America’s waistline is growing at a phenomenal rate. In fact, previous to 2010, the CDC used to use a scale that had a range from 10% to greater than 35% of total accounts of self-reported obesity per state. They’ve since scrapped that scale as there isn’t a single state below 20% of total populous obesity. Most everybody knows that eating better, exercising more, and making an effort live a more healthy lifestyle are good things but it is easy to forget ‘why.’ Obesity rates continue to rise, reaching unprecedented levels. These astronomically high levels of obesity are a relatively new threat to humanity, and education is the only real weapon against this deadly foe. Understanding things like what it means to have a healthy BMI, how obesity affects one’s wallet, and how children can learn an obese lifestyle from their parents can make trim obesity back a few notches and help ensure a thriving society for future generations.
The way doctors accurately determine one’s girth is through a number called body mass index or BMI. Simply put, BMI is one’s weight to height ratio and it is used because it generally correlates with the amount of body fat an individual has (“Defining Overweight and Obesity”CDC). One can have a high BMI and be overweight but not be obese. Having high BMI means that one has more weight than is healthy for their weight, while obesity is defined as having an excess of body fat (“Defining Overweight and Obesity” CDC). What’s the harm in a little pudge? The rolls aren’t really the problem but a symptom of the truth which lays beneath. They are one of the most direct indicators of how one is living their lifestyle. A high BMI is related to what’s known as metabolic syndrome, which according to the Mayo Clinic, is a cluster of conditions — increased blood pressure, a high blood sugar level, excess body fat around the waist and abnormal cholesterol levels — that occur together, increasing one’s risk of heart disease, stroke, and diabetes. The leading cause of death in America is, you guessed it, heart disease, with the only other close contender being cancer (“Heart Disease Facts” CDC).Low levels of exercise have been linked to children and adolescents with metabolic syndrome. Adolescents with metabolic syndrome are six times more likely to have low aerobic fitness as children (McMurray, Bangdiwala, Harrell, and Amorim).

Heart disease death rates in US. Image courtesy of CDC.

Percent of obese in US Adults. Image courtesy of CDC.
How does one gain weight in the first place? According to the CDC it’s all a matter of net calories (“Improving Your Eating Habits” CDC). Calories are energy that the body uses for fuel. When more calories are consumed than one’s body uses in a day some of those calories get stored as little energy packed fat cells. These fat cells are like a rainy day fund and are really quite ingenious. Think about it; if one didn’t have enough energy for their body to run it would die. These fat cells provide a little cushion (in more than one way) so that if you didn’t have food for a time one wouldn’t simply keel over and die. The problem comes when the body has more calories than it needs over an extended period of time. The human body is designed to continue to put away a little bit at a time into the rainy day fund and pretty soon the rainy day fund asks to open up another notch on the belt.

“Big Boned”
More and more evidence is being unveiled that the common excuses for obesity like, “I can’t help it, it’s in my genes,” are false. Statistically, genetic obesity is actually quite rare and because it generally takes a long time for genes to mutate in such a way that they affect a large portion of the population genes can basically ruled out as a cause of the surge in public obesity over the last 40 years (“Genes Are Not Destiny”).
The CDC states that, “Childhood obesity has more than doubled in children and quadrupled in adolescents in the past 30 years (“Childhood Obesity Facts ” CDC).” Studies show that children whose parents are overweight or obese are at a higher risk for becoming obese themselves (“Obese Parents Influence Children’s Weight” URMC). Genes are to blame for a small percentage of childhood obesity but lifestyle habits learned and formed during childhood carry a bigger portion of the blame (“Genes Are Not Destiny” HSPH). These learned habits include diets high in fat and time spent inactive. The relationship between time children spend watching television and body fat is clear. Children, both boys and girls, who spend 4 or more hours per day in sedentary activities (TV) each day are likely to have more body fat and a greater BMI than those who spend less than two hours in such activities (Anderson, Crespo, Bartlett, Cheskin, and Pratt).
Rising rates of obesity and rising medical spending are undeniably linked. In 1998 total spending on obesity was estimated to be as high as $78.5 billion (that’s per year to those who may somehow think it insignificant), and about half of that came from Medicare and Medicaid (taxpayer money)(Finkelstein, Trogdon, Cohen, Dietz). From 1998 to 2006 obesity has been responsible for an increase of almost $40 billion per year in medical spending (Finkelstein, Trogdon, Cohen, Dietz).
And people wonder why are taxes continue to rise? According to the same study, those who are obese and on Medicare cost on average $600 more per person per year than those who are normal-weight and on Medicare. The costs of obesity are not just financial. Using data from 1994, a study on the costs of obesity says that America lost 39.2 million days of lost work due to obesity, effectively pulling down the economy (Wolf, Colditz). Obesity represents 5.7% the National Health Expenditure in the United States (Wolf, Colditz).
If left unchecked, it is projected that by 2030 86.3% of adults will be overweight or obese and 51.1% obese and by 2048 all american adults would become overweight or obese (Wang, Beydoun, Liang, Caballero, and Kumanyika). Can you imagine what obesity might cost America then? These staggering numbers will come true if nothing is done but fortunately numbers are not destiny; America is fighting a battle it can win. The most positive thing about America’s killer is that it’s completely preventable. There are key things one can do that will ensure victory over the fat plague.
The first key to battling obesity begins in one’s own home; it is to consider specific eating habits, both good and bad. What triggers or cues unhealthy eating? Triggers for unhealthy eating may be things that get one to eat when not really hungry, such as: sitting at home watching the news, leaving a candy dish in plain sight on the counter, or feeling bored or tired and thinking food might help raise one’s spirits.
Once triggers are identified you can begin to develop new habits. A new habits may be as simple as hiding junk food away. As one user from BodyBuilding.com puts it, “It’s less convenient to cheat when you have no cheat foods around to tempt you.” Eat full, balanced meals and carry a water bottle to sip during the day, and to think twice before loading a shopping cart with unessential, non-nutritional foods. Remember, it’s all a matter of net calories so start counting! Keep track – make a chart of net calories each day, adding calorie intake and subtracting calories for exercise. Using a fitness app like My Fitness Pal can be a big help.
Lastly, reinforcing these new habits by being accountable to oneself and to a loved one, like a spouse or other family member will help reach these goals. If one should find themselves snacking it may be helpful to ask questions like: Why do I do this? When did I start doing this? What changes do I need to make? Be patient. Developing new habits doesn’t happen overnight. A little slide here and there doesn’t mean one has“blown a whole day” of healthy habits. Another user from BodyBuilding.com says this on the suject of slipping while dieting:
“Eating excessively and falling off your diet should never make you feel bad. I love “junk” and I love to indulge on occasion. When you diet strays from your goal, you chalk it up to a bad (day/week whatever) and you get back to business.”
As one makes a concerted effort to change those habits and they will be able to. These three steps to overcoming unhealthy eating habits can be summed up in three words: Reflect – Replace – Reinforce (CDC).
What’s most ironic is that the America’s biggest killer isn’t crime, war, or even the bubonic plague but it’s own gluttony; the people’s biggest threat is so personal it’s wrapped around their middle. America doesn’t have to be known as fat America. The power to change course resides within each individual, but it will take more than well wished thoughts. Understanding what it takes to combat obesity and becoming a support system for those in need is within everyone’s responsibility. It’s up to all to work to shrink America’s waistline and by so doing keep a little more fat in it’s wallet.
Works Cited
Anderson, Ross E., PhD, Carlos J. Crespo, DrPh, MS, Susan J. Bartlett, PhD, Lawrence J. Cheskin, MD, and Michael Pratt, MD, MPH. “Relationship of Physical Activity and Television Watching With Body Weight and Level of Fatness Among Children.”Www.jamapeds.com. N.p., n.d. Web. 27 Feb. 2014. <www.jamapeds.com/data/Journals/JAMA/4553/JOC71873.pdf>.
“Childhood Obesity Facts.” Centers for Disease Control and Prevention. Ed. CDC.gov. Centers for Disease Control and Prevention, 10 July 2013. Web. 25 Feb. 2014. <http://www.cdc.gov/healthyyouth/obesity/facts.htm>.
“Defining Overweight and Obesity.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, n.d. Web. 09 May 2014. <http://www.cdc.gov/obesity/adult/defining.html>.
Finkelstein, Eric A., Justin G. Trogdon, Joel W. Cohen, and William Dietz. “Annual Medical Spending Attributable To Obesity: Payer-And Service-Specific Estimates.” Health Affairs. Project HOPE, July 2009. Web. 28 Feb. 2014. <http://content.healthaffairs.org/content/28/5/w822.full.html>.
“Genes Are Not Destiny.” Obesity Prevention Source. Ed. Harvard. Harvard School of Public Health, n.d. Web. 28 Feb. 2014. <http://www.hsph.harvard.edu/obesity-prevention-source/obesity-causes/genes-and-obesity/>.
“Heart Disease Facts.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 19 Feb. 2014. Web. 08 May 2014. <http://www.cdc.gov/heartdisease/facts.htm>.
“Improving Your Eating Habits.” Centers for Disease Control and Prevention. Ed. CDC.gov. Centers for Disease Control and Prevention, 13 Sept. 2011. Web. 28 Feb. 2014. <http://www.cdc.gov/healthyweight/losing_weight/eating_habits.html>.
“Metabolic Syndrome.” Mayo Clinic. Ed. Mayo Clinic. Mayo Clinic, 5 Apr. 2013. Web. 03 Mar. 2014. <http://www.mayoclinic.org/diseases-conditions/metabolic-syndrome/basics/definition/con-20027243>.
Niosh. “Thread: Bad Eating Habits HELP.” Bodybuilding.com Forums RSS. N.p., 10 Feb. 2012. Web. 3 Mar. 2014. <http://forum.bodybuilding.com/showthread.php?t=148622643>.
McMurray, Robert G., Shrinkant I. Bangdiwala, Joanne S. Harrell, and Leila D. Amorim.Adolescents with Metabolic Syndrome Have a History of Low Aerobic Fitness and Physical Activity Levels. Dynamic Medicine. N.p., 4 Apr. 2008. Web. 27 Feb. 2014. <http://www.dynamic-med.com/content/7/1/5>.
“Obese Parents Influence Children’s Weight.” University of Rochester Medical Center. Ed. URMC. Online Medical Encyclopedia, n.d. Web. 27 Feb. 2014. <http://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=1&ContentID=713>.
Wang, Youfa, May A. Beydoun, Lan Liang, Benjamin Caballero, and Shiriki K. Kumanyika.Will All Americans Become Overweight or Obese? Estimating the Progression and Cost of the US Obesity Epidemic. Wiley Online Library. North American Association for the Study of Obesity (NAASO), 6 Sept. 2012. Web. 27 Feb. 2014. <http://onlinelibrary.wiley.com/doi/10.1038/oby.2008.351/full>
Wolf, Anne M., Graham A. Colditz. Current Estimates of the Economic Cost of Obesity in the United States. North American Association for the Study of Obesity (NAASO), 6 Sept. 2012. Web. 27 Feb. 2014. <http://onlinelibrary.wiley.com/doi/10.1002/j.1550-8528.1998.tb00322.x/abstract>.
“Why People Become Overweight.” Harvard Medical School. Ed. Harvard. Harvard Medical School, n.d. Web. 02 Mar. 2014. <http://www.health.harvard.edu/newsweek/Why-people-become-overweight.htm>.