimated cost to the country is 18 million sick days, 30,000 deaths and
£2bn a year.
The increasing incidence of obesity and its cost to the health service and
society has prompted the government to target it as a matter of priority.
A new white paper on public health to be published later this year will
outline ways of addressing the problem.
However, health experts say there is no mystery about how best to tackle
obesity: if people want to stay trim, they must eat sensibly and make sure
they take regular exercise.
Lifestyle changes
Ian Macdonald, professor of metabolic physiology at the University of
Nottingham Medical School thinks a few small lifestyle changes could make
all the difference.
He said: "People should be exercising every day. This could mean walking up
stairs instead of taking the lift or not driving to work or parking as far
away from the workplace as possible.
I would like to see people spending a bit more time preparing food from
their natural ingredients instead of buying packaged meals
Dr Andrew Hill, behavioural scientist
"Small beginnings will make a big difference."
Professor Macdonald says the NHS has a role to play, but it lacks the
resources to finance major programmes.
He said: "The NHS hasn't got the funding to go in for large scale health
promotion. It can advise people but doesn't have the staff.
"It's not the health service's fault."
He believes obesity drugs may be useful, but there is a huge cost
implication.
He said: "There is a long term benefit, but short term it will increase
costs and there isn't the money in the system to pay for it.
"You will need a commitment from the tax payer because health costs will go
up before they go down."
Dr Ian Campbell, chairman of the National Obesity Forum, is also sure that
drugs are not the answer for all but the most severe cases of obesity.
"Weight management remains a lifestyle issue. Medication must only ever be
seen as an adjunct to support people who have made efforts to change their
lifestyle first.
"And once you have made a decision to manage your weight, it is something
that you need to do for the rest of your life."
Fat tax
Dr Andrew Hill, senior lecturer in behavioural sciences at the
University of Leeds, agrees that people need to take more control over their
lives.
He said: "People need to put a bit of activity back in their lives.
"I would also like to see people spending a bit more time preparing food
from their natural ingredients instead of buying packaged meals."
Obesity is a major killer
"We need to show some common sense and get food and eating back into our
daily routine and give food some respect.
"There is no quick fix solution.
"I don't think information is the problem - it's the capacity to put that
into action that we struggle with."
The idea of a fat tax - where duty on some high fat foods would be higher -
has been suggested by the government.
Dr Hill believes it would be difficult to implement, but he thinks the
government does need to do everything it can to spread a positive message
about health lifestyles.
One way would be to inject more money into community initiatives at grass
roots level.
He is a fan of the "free fruit at school" policy being set up by the
government.
Under the scheme, parents on low incomes will receive vouchers to spend on
fruit and vegetables as well as milk and powdered milk for babies.
Children in nursery school, who receive free milk, would also receive free
fruit under the scheme.
It may be the best way to shape healthy eating habits in children and steer
them away from weight and health problems in later life.