Obesity : A Reported Health Problem Which Produce Multiple Health Problems:
Obesity : The Weight Problems Take a Hefty Toll on Body and Mind:
In
the old spiritual, “Dem Bones,” each body part is linked to the next one in
line: the thigh bone to the knee bone, the knee bone to the leg bone, and so
on. But one body “part”-weight-is connected to virtually all of the others. A
healthy weight sets the stage for bones, muscles, brain, heart, and others to
play their parts smoothly and efficiently for many years.
Excess weight, especially obesity, diminishes almost every aspect of health, from reproductive and respiratory function to memory and mood. Obesity increases the risk of several debilitating, and deadly diseases, including diabetes, heart disease, and some cancers. It does this through a variety of pathways, some as straightforward as the mechanical stress of carrying extra pounds and some involving complex changes in hormones and metabolism. Obesity decreases the quality and length of life, and increases individual, national, and global healthcare costs. The good news, though, is that weight loss can curtail some obesity-related risks. (1) Losing as little as 5 to 10 percent of body weight offers meaningful health benefits to people who are obese, even if they never achieve their “ideal” weight, and even if they only begin to lose weight later in life.
Excess weight, especially obesity, diminishes almost every aspect of health, from reproductive and respiratory function to memory and mood. Obesity increases the risk of several debilitating, and deadly diseases, including diabetes, heart disease, and some cancers. It does this through a variety of pathways, some as straightforward as the mechanical stress of carrying extra pounds and some involving complex changes in hormones and metabolism. Obesity decreases the quality and length of life, and increases individual, national, and global healthcare costs. The good news, though, is that weight loss can curtail some obesity-related risks. (1) Losing as little as 5 to 10 percent of body weight offers meaningful health benefits to people who are obese, even if they never achieve their “ideal” weight, and even if they only begin to lose weight later in life.
Entire
books have been written detailing the effects of obesity on various measures of
health. This article briefly summarizes associations between obesity and adult
health.
1. Obesity and Diabetes :
The
condition most strongly influenced by body weight is type 2 diabetes. In the
Nurses’ Health Study, which followed 114,000 middle-age women for 14 years, the
risk of developing diabetes was 93 times higher among women who had a body mass
index (BMI) of 35 or higher at the start of the study, compared with women with
BMIs lower than 22. (2) Weight gain during adulthood also increased diabetes
risk, even among women with BMIs in the healthy range. The Health Professionals
Follow-Up Study found a similar association in men. (3)
More recently, investigators conducted a systematic review of 89 studies on weight-related diseases and then did a statistical summary, or meta-analysis, of the data. Of the 18 weight-related diseases they studied, diabetes was at the top of the risk list: Compared with men and women in the normal weight range (BMI lower than 25), men with BMIs of 30 or higher had a sevenfold higher risk of developing type 2 diabetes, and women with BMIs of 30 or higher had a 12-fold higher risk. (4)
Fat cells, especially those stored around the waist,secrete hormones and other substances that fire inflammation. Although inflammation is an essential component of the immune system and part of the healing process, inappropriate inflammation causes a variety of health problems. Inflammation can make the body less responsive to insulin and change the way the body metabolizes fats and carbohydrates, leading to higher blood sugar levels and, eventually, to diabetes and its many complications. (5) Several large trials have shown that moderate weight loss can prevent or delay the start of diabetes in people who are at high risk. (6-8)
2. Obesity and Cardiovascular Disease:
Body
weight is directly associated with various cardiovascular risk factors. As BMI
increases, so do blood pressure, low-density lipoprotein (LDL, or “bad”)
cholesterol, triglycerides, blood sugar, and inflammation. These changes
translate into increased risk for coronary heart disease, stroke, and
cardiovascular death:
3. Obesity and Cancer:
The association between obesity and cancer is not quite as clear as that for diabetes and cardiovascular disease. This is due in part to the fact that cancer is not a single disease but a collection of individual diseases.
In
an exhaustive review of the data, released in 2007, an expert panel assembled
by the World Cancer Research Fund and the American Institute for Cancer
Research concluded that there was convincing evidence of an association between
obesity and cancers of the esophagus, pancreas, colon and rectum, breast,
endometrium, and kidney, and a probable association between obesity and
gallbladder cancer. (15) Abdominal obesity and weight gain during adulthood
were also linked with several cancers. A later systematic review and
meta-analysis confirmed direct associations between obesity and cancers of the
breast, colon and rectum, endometrium, esophagus, kidney, ovary, and pancreas.
(4) Encouragingly, the Nurses’ Health Study has found that for overweight women
who have never used hormone replacement therapy, losing weight after
menopause-and keeping it off-cut their post menopausal risk by one half.
4. Obesity, Depression, and Quality of Life:
1. Obesity and Diabetes :
The
condition most strongly influenced by body weight is type 2 diabetes. In the
Nurses’ Health Study, which followed 114,000 middle-age women for 14 years, the
risk of developing diabetes was 93 times higher among women who had a body mass
index (BMI) of 35 or higher at the start of the study, compared with women with
BMIs lower than 22. (2) Weight gain during adulthood also increased diabetes
risk, even among women with BMIs in the healthy range. The Health Professionals
Follow-Up Study found a similar association in men. (3)More recently, investigators conducted a systematic review of 89 studies on weight-related diseases and then did a statistical summary, or meta-analysis, of the data. Of the 18 weight-related diseases they studied, diabetes was at the top of the risk list: Compared with men and women in the normal weight range (BMI lower than 25), men with BMIs of 30 or higher had a sevenfold higher risk of developing type 2 diabetes, and women with BMIs of 30 or higher had a 12-fold higher risk. (4)
Fat cells, especially those stored around the waist,secrete hormones and other substances that fire inflammation. Although inflammation is an essential component of the immune system and part of the healing process, inappropriate inflammation causes a variety of health problems. Inflammation can make the body less responsive to insulin and change the way the body metabolizes fats and carbohydrates, leading to higher blood sugar levels and, eventually, to diabetes and its many complications. (5) Several large trials have shown that moderate weight loss can prevent or delay the start of diabetes in people who are at high risk. (6-8)
2. Obesity and Cardiovascular Disease:
Body
weight is directly associated with various cardiovascular risk factors. As BMI
increases, so do blood pressure, low-density lipoprotein (LDL, or “bad”)
cholesterol, triglycerides, blood sugar, and inflammation. These changes
translate into increased risk for coronary heart disease, stroke, and
cardiovascular death: 
- Obesity
and Coronary Artery Disease.
Numerous studies have demonstrated a direct association between excess
body weight and coronary artery disease (CAD). The BMI-CAD Collaboration
Investigators conducted a meta-analysis of 21 long-term studies that
followed more than 300,000 participants for an average of 16 years. Study
participants who were overweight had a 32 percent higher risk of
developing CAD, compared with participants who were at a normal weight;
those who were obese had an 81 percent higher risk. (9) Although
adjustment for blood pressure and cholesterol levels slightly lowered the
risk estimates, they remained highly significant for obesity. The
investigators estimated that the effect of excess weight on blood pressure
and blood cholesterol accounts for only about half of the obesity-related
increased risk of coronary heart disease.
- Obesity
and Cardiovascular Death.
In a meta-analysis of 26 observational studies that included 390,000 men
and women, several racial and ethnic groups, and samples from the U.S. and
other countries, obesity was significantly associated with death from CAD
and cardiovascular disease. Women with BMIs of 30 or higher had a 62
percent greater risk of dying early from CAD and also had a 53 percent
higher risk of dying early from any type of cardiovascular disease,
compared with women who had BMIs in the normal range (18.5 to 24.9). Men
with BMIs of 30 or higher had similarly elevated risks. (11)
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| Physical Exercise is a Must for Cure Obesity ! |
3. Obesity and Cancer:
The association between obesity and cancer is not quite as clear as that for diabetes and cardiovascular disease. This is due in part to the fact that cancer is not a single disease but a collection of individual diseases.
4. Obesity, Depression, and Quality of Life:
The
high rates of obesity and depression, and their individual links with
cardiovascular disease, have prompted many investigators to explore the
relationship between weight and mood. An analysis of 17 cross-sectional studies
found that people who were obese were more likely to have depression than
people with healthy weights. (17) Since the studies included in the analysis
assessed weight and mood only at one point in time, the investigators could not
say whether obesity increases the risk of depression or depression increases
the risk of obesity. New evidence confirms that the relationship between
obesity and depression may be a two-way street: A meta-analysis of 15 long-term
studies that followed 58,000 participants for up to 28 years found that people
who were obese at the start of the study had a 55 percent higher risk of
developing depression by the end of the follow-up period, and people who had
depression at the start of the study had a 58 percent higher risk of becoming
obese. (18)
Although
a biological link between obesity and depression has not yet been definitively
identified, possible mechanisms include activation of inflammation, changes in
the hypothalamic-pituitary-adrenal axis, insulin resistance, and social or
cultural factors.
Studies of the effect of obesity on specific health outcomes such as diabetes or depression provide only a glimpse of the full impact of obesity on health and well-being. Health-related quality of life (HRQoL) integrates the effect of obesity (or any other condition) across physical, psychological, and social functioning. Although HRQoL is a relatively young field of research, a number of studies have evaluated the overall impact of obesity on HRQoL. Among 31 studies in adults, the majority demonstrated that obesity was significantly associated with reduced HRQoL, compared with normal weight. (19) Researchers found a similar association among five HRQoL studies in children and adolescents.
5.Obesity and Reproduction:
Obesity can influence various aspects of reproduction, from sexual activity to conception. Among women, the association between obesity and infertility, primarily ovulatory infertility, is represented by a classic U-shaped curve. In the Nurses’ Health Study, infertility was lowest in women with BMIs between 20 and 24, and increased with lower and higher BMIs. (20) This study suggests that 25 percent of ovulatory infertility in the United States may be attributable to obesity. During pregnancy, obesity increases the risk of early and late miscarriage, gestational diabetes, preeclampsia, and complications during labor and delivery. (21) It also slightly increases the chances of bearing a child with congenital anomalies. (22) One small randomized trial suggests that modest weight loss improves fertility in obese women. (23)
The impact of obesity on male fertility is less clear. In a study by Hammoud and colleagues, the incidence of low sperm count (oligospermia) and poor sperm motility (asthenospermia) increased with BMI, from 5.3 and 4.5 percent, respectively, in normal-weight men to 15.6 and 13.3 percent in obese men. (24) In contrast, a study by Chavarro and colleagues found little effect of body weight on semen quality except at the highest BMIs (above 35), despite major differences in reproductive hormone levels with increasing weight. (25)
Sexual
function may also be affected by obesity. Data from the Health Professionals
Follow-Up Study, (26) the National Health and Nutrition Examination Survey
(NHANES), (27) and the Massachusetts Male Aging Study (28) indicate that the
odds of developing erectile dysfunction increase with increasing BMI. Of note,
weight loss appears to be mildly helpful in maintaining erectile function. (29)
The effect of obesity on female sexual function is less clear. In a recent
French study, obese women were less likely than normal-weight women to report
having had a sexual partner in the preceding 12 months, but the prevalence of
sexual dysfunction was similar in both groups. (30) In a smaller survey of 118
women, Esposito and colleagues found that obese women had lower scores on the
Female Sexual Function Index, with strong correlations between increasing BMI
and problems with arousal, lubrication, orgasm, and satisfaction. (31)
6. Obesity and Lung Function/Respiratory Disease :
Studies of the effect of obesity on specific health outcomes such as diabetes or depression provide only a glimpse of the full impact of obesity on health and well-being. Health-related quality of life (HRQoL) integrates the effect of obesity (or any other condition) across physical, psychological, and social functioning. Although HRQoL is a relatively young field of research, a number of studies have evaluated the overall impact of obesity on HRQoL. Among 31 studies in adults, the majority demonstrated that obesity was significantly associated with reduced HRQoL, compared with normal weight. (19) Researchers found a similar association among five HRQoL studies in children and adolescents.
5.Obesity and Reproduction:
Obesity can influence various aspects of reproduction, from sexual activity to conception. Among women, the association between obesity and infertility, primarily ovulatory infertility, is represented by a classic U-shaped curve. In the Nurses’ Health Study, infertility was lowest in women with BMIs between 20 and 24, and increased with lower and higher BMIs. (20) This study suggests that 25 percent of ovulatory infertility in the United States may be attributable to obesity. During pregnancy, obesity increases the risk of early and late miscarriage, gestational diabetes, preeclampsia, and complications during labor and delivery. (21) It also slightly increases the chances of bearing a child with congenital anomalies. (22) One small randomized trial suggests that modest weight loss improves fertility in obese women. (23)
The impact of obesity on male fertility is less clear. In a study by Hammoud and colleagues, the incidence of low sperm count (oligospermia) and poor sperm motility (asthenospermia) increased with BMI, from 5.3 and 4.5 percent, respectively, in normal-weight men to 15.6 and 13.3 percent in obese men. (24) In contrast, a study by Chavarro and colleagues found little effect of body weight on semen quality except at the highest BMIs (above 35), despite major differences in reproductive hormone levels with increasing weight. (25)
6. Obesity and Lung Function/Respiratory Disease :
Excess
weight impairs respiratory function via mechanical and metabolic pathways. The
accumulation of abdominal fat, for example, may limit the descent of the
diaphragm, and in turn, lung expansion, while the accumulation of visceral fat
can reduce the flexibility of the chest wall, sap respiratory muscle strength,
and narrow airways in the lungs. (32) Cytokines generated by the low-grade
inflammatory state that accompanies obesity may also impede lung function.
Asthma and obstructive sleep apnea are two common respiratory diseases that have been linked with obesity. In a meta-analysis of seven prospective studies that included 333,000 subjects, obesity increased the risk of developing asthma in both men and women by 50 percent. (33) Obesity is also a major contributor to obstructive sleep apnea (OSA), which is estimated to affect approximately one in five adults; one in 15 adults has moderate or severe obstructive sleep apnea. This condition is associated with daytime sleepiness, accidents, hypertension, cardiovascular disease, and premature mortality. Between 50 percent and 75 percent of individuals with OSA are obese. (32) Clinical trials suggest that modest weight loss can be helpful when treating sleep apnea. (34, 35)
7. Obesity, Memory, and Cognitive Function:
Asthma and obstructive sleep apnea are two common respiratory diseases that have been linked with obesity. In a meta-analysis of seven prospective studies that included 333,000 subjects, obesity increased the risk of developing asthma in both men and women by 50 percent. (33) Obesity is also a major contributor to obstructive sleep apnea (OSA), which is estimated to affect approximately one in five adults; one in 15 adults has moderate or severe obstructive sleep apnea. This condition is associated with daytime sleepiness, accidents, hypertension, cardiovascular disease, and premature mortality. Between 50 percent and 75 percent of individuals with OSA are obese. (32) Clinical trials suggest that modest weight loss can be helpful when treating sleep apnea. (34, 35)
7. Obesity, Memory, and Cognitive Function:
Alzheimer’s
disease and dementia are scourges of populations that enjoy a long life span.
In the United States, these diseases affect more than 7.5 million people, most
of them over age 65. At 65, the estimated lifetime risk for Alzheimer’s disease
is 17.2 percent in women and 9.1 percent in men. (36) Body weight is a
potentially modifiable risk factor for Alzheimer’s disease and dementia. A
meta-analysis of 10 prospective cohort studies that included almost 42,000
subjects followed for three to 36 years demonstrated a U-shaped association
between BMI and Alzheimer’s disease. Compared with being in the normal weight
range, being underweight was associated with a 36 percent higher risk of
Alzheimer’s disease while being obese was associated with a 42 percent higher
risk. (37) The associations were stronger in studies with longer follow-up. A
more recent meta-analysis demonstrated a similarly strong association between
obesity and Alzheimer’s disease. (38)
8. Obesity and Musculoskeletal Disorders:
8. Obesity and Musculoskeletal Disorders:
Excess
weight places mechanical and metabolic strains on bones, muscles, and joints.
In the United States, an estimated 46 million adults (about one in five) report
doctor-diagnosed arthritis. (1) Osteoarthritis of the knee and hip are both
positively associated with obesity, and obese patients account for one-third of
all joint replacement operations. (39) Obesity also increases the risk of back
pain, lower limb pain, and disability due to musculoskeletal conditions.
9. Obesity and Other Conditions:
9. Obesity and Other Conditions:
A
number of additional health outcomes have been linked to excess weight. These
include the development of gallstones in men (40) and women, (41) as well as
gout, (42, 43) chronic kidney disease, (44) and nonalcoholic fatty liver
disease. (25,45)
10. Obesity and Mortality:
Given
the adverse consequences of obesity on multiple aspects of health, it makes
sense that the condition also shortens survival or increases premature
mortality. However, pinning down the contribution of obesity to premature
mortality has been fraught with methodological problems and controversy.
Two of the biggest problems that researchers must cope with are reverse causation-low body weight is often the result of chronic disease, rather than being a cause of it-and the effect of smoking. People with BMIs below 25 are a mix of healthy individuals and those who have lost weight due to cancer or some other disease that may or may not have been diagnosed. Smoking also confuses the issue because smokers tend to weigh less than their nonsmoking counterparts. When reverse causation and the adverse effects of smoking aren’t fully accounted for, death rates among lean individuals will be inflated and those among overweight and obese individuals will be diminished. That was a problem with a widely reported study based on data from NHANES, which estimated relatively low numbers of excess obesity-related deaths. A careful critique of using the NHANES data to estimate mortality demonstrated that correcting for statistical biases significantly increased the estimate of excess deaths attributable to obesity.
Findings from larger studies that have more accurately accounted for reverse causation and smoking clearly show that increasing weight increases the risks of dying from cardiovascular disease, cancer, and other causes. In a 14-year study of a million-person cohort, researchers restricted their analyses to initially healthy nonsmokers. The risk of death from all causes, cardiovascular disease, cancer, or other diseases increased as BMI increased above the healthiest range of 23.5 to 24.9 in men and 22.0 to 23.4 in women. A similar association between weight and mortality was observed in another carefully controlled analysis of five prospective cohort studies (49) and a prospective study of more than 500,000 older men and women in the National Institutes of Health/AARP study.
The Bottom Line :
Obesity
harms virtually every aspect of health, from shortening life and contributing
to chronic conditions such as diabetes and cardiovascular disease to
interfering with sexual function, breathing, mood, and social interactions.
Obesity isn’t necessarily a permanent condition. Diet, exercise, medications
and even surgery can lead to weight loss. Yet it is much much harder to lose
weight than it is to gain it. Prevention of obesity, beginning at an early age
and extending across a lifespan could vastly improve individual and public
health, reduce suffering, and save billions of dollars each year in health care
costs.
References :
10. Obesity and Mortality:
Given
the adverse consequences of obesity on multiple aspects of health, it makes
sense that the condition also shortens survival or increases premature
mortality. However, pinning down the contribution of obesity to premature
mortality has been fraught with methodological problems and controversy.Two of the biggest problems that researchers must cope with are reverse causation-low body weight is often the result of chronic disease, rather than being a cause of it-and the effect of smoking. People with BMIs below 25 are a mix of healthy individuals and those who have lost weight due to cancer or some other disease that may or may not have been diagnosed. Smoking also confuses the issue because smokers tend to weigh less than their nonsmoking counterparts. When reverse causation and the adverse effects of smoking aren’t fully accounted for, death rates among lean individuals will be inflated and those among overweight and obese individuals will be diminished. That was a problem with a widely reported study based on data from NHANES, which estimated relatively low numbers of excess obesity-related deaths. A careful critique of using the NHANES data to estimate mortality demonstrated that correcting for statistical biases significantly increased the estimate of excess deaths attributable to obesity.
Findings from larger studies that have more accurately accounted for reverse causation and smoking clearly show that increasing weight increases the risks of dying from cardiovascular disease, cancer, and other causes. In a 14-year study of a million-person cohort, researchers restricted their analyses to initially healthy nonsmokers. The risk of death from all causes, cardiovascular disease, cancer, or other diseases increased as BMI increased above the healthiest range of 23.5 to 24.9 in men and 22.0 to 23.4 in women. A similar association between weight and mortality was observed in another carefully controlled analysis of five prospective cohort studies (49) and a prospective study of more than 500,000 older men and women in the National Institutes of Health/AARP study.
The Bottom Line :
Obesity
harms virtually every aspect of health, from shortening life and contributing
to chronic conditions such as diabetes and cardiovascular disease to
interfering with sexual function, breathing, mood, and social interactions.
Obesity isn’t necessarily a permanent condition. Diet, exercise, medications
and even surgery can lead to weight loss. Yet it is much much harder to lose
weight than it is to gain it. Prevention of obesity, beginning at an early age
and extending across a lifespan could vastly improve individual and public
health, reduce suffering, and save billions of dollars each year in health care
costs.
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