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Natural Health September 2017

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HEALTH & Wellness<br />

Abraham Mathew Saji<br />

Pharmacist<br />

Individuals may need to use additional factors to assess their<br />

individual risk including family history, level of physical activity,<br />

smoking and dietary habits.<br />

Waist Circumference<br />

Waist circumference is another widely used measurement to<br />

determine abdominal fat content. An excess of abdominal<br />

fat, when out of proportion to total body fat, is considered a<br />

predictor of risk factors related to obesity. Men with a waist<br />

measurement exceeding 40 inches are considered at risk.<br />

Women are at risk with a waist measurement of 35 inches<br />

or greater.<br />

Waist to Hip Ratio<br />

Waist-to-hip ratio (WHR) is a measurement that measures the<br />

ratio of waist circumference to that of the hip. It determines how<br />

much fat is stored on your waist, hips, and buttocks. Not all<br />

excess weight is the same when it comes to your health risks.<br />

People who carry more weight around their midsection (an<br />

apple-shaped body) are at higher risk for obesity related health<br />

risks than those who carry more of their weight in their hips and<br />

thighs (a pear-shaped body). According to the World <strong>Health</strong><br />

Organization (WHO), a healthy WHR is 0.9 or less in men<br />

and 0.85 or less for women.<br />

Cause of Obesity<br />

There could be many causes for the development of obesity. But<br />

the main fundamental cause is an energy imbalance between<br />

calories consumed and spent. Globally, there has been an<br />

increased intake of energy-dense foods that are high in fat,<br />

and an increase in physical inactivity due to the increasingly<br />

sedentary nature of many forms of work, changing modes<br />

of transportation, and increasing urbanization. Changes in<br />

dietary and physical activity patterns are often the result of<br />

environmental and societal changes.<br />

Waist-to-hip ratio chart<br />

<strong>Health</strong> risk Women<br />

Low<br />

0.80 or lower<br />

Moderate 0.81–0.85<br />

High<br />

0.86 or higher<br />

Men<br />

0.95 or lower<br />

0.96–1.0<br />

1.0 or higher<br />

Statistics<br />

Overweight and obesity are the fifth leading risk for global<br />

deaths. At least 2.8 million adults die each year as a result<br />

of being overweight or obese. In addition, 44% of the<br />

diabetes burden, 23% of the ischaemic heart disease burden<br />

and between 7% and 41% of certain cancer burdens are<br />

attributable to overweight and obesity. Some WHO global<br />

estimates from 2008 indicate that:<br />

• More than 1.4 billion adults, 20 and older, were overweight.<br />

• Of these overweight adults, over 200 million men and<br />

nearly 300 million women were obese.<br />

• Overall, more than 10% of the world’s adult population<br />

was obese.<br />

Once considered a high-income country problem, overweight<br />

and obesity are now on the rise in low- and middle-income<br />

countries, particularly in urban settings. Overweight and obesity<br />

are linked to more deaths worldwide than underweight. For<br />

example, 65% of the world’s population lives in countries where<br />

overweight and obesity kill more people than underweight (this<br />

includes all high-income and most middle-income countries).<br />

<strong>Natural</strong> <strong>Health</strong> * <strong>September</strong> <strong>2017</strong> VOL 83<br />

15

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