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RECENT ADVANCES IN CLINICAL PRACTICE |
1 Barts and the London, Queen Marys School of Medicine and Dentistry, University of London, London, UK
2 Department of Diabetes and Metabolic Medicine, Royal London Hospital, London, UK
Correspondence to:
Correspondence to:
Professor P Kopelman
Queen Marys School of Medicine and Dentistry, Turner St, London E1 2AD, UK; p.g.kopelman@qmul.ac.uk
Keywords: obesity; medical risk; dietary management; drug therapy; surgical intervention
| The first 150 words of the full text of this article appear below. |
BACKGROUND: OBESITY AS A PUBLIC HEALTH PROBLEM
Obesity is defined as a body mass index (BMI) of 30 kg/m2 or more, where a persons BMI is defined as their weight in kg divided by the square of their height in metres. Overweight is defined as a BMI between 25 and 29.9 kg/m2. In 1980, 6% of men and 8% of women in the UK were obese. In 2000, the respective figures had increased to 21% and 21.4%. Approximately 55% of the adult population is overweight or obese.1
Obesity causes or exacerbates a large number of health problems, both independently and in association with other diseases.2 In particular, it is associated with the development of type 2 diabetes mellitus, coronary heart disease, an increased incidence of certain forms of cancer, obstructive sleep apnoea, and osteoarthritis of large and small joints. The Build and Blood Pressure Study has shown that the adverse effects of excess weight tend to
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