Major overhaul of US life urged to cure obesity: experts (Update)

May 8, 2012

Two-thirds of American adults are too fat, and a major overhaul of US policies -- from schools to restaurants to urban planning -- is needed to stem the epidemic, medical experts said Tuesday.

In a hefty, 400-plus page report, the Institute of Medicine (IOM) called for urgent action to reverse national obesity trends that are costing the US $190.2 billion a year in illness-related costs.

Peppered with terms like "synergies," "empower" and "systems approach," the report called for a renewed focus on schools as the place where eating habits take hold for life, noting that 17 percent of US children are obese, a figure that has tripled in 30 years.

Offering lunches packed with veggies and whole grains and limiting access to sugar-sweetened drinks were among the recommendations for kids age six to 18.

States and local schools should also make sure all children and teenagers have the opportunity for 60 minutes of exercise per day, said the report titled "Accelerating Progress in Obesity Prevention: Solving the Weight of a Nation."

Other top goals for all ages included making physical activity a daily routine, making healthy food and drink choices widely available, and expanding the role of doctors, insurers and employers.

"Because obesity is such a complex and stubborn problem, a bold, sustained and comprehensive approach is needed," said the report.

"Action must occur at all levels -- individual, family, community, and the broader society."

The IOM report reviewed past strategies for obesity prevention in order to come up with new recommendations to speed progress, it said.

"Left unchecked, obesity's effects on health, health care costs, and our productivity as a nation could become catastrophic," added the report.

People who belong to ethnic minorities, who have lower incomes and less education are more susceptible to obesity, partly due to policy decisions that result in limited access to healthy foods and places to enjoy exercise.

For instance, one third of children born today -- and half of Hispanic and black children -- will develop type 2 diabetes in their lifetime, according to projections cited by the IOM.

"Some communities may have no safe place to walk or play, no shops offering affordable healthy food, and widespread advertisements of unhealthy food and beverages," said the report.

Community planners could work harder to make sure there are safe places for exercise, for example by converting an unused railroad bed into a running and biking trail, said the report.

"People only have a certain, limited ability to control their weight in an environment where there is a lot of food available," said IOM committee member Shiriki Kumanyika, professor of epidemiology at the University of Pennsylvania.

"One of the main reasons (for obesity) has to do with people being presented with large quantities of food -- tasty food -- in a culture where more is better, portion sizes are getting larger and heavily advertised," she told AFP.

Separate research presented Monday at a related conference on obesity in the US capital warned that 42 percent of US adults could be obese by 2030, and the number of severely obese people could more than double from five to 11 percent.

Michael Jacobson, executive director of the Center for Science in the Public Interest, a consumer advocacy group, urged governments, the food and health care industries and schools to implement the IOM's recommendations, calling it an "excellent blueprint for solving America's costly obesity problem."

"But policy makers will have to invest both money and political capital to convert the advice into reality," he added.

Despite the report's repeated urging of more institutional measures to make sure healthy foods are readily available, Kumanyika said the report's authors were not seeking new laws or mandates.

"We can't rely on mandatory solutions where they are not likely to be put into place. There a lot of things that government can do voluntarily," she said.

"Many of the things we recommend are in the control of people," she added. "They just require energy, focus and leadership to get things done."

Explore further: Report: Schools key to fighting America's obesity

Related Stories

Report: Schools key to fighting America's obesity

May 8, 2012
(AP) -- Schools should be a cornerstone of the nation's obesity battle, but to trim Americans' waistlines, changes are needed everywhere people live, work, play and learn, a major new report says.

Keeping obesity rates level could save nearly $550 billion over two decades

May 7, 2012
Researchers have forecast the cost savings and rise in obesity prevalence over the next two decades in a new public health study.

UK says Britons need to cut 5 billion calories

October 13, 2011
(AP) -- British health officials say the country needs to slash 5 billion calories from its collective daily diet to slow the obesity epidemic.

White House's Childhood Obesity Task Force must focus on providing treatment for minority children

September 8, 2011
The White House Task Force on Childhood Obesity, created by the president as part of the first lady's "Let's Move" campaign, aims to solve the epidemic of childhood obesity within a generation, returning the country to a ...

Everything's on table in fight against obesity

May 8, 2012
(AP) -- In the battle against obesity, just about everything is on the table, from creating healthier kids' meals to nagging people to exercise.

Recommended for you

Blowing smoke? E-cigarettes might help smokers quit

July 26, 2017
People who used e-cigarettes were more likely to kick the habit than those who didn't, a new study found.

Brain disease seen in most football players in large report

July 25, 2017
Research on 202 former football players found evidence of a brain disease linked to repeated head blows in nearly all of them, from athletes in the National Football League, college and even high school.

Safety of medical devices not often evaluated by sex, age, or race

July 25, 2017
Researchers at Yale and the University of California-San Francisco have found that few medical devices are analyzed to consider the influence of their users' sex, age, or race on safety and effectiveness.

Why you should consider more than looks when choosing a fitness tracker

July 25, 2017
A UNSW study of five popular physical activity monitors, including Fitbit and Jawbone models, has found their accuracy differs with the speed of activity, and where they are worn.

Dog walking could be key to ensuring activity in later life

July 24, 2017
A new study has shown that regularly walking a dog boosts levels of physical activity in older people, especially during the winter.

Study finds 275,000 calls to poison control centers for dietary supplement exposures from 2000 through 2012

July 24, 2017
U.S. Poison Control Centers receive a call every 24 minutes, on average, regarding dietary supplement exposures, according to a new study from the Center for Injury Research and Policy and the Central Ohio Poison Center, ...

3 comments

Adjust slider to filter visible comments by rank

Display comments: newest first

freethinking
5 / 5 (1) May 08, 2012
The more government tries to solve the problem the worse it gets. My kids take lunch to school because school lunches are so unhealthy. They only eat there for a treat. How about this, encourage parents to send lunches with their kids, have 3 unplanned recess including lunch, allow kids to play dodge ball, tag and other games that have been banned because of safety concerns.

Interestingly, we have candy, chips, pop and cookies in our house. Our kids ask if they can have any but rarely do. One of our kids friends whos parents banned all the junk food in their home, when he comes over, goes nuts over the junk.
Tewk
not rated yet May 08, 2012
Our schools most need overhauled because our kids are stupid. And the stupid habit takes hold for life. And stupid people are also most likely to be obese.
Deathclock
not rated yet May 22, 2012
No, the government does not have to "fix" this problem, the government is not and should not be considered the "parent" of all of society.

PEOPLE need to fix this problem. Take some goddamn responsibility for yourself... If you are fat it is YOUR problem, not the fast food restaurants or the sugar laden sodas or the impulse buy candy bars in the supermarket checkout line, and it sure as hell is not the governments problem to solve because they fuck up everything they touch.

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.