Obesity

English

Young people with diabetes and obesity in Asia: a growing epidemic

For some time now, international agencies have been warning about the rapid increases in the rates of diabetes and other chronic disease in Asian countries. Asia already accounts for a sizeable proportion of the world’s population with diabetes and the prevalence of diabetes in the region looks set to rise dramatically in the coming years. In addition, the age of onset of type 2 diabetes is moving downward. While the condition was historically diagnosed in people over age 65 years, nowadays type 2 diabetes in young adults is not unusual.

The Healthy Beverage Guidelines: a tool to fight obesity

The Beverage Guidance Panel was assembled to provide guidance on the relative benefits and risks for health of various categories of drink. Initiated by the first author of this article, the Panel’s purpose was to attempt to systematically review the literature on beverages and health, and provide guidance to consumers; and to develop a deeper dialogue among the scientific community on beverage consumption patterns. The Panel aimed also to highlight the great potential of changing these as a way to improve health.

Polycystic ovary syndrome and women with diabetes

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder to affect women of reproductive age. Although it was first described almost 70 years ago, there has been no universal agreement about its definition. Eleni Kousta and Stephen Franks describe the prevalence, symptoms, and cause of PCOS, and look at long-term health implications and the available and possible future treatments for women with the syndrome.

Lifestyle and nutritional management

It is often stated that dietary management is a cornerstone of diabetes care. More recently, physical activity has also been recognized as a useful fundamental intervention. When it is realized that both of these can affect a variety of the problems that bedevil people with diabetes – including excess body weight, high blood glucose levels, high blood fat levels, and high blood pressure – it is not difficult to see why these issues might be regarded as fundamental.

Unite to protect health worldwide

President's Editorial

Children

The relatively recent emergence in children of type 2 diabetes, a condition once considered ‘late-onset’, has been viewed with consternation around the world. Guidelines directed at healthcare professionals dealing with children have generally focused on type 1 diabetes; it is only now becoming apparent that type 2 diabetes in children is a serious condition and that it is at least as demanding to manage. The chapter on children in the Global Guideline seeks to raise awareness of these problems, which are faced by increasing numbers of families.

A diabetes strategy for Africa: investing in health, protecting our people

The burgeoning epidemic of diabetes in Africa will exact a terrible toll from the people and economies of the region. The costs of the condition and its complications are already unacceptably high. Every day in Africa, large numbers of children and adults die because they cannot pay for the insulin they need to survive; many more die before a diagnosis can be made. But diabetes can be controlled through relatively small investments and prevented entirely through simple cost-effective interventions.

Insensitivity to insulin and obesity: the underlying cause

In the late 20th century obesity became an epidemic. The importance of obesity as a risk factor for a number of conditions, including type 2 diabetes, cardiovascular disease, hypertension, gallstones and certain cancers, is well documented. Often associated with insensitivity to insulin, obesity is clearly a key factor in the development of the metabolic syndrome – a risk for both diabetes and cardiovascular disease. In this article, Robert Eckel and Scott Grundy explore the underlying causes of obesity and insensitivity to insulin.

Fruit and vegetables and the prevention of non-communicable diseases

It is estimated that around 2 billion children and adolescents worldwide suffer from weight-related disorders. According to the World Health Organization (WHO), more than a billion people are overweight, at least 300 million of whom are obese. As societies continue to embrace unhealthy sedentary lifestyles, fuelled by high-fat, high-sugar processed foods, obesity-related disorders, including type 2 diabetes and cardiovascular disease, are affecting increasing numbers of people at all levels of society and in almost all the countries in the world.

Obesity and the metabolic syndrome in young people

As the number of children with obesity continues to grow, the health implications of the condition are becoming increasingly evident: an unprecedented epidemic of type 2 diabetes is emerging in obese and overweight young people. At the time of diagnosis of diabetes, cardiovascular disease may already be present, even in young adults. The close association between type 2 diabetes and cardiovascular disease led to the hypothesis that the two may arise from a common antecedent, the metabolic syndrome – a cluster of metabolic disorders.

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