This will result in ineffective solutions being caste aside and the more effective solutions being refined and improved upon. Overall, for the vast majority of people, NEAT must explain why an active person can expend 8368 kJ/d (2000 kcal/d) more than an inactive person of the same size. Am J Physiol 1984; 247 (4 Pt 2): H495–H507. The relation between body mass index and percentage body fat among Chinese adolescent living in urban Beijing. 4. your express consent. Int J Vitam Nutr Res 2006; 76: 247–252. A physical exam and some blood tests can rule out the possibility of a medical condition as the cause for obesity. Obesity solutions require organization. In only 20 years car ownership85 has increased 500% in China and urbanization is occurring dramatically. The program saves the company money because diabetic patients' medication costs decrease. Effects of obesity on the conversion from normal glucose tolerance to diabetes in Hong Kong Chinese. Weili Y, He B, Yao H, Dai J, Cui J, Ge D, et al. Obesity in China is becoming a pandemic disease resulting from a shift in energy balance caused by altered genes, a sedentary lifestyle, and neurohormonal imbalances. China now has the largest overweight population in the world — 10.8% of men and 14.9% of women in a nation of 1.4 billion people. This degree of energy intake was sustained even with industrialization, urbanization and mechanization. Risk factors of Hong Kong Chinese patients with coronary heart disease. 50. Razak F, Anand SS, Shannon H, Vuksan V, Davis B, Jacobs R, et al. Wu Y, Ma G, Hu Y, Li Y, Li X, Cui Z. Curtin JJ, Barnett NP, Colby SM, Rohsenow DJ, Monti PM. 17. There was four-fold variation in weight gain, which by definition must have reflected substantial variance in energy expenditure. One in five people who have obesity in the world live in China. 2018 Jan 4;15(1):70. doi: 10.3390/ijerph15010070. [Body mass index reference norm for screening overweight and obesity in Chinese children and adolescents]. Many obese children become obese adults, especially if one or both parents are obese. 2005 Dec;18(6):401-10. Fax: 01-507-2554828. Thus NEAT and specifically walking are of substantial energetic importance in obesity. In so doing, it was easier to retain ancient energy intake levels despite the substantial decline in day-time physical activity (Figure A). Psychiatry Clin Neurosci 2004; 58: 403–409. Pediatr Pulmonol 2006; 41: 1175–1181. As our ancestors walked across the earth we populated it. Am J Clin Nutr 2000; 72: 1451–1454. Obes Res 2004; 12: 889–895. The current prevalence status of body overweight and obesity in China: data from the China nutrition and health survey. Int J Obes Relat Metab Disord 2004; 28: 1257–1263. The diet and lifestyle of each is different based upon cultural/ethnic traditions and the environment. Chen C, Lu FC. The person then decides to undertake these tasks. 80. Whitlock EP, Williams SB, Gold R, Smith P, Shipman S. Rockville (MD): Agency for Healthcare Research and Quality (US); 2005 Jul. The causes of obesity are widespread. An analogy is of a bank account. A National Center would define and organize effective culturally-specific national obesity solutions, precipitate programs for change and mediate international co-operate. Prevention of obesity: the role of the food industry. Int J Obes (Lond) 2006; 30: 918–925. cent for boys by 1998.3 In urban areas in China, the prevalence of obesity increased among chil-dren aged two to six from 1.5 percent in 1989 to 12.6 percent in 1997. Du S, Mroz TA, Zhai F, Popkin BM. Please try after some time. J Clin Endocrinol Metab 2007; 92: 3224–3229. The guidelines for prevention and control of overweight and obesity in Chinese adults. Gu D, He J, Duan X, Reynolds K, Wu X, Chen J, et al. 7 The most well-known monogenic condition causing obesity is the Melanocortin 4 MC4 receptor deficiency due to polymorphism affecting chromosome 18. Hou L, Ji BT, Blair A, Dai Q, Gao YT, Potter JD, et al. 28. Once organization occurs cooperation needs to follow whereby a single voice emerges from the scientific community. 20 The rapid developments of China's economy and society over the past 2 … If people, who fail to increase NEAT with overfeeding gain excess body fat, could there be a NEAT defect in obesity? Importantly the lean subjects lived in a similar environment and had similar jobs compared with the obese subjects. J Endocrinol Invest 2006; 29: 894–898. 22. 73. The most common causes are genetic factors, lack of physical activity, unhealthy eating patterns, or a combination of these factors. 85. In the US strategies are falling in place with a goal to end obesity. 32. Spike in childhood obesity in China may be due to economic growth In China, one out of every five children is overweight or obese, up from just one in 20 in 1995, and the nation’s booming economy might be driving the increase, according to a new study. 49. McGee DL. 20. 58. Globally, there has been: an increased intake of energy-dense foods that are high in fat and sugars; and China is a developing country with rapid growth in economy. Body weight and mortality among men and women in China. Li AM, Chan MH, Chan DF, Lam HS, Wong EM, So HK, et al. Eur J Clin Nutr 1996; 50: 72–92. By continuing to use this website you are giving consent to cookies being used. Every family is touched by the pain and ill health of obesity and thus its solution is worthy of our collective commitment, investment and unending resolve. Chinese Medical Journal121(11):1043-1050, June 2008. In the Chinese population16 it has long been suggested that the BMI-based definition for obesity showed be lower than for a European or North American populations17 where obesity is defined as a BMI of 30 kg/m2 or greater. Since NEAT varies by 8368 kJ/d (2000 kcal/d), could NEAT be important in weight gain? JAMA 2006; 295: 776–783. Get new journal Tables of Contents sent right to your email inbox, June 2008 - Volume 121 - Issue 11 - p 1043-1050,, Articles in Google Scholar by James A. Levine, Other articles in this journal by James A. Levine. How is obesity determined? 2008 Mar;9 Suppl 1:14-21. doi: 10.1111/j.1467-789X.2007.00433.x. National Health and Nutrition Examination Survey (NHANES) Documents. In one study,80 12 pairs of twins were overfed by 4184 kJ/d (1000 kcal/d). Your message has been successfully sent to your colleague. J R Soc Med 2004; 97: 254. According to doctors, unhealthy diets and lack of awareness among parents are the main causes of child obesity in China. 82. Obesity has become a global public health crisis, 1–4 and China has the largest number of affected people worldwide, with about 46% of adults and 15% of children being obese or overweight.4 Increasingly Chinese society is making efforts to address the rising obesity and chronic disease epidemic.3 In this context, in 2015, two of us (YW and YY) initiated a project … Furthermore, other obesity-associated complications may be particularly common in China; for example population studies suggest that obstructive sleep apnea,32,33 is commonplace possibly because of population-specific craniofacial and upper airway morphology.34 Certain obesity-associated cancers too, may be common in China and this may relate not only to genetic factors but also to specific environmental factors such as diet.35,36 Overall, these associations explain the upswing of mortality rates that are associated with obesity in China37 and heighten the importance of intervening assertively in China's obesity crisis.13, The appearance of metabolic complications, in particular, in association with obesity in Chinese people is likely to reflect their predisposition to truncal (or “central”) obesity.38 In fact several authorities have suggested that carefully measured waist or waist-hip ratios might be more sensitive indices for obesity in China.5,33,39,40 Although, these measurements may render weight data more specific for Chinese populations and subpopulations,41 it is recommended to continue to use BMI as a base-measure in China42,43 as it represents a well established national and international15,44,45 index of weight status; it might then be of value to consider adding an appropriate measure of body fat distribution to increase the quality of obesity-risk surveillance in China.41,46, There are other factors that may predispose the Chinese to obesity-associated complications; for example, genetic variables specific for the Chinese population may be important co-variables that impact the likelihood that a Chinese person with obesity has obesity-related complications.47–50 Also, specific and rapid changes in diet and activity may be driving accelerated obesity emergence throughout China.42,43, Thus, obesity-associated complications impact Chinese people at lower BMI's than their European or American counterparts for a variety of reasons in particular the predisposition of Chinese people to accumulate truncal body fat.51. 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