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MEDICAL: CONDITIONS: OBESITY :

JOURNAL ARTICLES :

RESEARCH PUBLICATIONS:

Advanced Age, Obesity, Physical Activity
Affect Diabetes Risk in Rural India

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Advanced Age, Obesity, Physical Activity
Affect Diabetes Risk in Rural India

Barik A, et al.

BMJ Open Diabetes Res Care.

2016;doi:10.1136/bmjdrc-2016-000255.

August 3, 2016

http://tinyurl.com/z8kbzbt

Among adults in rural India, older age, greater wealth, advanced education 
level and limited physical activity all increase the likelihood of 
developing type 2 diabetes, according to recent findings.

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Results indicate that age group, economic status, being overweight/obese 
and low level of physical activity are the potential risk factors of 
diabetes, Anamitra Barik, MBBS, DPH, research coordinator at the Society 
for Health and Demographic Surveillance in Suri, West Bengal, India, and 
colleagues wrote. Although these risk factors appear as independent 
characteristics associated with diabetes, they are also interrelated.

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In a cross-sectional study, Barik and colleagues analyzed data from 7,674 
adults without cardiovascular disease or type 1 diabetes from the Birbhum 
Population Project, a health and demographic surveillance system site 
located in West Bengal. Data, collected between July 2012 and March 2013, 
include demographic processes, population health, epidemiology and health 
care utilization with a focus on anthropometric indices; cardiometabolic 
imaging data is available in a subgroup of adults. Researchers assessed 
venous plasma glucose to measure glucose concentrations in blood; 
participants were categorized as having diabetes, prediabetes or impaired 
glucose tolerance, or normoglycemia. Researchers interviewed participants 
and conducted home study visits every 3 weeks for assessment of follow-up 
for clinical events.

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Related Artciles


Increased mortality risk associated with IGT mostly attributable to type 2 
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Gong Q, et al.

Diabetes Care.

2016;doi:10.2337/dc15-0426.

August 3, 2016

http://tinyurl.com/jb7ll6u

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ntensive glycemic control improved prognosis in patients on hemodialysis

Poor HbA1c predicted decreased cumulative survival rate.

Endocrine Today,

August 2006

http://tinyurl.com/z7jw2lg

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DPP-IV activity linked to mild cognitive impairment in type 2 diabetes

Zheng T, et al.

Diabetes Care.

2016;doi:10.2337/dc16-0316.

July 5, 2016

http://tinyurl.com/jhv4pjx

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Increasing obesity rate related to increased cost to society

Morbidities associated with obesity are also associated with high medical 
costs for care.

Endocrine Today,

December 2008

Brant K. Oelschlager, MD; Saad Shebrain, MD

http://tinyurl.com/jrgqckr

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Obesity is a global epidemic according to World Health Organization 
reports. There are more than 1 billion overweight (BMI 2529.9) adults, and 
at least 300 million of them are obese (BMI > 30) compared with 850 
million who are chronically underweight (malnutrition and hunger). The 
United States ranks number one in the world in rates of overweight and 
obese individuals per capita, estimated in 2004 at 64.5% of the 
population; Mexico (62.3%), the United Kingdom (61%) and Australia (58.4%) 
follow close behind. The lowest percentages are recorded in Japan (25.8%) 
and Korea (30.6%).

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Researchers from Johns Hopkins Bloomberg School of Public Health addressed 
the prevalence of obesity and found the U.S. obesity rate has increased at 
an alarming rate over the past three decades, according to results of a 
recent study. The researchers expect that by 2030, 86% of U.S. adults will 
be overweight or obese, with related health care spending projected to be 
as much as $956.9 billion. They concluded that without a change in peoples 
eating habits or exercise habits, the figures will continue climbing to a 
public crisis.

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Researchers from Johns Hopkins Bloomberg School of Public Health addressed 
the prevalence of obesity and found the U.S. obesity rate has increased at 
an alarming rate over the past three decades, according to results of a 
recent study. The researchers expect that by 2030, 86% of U.S. adults will 
be overweight or obese, with related health care spending projected to be 
as much as $956.9 billion. They concluded that without a change in peoples 
eating habits or exercise habits, the figures will continue climbing to a 
public crisis.

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From an economic standpoint, obesity is costly for both individuals and 
society, with its associated major health problems leading to substantial 
economic consequences for the U.S. health care system. This includes both 
direct and indirect costs. Direct medical costs may include preventive, 
diagnostic, and treatment services related to obesity; indirect costs 
relate to morbidity and mortality costs.

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The pyramid of economic costs

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These economic costs related to obesity hit on multiple levels, starting 
from the base of pyramid  the overweight or obese person him/herself, 
his/her employment, the family  to the community, to the city level, to 
the state level, the national level, and the global international level. 
All these levels have a common pathway of economic destruction with 
shifting the resources from being used for human welfare like education, 
health care of manageable diseases and building the infrastructures in 
community in need.

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At an individual level, obese people are subjected to a well-known major 
health problems related to obesity including, but not limited to, 
hypertension, osteoarthritis, dyslipidemia, type 2 diabetes, coronary 
heart disease, stroke, gallbladder disease, sleep apnea and respiratory 
problems, and some cancers (endometrial, breast, and colon). These 
morbidities are associated with very high medical costs for treatment of 
these problems or their complications. Unfortunately, almost all obese 
people have a combination of more than one of these health issues.

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Obesity and obesity-related conditions result in $62.7 billion in doctors 
visits and $39.3 billion in lost workdays each year. Type 2 diabetes, for 
example, has the highest contribution with an estimated $98 billion per 
year in health care costs because of its links with other health issues 
such as coronary artery diseases, renal diseases, hyperlipidemia and 
stroke.

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Effect on life

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The effect of obesity is not limited to health problems only, but it 
encompasses all aspects of these individuals daily living activities at 
home and travel. An example of this is the reflection of obesity on fuel 
consumption. In the 1990s, Americans average weight increased by 10 lb, 
which meant that airlines spent $275 million on fuel costs in one year to 
account for that average increase in weight. This made some airlines 
require obese people or people who may take up more than one seat to buy 
an adequate number of seats on the flight.

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More recently, researchers found that nearly 1 billion additional gallons 
of fuel are consumed annually in the United States as a result of average 
passenger weight increases since 1960. They concluded that 0.7% of the 
fuel consumed by passenger vehicles annually can be attributed to the 
rising prevalence of obesity since 1960. Although this fraction seems to 
be small, it can be translated into a large amount of money loss when one 
considers the increasing cost of gasoline.

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