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Group
Launches Program to Tackle Obesity
Efforts to fight obesity across the
world gained momentum with the
launch of a professional certification program for doctors, nurses,
pharmacists, dietitians, and fitness trainers.
"It will be a serious vetting process
to weed out the people who are serious from the amateurs
to professionalize the whole field," said Neville Rigby, director
of policy at the International Obesity Task Force, which will
run the initiative.
The move was announced at the European
Congress on Obesity in Prague, attended by more than 2,500 scientists.
The meeting is the first gathering of obesity experts since the
world's health ministers on Saturday adopted a landmark World
Health Organization plan to tackle obesity and other diseases
caused by bad diet and exercise habits.
"We are now on the move," said
Dr. Philip James, president of the International Obesity Task
Force, a global coalition of obesity scientists and research centers.
A mini version of the program
SCOPE, or Specialist Certification of Obesity Professionals in
Europe was unveiled last year as a pilot project .
By the end of this year, the program
the first certification effort of it's kind in the world
will expand globally and nurses, pharmacists, nutritionists,
dietitians and exercise and fitness professionals will also be
eligible, along with other groups who intend to work in the community
management of obesity.
"This will become an important
qualification for those non-medical professionals who want to
be involved in helping to tackle obesity and will enable the public
and patients to identify whether fitness instructors, dietary
advisers and others offering counseling services on obesity are
properly qualified to do so," said Dr. Vojtech Hainer, president-elect
of the European Association for the Study of Obesity.
Hainer and other experts gathered
in Prague called on the European Union to make the battle against
obesity a priority.
In most European countries, more
than half of the population are overweight or obese. Countries
in central and eastern Europe, which joined the European Union
this month, have the worst problem.
England has the fastest growing
epidemic, but the fattest of them all remains the United States,
where two-thirds of people are either overweight or obese, according
to the International Obesity Task Force.
In another indication that efforts
to fight the flab are getting more concrete, the first Europe-wide
guidelines for doctors on how to treat obesity were released at
the meeting.
To reinforce the gravity of the
condition, the guidelines classify overweight people "pre-obese."
Obesity is defined by a complicated
formula involving height and weight, called the body mass index,
or BMI. A BMI of 18 to 25 is considered healthy. People with a
BMI over 25 are considered overweight and those whose BMI is 30
or more are classified as obese.
About 1.7 billion people around
the world are overweight or obese. Among children, one in 10 is
too fat. The prevalence is doubling every 10 years.
The guidelines advise doctors to
look out for eating disorders, stress, smoking cessation and other
factors that contribute to obesity and say that everything from
high cholesterol to low self esteem need to be addressed.
A loss of between 5 percent and
15 percent of body weight is advised for most obese people, they
say, and a loss of more than 20 percent may be considered for
particularly obese people those with a body mass index
above 35.
The guidelines recommend that calorie
restriction should be individualized and take into account genes,
exercise and previous dieting attempts. For most people, a cut
of 600 calories a day, which would trim about half a kilogram
(one pound) a week, is considered sufficient and appropriate.
The body's drive to maintain a high weight would overwhelm any
deeper cuts than that, experts say.
Treatment for depression, anxiety
and stress should be incorporated, as those conditions interfere
with successful weight management, the guidelines recommend.
For people the "pre-obese," prevention
of further weight gain may be an appropriate target, the guidelines
say.
The Czech government became the
first to launch a national obesity task force Thursday, just days
after the world's health ministers agreed their global strategy
to prevent obesity-related diseases such as diabetes, heart disease
and cancer.
Two main goals of the task force
will be to improve diets by reducing the intake of sugary and
fatty food and increasing the consumption of high fiber foods,
as well as promoting more exercise.
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On the Net
International Obesity Task Force:
http://www.iotf.org
Reference
Source 89
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