The Cost Of Obesity On The Nhs

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Introduction
Obesity is clinically defined as a body mass index (BMI) of above 30kg/m2 and is the accumulation of excess adipose tissue1. It is currently viewed as an epidemic due to the increasingly large proportion of adults who are now obese, with the incidence rapidly rising in the recent years. In a five year period from 1995-2000 there was a predicted increase of 100 million obese individuals world-wide 2. In UK it is estimated that over 25% of adult males and females are obese and it is thought that these figures will continually rise with estimations that 60% of adult men and 50% of adult woman with be obese by 2025.3 Being a huge burden on the NHS, it has been predicted that £5 billion a year is spent on preventing and treating the complications of excessive weight in the UK, which is almost 5% of the total NHS budget (£5billion/£108billion).4 The cost of obesity on the NHS will rise to correlate with the increasing incidence illustrated.
Obesity is a very complex condition as there are many physiological and psychological dimensions to it. The complications accompanying the disease are multiple and are associated with the increased risk of many other medical conditions. It is thought that we live in an obesogenic environment due to an interaction of environmental, developmental and cultural influences. With the main cause of the disorder thought to be due to a combination of a sedentary lifestyle accompanied by an increased consumption of poor quality food with a high calorie and sugar content. The lack of energy expenditure could be explained by many individuals working a large number of hours, most days of the week in jobs that require minimal physical activity and it is often difficult to accomplish the recommended ...

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...erstanding the diversity of individuals. With considering obesity as a disability, it may be inappropriate in circumstances where some are still able to function at an acceptable level but it may be appropriate in cases where they are unable to cope. This is establishing the transition point where obesity does in fact cause significant disability. The aim of the healthcare team should be to prevent the development of these impairments caused by the obesity by trying to avoid further deterioration in the patient’s health. This will mean trying to ensure that individuals prone to excessive weight gain are educated and supported in ordered to avoid them becoming obese. This can be done through motivational interviewing and appropriate education along with the right resources available and will result is some individuals not progressing to the stage of becoming disable.

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