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    Overweight and Obesity 2011

    SEPTEMBER 2011

    Population Epidemiology UnitDivision of the Chief Health Officer, Queensland Health

    How do we define overweight and obesity?

    The most commonly used measure for overweight and obesity inadult populations and individuals is Body Mass Index (BMI). 2 BMI isa measure of a persons weight in relation to their height. It iscalculated by dividing a persons weight in kilograms by the squareof their height in metres (kg/m 2). BMI categories are displayed anddefined in the following graph.

    Weight for height c hart for males and females aged 1864 years

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    Overweight and Obesity 2011

    SEPTEMBER 2011

    Obesity in childr en and young p eople

    Obesity rates in children are a concern .Globally, it was estimated that at least 20million children under 5 years were overweightin 2005. 6 The prevalence of overweight andobesity in Australian children increasedsubstantially during the past 40 years and isprojected to approach adult rates within 30years. 12

    In Queensland, 26.1% of children aged 515 years wereoverweight or obese in 2007-08, based on physicalmeasurement. This compares with 26.5% in 2009 based onestimates from proxy reports (information collected from parentsand carers). 1

    Rates of proxy-reported overweight and obesity in 2009 werecomparable in girls and boys aged 515 years and across all agegroups. However, the rates of overweight and obesity in childrenliving in disadvantaged areas of Queensland were more thandouble that in advantaged areas. 1

    Overweight and obesity in childhood, especially in older children,can be a precursor for obesity and severe obesity in adulthood.Furthermore, childhood and adolescent obesity is associated witha higher risk of premature death and disability in later life. 1

    There is evidence that in addition to the physical risks,overweight and obese children are at greater risk of socialisolation and development of psychological disorders than thosein the healthy weight range. 13

    How does overweight and obesity imp act on health?

    Overweight and obesity is now the largest single contributing riskfactor for premature death and disability in Queensland,overtaking tobacco. Obesity reduces life expectancy, with theaverage survival for obese people reduced by 24 years and forthe severely obese a reduction of 810 years. 1

    High body mass is the dominant risk factor for a number ofchronic diseases, with about 40% of disease burden due to type2 diabetes, 30% to coronary heart disease, 11% to stroke and10% to colorectal, breast and uterine cancers. 1

    In addition to major chronic illnesses, being overweight or obeseincreases a persons risk of respiratory problems (sleep apnoeaand breathlessness), chronic musculoskeletal problems (lowerback pain and osteoarthritis), gall bladder disease and impairedfertility.4

    Economics of obesityObesity is expensive, and a majorcontributor to the burden on healthcaresystems. In Queensland, the total healthsystem cost for obesity in 2008 wasestimated to be about $391 million.

    Obesity puts people at higher risk of a number of disablingchronic conditions, resulting in the loss of healthy life. In 2008overweight and obesity in Queensland was estimated to costan additional $9.961 billion in lost wellbeing, and together withother financial costs, results in a total of $11.614 billion relatedto obesity. 1

    Toward Q2 target progress

    The Queensland Government is committed to makingQueenslanders Australias healthiest people. Reduction of obesityis a key target in achieving this commitment. The Toward Q2 goalis to reduce the rate of adult overweight and obesity by one-third by2020. If this goal is achieved, the prevalence of overweight andobesity in Queensland adults in 2020 will be33%.

    However, between 2002 and 2011, theprevalence of self reported adult overweight and obesity increasedby 1 percentage point per year. If current upward trends continue,about 65% of Queensland adults (3.7 million) will be overweight orobese by 2020, nearly double the Toward Q2 goal. 1

    Proportion of self reported adult overweight and obesity,Queensland, 20022011 and proj ections to 2020 Q2 target

    Between 1995 and 2007-08 the proportion of people whomeasured as overweight remained steady, but the proportionmeasured as obese increased by about one-third from 19.2% to25.1% in Queensland. 1

    Overweight and obesity is perhaps the most important challengefacing the health system but it is also largely preventable. While

    good nutrition and regular exercise can influence a personsweight, the focus cannot be on changing individual behavioursalone. Reversing the long term upward trends in overweight andobesity will require concerted and sustained action across allsectors of the community through multi-strategy interventions. 1

    References1. Queensland Health. The Health of Queenslanders 2010. Third Report of the

    Chief Health Officer Queensland. Queensland Health: Brisbane; 2010.2. World Health Organization. Obesity: Preventing and managing the global

    epidemic. Report of a WHO Consultation on Obesity. WHO: Geneva; 1997.3. Queensland Health. 2011 Self reported health status survey. Population

    Epidemiology Unit, Preventative Health Directorate: Brisbane; 2011.4. World Health Organization. Obesity: Preventing and managing the global

    epidemic. WHO Technical Report Series 894. WHO: Geneva; 2000.5. International Obesity Task Force and European Association for the Study of

    Obesity. Obesity in Europe. IOTF and EASO: London; 2002.6. World Health Organization. Overweight and obesity. Fact sheet no. 311. WHO:

    Geneva; 2006.7. Australian Bureau of Statistics. National Health Survey: Summary of results.

    State tables. 2007-08. Cat. no. 4362.0. ABS: Canberra; 2009.8. Australian Bureau of Statistics. National Aboriginal and Torres Strait Islander

    Health Survey, 2004-05. Cat. no. 4715.0. ABS: Canberra; 2006.9. Organisation for Economic Co-operation and Development. Health at a Glance

    2009: OECD Indicators. DOI: 10.1787/health_glance-2009-en. OECD: Paris;2009.

    10. Chuang H-T, Lee Y-C. Analysis of factors found to affect self-perceived weightstatus in Australia. Journal of Nursing Research 2010;18:227-237.

    11. Abbott RA, Lee AJ, Stubbs CO, Davies PSW. Accuracy of weight statusperception in contemporary Australian children and adolescents. Journal ofPaediatrics and Child Health 2010;46:343-348.

    12. Norton K, Dollman J, Martin M, Harten N. Descriptive epidemiology ofchildhood overweight and obesity in Australia: 1901-2003. International Journalof Pediatric Obesity 2006;1:232-238.

    13. Libbey HP, Story MT, Neumark-Sztainer DR, Boutelle KN. Teasing, disordered

    eating behaviors, and psychological morbidities among overweightadolescents. Obesity 2008;16.

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    Prepared by : Population Epidemiology Unit, Strategic Partnerships and Epidemiology Branch, Preventative Health Directorate, Division of the Chief Health Officer, Queensland HealthSuggested citation: Queensland Health: Overweight and Obesity 2011 Fact sheet. Division of the Chief Health Officer, Queensland Health, Brisbane, 2011.