Rabu, 17 Oktober 2012

Obesity is The New Black Plague of Arab World

By 2015, WHO predicts that about 2.3 billion adults will be overweight and over 700 million people will be classified as obese. Now, 400 million people have a body mass index exceeding 30kg/m² according to WHO criteria.  Obesity is not just a phenomenon that affects adults: in 2005, 20 million children under 5 years were overweight in the world. Obesity is a recent, complex and highly worrying phenomenon.


Obesity is an epidemic of utmost importance in Arab world, especially in the Gulf countries -KSA included. And Google Arab users behavior confirms this trend. However, information is not missing on the Net and health Websites (like this private one in Dubai) are increasing. Obesity is often seen as a developing countries disease due to changes in eating habits (high calorie diets) and more urban lifestyles.
Country Percentage of obese population Country Percentage of diabetic population
Nauru 78,50% Nauru 30,70%
Tonga 56,00% United Arab Emirates 19,50%
Saudi Arabia 35,60% Saudi Arabia 16,70%
United Arab Emirates 33,70% Bahrain 15,20%
United States 32,20% Koweit 14,40%
Bahrain 28,90% Oman 13,10%
Koweit 28,80% Tonga 12,90%
Seychelles 25,10% Mauritius 11,10%
United Kingdom 24,20% Egypt 11,00%




Ranking of the countries with the highest percentages of obesity and diabetes (Source : Government Office for Science)
Obesity is a significant risk factor of comorbidities and mortality, most importantly from cardiovascular disease (CVD) and diabetes, but also from cancer and chronic diseases. It is a social phenomenon and a major public health concern for MENA countries.
In July 2009, Eric A. Finkelstein leaded a survey (available on Health Affairs) about the correlation between the increase of obesity in the United States and the one of health spending (MediCare, MediCaid and private insurers).
The increased prevalence of obesity is responsible for almost $40 billion of increased medical spending through 2006, including $7 billion in Medicare prescription drug costs. We estimate that the medical costs of obesity could have risen to $147 billion per year by 2008.
 
Obesity: a significant risk factor of comorbidities
Obesity: a significant risk factor of comorbidities (Source : http://www.dwp.gov.uk)

In the Middle East, figures are alarming and governments (and private investors) are promoting solutions to reverse the trend of obesity. However, tackling obesity raises a good many questions.

In the Gulf countries (KSA included), obesity rate among women hits 70% (50% among males). Saudi Arabia opened a debate last year “over women’s sports, particularly women’s gyms, physical education instruction in girls’ schools, and competitive sports clubs for women.” A controversial fatwa reminds that women should not go against Allah’s will who created them to stay home and to educate their children
Public awareness campaigns to help tackle the issues of overweight and obesity are a major challenge. That is why, the Ministry of Health in UAE has launched a “No to Obesity” programme, which will include health awareness lectures, dietary practices and physical training programmes.

The problem of nutrition is obesity… and some severe nutrient deficiencies

We must bear in mind, as GAIN (Globale Alliance for Improve Nutrition) experts said in Dubai on May, 2010, that the problem of nutrition in the Gulf states is obviously linked with obesity but also with some severe nutrient deficiencies. Indeed, a government report reveals that 35 percent of infants (6-22 months) are suffering from anemia, while 41 percent of UAE women have a deficiency of folic acid and 35 percent are obese.

Against obesity (and also to be slender like famous movie stars and models), most women of all ages are seeking out “slimming medications” usually including appetite suppressors, fat burners or fat absorption inhibitors. In spite of the warnings against the harmful side effects (welling in the stomach, anemia, low calcium levels to inflammation, diarrhea, colon problems, heart palpitations or nervous disorders), the lack of regulation and control allows to purchase them everywhere (hairdresser, mall, etc.). The Jerusalem Post on July, 6, 2010 said that in many Middle Eastern countries slimming pills are loosely regulated, giving rise to a vast market of unregulated and sometimes dangerous pharmaceuticals, moreover when used in self-medication without the monitoring of a professional.

The very interesting benchmarking analysis made by Antoine Flahaut, chairman of EHESP, on his blog, deserves special attention: he wonders about the French paradox (high fat diet vs. good obesity figures and myocardial infarction). According to him, and to the experts of the Strategic Analysis Center regular eating habits are the main raisons of explanation. He follows the results of a study published on March 2010 in the Pediatrics review showing that on 8550 American four-year-olds, those who regularly (5 times) ate dinner with the family, got enough sleep and watched less than two hours of TV a day were 40 percent less likely to be obese.

Prevention and information are the crux of the matter to tackle this epidemic. The partnership between all the stakeholders (both institutional and private) is also a necessary prerequisite for establish effective public health policies in the long term against obesity. Nevertheless, these public policies to prevent obesity have to be in it for the long term to change habits and behavior.

Source: vincentfromentin.fr
 

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