The US Healthy People 2010 goal of reducing the proportion of adults who are obese to 15% will not be met.1 In fact, the proportion of American adults who are obese has increased 140% over the past decade. At present, more than one-third of adults, or more than 72 million people, were obese in 2005-2006.2 There is also a disproportionate number of minorities affected. Blacks have a 51% higher prevalence of obesity and Hispanics have a 21% higher obesity prevalence compared with whites. Obesity, along with an unhealthy diet and physical inactivity, is one of the most important contributors to chronic illness, including cardiovascular disease, stroke, diabetes, and many types of cancer. By recent estimates, the annual burden of obesity has risen to almost 10% of health care spending, amounting to $147 billion in 2008.3 Annual medical spending for obese people was $1429 (42%) greater than spending for normal-weight people in 2006. Thus, halting and reversing the obesity epidemic must be a top national priority. Most assuredly, reducing the prevalence rates of obesity will require a comprehensive public health plan because its origins are multifaceted, brought about by an interaction between environmental, behavioral, socioeconomic, metabolic, and genetic factors.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 15
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
The Rational Clinical Examination EDUCATION GUIDES
Abdominal Aortic Aneurysm
All results at
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.