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Definitions of Obesity
A: How does one define when a person is considered to be obese and not just somewhat overweight? Height-weight tables give an approximate guideline as to whether one is simply overweight or has passed into the obese stage.
B: The World Health Organization recommends using a formula that takes into account a person's height and weight. The "Body Mass Index" (BMI) is calculated by dividing the person's weight in kilograms by the square of their height in meters, and is thus given in units of kg/m2. A BMI of 18.5-24.9 is considered to be the healthiest. A BMI of between 25 and 29.9 is considered to be overweight, while a BMI of over 30 is considered to be obese.
C: However, it is recognized that this definition is limited as it does not take into account such variables as age, gender and ethnic origin, the latter being important as different ethnic groups have very different fat distributions. Another shortcoming is that it is not applicable to certain very muscular people such as athletes and bodybuilders, who can also have artificially high BMIs. Agencies such as the National Cholesterol Education Program (NCEP) in the USA and the International Diabetes Foundation (IDF) are starting to define obesity in adults simply in terms of waist circumference.
Health Effects of Obesity
D: Over 2000 years ago, the Greek physician Hippocrates wrote that "persons who are naturally very fat are apt to die earlier than those who are slender". This observation remains very true today. Obesity has a major impact on a person's physical, social and emotional well-being. It increases the risk of developing diabetes mellitus type 2 ("mature onset diabetes") and also makes Type 2 diabetes more difficult to control. Thus weight loss improves the levels of blood glucose and blood fats, and reduces blood pressure. The association between obesity and coronary heart disease is also well-known.
Cancer
E: Furthermore, in 2001 medical researchers established a link between being overweight and certain forms of cancer, and estimated that nearly 10,000 Britons per year develop cancer as a result of being overweight. This figure was made up of 5,893 women and 3,220 men, with the strongest associations being with breast and colon cancers. However, it is thought that being overweight may also increase the risk of cancer in the reproductive organs for women and in the prostate gland for men.