Obesity in Germany
Introduction
   Obesity is a widespread phenomenon.   It has doubled since 1980.   In 2008 more than 1.4 billion adults    (>20y) we...
   Obesity is based on the BMI or Body Mass    Index   Overweight is a Body Mass Index greater    than or equal to 25, a...
   The 2009 results of the German Federal    Statistics Office: Every second German is overweight Every sixth is actual...
   Health implications are enormous    ◦ Higher risk to develop a multitude of      comorbidities      Type2 diabetes me...
Evolution
1980       Mean BMI                  25.4
1985       25.7
1990       25.9
1995       26.3
2000       26.7
2005       27.0
2008       27.2
Causes
   Most people consume more calories than    they burn.    Eating too much and exercising too little.    Many other factors
   Age:    ◦ As you get older, your body’s ability to      metabolize food slows down.   Gender:    ◦ Men have a higher ...
   Environmental factors:    ◦ Closely related to nutrition an physical activity.   Physical activity:    ◦ Active indiv...
 Medication Psychological factors:    ◦ Many people eat in response to negative      emotions.
InitiativesTo lower the obesity rate in Germany
   The government:    ◦ 2007: shocking study showed the severity of      the obesity problem in Germany    ◦ 2008: German...
   14a   Health and nutrition   Living more healthily for longer   Premature mortality   (cases of death per 100,000 ...
   2008 -> 2020 = 12 years to reduce the    obesity rate in Germany   30 000 000 Euros
List of initiatives Education on healthy eating and physical  activity; Tougher standards on school food  programs; Bet...
Typical German Food
FIT instead of FAT campaign Improving the quality of food offered in  schools and hospitals; Encouraging children to par...
German    Politics seem to be aware of theproblem.But if we are honest; they don’t seem totake that much action to reall...
Consequenses
   METABOLIC SYNDROME    ◦   Central obesity    ◦   Reduced HDL-cholesterol    ◦   Raised blood pressure    ◦   High fast...
   CARDIOVASCULAR DISEASE    ◦   Heart attack    ◦   Coronary artery disease (angina pectoris)    ◦   Stroke – TIA    ◦  ...
   CANCER    ◦ Hormone related cancers such as      breast, endometrium, ovary, cervix and      testicles    ◦ Also : pan...
   GALLSTONES    ◦ 3 to 5 times more often than in non-obese      people (especially women)    ◦ Often painless    ◦ Can ...
   HIATUS HERNIA AND INFLAMMATION OF THE    OESOPHAGUS   LUNG FUNCTION – RESPIRATORY DISEASE    ◦ Asthma : obesity incre...
   REPRODUCTION    ◦ Women      PCOS      Increased risk of early and late miscarriage      Gestational diabetes     ...
◦ Men  BMI > 35 -> low sperm count and poor sperm   motility  Erectile dysfunction increases with increasing BMI
   OTHER CONDITIONS    ◦ Gout
◦ Chronic kidney disease◦ Non-alcoholic fatty liver disease◦ Alzheimer’s disease (risk is increased by 42  %)
   http://www.minurses.org/files/files/Nursing%20Practice/CE_Obesity.pdf   http://www.who.int/mediacentre/factsheets/fs3...
Obesity in germany
Obesity in germany
Obesity in germany
Obesity in germany
Obesity in germany
Obesity in germany
Obesity in germany
Upcoming SlideShare
Loading in …5
×

Obesity in germany

2,587 views

Published on

Published in: Education
2 Comments
0 Likes
Statistics
Notes
  • Where did you find the map please? I really need it ;)
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Obesity is a condition in which the natural energy reserve, stored in the fatty tissue of humans and other mammals, exceeds healthy limits. A person’s level of overweight can be calculated using the Body Mass Index (BMI). The BMI expresses the relationship between weight and height in a single figure.

    The GastricCenter gives you more important information about overweight and obesity - contact us for individual answers.
    GastricCenter
    http://www.gastriccenter.de/
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Be the first to like this

No Downloads
Views
Total views
2,587
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
15
Comments
2
Likes
0
Embeds 0
No embeds

No notes for slide

Obesity in germany

  1. 1. Obesity in Germany
  2. 2. Introduction
  3. 3.  Obesity is a widespread phenomenon. It has doubled since 1980. In 2008 more than 1.4 billion adults (>20y) were overweight Definition: abnormal or excessive fat accumulation that may impair health.
  4. 4.  Obesity is based on the BMI or Body Mass Index Overweight is a Body Mass Index greater than or equal to 25, a Body Mass Index greater than or equal to 30 is obesity.
  5. 5.  The 2009 results of the German Federal Statistics Office: Every second German is overweight Every sixth is actually obese.
  6. 6.  Health implications are enormous ◦ Higher risk to develop a multitude of comorbidities  Type2 diabetes mellitus  Coronary heart disease  Some cancer types
  7. 7. Evolution
  8. 8. 1980 Mean BMI 25.4
  9. 9. 1985 25.7
  10. 10. 1990 25.9
  11. 11. 1995 26.3
  12. 12. 2000 26.7
  13. 13. 2005 27.0
  14. 14. 2008 27.2
  15. 15. Causes
  16. 16.  Most people consume more calories than they burn. Eating too much and exercising too little. Many other factors
  17. 17.  Age: ◦ As you get older, your body’s ability to metabolize food slows down. Gender: ◦ Men have a higher resting metabolic rate. Genetics: ◦ Obesity related genes could affect how we metabolise food or store fat. ◦ Not destined to be obese, you have a higher risk.
  18. 18.  Environmental factors: ◦ Closely related to nutrition an physical activity. Physical activity: ◦ Active individuals require more calories than less active ones to maintain their weight. Illness: ◦ Hormone problems may slow down metabolism
  19. 19.  Medication Psychological factors: ◦ Many people eat in response to negative emotions.
  20. 20. InitiativesTo lower the obesity rate in Germany
  21. 21.  The government: ◦ 2007: shocking study showed the severity of the obesity problem in Germany ◦ 2008: German Government developed 21 initiatives to improve living in Germany => Initiative 14 concerns obesity
  22. 22.  14a Health and nutrition Living more healthily for longer Premature mortality (cases of death per 100,000 residents under 65) men Reduction to 190 cases per 100,000 by 2015 14b Premature mortality (cases of death per 100,000 residents under 65) women Reduction to 115 cases per 100,000 by 2015 14c Proportion of adolescents who smoke (12- to 17-year-olds) Decrease to under 12% by 2015 14d Proportion of adults who smoke (15 years and older) Decrease to under 22% by 2015 14e Proportion of obese people (adults, 18 and older) Reduction by 2020
  23. 23.  2008 -> 2020 = 12 years to reduce the obesity rate in Germany 30 000 000 Euros
  24. 24. List of initiatives Education on healthy eating and physical activity; Tougher standards on school food programs; Better product labeling by the food industry; Reduced advertising by the makers of sweets and junk food that target children;
  25. 25. Typical German Food
  26. 26. FIT instead of FAT campaign Improving the quality of food offered in schools and hospitals; Encouraging children to participate in physical activity.
  27. 27. German Politics seem to be aware of theproblem.But if we are honest; they don’t seem totake that much action to really adressobesity, which is a big risk to public health…
  28. 28. Consequenses
  29. 29.  METABOLIC SYNDROME ◦ Central obesity ◦ Reduced HDL-cholesterol ◦ Raised blood pressure ◦ High fasting blood sugar  DIABETES MELLITUS TYPE II LEADS TO CARDIOVASCULAR DISEASE !!!
  30. 30.  CARDIOVASCULAR DISEASE ◦ Heart attack ◦ Coronary artery disease (angina pectoris) ◦ Stroke – TIA ◦ Peripheral artery disease (claudicatio intermittens)
  31. 31.  CANCER ◦ Hormone related cancers such as breast, endometrium, ovary, cervix and testicles ◦ Also : pancreas, colon, rectum, kidney
  32. 32.  GALLSTONES ◦ 3 to 5 times more often than in non-obese people (especially women) ◦ Often painless ◦ Can cause gallstone attacks, acute inflammation of the gall and of the pancreas
  33. 33.  HIATUS HERNIA AND INFLAMMATION OF THE OESOPHAGUS LUNG FUNCTION – RESPIRATORY DISEASE ◦ Asthma : obesity increases risk by 50 % ◦ Obstructive sleep apnea : 50 % – 75 % are obese MUSCULOSKELETAL DISORDERS ◦ Arthritis : knee and hip ◦ Obese patients account for one-third of all joint replacement operations ◦ Lower back pain, lower limb pain
  34. 34.  REPRODUCTION ◦ Women  PCOS  Increased risk of early and late miscarriage  Gestational diabetes  Preeclampsia  Complications during labor and delivery  Slightly increased chance of bearing a child with congenital anomalies  Correlation between increasing BMI and problems with arousal, lubrication, orgasm, and satisfaction
  35. 35. ◦ Men  BMI > 35 -> low sperm count and poor sperm motility  Erectile dysfunction increases with increasing BMI
  36. 36.  OTHER CONDITIONS ◦ Gout
  37. 37. ◦ Chronic kidney disease◦ Non-alcoholic fatty liver disease◦ Alzheimer’s disease (risk is increased by 42 %)
  38. 38.  http://www.minurses.org/files/files/Nursing%20Practice/CE_Obesity.pdf http://www.who.int/mediacentre/factsheets/fs311/en/ http://www.berlin-institut.org/online-handbookdemography/overweight.html Zelissen, Pierre. Obesitas en overgewicht : oorzaken, gevolgen en behandeling. Davidsfonds Leuven, 2003. Daansen, Peter. Leven met obesitas. Bohn Stafleu van Loghum, 2005. http://www.hsph.harvard.edu/obesity-prevention-source/obesity- consequences/health-effects/index.html http://en.wikipedia.org/wiki/Metabolic_syndrome http://www.medscape.org/viewarticle/484768_2 http://trialx.com/curetalk/2011/03/gout-clinical-trials-treatments-research- sites/ http://www.who.int/mediacentre/factsheets/fs311/en/References

×