Health and economic burden of the projected trends in the USA and the UK

Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
The Lancet (Impact Factor: 45.22). 08/2011; 378(9793):815-25. DOI: 10.1016/S0140-6736(11)60814-3
Source: PubMed


Rising prevalence of obesity is a worldwide health concern because excess weight gain within populations forecasts an increased burden from several diseases, most notably cardiovascular diseases, diabetes, and cancers. In this report, we used a simulation model to project the probable health and economic consequences in the next two decades from a continued rise in obesity in two ageing populations--the USA and the UK. These trends project 65 million more obese adults in the USA and 11 million more obese adults in the UK by 2030, consequently accruing an additional 6-8·5 million cases of diabetes, 5·7-7·3 million cases of heart disease and stroke, 492,000-669,000 additional cases of cancer, and 26-55 million quality-adjusted life years forgone for USA and UK combined. The combined medical costs associated with treatment of these preventable diseases are estimated to increase by $48-66 billion/year in the USA and by £1·9-2 billion/year in the UK by 2030. Hence, effective policies to promote healthier weight also have economic benefits.

Download full-text


Available from: Tim Marsh,
987 Reads
  • Source
    • " BMI is equivalent to the individual's weight (in kilograms) divided by height (in meters) squared, and referred to as obesity when greater or equal to 30 kg/m2 (Grundy, 2004).  Obesity also engenders significant economic costs for society (Wang et al. 2011).  This study aims at identifying hot spots of obesity in Texas to provide spatial support to strategies for obesity risk reduction. "
    [Show description] [Hide description]
    DESCRIPTION: This study examines the gender-specific spatial patterns (clusters) of Obesity in Texas and explores potential social and environmental differences between identified spatial clusters.
  • Source
    • "With the prevalence of obesity reaching epidemic proportions worldwide, there is an urgent need to explore ways in which to stem its burden on our society (Wang et al. 2011). In general, dietary guidelines are appropriate targets at a population level for achieving nutritional balance and protecting health across a broad range of risk factors in the long-term (Jebb 2005). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: The aim of this nested case-control study was to compare the effectiveness of cognitive-behavioral treatment (CBT) for treatment-resistant obese (body mass index [BMI] ≥30 kg/m2) women compared with standard dietary treatment. The main outcome measures were attrition and weight loss success. Methods: We designed a 6-month case-control study, nested within a cohort of adult (age ≥18 years) treatment-resistant (history of at least two previous diet attempts) obese women. Cases were 20 women who were offered CBT sessions. Controls (n=39) were randomly selected from the source population and matched to cases in terms of baseline age, BMI, and number of previous diet attempts. Results: Compared with controls, cases were significantly more likely to complete the 6-month program in both age-adjusted (odds ratio [OR]=2.94, 95% confidence interval [CI]=1.05-8.97) and multivariate-adjusted (OR=2.77, 95% CI=1.02-8.34) analyses. In contrast, cases were not more likely to achieve weight loss success in age-adjusted (OR=1.32, 95% CI=0.86-1.67) and multivariate-adjusted (OR=1.21, 95% CI=0.91-1.44) analyses. Conclusions: Compared with a standard dietary treatment, CBT was significantly more effective in reducing attrition in treatment-resistant obese women, without differences in terms of weight loss success.
    Neuro endocrinology letters 10/2015; 36(4):368-373. · 0.80 Impact Factor
  • Source
    • "In England, 42 per cent of men and 36 per cent of women are overweight, while 26 per cent of men and women over 16 are classed as obese (Health and Social Care Information Centre, 2012). Overweight and obesity are associated with increased risks of a number of health conditions, including coronary heart disease, diabetes, joint problems and high-blood pressure (Wang et al., 2011). There are also considerable psychological consequences to being overweight including feelings of low self-worth, low self-esteem and low self-confidence. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Purpose – The purpose of this paper is to assess the feasibility and benefits of providing weight management support via the workplace. Design/methodology/approach – Quasi-experimental design using non-random assignment to a 12-week Slimming World (SW) weight management programme, either within the workplace or at a regular community group. Weight was recorded weekly and a 39-item questionnaire focused on mental and emotional health, self-esteem, dietary habits and physical activity habits administered at baseline, 12 weeks, six and 12 months. Findings – In total, 243 participants enroled (workplace n¼129, community n¼114) with 138 completers (defined as those weighing-in at baseline and attending at least once within the last four weeks; workplace n¼76, community n¼62). Completers reported a mean weight change of −4.9 kg±3.4 or −5.7 per cent±3.8. Mental and emotional health scores increased ( po0.05) from baseline to 12 weeks. Self-worth scores increased ( po0.05) from baseline to 12 weeks, six and 12 months. Healthy dietary habit scores increased and unhealthy dietary habit scores decreased ( po0.05) from baseline to 12 weeks, six and 12 months. Healthy physical activity habit scores improved ( po0.05) from baseline to 12 weeks and six months. There were no significant differences between groups. Research limitations/implications – Participant demographic was predominantly female (94 per cent) aged 42.3 years, with only 13 men participating. Practical implications – The results support the use of a 12-week SW weight management programme as a credible option for employers wanting to support staff to achieve weight loss and improve psycho-social health outcomes which could lead to improvements in quality of life and work performance. Originality/value – Provides evidence for the delivery of weight management support via the workplace
    International Journal of Workplace Health Management 09/2015; 8(3):230-243. DOI:10.1108/IJWHM-10-2014-0040
Show more