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Overweight and obesity are the result of a positive energy balance – that is, a long term excess of energy intake (food and beverage consumption) over energy expenditure (basal metabolic rate, physical activity).
Although some people are more genetically susceptible to weight gain than others, the rapid increase in the prevalence of obesity in recent years has occurred too quickly to be explained by genetic changes and most experts believe it is due to living in an increasingly ‘obesogenic’ environment – one that promotes over-consumption of food and drinks and limits opportunities for physical activity.
Adult obesity statistics
The 2012/13 New Zealand Health Survey found that:
•almost one in three adults (aged 15 years and over) were obese (31%), a further 34% were overweight
•48% of Māori adults were obese
•68% of Pacific adults were obese
•there has been an increase in obesity in males from 17% in 1997 to 30% in 2012/13
•there has been an increase in obesity in females from 21% in 1997 to 32% in 2012/13.
The 2012/13 New Zealand Health Survey found that:
•one in nine children (aged 2 to 14 years) were obese (11%)
•a further one in five children were overweight (22%)
•19% of Māori children were obese
•27% of Pacific children were obese
•children living in the most deprived areas were three times as likely to be obese as children living in the least deprived areas. This finding is not explained by differences in the sex, age or ethnic composition of the child population across areas of high and low deprivation
•the childhood obesity rate has increased from 8% in 2006/07 to 11% in 2012/13.
There is evidence that obese children and adults are at greater risk of short-term and long-term health consequences.
Obese children are likely to be obese into adulthood and to have abnormal lipid profiles, impaired glucose tolerance and high blood pressure at a younger age. Obesity in children is also associated with musculoskeletal problems, asthma and psychological problems including body dissatisfaction, poor self esteem, depression and other mental health problems. Obesity is also associated with a long list of adult health conditions including Type 2 diabetes, ischaemic heart disease (IHD), stroke, several common cancers, osteoarthritis, sleep apnoea and reproductive abnormalities.
The impact of excess body weight on these diseases operates, at least in part, through its effects on insulin resistance, blood glucose, blood lipids and blood pressure. It is important to note that although BMI cut-offs have been used to define overweight and obesity, the risk of disease increases as BMI increases in all population groups, even those within the ‘normal’ range.
Obesity is defined as an excessively high amount of body fat (adipose tissue) in relation to lean body mass. Obesity is associated with a substantially increased risk of a number of health conditions. (MOH, 2012/13)