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Aging and obesity will be the next two most significant conditions that might lead to death. Talking at the United Nations, a professor of international health and wellness solutions at Harvard University, and the director of the International Health Systems Cluster at Harvard T.H. Chan College of Epidemiology, Mr Rifat Atun, said.Infectious diseases present a threat but nothing like the sustained lifestyle issues that results form lifetime chronic obesity. Losing weight and keeping a healthy weight in the Body Mass Index (BMI) weight range is the best method to avoid health challenges. Particularly, Ebola has been maintained and effectively controlled, so the focus is squarely back on controlling fat consumption and regulating weight gain.
Dealing with weight gain is much more than a medical problem, with entrenched business models based on selling high fat high taste high salt products and shifting the corporate model from this needs considerable political pressure. Aside from infectious diseases, Atun said obesity and obesity-related chronic diseases similar to hypertension, heart diseases and diabetes will be the coming future's massively important health problems. "The second-most important problem will certainly be physical changes that emerge with aging," he said.
And combining the two, a child with obesity could literally live 50 plus years presenting regularly at hospital and clogging the system with the various related complaints which come with obesity.
Weight problems is also complicated through the fact that it is not simply a health related ailment - it is also has social and cultural implications. Rapid food and the dependence on fatty salty foods and then sweet calorie dense foods means that a whole industry has developed around supplying these products, and then dismantling it is not like simple as just advising people to buy other products.
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The whole industrial complex is geared to producing cheap, fatty foods and supplying it at speed - which means people are able to commute further to and from work and can eat meals in their cars instead of sitting around a table. This leads to actually eating in a distracted manner and actually consuming a lot more, and eating the wrong foods as there is less pressure to maintain healthy choices when you are alone on the freeway. You can in a sense "get away with it".
The number-one challenge in combating obesity is the environment we stay in, according so as to an Australian biologist who has obtained a Queen's Birthday honor in June 2015. The best way to address this 'obesity environment' is to redefine obesity research and make things cross disciplinary, said Professor Stephen Simpson, who has been granted a Companion of the Order of Australia (AC).
"It's very easy to say obesity is all a failure of perseverance but we've designed a world that makes it really hard," said Simpson," head of Obesity Australia, and of the University of Sydney's Charles Perkins Centre.
For example, our political and economic system encourages a junk food supply system that generates processed food low in fiber and other important nutrients, and panders to our evolutionary drive for sugar and fat, he said.
"We've processed and industrialized our food source chain to satisfy these ancestral appetites that are no longer relevant to us and are damaging us." It's as though we have created the whole food cycle of supply on the inappropriate principles - profit and taste - instead of health and sustainability.
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Human's evolutionary motivation to conserve energy is also supported by our built natural environment and car dependence, and that reduce our need to put out energy keeping warm or by being personally active.
"All of these points, through nobody's fault, are just compared us and it leaves us with this real challenge. You should step in at all levels and at multiple places in the sophisticated system," he said.
Simpson is spearheading a new cross-disciplinary approach at the Charles Perkin Center and is well-placed to accomplish so given that he has a background in modelling complicated systems and cross disciplinary services.
Now a 'dietary environmentalist, Simpson started out as an entomologist, researching the feeding and swarming behavior of cicadas.
"I used grasshoppers at first since a model system for creating an entirely new way of considering nourishment," he said.
Central to this concept is that living things need a maximum balance of assorted nutrient types such as healthy protein and glycogen.
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"If you inform people to consume less to burn fat and you really don't gauge that our bodies do much more than count nutrients, then you're on a hiding to nothing.".
The Charles Perkins Facility involves clinicians, immunologists, metabolic biochemists, engineers as well as theorists, financial experts and community specialists.
"We've got individuals cooperating in techniques they've certainly never done before," said Simpson. "The model for how you get meaningful cross-disciplinary research and education and training which doesn't lose disciplinary credibility is unique.".
By working across all these disciplines, from excessive car travel to eating substandard food choices, people could really make an impact on their lives. You can see how bad it has gotten by following Lynne's story listed below.
"We simply see the tip of the iceberg. There's lots of folk seeing their GPs as a result of type two diabetes who will never come up to a hospital, at least except the moment.
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But they will probably in 10 to 15 years time and it's a little something our team need to address as a culture," supervisor of medicine Marcus Savage said.
In the present facility, three beds in a four bed bay often have to be shut down to sustain one heavy patient. Their length of stay is on average four working days greater. A shortage of bigger, dedicated equipment is also a matter.
The bigger bedrooms in the new clinic will alleviate some of these obstacles, but will add an extra $1.67 million to constructing costs.
"We're obtaining more people who fit into the bariatric category as well as need beds like this to manage them properly, and they're getting heavier as well, so that it's a double whammy," Professor Savage said.
"They existing serious challenges from a medical point of view.".
Diabetes, stroke, heart disease, high pressure sores, mental health problems and an escalated chance of hospital-acquired infections are one of the issues.
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"Surgery is also a challenge given that it's very tough to wake up these individuals up. A bunch of the anaesthetic drugs diffuse into the extra fat cells and the anaesthetists have to keep them in recuperation for a lot even longer to make sure they wake up safely," he said.
Access to weight loss surgery in the public system is limited, with nine out of 10 bariatric operations taking place in private hospitals.
Indeed, this month a meeting of Australian surgeons heard that increasingly, obese people are being turned down for lap-band procedures because the risks outweigh the benefits.
Morbidly chronically overweight people are frequently being recommended to slim down before succumbing the scalpel. Yet this may be challenging for folks with restricted mobility.
Community care for the average overweight patient amounts more than $42,000 a year, in comparison to roughly $7,600 for a non-obese individual.
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The numbers are striking, but at the bottom of the fiscal challenge for healthcare facility number cruncher are customers fighting sophisticated issues - individuals like Lynne, who confesses she ate "all the wrong foods", but often did so to deal with difficult emotions.
McDonalds and KFC were her favorites. "It got to the point where I didn't really care. I over-indulged, I ate for comfort. If I didn't know what I wanted to do I 'd think, I may as well go and eat.".
Professor Savage said the new hospital would provide better treatment, but stressed it was merely a response to the problem. The "cure" is unlikely to be a medical one.
"If you're drunk you're not allowed to be served in a pub, but it's ok for fast-food outlets to deliver high calorie food in quantities that you and I couldn't possibly eat to an individual on a daily basis. So there's a moral issue," he said.
"Some patients have feeders. They will have a relative or friend who will go to the supermarket or takeaway place and buy food for them to eat. There's psychology, there's genetics and, unfortunately, there's no easy answer.".
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He said disadvantage and a lack of education were often drivers, as were environmental factors such as a lack of access to fruit and vegetables, particularly in rural and regional areas.
"We also need to have to look at menu labeling for junk food shops, or tax to help make convenience food more expensive. It could be creating physical surroundings that encourage more physical activity safely such as bicycle lanes, and making it risk-free for children to stroll to university.".
"I'm looking forward to going home and visiting friends and even sitting out on the front veranda at home in the sunshine and the fresh air," she said.
"I'm enjoying a fresh fruit basket delivered to me as a get well gift. It really brightens my spirits.".
