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Obesity defnation and measurment
To most non-professionals, obesity means very fat and overweight
means either less fat. Whereas overweight implied to excess body
weight compared to set standards, obesity refers specifcally to having
an abnormally high proportion of fat.
1
To health professionals and
researchers, however, both these terms have defnitions that specify
the degree of excess fat.
2
Body fat exists in storage and essential forms.
Essential fat found in all organs involving the central nervous system
or intestines that is necessary for body normal functions. Storage fat as
an effcient energy fuel is accumulated in the adipose tissue, specially
under the skin and that is affected by diet or exercise, whereas the
amount of essential fat remains constant.
3
World health organization,
in addition, produced a defnition of obesity based on Body Mass
Index (BMI), as a criterion taking into particular consideration the
correlation between this index and mortality and disability.
4
Indeed,
body fatness assessed by BMI that is calculated by easily and quickly
dividing an individual’s weight measured in kilograms by their height
in meters squared (kg/m
2
; e.g., a men weighing 80kg and measuring
1.7m, BMI=80/(1.7×1.7)=27.7kg/m
2
). This index is independent of
gender and age.
2
Table 1 shows accepted scale of BMI for degrees of
overweight and obesity by WHO.
5,6
Defned objectively as a BMI of
30 or more, obesity is related with markedly increased health risks.
Although, a BMI of 25kg/m
2
is the commonly accepted threshold for
recognizing bedridden identifying a patient at higher risk for obesity-
related illnesses.
7
Individuals who have a BMI of ≥have a 50-100% increased death
hazard from all causes compared with individuals who have BMI 20-
25kg/m
2
.
8
Morbid obesity is defned by a BMI ≥40.0kg/m
2
. Body mass
index calculation as a test for reorganization of overweight and obesity,
although, is not a perfect measure, but it is the industry standard, as
its formula makes it certainly accurate enough to determine presence
of increased health hazard.
9,10
It, indeed, has replaced percentage ideal
body weight as a criterion for assessing obesity for several reasons.
7
It is not proper index in individuals with a great muscle mass (such
as bodybuilders) and falsely low in those that have lost muscle mass,
such as the elderly.
11
The main assumption of BMI guidelines is that
body mass, adjusted for stature squared, is closely associated with
MOJ Womens Health. 2018;7(1):19‒24. 19
©2018 Mehrabani et al. This is an open access article distributed under the terms of the Creative Commons Attribution License,
which permits unrestricted use, distribution, and build upon your work non-commercially.
Overweight and obesity: a brief challenge on
prevalence, complications and physical activity
among men and women
Volume 7 Issue 1 - 2018
Javad Mehrabani, Zeynab Khazraei Ganjifar
Department of Exercise Physiology, Faculty of Physical
Education and Sport Sciences, University of Guilan, Iran
Correspondence: Javad Mehrabani, Department of Exercise
Physiology, Faculty of Physical Education and Sport Sciences,
University of Guilan, P.O Box 1438, Rasht, Iran, Tel/Fax +98-
0131-6690675, Email mehrabanij@gmail.com
Received: August 21, 2017 | Published: January 17, 2018
Abstract
Obesity is a major problem for public health due to weight gain from imbalance
between energy intake and energy expenditure. According to published data by World
Health Organization (WHO), obesity was increased rapidly from outset of last decades
of 1900. Prevalence of obesity is accepted as a socioeconomic challenge in present
decade. Based on this topic, in particular since 1980 decade, if this trend cannot be
reversed or at least restrained, high levels of obesity will naturally lead to increases
in the prevalence of chronic diseases, with enormous economic and personal costs.
Epidemiological reports show, in 2008, approximately 35% of adults were overweight
(body mass index [BMI] ≥25-29.9kg/m2) (34% men and 35% of women). The
worldwide obesity prevalence has increased meaningfully between 1980 and 2008.
In 2008, 10% of men and 14% of women in the world were obese (BMI≥30kg/m2),
compared with 5% for men and 8% for women in 1980. An estimated 205million
men and 297million women over the age of 20 were obese a total of more than half a
billion adults worldwide. Since physical activity rates over the past three decades are
essentially unchanged or lower, it would seem that increased body mass has limited the
weight gain due to increased energy output. As a result, obesity prevention has become
an international priority. Changes in life habits and patterns, such as dietary behaviors,
advancing in technology, relief, sedentary life, and decrease of lifestyle physical
activities, results in an increase of obesity and weight gain among men and women.
Obesity is related to increased morbidity and mortality rates due to coronary heart
disease (CHD), osteoarthritis, infectious disease and cancers. Excessive body weight,
in addition, increases the risk of hypertension, unhealthy lipid profile, menopauses,
gallbladder disease, diabetes, some cancers, psychosocial experiences, and many
other causes of chronic morbidity. Obesity, in addition, involves major expenditure
and therefore represents a socioeconomic health problem of the highest magnitude.
It is clear that obesity as worldwide problem results in considerable morbidities and
decrease individuals abilities for keep their good health for live. In this review we try
that augment this history argument, epidemically and represent the relation between
physical activities and weight control among men and women.
Keywords: obesity prevalence, fatness related-disease, physical fitness, weight
control
MOJ Women’s Health
Review Article
Open Access