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Obesity and Diabetes 2e (Practical Diabetes #34)
eBook Publisher: John Wiley & Sons
Imprint: John Wiley & Sons
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Type 2 diabetes, associated with obesity, is today the most common form of diabetes. It is also associated with a number of other cardiovascular risk factors which constitute the metabolic syndrome. Effective management of 'diabesity' is crucial to the reduction of morbidity and premature morbidity due to cardiovascular disease.
Part of the successful 'Diabetes in Practice' series, Obesity and Diabetes Second Edition focuses on the link between diabetes and obesity, two of the most pressing health problems in the developed world. It covers topics ranging from the changing epidemiology of type 2 diabetes to an analysis of the principal causes of the metabolic syndrome. Includes new chapters on obesity management in ethnic minorities and obesity issues in the workplace Features many suggestions of practical value Describes a contemporary approach to the clinical assessment of obesity and its management in both primary and secondary care settings Covers emerging problems such as childhood "diabesity" and the impact of obesity on polycystic ovary syndrome All chapters have been updated
Obesity and Diabetes Second Edition addresses the management of obesity and diabetes in practical terms useful to clinicians with an interest in diabetes, both in primary and secondary care, general practitioners, paediatricians, endocrinologists and nutritionists, as well as to students and researchers interested in obesity.
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| Title of eBook: Obesity and Diabetes 2e (Practical Diabetes #34) | |
| Release Date: 03-30-2009 | |
| Publisher: John Wiley & Sons |
This eBook download is available in the following formats:
| Parent title | Obesity and Diabetes 2e (Practical... |
|---|---|
| Encrypted (DRM) | Yes |
| SKU | 9780470741481 |
| File size | 3044 |
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Obesity and Diabetes 2e (Practical Diabetes #34)
Chapter One
Changing epidemiology of obesity - implications for diabetesJonathan Webber
1.1 Introduction
There is a global epidemic of obesity and the enormous implications for diabetes of this epidemicare nowclear. A large number of co-morbidities are associated with obesity, but it is type 2 diabetes that is most closely linked with increasing adiposity and even within the normal weight range diabetes prevalence begins to rise with increasing adiposity. There are currently about 110 million patients with diabetes on a worldwide basis, with this number projected to increase to 180 million by 2010. This will clearly have major economic implications with diabetes consuming ever higher proportions of healthcare budgets. Being overweight or obese with an abdominal fat distribution probably accounts for 80-90% of all patients with type 2 diabetes.
1.2 Assessment of obesity in epidemiological studies
Most current epidemiological studies of body weight use body mass index (BMI) to define degrees of obesity. BMI is calculated as the subject's weight in kilograms divided by the square of their height in metres (kg/[m.sup.2]). Cut-offs for underweight, normal weight, overweight and obesity are shown in Table 1.1.
BMI correlates well with total adiposity and with morbidity and mortality from many diseases, although for a number of co-morbidities, including type 2 diabetes, the relationship is closer with abdominal body fat distribution than total body fat. In epidemiological studies intra-abdominal fat is most commonly estimated using measurements of waist and hip circumference and these can be used to identify in
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