Obesity Epidemiology: From Aetiology to Public Health / Edition 2

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Although recognised clinically for some time as an important condition that increases risk of ill-health in affected individuals, it is only recently that obesity had been recognised as a population-wide problem that requires preventive action. Obesity is a major contributor to diseases and disability, the associated health costs are enormous and obesity has already reached epidemic proportions in many countries, and incidence is continuing to increase in children and adults. Disturbingly the epidemic is not confined to developed countries, with many developing countries and those in transition affected. While recognised as a major population health problem, our understanding of the causes of the epidemic is poor, there has been relatively little population-based research that has focused on the prevention of unhealthy weight gain, and as a consequence knowledge regarding how and where best to intervene is limited.

Revised and updated and now part of the From Aetiology to Public Health series, Obesity Epidemiology provides a scholarly text that assists those concerned with understanding prevalence and trends in obesity; its health, social and economic consequences, the underlying causes of the obesity epidemic, the existing evidence regarding strategies to prevent obesity, and the potential of public health initiatives to impact on the population prevalence of obesity. This edition not only provides a thorough update of the material presented in the previous edition (entitled Obesity Prevention and Public Health), but also includes twelve new chapters that cover the epidemiology of obesity in children and adults, and the potential of public health approaches to its prevention.

This book will be of interest to all those working in public health and epidemiology; health policy makers, and clinicians and health practitioners working in the related fields of nutrition, exercise and diabetes.

About the series
By looking at public health issues from a unique condition-based approach, the innovative From Aetiology to Public Health series examines top public health issues from aetiology through to public health and prevention.

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Product Details

  • ISBN-13: 9780199571512
  • Publisher: Oxford University Press
  • Publication date: 11/19/2010
  • Edition description: New Edition
  • Edition number: 2
  • Pages: 480
  • Product dimensions: 6.90 (w) x 9.70 (h) x 1.30 (d)

Meet the Author

Professor David Crawford has almost 30 years experience in population health research, having previously worked with the CSIRO Division of Human Nutrition, and the National Centre for Epidemiology and Population Health in Australia, and the Division of Epidemiology at the University of Minnesota, USA. Professor Crawford also holds honorary positions with the EMGO Institute at the VU University, Amsterdam, and with the Cancer Council of Victoria. He is a past Vice-President of the Australasian Society for the Study of Obesity, a Co-Director of the Australian Childhood and Adolescent Obesity Research Network, and Editor-in-Chief of the International Journal of Behavioral Nutrition and Physical Activity. His research focuses on the behavioural, social and environmental influences on nutrition and physical activity, the epidemiology of overweight and obesity, and development and evaluation of obesity prevention strategies for children and adults.

Dr. Jeffery received his PhD in Psychology at Stanford University in 1974 and have been on the faculty at the University since 1978. His research specialty throughout his career has been the behavioral aspects of obesity. His work has included studies of the causes, consequences and treatment of obesity and he is probably best recognized for his work on Public Health issues related to obesity. He was among the first to articulate a public health conceptualization of the current obesity epidemic and to point toward environment change, broadly conceived, as the primary cause rather than individual characteristics. He was among the first to do experimental research on obesity prevention and on interventions to reduce the burden of obesity at the community level.

Associate Professor Kylie Ball completed her PhD in psychology in 2000, and since then has attained over a decade's research experience in population health, primarily relating to the social and behavioural epidemiology of physical activity, nutrition and obesity. A strong theme of her research has been focused on understanding and addressing socioeconomic inequalities in health behaviours and obesity. She is a current Fellow and past President of the International Society for Behavioral Nutrition and Physical Activity and a member of the Editorial Board of the International Journal for Behavioral Nutrition and Physical Activity.

Johannes Brug worked as nutrition epidemiologist for TNO-nutrition, the main Dutch research institute for nutrition-related research (1989-1991). He was granted a fellowship from the Dutch Cancer Society and worked for this Society until 1994 after which he started his PhD research at the Department of Health Education and Promotion of Maastricht University. He obtained his PhD in Health Sciences in 1997 and subsequently worked as Associate Professor in Health Psychology and later as Dean of the Faculty of Social Sciences at the Netherlands Open University. From 2000-2002 Hans Brug was Professor of Nutrition Education and Director of Education at the Faculty of Health Sciences, Maastricht University. From 2002 to early 2007 Brug was Professor of Determinants of Population Health at the Department of Public Health, Erasmus University Medical Center, Rotterdam. Hans Brug is an Honorary Professor at the Faculty of Health, Medicine, Nursing and Behavioral Sciences, Deakin University, Australia.

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Table of Contents



Part 1 The epidemiology of obesity

1 Prevalence and trends in childhood obesity Tim Lobstein Lobstein, Tim 3

2 Prevalence and trends in adult obesity in affluent countries Jacob C. Seidell Seidell, Jacob C. 17

3 Physical health consequences of child and adolescent obesity Shaza Hammed Hammed, Shaza 27

4 Health consequences of overweight and obesity in adults Michael Lean Lean, Michael 43

5 Psychosocial issues in obese children and adults Andrew J. Hill Hill, Andrew J. 59

6 Health economic burden of obesity-an international perspective Stefan N. Willich Willich, Stefan N. 74

Part 2 The drivers of the obesity epidemic

7 The role of nutrition and physical activity in the obesity epidemic Kathryn H. Schmitz Schmitz, Kathryn H. 91

8 The role of socio-cultural factors in the obesity epidemic David Crawford Crawford, David 105

9 Evolving environmental factors in the obesity epidemic Robert W. Jeffery Jeffery, Robert W. 119

10 The implications of the nutrition transition for obesity in the developing world Barry M. Popkin Popkin, Barry M. 136

Part 3 The existing evidence regarding prevention

11 Population approaches to promote healthful eating behaviours Simone A. French French, Simone A. 161

12 Population approaches to increasing physical activity and reducing sedentary behaviour among children and adults Abby C. King King, Abby C. 186

13 Population approaches to obesity prevention Robert W. Jeffery Jeffery, Robert W. 208

14 The role of surgical, pharmacological, and other treatment options John M. Jakicic Jakicic, John M. 222

15 The cost-effectiveness of obesity prevention Marj Moodie Moodie, Marj 237

Part 4 Potential approaches to prevention

16 Drawing possible lessons for obesity prevention and control from the tobacco-control experience William H. Dietz Dietz, William H. 271

17 The role of parents in preventing child overweight and obesity: An ecological approach Kirsten Krahnstoever Davison Davison, Kirsten Krahnstoever 299

18 The potenital for policy intitiatives to address the obesity epidemic: A legal perspective from the United States Ellen J. Fried Fried, Ellen J. 321

19 The potential of food regulation as a policy instrument for obesity prevention in developing countries Mark Lawrence Lawrence, Mark 336

20 What role can urban planning and transportation policy play in the prevention of obesity? Tim G. Townshend Townshend, Tim G. 353

21 Can fiscal approaches help to reduce obesity risk? Thomas J. Hoerger Hoerger, Thomas J. 368

22 Social marketing approaches to obesity prevention Hans C.M. van Trijp van Trijp, Hans C. M. 380

23 Community interventions and initiatives to prevent obesity Frances Hillier Hillier, Frances 395

24 The food and beverage industry's efforts regarding obesity prevention Danielle Greenberg Greenberg, Danielle 409

25 The need for courageous action to prevent obesity Kelly D. Brownell Brownell, Kelly D. 424

26 Conclusion: Obesity and its prevention in the 21st century Johannes Brug Brug, Johannes 445

Index 447

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