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Consumers international World Congress The obesity pandemic: The obesity pandemic: corporate accountability and consumer action Dr Shigeru Omi Regional Director World Health Organization Office for the Western Pacific Region

4 Dr S Omi Obesity

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Page 1: 4  Dr  S  Omi  Obesity

Consumers international World Congress

The obesity pandemic:The obesity pandemic: corporate accountability and consumer action

Dr Shigeru OmiRegional DirectorWorld Health OrganizationOffice for the Western Pacific Region

Page 2: 4  Dr  S  Omi  Obesity

Consumers international World Congress

" The lives of far too many people in the world " The lives of far too many people in the world are being blighted and cut short by chronic are being blighted and cut short by chronic diseases…….Four out of five chronic disease diseases…….Four out of five chronic disease deaths today are in low and middle income deaths today are in low and middle income countries. People in these countries tend to countries. People in these countries tend to develop diseases at younger ages, suffer develop diseases at younger ages, suffer longer – often with preventable complications longer – often with preventable complications – and die sooner than those in high income – and die sooner than those in high income countries. "countries. " Dr. J.W. Lee, Director General (WHO, 2006)

Preventing Chronic Diseases: Preventing Chronic Diseases: A Vital InvestmentA Vital Investment

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Consumers international World Congress

END-POINTSHeart DiseaseStrokeCancerChronic Res. DisordersDiabetes

END-POINTSHeart DiseaseStrokeCancerChronic Res. DisordersDiabetes

INTERMEDIATE RISK FACTORSRaised Blood PressureBlood lipidsRaised Blood GlucoseOverweight/Obesity

INTERMEDIATE RISK FACTORSRaised Blood PressureBlood lipidsRaised Blood GlucoseOverweight/Obesity

BEHAVIORAL Tobacco Unhealthy Diet Physical Inactivity AlcoholENVIRONMENTAL Socio-cultural Policy Economic PhysicalNON-MODIFIABLE Age, Sex,

Heredity

BEHAVIORAL Tobacco Unhealthy Diet Physical Inactivity AlcoholENVIRONMENTAL Socio-cultural Policy Economic PhysicalNON-MODIFIABLE Age, Sex,

Heredity

NCD Determinants

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Consumers international World Congress

WHO National STEPS Surveys on NCD Risk Factors (Oct 2007)

0

10

20

30

40

50

60

70

80

90

100

M F M F M F M F M F M F M F M F M F

(%)

Obese

Overweight

FIJI A.SAMOA SAMOA TOKELAU NUARU COOK IS MARSHALL IS VANUATU MONGOLIA

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Consumers international World Congress

0 500 1000 1500 2000

Physical inactivity

Urban air pollution

High Body Mass Index

Indoor smoke from solid fuels

Alcohol

Fruit and vegetable intake

High Cholesterol

Tobacco

Blood pressure

Number of deaths (000s)

Deaths attributable to leading risk factors in the Deaths attributable to leading risk factors in the Western Pacific Region (2000)Western Pacific Region (2000)

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Consumers international World Congress

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Consumers international World Congress

19.5

20.0

20.5

21.0

21.5

22.0

22.5

23.0

23.5

24.0

24.5

.

19761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004

.

x

19.5

20.0

20.5

21.0

21.5

22.0

22.5

23.0

23.5

24.0

24.5

.

19761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004

.

20-29y 30-39y 40-49y 50-59y60-69y 70+ y All

x

Change in mean BMI by age and sexChange in mean BMI by age and sex (Annual National Health and Nutrition Surveys, Japan 1976-2004)

MALES FEMALES

Obesity: BMI 25≧

Courtesy of Dr Nobuo Yoshiike & National Institute of Health & Nutrition, Japan

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Consumers international World Congress

I used to be fatterI used to be fatter

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Consumers international World Congress