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Americans in Denial About Obesity Risks

NEW YORK (Reuters Health) - The number of overweight Americans has ballooned to epidemic proportions, health experts agree, yet most adults do not see their weight as a health problem, results of a recent survey reveal.

Only 39% of adults considered themselves overweight, according to interviews with nearly 1,400 doctors and patients. This contrasts with a recent government estimate that more than 60% of adults were overweight or obese in 1999.

And among those who said they were overweight, only about one-third expressed concern about developing type 2 diabetes, a serious medical disorder that is more common among heavier individuals, the survey found. Type 2 diabetes increases the risk of heart disease, kidney disorders, blindness, amputations and death.

``The health risks of obesity to many are way in the future or happen to other people,'' Dr. Stephen B. Heymsfield, deputy director of the Obesity Research Center at St. Luke's-Roosevelt Hospital in New York City, told Reuters Health.

In fact, 80% of Americans said they had never discussed diabetes with their doctors and 61% had never been screened for the disorder, the survey found.

For their part, 99% of doctors surveyed said the growing rate of obesity in America is at least somewhat serious due to the increased risk of diabetes, stroke and heart disease--the leading cause of death in the US.

Nearly 30% of patients diagnosed as overweight in the past year have been 35 years old or younger, doctors report.

This finding is particularly alarming, since weight gain often portends the onset of type 2 diabetes, Heymsfield said, citing recent data from the US Centers for Disease Control and Prevention showing a 33% rise in the number of Americans with diabetes during the 1990s.

``That's just the beginning of a real tide of type 2 diabetes sweeping over the country,'' Heymsfield warned.

He said weight gain coupled with the aging of the US population is likely to fuel rates of type 2 diabetes in the coming years.
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