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Obesity places a significant burden on people affected, increasing their risk of unintended health consequences,5 and reducing their life expectancy.6

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Percentage of adults aged 18+ defined as having obesity in 2016 (people with obesity defined as BMI >30)7

Despite the scientific community recognising obesity as a multifactorial chronic disease which requires long-term management,8,9 it is often considered to be the responsibility of the individual by governments, healthcare systems and even people with obesity.10,11

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Rising obesity levels have also had an adverse effect on society and economic prosperity, causing a decrease in economic activity through loss of productive life years,12 and by placing increasing demands on healthcare systems.13

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Approximately 46% of people with a BMI<40 have at least five related complications, rising to 55% of individuals with a BMI>60.5 These complications can include type 2 diabetes, cardiovascular disease and certain cancers which all require a substantial level of care and medication.2

Obesity is a rising global epidemic that puts a strain on healthcare services, government and individuals worldwide. Urgent change is needed to ensure wider recognition of obesity as a complex chronic condition which requires a whole-systems approach to care

References

1World Health Organization. 2018. Obesity and overweight.[Online] Available at: http://www.who.int/mediacentre/factsheets/fs311/en [Accessed February 2019].

2Yuen, M.M., et al. (n.d.). A systematic review and evaluation of current evidence reveals 236 obesity-associated disorders. Massachusetts General Hospital & George Washington University. [Poster presentation]

3Kelly, T et al. 2008. Global burden of obesity in 2005 and projections to 2030. International Journal of Obesity. 32: 1431-1437

4The GBD 2015 Obesity Collaborators. 2017. Health effects of overweight and obesity in 195 countries over 25 years. The New England Journal of Medicine; 377 (1): 13-27

5Agborsangaya, C.B., et al. 2015. Multimorbidity in a prospective cohort: prevalence and associations with weight loss and health status in severely obese patients. Obesity (Silver Spring); 23(3):707-12

6Prospective Studies Collaboration. 2009. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies, Lancet; 373(9669):1083-96.

7WHO. 2019. Our World in Data. “Obesity & BMI”. Available at: https://ourworldindata.org/obesity Last accessed: February 2019

8The Canadian Medical Association. 2015. CMA recognises obesity as a disease [Online] Available at https://www.cma.ca/En/Pages/ cma-recognizes-obesity-as-a-disease.aspx [Accessed October 2018]

9American Medical Association House of Delegates, 2013. Recognition of obesity as a disease. Resolution 420 (A-13). 16th May 2013. Chicago, USA.

10Henderson, E. 2015. Obesity in primary care: a qualitative synthesis of patient and practitioner perspectives on roles and responsibilities. Br J Gen Pract; 65 (633): e240-e247

11World Health Organisation: Controlling the global obesity epidemic [Online] Available at http://www.who.int/nutrition/topics/obesity/en/ [Accessed October 2018]

12Fontaine, K.R., et al. 2003. Years of life lost due to obesity. Journal of the American Medical Association; 289 (2): 187-193

13Wang, Y.C., et al. 2011 Health and economic burden of the projected obesity trends in the USA and the UK, Lancet; 378(9793):815-25.