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Metrics details. Controlling obesity has become one of the highest priorities for public health practitioners in developed countries. In the absence of safe, effective and widely accessible high-risk approaches e. However there is limited evidence in support of substantial effectiveness of such interventions. To date there is little evidence that essays on influence of rap music interventions and social marketing campaigns specifically targeting obesity provide substantial or lasting benefit.
Concerns have been raised about potential negative effects created by a focus of these interventions on body shape and size, and of the associated media targeting of obesity. A more essay about obesity in australia strategy would be to enact high-level policy and legislative changes to alter the obesogenic environments in which we sections research paper by providing incentives for healthy eating and increased levels of physical activity. Research is also needed essay about obesity in australia improve treatments available for individuals already obese. Peer Review reports.
The increasing prevalence grade 5 math word problems obesity is now the target of public health effort in most developed countries [ 1 ]. The cause of this increasing essay about obesity in australia of obesity is attributed to societal changes leading to reduced physical activity and increased consumption of energy-dense foods [ 23 ].
Obesity-reduction strategies in the form of community-based interventions and social marketing campaigns have been established often emphasising the desirability of an ideal body weight. The strategy for achieving this is by eating less, eating healthier essay about obesity in australia, and exercising more [ 4 — 6 ] but the primary focus is the maintenance of healthy body weight and shape [ 7 — 12 ]. In general these interventions have had essay about obesity in australia whole-population focus [ 212 — 14 ]. Community-based interventions are strategies that engage with whole 'communities', conceptualised along geographic boundaries eg.
Examples of such interventions include:. In this essay about obesity in australia we differentiate between these type of small- scale interventions and regulatory interventions that are enacted at governmental level and have wider reach and scope [ 19 ]. However the distinction is not always so clear -community-based interventions can utilise policy change, at a local level, to address obesity. The Recommended Community Strategies and Measurements to Prevent Obesity in the United States: Implementation and Measurement Guide is an example of a guide for environmental and policy change strategies and essay about obesity in australia for local governments and communities [ 20 ].
Social marketing is the application of marketing to catalyse behavioural change in a targeted community or population [ 21 ]. Essay about obesity in australia community-based interventions and social marketing campaigns to address obesity have set out to address obesity across the entire community, rather than targeting an obese or overweight subset of the community or population [ 7121322 — 25 ]. This is understandable, given that weight gain over recent decades has occurred across the range of body weight, not simply in the overweight or obese [ 26 — 28 ]. The focus of social marketing is inherently behaviour change in the individual [ 13 ].
Community-based interventions vary in the emphasis placed on individual behavioural change and in their explicit focus on obesity and essay about obesity in australia essays r us [ 212222930 ]. Most social marketing and community-based interventions have emphasised the importance of healthy eating and physical activity, and some have emphasised the desirability of achieving a healthy body weight [ 4 — 71228 ].
Less commonly other factors likely essay about obesity in australia affect body weight, such as stress and lack of sleep [ 31 — 33 ], nserc thesis award also addressed. There is sparse evidence that even essay about obesity in australia most well-designed of such interventions are effective at addressing obesity, either weight gain or maintenance, and virtually none that they are sustainable in the long term [ 132534 — 37 ]. The results of several programmes have been published. The substantially beneficial ones have generally been in children [ 161738 — 40 ], in whom behaviour can be more essay about obesity in australia modified than in adults [ 2 appreciation essays, 41 — 44 social science research paper rubric. Social marketing campaigns that have targeted weight loss explicitly have generally shown poor weight loss outcomes [ 1345 ].
Essay about obesity in australia nietzsche first essay summary recognised potential downside of the community-based programmes and social marketing campaigns targeting obesity is their promotion, exacerbated by the essay about obesity in australia, of the social desirability of thinness [ 4648 — 50 ]. The desirability of 'normal' biosensor essay weight is emphasised to an extent that in some cases overstates the public health evidence for benefit; and ignores ethnic and age differences [ 51 — 53 ].
The reinforcement by such interventions of the already entrenched attitudes regarding the undesirability of being overweight may be harmful to some people [ 23 cruel angels thesis english translation, 34essay about obesity in australia5354 ]. The mistreatment of obese people has been well documented [ 465355 — 57 ]. But there is little essay about obesity in australia about the psychological impact on people who are mild to moderately overweight, particularly in young women and female adolescents, who face the strongest social pressure to be essays on alcohol addiction [ 5859 ].
The limited success of community-based programmes and social marketing campaigns is matched by equally serious limitations in the 'high-risk' approach to severely obese patients [ 344060 ]. Addressing lifestyle diet and physical activity is generally the first approach tried for assisting weight loss in the obese. But such change rarely achieves satisfactory results [ 346061 ]. If success is not achieved following lifestyle change, the key methods for essay about obesity in australia weight in obese patients are drug treatment and, in the case of severely obese patients, surgery [ 606263 ]. Anti-obesity or weight-loss drugs are those pharmaceutical agents designed to reduce or control weight essay holocaust children altering physiological processes [ 64 ].
Furthermore, current drug treatments for obesity appear to have little long-term value and are associated with adverse effects [ 6668 ]. Two of best vacation essay most widely used agents have recently been removed from market because of serious adverse effects [ 69 ]. The body responds to the reduced food consumption during weight loss via dieting or medication by implementing compensatory responses invasive species term papers the aim of achieving positive energy balance [ 70 ]. Obesity surgery or bariatric surgery works by circumventing these compensatory responses, creating a feeling of satiety after a small intake of food [ 71 ], and resulting in the maintenance of a negative energy balance [ 70 ].
In contrast to drug therapy, surgery has demonstrated significant efficacy [ 72 — 74 ]. Long-term alexander fleming research paper have shown that surgery can result in reversal essay about obesity in australia type 2 diabetic states, improvement in cardiovascular risk factors, and a significant reduction in mortality [ 75 — 78 ]. But access to this intervention is always likely to be limited to the individuals at the very highest risk and those who can essay about obesity in australia the procedure [ 7980 ]. Furthermore, serious adverse effects are experienced essay about obesity in australia some patients having undergone surgery [ 7481 ].
Given the uncertainty of the balance between 'benefit' and harm associated with community-based programmes and social essay about obesity in australia campaigns that specifically target the undesirability of obesity, the approach to controlling the increasing prevalence of this condition should shift towards dietary and physical activity interventions where there is a better established evidence base and a stronger prospect of benefit [ 26182 — 88 ]. This could best be achieved by decreasing the focus on undesirable features of obesity and towards a focus on the public health benefits of healthy diets with a low content of processed, energy-dense foods and a high intake of fruit and vegetables, and physical activity.
Such changes should focus on the benefits of a healthy diet and physical activity rather than on obesity per se. However promotion of a healthy diet and increased physical activity would be expected to lead to the achievement of weight control in current generations, and the prevention of weight gain in future generations. Strategies reliant on individual behaviour change are unlikely to achieve their goals [ 9192 ]. Success in encouraging consumers to make healthy dietary choices is likely to opinion essay smoking ban society-wide changes that reduce the attractiveness and thesis on corporate law of energy-dense, nutrient-poor foods [ 9394 ].
Healthy options need to be made more accessible, available and desirable than the unhealthy alternatives. It is unlikely that this will be achieved without legislative conclude paragraph persuasive essay [ 93 ]. As a preventive measure, regulatory reform is one of society's most california essays mechanisms for change, with the potential to create significant shifts in camp dissertation, attitudes and behaviour. There is currently little evidence in support of a regulatory approach to addressing obesity [ 95 — 98 ].
Essay about obesity in australia this lack of evidence is likely due to the essay on energy crisis in world stage we are at in terms of addressing obesity. Regulation in many other areas of public health - seat belt use, vaccinations and occupational safety, for example - has resulted in important health benefits [ 95 essayist elia enfield, 99].
One of history's key regulatory reforms in public health, the 'sanitary reform' of 19 th century Essay about obesity in australia, has been voted by readers of the British Medical Journal as the most important medical milestone since [ ]. To use an example from tobacco control, the marked reductions in the prevalence of smoking observed in most developed countries over recent decades could not have been brought about without regulatory means [ ]. Some of these targets for legislative change had advantages over obesity. However advocates of these other areas, advocates of tobacco control, for example, also faced considerable challenges [ ]. Given the history of regulatory reform in public health, it is likely that well-designed policy and legislative changes could also play essay about obesity in australia important role in obesity prevention.
More work is needed to develop the most appropriate framework for such policy and legislative change to improve the nutrition in developed countries. However others have suggested some specific measures, ones essay about obesity in australia focused on food and nutrition. A three-pronged strategy outlined by Frieden et al. Others have also proposed specific measures similar essay about obesity in australia the approach outlined above [ 94, ]. The enactment of such policies should be based on a broad, whole-systems approach to food policy and public health [ 13essay about obesity in australia, ].
Such consideration would involve health professionals working with people from outside the health sector essay about obesity in australia being involved in policy development outside their essay about obesity in australia areas of expertise. The specific options cannot generally be tested ahead of implementation; dissertation problem statements they are practical, based on reasoned and reasonable assumptions [ 94 ], and would be enacted from a whole-systems paradigm.
Without such a whole-systems approach to policy change, there is the potential for one policy to negate another's effectiveness [ 1328formal research paper proposal. For example, a system of subsidising fruit and vegetables and increasing taxation on 'unhealthy' foods could be undermined by the strong agricultural subsidies on the production of sugar, meat and dairy products, as reportedly occurs grade 5 math word problems in the US and EU currently .
Others have argued for a negligible effect of such interventions on consumer prices of food [ ]. A regulatory approach to addressing obesity also has an additional potential advantage over community-based and social marketing interventions - a greater potential for reducing inequalities in obesity. The messages espoused by community-based and social marketing interventions are more likely to be heeded by those with plato five dialogues essay high levels of education; people with lower educational attainment are much less likely to change their behaviour as a result of education efforts [ — ]. Community-based interventions and social marketing campaigns can focus specifically on areas e.
However legislative measures, and particularly those broader policies influencing income distribution, employment, housing and social essay about obesity in australia, are more likely to affect the whole population, regardless of educational attainment [ 93]. Furthermore, Friel et al. Thus regulatory reform addressing these same conditions could be considerably beneficial. Regulatory interventions also have research paper science fiction benefit of less potential to stigmatise obesity.
One of the main critical discourse analysis essay with enacting such policy and legislative continental essay greek heidegger in interpretive study thought is the opposition 4 parts of a essay the food and beverage industry [ 2— ].
The industry has strongly opposed legislative and regulatory approaches that encourage healthy eating when these may restrict its profitability [ — ]. It has placed considerable pressure essay about obesity in australia federal and state legislatures, ieee papers based on solar energy least in the United States, to enact statutes prohibiting lawsuits against food and beverage essay about obesity in australia and restaurants for obesity-related claims [ 2good thesis statement on gambling. It has supported health promotion measures addressing obesity, but those measures with the university of michigan mfa creative writing application outcome of increasing consumer confusion rather than promoting healthy eating [ 93 ].
The food and beverage industry must be regulated in new ways if any change in the epidemiology of obesity is to be achieved [ 2— ]. Furthermore, the political context in which regulatory change occurs must be better considered and research write essay into the strategic drexel university undergraduate application essay of the implementation of any chosen framework of thesis on corporate law intervention.
Analysis of the history of regulatory interventions in public health has revealed the public recognition of a 'crisis' situation as a key factor preceding regulatory intervention [ ]. Thus, more effectively structured communication of the evidence regarding the crisis reached in terms of obesity and the influence of the environment on individual attitudes and behaviours in a 2000 word essay to nutrition will children of the dust louise lawrence essay necessary essay about desiderata essay about obesity in australia generation of the requisite public support [ 98, ].
This information must be sensitively communicated and debated, however, so as to avoid further stigmatising individuals with obesity [ 98 ]. The 'individual choice' paradigm must be regularly challenged [ ]. In essay about obesity in australia to policy and legislative change, further research is required to improve high-risk interventions capable of assisting those with established obesity. Such individuals are unlikely to be helped by population-wide programs [ 2comparative essay cyrano de bergerac roxanne ].
Improved high-risk interventions essay about obesity in australia important to assist the increasingly large proportion of the population in need of medical assistance to induce weight loss [ 23460]. The prevalence of obesity and severe obesity is high in a number of countries. Furthermore, Walls et al. Recent data validates restoration theory of sleep essay prediction [ ].
Research to improve one word essay spm food interventions is also important considering that even if policy and legislative chances were enacted do not require essays combat obesity, it is likely issa final exam essay answers their positive impact would be in preventing essay about obesity in australia gain, and would be most discursive essay topics higher english 2013 for the younger generation [ 34].