Obesity and C.H.D

Dr Colin Waine

Visiting Professor Primaryand Community Care

University of Sunderland

Obesity the burgeoning problem

“From Samoa to the Steppes, from Sunderland to Sao Paulo - every country faces a potential public health disaster if it fails to take decisive measures, not only to introduce better management but far more effective preventive measures, to halt the slide we have seen accelerating over the past 25 years”

Chairman I.O.T.F 1999

The Rising Prevalence of Obesity

in England 1980 to present

Year Men% Women%1980 6 81991 13 15Currently 17 20

Tackling Obesity

• Population based or public health approach

• Personal or high risk approach

Tackling Obesity

Where do we start?

• B.M.I > 30 kg/m2 with a family history of type 2 diabetes and/or c.h.d in a first degree relative

• those with B.M.I > 27 kg/m2 with co-morbidities which would benefit from weight loss

Tackling Obesity

The goal - not cosmetic but metabolic health and reduction of risk

This can often be achieved by a 5-10% sustained weight loss.