Hi Annette-

I think that the situation in Mexico is an illustration of what can happen
when obesity is discounted.

-Don

Diabetes now Mexico�s leading cause of death
Report adds weight to concerns over global epidemic

Updated: 10:22 p.m. ET Nov. 2, 2004
MEXICO CITY - Diabetes has overtaken poverty-related infections to become
the leading cause of death in Mexico, according to a new report that adds
weight to a World Health Organization warning that a devastating global
diabetes epidemic is looming.
Mexico�s Health Ministry said on Tuesday the report, just published, found
deaths from diabetes, often linked to obesity, are increasing by 3 percent
each year, making diabetes the cause of 12 percent of deaths in the
country.
�Diabetes is the best example of the epidemic transition the country is
going through, characterized by a growing predominance of noncontagious
illnesses,� the report stated, noting associated factors like obesity were
also on the rise.
The global death toll from diabetes exceeds the three million killed by
AIDS. World health bodies predict the number of diabetes sufferers
worldwide could more than double to 366 million by 2030 from around 177
million now.
Normally considered a rich countries� disease, diabetes is growing fastest
in poor countries, often in tandem with obesity � a rising problem in
developing countries and especially in junk-food obsessed Mexico.
Mexico is also seeing a swing toward cancer, which is now behind more than
10 percent of deaths.
In total, the percentage of deaths from noninfectious illnesses like
diabetes, heart disease, cancer and hypertension has risen to 73 percent
from 44 percent in 1950. Fewer than 15 percent of deaths in Mexico are now
from common infections.
'We must promote healthy habits'
�These figures show the principal causes of death are no longer linked, as
in the past, to infections but to the consumption of alcohol, tobacco and
addictive substances, inactivity and obesity. We must promote more healthy
habits,� President Vicente Fox said in a speech on Monday.
The most common form of diabetes results from the body�s inability to
respond to the action of insulin produced by the pancreas, generating
symptoms like blurred vision, unusual thirst, frequent urination and
tiredness.
Left untreated, the illness can lead in later life to serious
complications including heart disease, strokes, kidney disease and
blindness.
The World Health Organization is working to raise awareness of diabetes
which is sometimes hard to spot and which experts say can be prevented
with improved eating and exercise habits.
Mexico�s swing toward the illnesses that blight richer nations has come
amid a slide in child mortality rates.
Between 2000 and 2003 the infant mortality rate dropped 15 percent, while
for children under five, deaths from respiratory infections and diarrhea
fell by 16 percent, thanks to improved sanitary conditions and vaccination
programs, the report said.



Annette Taylor, Ph. D. said:
> Given the recent thread on obesity and the discussion of whether or not
> there  is a significant negative on health, this caught my ear today--I
> was listening  to the TV news in the background and checked the website
> for this information:  I'll see if I can get access to the full article
> through our school library  next week.
>
> Annette
>
> -------------------------------------------------------------------------------
>
> January 2005, Vol 95, No. 1 | American Journal of Public Health 159-165
> � 2005 American Public Health Association
> DOI: 10.2105/AJPH.2003.027946
>
> -------------------------------------------------------------------------------
>
> RESEARCH AND PRACTICE
> Health Care Expenditures Associated With Overweight and Obesity Among US
>  Adults: Importance of Age and Race
>
> Christina C. Wee, MD, MPH, Russell S. Phillips, MD, Anna T. R. Legedza,
> ScD,  Roger B. Davis, ScD, Jane R. Soukup, MS, Graham A. Colditz, MD,
> DrPH and Mary  Beth Hamel, MD, MPH
>
> Correspondence: Requests for reprints should be sent to Christina C.
> Wee, MD,  MPH, Division of General Medicine and Primary Care, Beth
> Israel Deaconess  Medical Center and Harvard Medical School, 330
> Brookline Ave, Boston, MA 02215  (email: [EMAIL PROTECTED]).
>
> Objectives. We estimated health care expenditures associated with
> overweight  and obesity and examined the influence of age, race, and
> gender.
>
> Methods. Using 1998 Medical Expenditure Panel Survey data, we employed
> 2-stage  modeling to estimate annual health care expenditures associated
> with high body  mass index (BMI) and examine interactions between
> demographic factors and BMI.
>
> Results. Overall, the mean per capita annual health care expenditure
> (converted to December 2003 dollars) was $3338 before adjustment. While
> the  adjusted expenditure was $2127 (90% confidence interval [CI]=$1927,
> $2362) for  a typical normal-weight White woman aged 35 to 44 years,
> expenditures were  $2358 (90% CI=$2128, $2604) for women with BMIs of 25
> to 29.9 kg/m2, $2873  (90% CI=$2530, $3236) for women with BMIs of 30 to
> 34.9 kg/m2, $3058 (90%  CI=$2529, $3630) for women with BMIs of 35 to
> 39.9 kg/m2, and $3506 (90%  CI=$2912, $4228) for women with BMIs of 40
> kg/m2 or higher. Expenditures  related to higher BMI rose dramatically
> among White and older adults but not  among Blacks or those younger than
> 35 years. We found no interaction between  BMI and gender.
>
> Conclusions. Health care costs associated with overweight and obesity
> are  substantial and vary according to race and age.
>
> ----------------------------------------------------------------------------
>
> Annette Kujawski Taylor, Ph. D.
> Department of Psychology
> University of San Diego
> 5998 Alcala Park
> San Diego, CA 92110
> [EMAIL PROTECTED]
>
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